HomeMy WebLinkAbout3131 ENCORE CT - Building Permits"��p�a���� 3131 ENCORE CT
OYMERSN4YEIFRlINM: STEVE SCHOFRO
�E� 3131 ENCORE CT
COSTA MESA CA 92627
,�w�. �uunc �oo�ss:
MCNRECT Ofl ENtlNFFR:
AIICN. OX FNG.'S ADDXE55:
uxr.
FLOUL; X 47
CITY OF COSTA MESA - BUILUING PERMIT
PERMIT NO; P 084832 F+LAN CHECK NO; N
{.��� CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU
�� JOB DESCRIPTION : INSTALL FROG FOUNTAIN AND PAD FOOTINGS
UNT:
q��000� .
PERM NO: P 089832
GOVT; N SUPP: N
SQ FT:
PURPOSE: OTH
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /
cor�macrarsruuE ROHERT SLEZACEK ( 714 ) 631-4310
CON111ACTORSYYWlG 160 MONTE VISTA AVE COMMENTS: PAD FOOTINGS AND SLAH FOR FOTURE PATIO COVER
�ooxess: COSTA MESA CA uc.xo: S41bSb itltiFititititiFatitiFiFiFiFifititiFititifiFiFieiFititiFitiFitiEitititiFitiFiF�fit*ib*iti6�tifi(�ititieitit3lit*3tiE3titit�ltitaaiEiFafif3r�lt�tiEiF*ititieaF
92b27 uxr: B Z O N I N G R E Q U I R E hl E N T S
110EN5ED COMNACTOHS OECL�FATION: 1 hereby eflirm �nder parely d perjury the� I em licene der ' M Chaqp 9 JC E T B�i C K JC
(mmmeMuq vnlh Satlion )a0o) d Oimun J d IM Bueiroea arM Pmleadona Coda, uM m Y i ull lorca ellea. .
uc.No.: cuss: g uc.No.: 54 • : ------------ MAIN BUILDING ---------- ------ ACCESSOAY BUILDING
Q --- ---------
o�e /.9� � c��aa: FRNT; FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN
OW NEH BUILDEP OECLAqATION: I Mreby elfirm unde� pendy d perWry ihat I am exmmq Imm �he Canreaon licxue law la tho
�aw„:q�.�,�s��,�oa,sa,�:�.�eP�a�m�sc�:n�Y<aY«���Y.�,ma,���,�.e�n�o�wn,en«.��, pp�gKING REQ: PROV: PAFiCEL: 14151132 ZNE: REF NO;
�� r;; smolah. a repei eny at�uelure. pia W 4a'nsuaiee, e6o eaQuiree �M epqieenl la euc� peimil to fib e aqmd aletemmt thet M m aM ,
�'' licenaed Ounuenl lo Ihe provitions d Na Ganveqan lioenae lew �Chepler 9(cammaienp Milh Sedion 1000) W Diveian 3 d Ihe P LANN I NG NOTES > .
�:uusneas eM Prdeesora Godej «tlw he or ehe is avemq ihneMm end ihe bem la Ihe dbpad mamqion. My v'vWun d Sactin j
- ]W1.5We^veGdiunilaaPermnwd�+stMeFdicantloedvilpenenydnamorolhenlNehuMreEEdlerol�ll. ifififiF"aflflFiliE�tififihitiFlliFiEi4iFif�IFifikififiFik*iliFifiFififiFiElFiFiFikiFiFifiF�lFiFiFififikiklfiFifiFikiFififiFlF3kiFifififififlFiFiEiFiEiFiFiFil1E
� I. m ovmar d iM prapeM w my empbyees wRh wepes av Ihei eob mmpanselian, will do ihe wk, eM tM aVueluro e M imeedeA D E� V E L O P M E N T S E R V I C E S R E /� U I R E M E N T S
adleredtareebl����.BusiremeMPMessamCde:ThaConlrectonLicemeLewJoea�npplyloenowrwrdpropMy � 1d
Wh0 blllb9 Of TplOVBB I�IBIBOfl.91b'M�1O QOBS 91M�1 MIXk �1IIIIBlM Of �1BIfB� C! 1�1fOY�l h6IX hB! ONT MIpP/lB9� p10VIdBd I�W HYCh -
imqorememe era nol imanded a diered ta eele. II. however, Ihe buiMi�q a'unpwsnerx n aotl xithin om yav M mmpetion. the Z ON I NG AP PROV ED B Y DAT E: �
ownarbuikx wiA heve tM burJan W provinp he or ahe d'M nd Euild w impmva la IM puryce d eebJ. .
� PM �easme C'oCeDTln Cont�mrntlNli elnse lewpE m rwl Inpply b en o,` �.,b; a�„Y �����a'.'«� �r �:�e .,'eo B U I LD I NG AF P ROV ED B Y :
eanvena lor urh prqetls with a aoM�edae�e) l'rareed pu�auem ta IM ConlreGae Lieeme lew). '
❑ i,�,�<=«�a��e..s��: e.ar.c..ro,u�,���: APPLICATION ISSUED &Y;
�*******��c���c�c*�r*ac*�r*
De�e �"'"` LEGALIZATION;N F E E S_ U M M A R Y
I do Mreby cenily the� I em aware d vM u�MentaM Hre reQuimnems d CelAomie Maell� eM SefetY Cotle Sediaw 25.505. Y5533. eM :%+' .
¢5536, enE Ihat I w eny Mun buiki�q aavpeM will / w11 �wl (e�cb one) meE �o canply wYh eeiE ama ooEee uM the mQuireme�M M �'
epemi�broonstruclionamotlififatbnhaniheA'i uaTy.l�erepamamDimritl.Reeide�MWconOniqioneppicelbromeezamqhumlhma pERMIT BLDG PMT F�LUMS?SO ELECTR3C MECHANII
,.�.. -
o�e: � �od�m: 2 5 Y K,
WORKEN'S COMPENS�TION DKUINATION: I hereby elfirm undx penelry d peijury one d iM Idbrriiq dederalum:
❑ I he�e eM xil meintein a cenJceta d mnaen� to aeH-inwro br workers campewtion, n proviEeE la by Sarlion 3ro0 W IM leEa
code, r« �ne penormence d me woix �« wMcn mi, pa�mn w ae�ae.
� I lima eM wil meiman xwken' wmP�aelion ina�ranro. av rc9uiraA h' Sedim 3]00 d Ihe lebor Coda. br �he G��� d IM
wak fa whiM Nie permil u'sauad. My wvFan' wmpanamion inwrence certier eM poliq nvmber ere:
c�«:
Pd'cy Number:
This ucfim neeE rrof 6e mnple�eE / tM pmmt is M are hwCreC ddkrs /StW/ a bwJ //
� I cenh � in the pa�lamence d IM1e xrork lor xfich ihie pe�mil ia iaeued, I eMll iwl e M 9 �s on' ay�n iwr w m to
beeome w Io xvekera' eompenaetion �ews d Celilanu. eM pree Mm ' eeor eybje to I
ompen ans ol $ep' ]+0�0 0/ tM labar Cods. I ehell fonhr.'rh �m�i �(
Oet'c ��� T APWcen�'
Wemlrp: Fellun ro�seuro woMn'rompawtlon ewwep� p unbwN( �ntl �Ml/ NbJeel �n e�oloyw ro eNmiml pwrltlu uW
em� Pon, w ro ar. nurersa rnouwMf douar. (s�o0.000A M edtl�Wn ro M. eo.r o� rniwen.ewn d+msn.. .. p�✓� �w �n
Sxtlon 9)O6 0/ tM Le6or Cods, infxut, entl albmey'� fn�.
CONSTHUCiION LENDINO AGENCY: I hmeby eifirm uMer panally d per'puy thm Ihem u a m��nion bMiiq eQeM.y M tM
�IBf�Of1110fKB 0���18 WOI�l�O! W�1If�1�N6�IBllllllp 94UB4�$Btipfl.'b9%.�iN.C�. �.
LENOEWSNAME:
lENOEP'S AOUFE55:
��enrty ine� � neve reea mb eodemim.�e sw. inm Na ebw. iMammo� %carea. � ao�ee m wmpr•nn an cnr ene ca,mr «eir�v�ce.
end etete lexa releimp to buildinp eonsvutlbn entl MreEy eNM1orixe �epeeeentetivee d ihia my to aMer upon tM ebo.e�mentionad popeny
i« mso�� w�o�. S L A K /�
N Pri ne � � �'J�� �
� �
�� �a
� � �-�-.� a �,��A��,�,�,a
(5151-4B.WP) Wh�e-Buildiq d Sefety; oreen-Fle: Canery-App:irant; Rnk-Hevenua; Golden�oF0.sseamr
PLAN
ISSUE FEE 22.00
BUILDING-DIV-> PERMIT ZSSUE PLAN-CHECK
TOTALS----> 5.50 22.00 � 0.00
DATE:
s'TRUCTURAL SEGMENT:N
FIRE SMIP/RES GRAUING
SMIP/NUN-RES
TOTAL PAID DUE
27.50 27.50 .Ot�
REVENUE DIVISZON TOTALS--> COLLECTED: 27,50 OVER/SHORT: .00
HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECF(
27.50
i:
if iF 1E If 1f IE if if iF iF iF iF 3F ii iF iE iE 1E iE i4 iE �1F iE �F �1F iF �F iE iE iE iE iF i6 iF iF if �F if �IF iE if 3f iF if iF iF i("1F iF 3E if ih it iE iE if �f ih iF iF iE iF iE iF 3F 3F �F iF ik iFiE ih if iF if if'vf ie if
I N D I V I D U A L =F. E E H R E A K D O W N
fi�}�� i:1fi� ��§ E# t 1� t f.� ;f�`� URi21` ECJST TOTAL cosr
PLU 1 GAS PIPING SYS OF 1� TO 4 OUTLETS 5.50 5,50
END OF FEES
__ �
�X�° � w
�_�y]��� �
j�0 r wl-
n3-23-i?97/E2:�1 Rfl/S?7.52
F'EFi'�IT e p84832
' CONSTHUCTION AND PLANNING � P-OC ,SFA , . ..
APPROVALS Permit # ' � Date Inspeetor p�ppROVALS Permit # Date inspector
1. Temporary Electrical Service or Pole : 52. Pool & Equipment Location' �;�
2. Soi{ Pipe�U�drgrnd. - 53. SteeV Reinforcemenj� ` - �- - 4
-3: Electrical Condwt Utility-Undr9rnd. 54. Forms ". - � ,, � " • � �"
'�4' Elg�' trical CondtL�t�Uj�tlrgrnd. ' 55. Electrical Boriding � � . _ � r
�
�;t�5= Sta�� ReinforcementE � � 56. Rough Piumbing & Pressure Test �
'�6? Electrical UFE(�G�n,Fi. . 57. APPROVAL'TO COVER•GUNITE �
J'% •Y +.
��-7.' Footings ;, � � � � 58. Hectrica! Conduit-Undrgrnd: �� �
�8:� Foundatior� �,� ,� . 59. Gas Pipe, O Undrgrnd„ Test �- �
, 9. Waier Pipe-Undrgrid. �,� , 60, Backwash Lines, P-.Trap, L� Undrgrnd. �
10. St:uctural Floor S�stem ,; � . , �61. APPROVAL TO DECK � � .
11. Property Sewer Line & House'Connection - 62. Ba�kGvash &.Recepmr-Firial,. . �
12 Sewer Cap � 63. Heaier & Vent-Finaf �* r . . ,
j,3. Roof Drains ,.,, �' - fiq, plumbing System � Final � �
f4. Rough Plumbing� •� � •,; - ° - - � 65. Electricai-Final � ' ��
}'5. Rough Electrical=Coriduit Y � ' � 66. Sotar SYstem�Ffnal • ' � � � �
_. .. ,
-)•6. Rough Eledric�VJiriny.� � - . " 67. Fencing & Access Appiovat � �. `- . ` �
i7. Rough Wiring Sign • - 6g, APPROVED FOR PLASTERINCY .
18. Ro�gh EleGtrica�T Bar Ceiling - 69: POOL/SPA SYSTEMS FiNA� � . �
' iS. Rough Heating & Air Conditioning ' � - - - '' -� � � F,I,fiEDEPT;.PEQUIR£MENT -
� ' i .-1 t ^ �r 4 .i; P [ _r - _
20. ��ou$h Factor� Fire�.lace � � ;•� F � �-_,. r'' APPg'OVAL�S7� Peimit # =�
21. �Duct� iniStrfturei � . •. .. -+�S .i: � ,�.K ' 70.;'Underg�oN�d F�dro �,
, • �' ' ; , „
22. �Puct� Ve�tila'iing� K -' t:..-� t ; . 77. Produ^_S;�iping ��Gas � Oii
23. Gas Ripe-Rough & Tesc � Rs 5/�' � K� 7p, Undergr'e��d PtUsh i !�
Y _. ,, /���� .
24. �oof'Fra in . _ . , _,._. . , -�-
T
T 9 �= v ��- �i� �> � 73; Undergrnd. Stor.age Tank�� � Gas ❑ Oii
�25. RoofSheaching rr t �2 �r � k� _'� � i�� 7� Overhead Hydr¢,� ��
26. j-BayCeiling (Str �cftual) & I�lanncoat ; ,� 'z' ' �n t 7� Dry C��emical .. _; i '� '^ -Z
27. �5rarne and Flashir,� ,. - -�x � - .�. � 76. Dry Stai��}ipe -'�-��- i. , ,,
' 26. LaiM'ng &' Sidin9 �� � �' .� �', , � y s ..� .�� ..�K 7J, FIXED,�.`(STEA?;FjNAL�., -, .p
, 29. Insulation S��� J S ^ r_ � ; x 7� FIRE�PREV. FIf�L -ti ' 'r :'
� 30. Drywall�l3iling ,L��'. � �,_„ � �+ _,y.�� j,�1EALTNDEP.j'.'�tEQUiREMENT
-,
j 31. Plaster B[own'CoaT K � -�^ r' I I!' .� 79� FINAL RVSPECT:DN -ti ��
e ;•1
, 32. :�lecirica�l,f o�ier f��er�F,�nal � � � �, r 8�.� FOOD CERTIFa;CATE f�SfJED_• �
1 _,��
� .r ,, � - .
� 33. FinaliElG�tric> ��;. r, � � K� � 't NOtes: '7 i�� � �. '� �
` _ f � - e _ c- `
� 34.'Pina�Hea�ing'& A�7 Conditionirigc '� � � ` ` /��, p8 5 "" r - '� . .
„ � :,, � ;. , "!� :`�!� !cro j��ss
35. �inal Gas_Fipe Teu r �, •� K - 1= , �x ; �o '�-T- �t`*� e
' 36. Hoothor �anoav `y : � -� , -,q a t � ! t� - K Y � t i� �i � �
� - ,;.i .� _....� _,= i . ;
; 37. F.inatFactpry FireQiace-� -.ti ��� .�: �� I E ',v
� i -
'; 38. Fina{"P�usbing .� k M '-' t �K 'S - !� t-
i i:'n + ,J C ' f.: T. i. "? --_
'° 39. 4Vater'Se4vice�Fin�1, t �� ' � K'z I E I� " '" � `_ •
f ,.
!a40. GasServiLe�Pinal =�'� :;rr a g'r. � c O �•-tu .�. .-
r. r 1 i� , �r r � 4 r^ • 'Y Q
� , � I ` � �
� i 41. Solar pomestirFinaC ,-� '� � - �K �- .y,� : +- .�
42. Backfto�vPreventer � �� � : ': '� "-. � _ �-' .
e �i - ;. . . ;y ',; - s
43. Backflow Irrigdtion k ::, � p - ;'. ,� .:.'. . , '' - .
��A4,. Landscape Ir�gatiori"System �� �y ; _ t i*� _ �7 � + �. ` i•� N .0 '� �� � H •>
r 4: 'd ' < �s _' fi � k S
'`45. .Sound Atten ation K � " -- f ` �� �,: `�' " ,;: `
� V =7 ^. �� T i
��k6. Nandicap�Reg�lations - ` �c �� '�: :s '7� S • "
♦ K P { I F�' 'Ti 1 K
47�. •FIN�L STRUCTURE & BU�LDING " ' ' `.
, ' t: ._ ! � � ' �i i �. �-:
��
48� FINAL PLANNING. -- � '� � � "-'F � , �� � � f �
�
� g9: 'Elec(�ic Re�ease to Edison � ' ' ' r ' � ` '
� ( I .�. r .,� ��.
�� - - -
50. Gas 8elease to Southem California+Gas Co � i = ��- � � • = '+ + ' � �
.- .- � ;..� ;. 'i
51l CEFTIFICATE OF OCCUPANCY ' ' . . - ,_ ' . �
No. Date
u
won�ss:
2VINE, CA
�vr�. �,uuxc woness:
131 ENCORE CT uNr:
LYGON PROPERTIES FLOOD: X 47
717 ROCKFIELD BL
92718 719-952-0600
urcxnecron�u+�+:LL MAJOR 6 ASSOCIATES uc.no.: C-16869
u+cx.onu+c:smon�ss: 1551 N TUSTIN AV urn:
SANTA ANA CA 92701
wxm�cTarswve:POLYGON SOUTH COAST ASSOC ( 714 ) 380-2011
cam�crorcs�uuxc15751 ROCKFIELD
eooxeu:IR �CA uc.no.: 659262
92718 uxr. 120
LICENSED CONTFACTONS DECLARATION: I Mreby eflim unCer penally ol perjury ihet I em Ibanaed uMer povidoru d Cheqm 9
(mmmeeriiq wiih Seeiion ]000) d Oiviaun J d IM &ni�wea eM Pmiestiona Code, eM my lioerue re in ivll foree vM eHee�.
cmuc.No.p66144 uc.cuss:g uc.No.:659262 EXP: 11/96
Dete: Comreq«:
OW NEN BUILDEH OECL�PATION: I Mreby elfirtn uMar panely d perN�Y Ihet I am exemp Irom Ihe Contreuwe Licensa lew lar ihe
following raason (Sedion 1031.5 Busnesa aM Pro/wions COEe: Any cYy or raunry which reQuirea e pa�mil to oomM1ucl, eller, improve.
�Eemofah, w repei eny atmcWra, prior m ne asuenca, also repuirea ihe epplirant for auch pe'mn b file a eg�red atmemem tlW M a ehe
a licensed W��� �o IM povivms d IM Comraeon Licanx I.ew �Ghepler 9(commencing vmh Seaon )000) d Divvpn 3 d �b
dusiena eM Proleaeuns Coda� ar ihel ha or sha b exemq iharelmm eM tM bese Iw �M elbpaE mamqion. My videtion ot Seaion
)OJ1.5 by eny eppliranl for e permil subjec�e tha epplcent to e civil panelly of � mare Ihen Iwe hurdred ddlan �550p)�.
� I. es awner W Ihe 0ropenY or mY empbyeea wvh wa0� %+Ihdr eob mmpanaeiion. xill do tho waek. vM the siriwYure e�w1 inlandaE
w dlereE fa sde (Sec�ion 101d, Bua�resa erM Piolessions Coda: Tha Coniraclon Licensa lewEoas iat epplyto en ow�r ol propeny
who bulda or mqovee tMraon. eM wM10 doec audi xwk limsell a MrseX a throuph ha a her oxn amqayeae, provideE �lu� suc�
im0�'emems era iat inieMed w dlered lor sale: H, however. Ihe EuiNiiq a inprimmem ic edd wilhin are yeer d oompblon, IM
ow�wr-0uikm wiil heve Ihe buNen d pwin0 h? or she Eid nd build or imqove la iM W�e d seb�.
� I. ae oxmr M �he propeny. em exdwiveN �mraztin0 �Ih licenaed conVectan to canavue the popq (�� ��. �+sineas eM
Prdeanru Code: TM Contredorn Licenea Lew doea � eppy to en ownar d qopeny who WiNa w impioves IM1ereon aM who
conlrecb iw wch Woleda wiih e mmreua(s) IienseE Wnuent to the ConireGon Limme Law).
I am eMemp uM/er .Sac1bn: B. d P.C., br ih���
Ode �� 1� l i� Owner: r
i ae ns�W �.n�y me� i� ewe,e d�,d ��aeR��a m< rea���<o� a c .�d sdbv coaa s«a� zssos. zssaa. �e
2553a, anE �hel I a eiry Mure Wikirp opvpent will / will nm (a�eb one) n� o eanDly w'eh eek atete eodw eed tha repuiremenv b
ep�imnlormnsuudionwirodifraiianhanlMAi u3Tyl�anepemenlDistna.RaeideniidmnatrutlioneppFralionsereuemqlramiheea
� De�e: 1 - Applkenl:
�V. PKER'S COMPENSATION DECL�NATION: 1 Mreby eifirtn unEer penelly M parjury wr d ihe Idlowiiq Eedaratiora:
�' � I heve end wil mamein e cenJiwa d caneanl to eeM-iroure M worken' compenselbn, m povidaE lor by Seabn 3)00 d tM lebor
Cada, irc tM pa�iwmuica d tM xaA la wMch Ihe pemin ie inuM.
_ l�l I hm vM wit meinten xoMere compamelion imurenw. ea repuired by Sedim 3)00 d IM lebor Coda. M tM perlwmence d IM
7� wwk tor whitli Nia pannA is ivueE. MY ��n �^Poneaibn inwrence rarer erq poliry number ere:
c�a: CYPRESS INS EXPIRES
PdcyNumbec � 1� �], � 9%
�mis sxriar need nw hs cwnp�.red e tM pemid is ror aro nunereE Edlers /Sfao/ a bo 1
� I cerldy ihet in Ihe pe�lomience d ihe work for whch Ihia permN u eaueA, I JWI mi ampby e�ry pemn in eny menmr eo m �o
come eubjed to ihe xoMera' compenaetbn lexa ol Cel'domie, end epres Ihet A I ehauld ba;ome abjetl b IM woMers'
c penwbn prwiaions d Sedion 3)OO W ihe Lebor Cade, I ehell Ihn 1� mn �tl h th ea pranao�n.
ale: L FDDlicenl:
Inp: Fallun M weuro woileeri rompauetlon eovonp� l� �nlawNl, �n i • t en smploysr to eNMnel pxuNu entl
clvll flnu up lo ons huntlretl fMuurM Joll�ra (Sia0.aooA �� ��tlon ro r oi c mp.luanon wm.v.. u provw.a ro. �n
Swtlm J106 0/ Ue LMm Cotl�, Infenst, antl attomsy'� (w.
CONSTRUCTION LENDINO A4ENCY: I Mreby elfirm uMar penelry ot perNrv �� �� a e o�nsl'utlion bMiip epeMy la tM
�IBI�OIIIIBIIC! 0���1! NOf�[�M M}IIl�1��19 pGlRiA IB 58UB4�50dp11 3�Y�. CiN.ri�.
LENDEfl'S NRME:
LENOEF'S A�OpE53:
I canity thet 1 heve reed this epplcaiion end ne�e Ihel iha ebove iniwmelion is mrtea. I apree ia canply rmh ell fby eM aouMy «dinanma
�e sima b� �r o�o w�a.ro �sa�,a� �d na,enr amno�a �we�mvrea a m�a wy io ema, �oo� m<mwe��,�o�<e v�oaro
IorinspeabnWrpoaes�HOB YODER
Deie: I / I / / / S�
—TT—�
�% (5151-afi.WP) W�Ce-Building 6 Salely: Grean-Fle; Cenery-Rp0lirant; Pink�ievenue: GOltlenro�Aamaw
_ _ CITY OF COSTA MESA - HUILDING PERMIT �'
' ' / PERM NO: B 077226
PERMIT NO: B 077226 PLAN CHECK NO: 01218-96 A GOVT: N SUPP: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: NEW
JOB DESCRIPTION : 2341 SF LIVING/ 605 SF GARAGE SQ FT: 2,9.46
CLAIM VALUE: CALC-VALUE: 194,826.90 GROUP OCC: R-3 /U-1
COMMENTS: PLAN 3 NEW SINGLE FAMILY RESIDENCE
�-*atx�*�-at**+t***i�***it****�r**it�tirx�at*�ti�itet*******ttit�-at*�-it�at*****at*�t**it***at****�-**at�t*�*�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 BUILDING ---------
FRNT: 15 FT IN REAR: 17 FT ZN FRNT: FT ZN REAR: FT IN
LEFT: 5 FT IN RGHT: 8 FT 6 IN LEFT; FT IN RGHT: FT IN
PARRING REQ: 2 PROV: 2 PARCEL: 14151132 ZNE: PDR- REF NO: PA-96-35
PLANNING NOTES> SINGLE FAMILY RESIDENCE WITH ATTACHED 2 CAR GARAGE. PARK/
>�1TRANSPORTAT,ION.:FEES DEFERRED TO OCCUPANCY. :«--�,-
ak iE iE iE aE fE iE 1E IE �E �E �E iE �F iE:1(ajF aE 1E aE�fE * iE iE'iFiF��E if�iE 1E �f',iF iE iF iE �f iE if iE iE iE iE * 3E ik iP iE aEiE iE 1E iE iE jE ik ik 3F 3E it iF if if �E jF aE 3E iF if iE 1F if iE �E iF if if �E aE *
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�';S
.(,'i. f'.. �i
ZONING APPROVED BY �>: s� ' ''� M•�` DATE: �=
HUILDING APPROVED BY ;: .�- ; -> __ VC R DATE:� I '
APPLICATION ISSUED BY: ,-' �i��" r) (M[r� DATE:
iF'1FiFiElfifiEiFlflfiElEiElEiEifiEifififiEifiFiF7F�F'iFiFiFiFiFiFiFiF7FiFiF7F7f±F�EiEiEiF�3F±F�F�f7F�F�'iF3f3FiF'iFiF'IE1E�fiEiElEitiFdEiE�3F7FaEiE
LEGALI2ATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 1,362.25 19.98
SMZP/NON-RES
PLAN 221.37
ISSUE FEE f
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
iE if 1ElElh 1F'lElElElf 1k if 1f iElf iFlf 1E iF ik 1E if 1ElE IE 1E IElE aE �E 1E 1E IE'lE 1f 1E 1ElE 3E'lElElf iE 1f IF iE 1E 1E iE 1E iE if 3F 1k iE 1k iE iE 1E iE iE iE iE iF iE 1E iE iE 1E iF 1E'IE'%� 1E 1E IElE if� if
I N D I V I D U A L F E E B R E A K D O W N
������
SFR
SFR
QTY D E S C R I P T I O N ONIT COST
2341 DWE-TYPE V-WOOD FRAME -GOOD 77.90
605 RES-GARAGES TYPE V 20.60
END OF FEES
TOTAL COST
182,363,90
12,463.00
�CONSTRUCTION AND PLANNING
•� ApPROVALS Permit# Date
�,
-i. Te�nPorary Elecvical Service o� Pole
2. $pil Pipe-Undrqrnd.
_. �
3. Electrical�Coriduit UtilitY-Undrgmd.
. 4. Electrical Conduit•Undrgrnd.
� 5: Steel Reinforcement e
.. . �
6: ElectriwhUPER CT.nd. �
'7. Footings ' °"'�'
; • . .:. r•
8- Founda[ion �
T9: � Water Pipe�Undrgrnd. '" �
70. Structural floor System . .
1 i. ProPerty Sewer'tline'& House_Connection
12. Sewer Cap j V , _
13. Ropf Drains -
14. Rough Plumbing. --, � - _
15. Rough Electrical-Conduit .•
16. Rough Electric Wiririg-
17. Rough Wiring Sign �'
18. Rough Electricai=T Bar Ceiling
19. Rough Heating & P�f��Conditioning. � - .
20. Rough Factor�j FiF'eplace - _ "
27. Duct�, in�Structure'> _ .
22. Oucts, Veritilatang �' _ � ' �=
..� F
23. Gas PiPe-Rough &-,Test . = . �
_24. Roof Framing �' . ' �
25. Roof_Sheathing ; ,
�3S
26. T-BarCeiling (Struciurap & Monocoat - "#
27. FJame and Plashi g;; �� �' ZZ
28. Lathinq & Siding � T _ � � _ `���
_ ' :, �=�
29. Insuiatioa `" � - 7 ?{'
30. Drvwall Nailing _'" `• � �- {
' � 1
' 31. Plaster Brown Coaf=' '_ �'- ;&/ S
�- � POOI ..SPA �
Inspector- AppROVAIS Permit #
� 52. PMaI & Equipment Locatiom^;,.
,.�..
;� 53. S�eel Reinforcement v.
�,�� -
. � 54. Fnr�s � ��•
55. Electrita� Bonding
� 56. Rough Plumbing & Pressure Test
� 57. APPROVALTOCOVER-GUNITE �
� 58. Electrical CondUit�Undrgmd. ��,.
59. Gas Pipe, t7 Urtdrgmd., Test ',
:.�� 60. Backwash Ltnes; �Trap, � `qodrgmd, '�,
��: � 6'I. APPROVAL TO.DECK -�-'I ..� �
��' ?62. Backwash & Receptor�Final"� �
' '`�j 63. Heater&Vent-Finai '�%-?
,_ �•
1 64. Plumbing Syscem � Final �
65. Electrical-Final �
66. Solar System-Final
67. Fencing & Acce`ss�Approval
' 68. APPROVED FOR PLASTERING
' 69. POOL/SPASYSTEA9SFINAL
- a:+ � FffiE �EPT.'X3EQU�REMENT �
`JN.�^ �i i l T�
- � C'T APP�OVAL'S�.F" Pgimit # r
- 70.:ilndergroutiid Hydro �
�,. `• �, ; f 71. Vroduct Piping �G1 Gas 1� O+� •
- , r 72. Underground F.[vsh_ � , - � �
- y .: 73=,Unde�grnd.StorageYanK'1LGas ❑Oil
: i: .
` n ee' 74. Averhead Hydro' �_
- �- , 75. .Dry CheFni�cal ;-;� -
� 1 1 .
(�� 76. Dry Standpipe � �
'� `: 77. FIXED 5�'S7EM FINA� r 1
� li. 7, fIRE PREV. FIPtAL x �:�
G � Gj _ HEALTFi DEPT.�.FlEQUIREME
_ .P
4 �.. _ .
_� � Ci: )9. FINAL I;NSPECT(ON � _. jr.
32. Electrical Pow2r MeterFinal ^"' �� � 80s FO00 CERTIFjC,�1TE ISSUED' T
- r
... y .< r- •-• � . _. ` _ r+)' .
33. Final�Electric� , , _ � ', .,.,� � 'r Notes: in�: ..�.-:,- n,�,._. _.:��,�_..
34. Einal_Heating�& Air Co.nditioning � �. - - ;. ._
T �•� Y'
35. Final Gas Pipe•Test'� � �, r,
36. Hood-or Canopy •-. n r- �- -
- -s ,
37. Fina1 Factory Fireplace � ' ,
. 38. Final Plumbi�g �� � -
39. Water Service�Final ' ' .
40. Gae Service-Final k ` �� - .
41. Solar pomestic-Finair - _
r
42. BaGkflow Preventer t• __ ��� ,
43. Backflow Irriyation r '' �
l - . < .
44. Landscape Irripation•System = �*
45. Sound Attenuation" '� �� .z , _.
46. Handicap Regulations " , �-
47. FiNALSTRUCTUAE & BUfLDfNG -• : gf ' I
- i-
48. FINALPLANNING ,. _ ��
49. Eiect�ic Release to Edison
50. Gas Release to Southern Catiiomia_Ga4 Co
51. CERTIFICATE OF OCCUPANCY
No. Date
� Y �
Y.
.
Y'
�
� � -
. i
Date Inspector
uaea�ova: 3131 ENCORE CT �M�
+n�iF�r+: pOLYGON PROPERTIES FLOOD: X 47
�ooxEss 15717 ROCKFIELD BL
NE, CA 92718 714-452-0600
a�wc �oox�ss:
urcxrrecrox�n�x: LL MAJOR S ASSOCIATES ucr+o.: C-16869
urcx.ox�os�ooxus: 1551 N TUSTIN AV uxr:
SANTA ANA CA 92701
coum�craxsw� POLYGON SOUTH COAST ASSOC ( 714 ) 380-2011
LQRfl1CTOR3YN1➢IG 15751 ROCKFIELD
nnoness IR CA uaxo.: 659262
92718 uxr: 120
LICENSED COHfRRCTOPS DECLARITION: I hereby eA4m uMu peretly ot paijury Ihm I am licmeed under pw'vions d Cheqs e
(�me�iq woh Senian )000) d Oivision J d iM Bueimm eM Pmieeebne Coda. uk mY lieeme ie in tull laeee ane eXed.
cmu . o.: 066144 uc.cuss: g uc.No. 659 62 EXP: 11 /96
Dma: / Y Y GonVaaor:
N fl UILOEF OECLRHpT10N: I M1ereby e/firm undar paneYy d perN�Y �� I em exemp Iram the Comredon lionua lew lar tM
ieemi (Saqion )OJ1.5 Buai�esa md VMeniona Cada: R�ry cry v o nry whidi reQuiree e perme to aonshucl. ellx. improw.
m h, or repei eny ehucture, pbr to tls bauarce, ebo reQuima �M eppli ant la wch pemtit tolJe e vprod pmmreN tlm he p aM
pumunt io tM proviabne d ihe Coniredae limnae law �Chepter 9(mmmmarp wuh Saean ]000) W pivuim 3 tl �b
usin eM Profesaiom CaEal a Ihal he «aha a enemq thardmn aM iM bsva la ihe dbpeE awemqion. Nry voW ion d Sedion
]W1.5 by enY Wd� Iw a permn eubjeUs ihe epplicenl to a dvil peneXy N rw mws ihen I've huMred ddlen �t500�.
� I. m ox+w d �he popaly or my empbyea xah wepee ea thei eola mmpanealian, will do Ihe v.nrk, end ihe etrucWm i ml iMeMed
a Mered M eeb (Saction ]016. Busircu eM Prdeatims Code: The Com�mora lioerua lew Aaea not eOPNloan amierd pope�ry
who WiEe a mprwee tAereon, and x1w does auch v.vrk MmsaX w MneY m ihrouph hc a Mr ovm employeee, qwidW ihet wch
improremeMa ve nd inleMed a Wvad lor aeb. M. hawever. tM buiNirp a'vnprwemeM ie edtl wilhm ma Y� a�0��. tM
owner-buiNer xill heve ihe Wken d provilp he w she Ek ral Wild a imqwe tor tM W�s d veb�.
� I. es ox+nr d Ihe propMy. em eaduervety mntred'np wnh limnaed conVecrore b conArud Ihe pqM (�� )�. ��e eM
PMacvia�e Code: The CaNrada+ licenae law doee m� epply io en ow�r ol popeity Mw builtle a impo.•ae Ihereon eM who
contrecb Iw w� prqeds wiih e conlrada(sl licerwed W��I lo Ihe Conumas Lioe�ua lewl.
� I em naempt urMer Saclion: B. d P.C., la this reeaon:
I tlo hereby cenity tlw I em ewue d enE uMeretarW tlro reQuiremeMa ol Celfanu IIaeM eM Sa1My COEe Seaioro 45505,?5533, enE
P559C, enE �hel I a mry Mun WiMirp ocwpeni will / wdl na (arcb are) mad b camply wih eaid etete codm eM iM �am�iremeMs br
eD�atwmrul�tbnarmodifrelianhan�MAi ue�y a�apemen�pislritl.ReeideNNmmt�udianeOG�iomeneRamNhomMms
„a;.p�a.
ome: Avvir��:
WOXKEF'S COMPENSATION DECL�HATION: I Mreby alfi�m uMm penelty d pa�jury one M Ne Idb�.inp Aetlermiom:
❑ I hew eM xil maniem a cenJicme d mneent lo aett�ineura /a wakero compenWion, m prwided f« by Sactim 3]00 d �ha lebor
euae, �« �ne p.nmwice d �n. woix e« wN�n mie peimil ie imuee.
11 I haw eM xil mmnlew xwksa' mmW�+dion ireurence. n iawimd M Sedion �)W d iM lebar Cods. br iM OeNamerce d �M
�C „o,�,�«wnKnm�.��n����ee.n+v.«�nCS�PRESS�I S��"um���: EXPIRES
Cartier
Pd'ry Number. — � 1� � 1� 9%
lh�s aw�m �eee Iwr ae comWa�se r �Ire w�e u ro. are nunelee ed�ers R�al w �w.l
i cenM mv m ine �namence a me wok i« .nrn inre oem�a o em,ee. i en.�i na «noM d+r o� m em m� w e� �o
becoma wbjep to �he workne' compenmtbn k�w d Celilania, uM epree thm il I ehould becwria wbjea to tM xvrken'
comPo�� Wo`��a�a d Setlion 3]00 d IM lebor Coda. I ehdl hxtrh canyy wiM/qms p�vmaro.
Dete � AppimM: i \
Ip: �Ilun ro ucun workwi mnpmutlan rovxap� l� �nlawN( �n /l iuDpct en �mplayer fo erlMntl puuMa nM
flnu up b on� hundretl tMuuntl tlolMr� f3100,0001� In erb'Itlan ro tlro cwt ol rompaueWn ��p� n prorMW br In
3�ctlon 3]P6 0l th� Le6orCotls, /nMwl, entl ettomsyY /ass.
CONSTRUCTION LENDINf3 �OENCY: I hereby eifiim undar peneXy d perNrY �� �� a e canstiudian WMirp epawy tor ihe
perlamerce d tlw xmk Ior whitli iM1e Dertni u esued (Sadion �OBI. CN. CI.
LENUEN'S NM1E:
LFNDEq'S ADDFES3:
I wnity thm I heve rteE Ihia eppicnion eM eteta Ihet Ihe ebove inlamelion is corted. I eyree lo campy wnh ell ay erd oouMy adirunm�
eM t�eb lewe rtWip Io WiM'vq wnsV�qian eM hxeby eNhor¢e repeaente�ivee d Ihie d�y lo an�x upon IM ebore-mm�onad p�oparly
������°����0��0�� BOH YODER
o�a: 7 9 6
(5151J6.WP) Whils-BuilE'�q 8 Selery: Green-Fb: Canery-Appiwn: Nnk-Rerenue: Gddenro�Meeevor
CITY OF COSTA MESA — BUILDING PERMIT
" ' PERM NO: IB 078664
PERMIT NO: IB 078664 PLAN CHECK NO: N GOVT: N SUPP; Y
CONSTRUCTION TYPE: V—N . PERMIT TYPE: OTH STR PURPOSE: NEW
JOH DESCRIPTION : REINSPECTION FEE SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /U-1
COMMENTS: PLAN 3 NEW SINGLE FAMILY RESIDENCE REF;H-77226
*x�**�t�r*�t*�t*�t*�tx x **x�*x��t�t�t��r*x��**�t�r�t�rx��rit�r+t+rx�x�**�*�t***x�x�x�*�r� �t**�tit*x��t*�+t*� *��*x *�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 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>
� �'
iE 1E 1E iF 1E 1E 1E'lE iF iE 1E 1E 1E k 1F iE Ik k 1E 1E 1E iF �1F if 1E IF If ik 1F 1E 1E iE 1I� IE IE iE ik iE 1E �! 1E'll' fE fE 1E 1E 141E iE 1E if 1E if 1E i61E iE fE 1E 1E 1F iE if 1E iE iF IE IElE:1E IE 1E 1E iE'1F �E iE i! fE
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: �= •. �
1EiE1E1E1E'1E1E'Ih1E1ElE1E�Eff1E1f1EfflEiE'IEiE 1Eif3EiE1EfE1EiE1FiE iF1E
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL' SEGM NT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 42.00
�iuM.�Ci��l`II 7��
PLAN
ISSUE FEE r:
BUILDING—DIV—> , PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 42.00 0.00 . 0.00 42.00 42.00 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 42.00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
42,00 :
.
1EiEiEiElEiEikit1E1f1E1EiEiEiFiEiEiEiEiE1FiliF1liflEililiFiEkkiEifiEkiliFkiEiEiEkifrtiElEiEiElkikltiEiEiEiElEfFitilifitiEiEiEiElEiFiEiFiEiElkiFiFiEiFiEif
I N D I V I D U A li' 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
INS 1 BUILDING RE—INSPECTION FEE 42.00 42.00
END OF FEES
� �
arRUCTION AND PLANNING . . ';��' ' ^� - ,
APVROVALS Permit # i Date Inspetto� -AppROVALS Permit.#�
� t. T2(nporary Electrical Service�`or Pole ' . - 52. Pooi & Equipment Location .�
2. $oil Pipe-Undrgrnd. . - ' . 53. Steel Reinforcement
'i 3. ElectricaT_'.ContluiCUIility•Un'drgrnd. 54. Forms , - -' �
,�
:4. Elecirica}�GpridHiC_Undrgrnd.y - 55. Electrical Bonding � -
• 5. Steel Re�Gto,r�me�nt ' S6. Rough Plumbing & Pressure Test
; 6. Electrica�'UF,ER;Grnd. 57. APPROVALTOCOVEfl-GUNITE
. 77 Footings : - � 5H. Electrical Cond'u�-Undrgrnd.
_ 8� Foundatioo '' ;' a; 59. Gas Pipe, O Und�grnd., Test
9. Water Pipe Undi.gmd.,� � 60. Backwath �inei� P-Trap, 27 Undrgmd.
-70. St�ucturdL Flooi,Sysiem � ' 67. APPROVAL TO DECK � ��
71. Pr,operty Sewer,;�.ine & Hous'e Connection . 62. Backwash & Receptor-Final ��
12. Sewer Cap 7'� � ' . 63. Heatei & Vent-Finai
�
L
13. Rpof Drains ��� - - 64. Plumbing System - Final '
'14. Rough Plumbing � . � 65. Electrical�Finai
.15. Rough Electrica�=Ctiitduit s � _ 66. Solar Sy'stem-Pinai '
`6. Rough Etectric Wiri g� 67. Fe�cing & Acce55 ApP�oval ..
17. Rough Wiring S�9^ �� � - 68. APPROVED FO�PLASTERING
-78. Rough ElectriarMT Bar Ceilirrg ' . 69. POOUSPA SYSFEM1AS FINAL
79. Rough Heating & Air Conditionin9 FIRE DEPT. REQUIREMENT
20. Rough �actory Fireplace r„- ^ ` �� � � � ~
tc �, �� r APP�{OVFA�LS�C: Permit,$ �
.r "'x -%.^ t� r• _c.. t r nt
21.;_Du�ts, irLStru`itu�R„ F' -; � c ` - ,_�'-�• � ;. 70.�UndEcyround f�,ydro } `�'
*
�
22. DuctS, V,enti�ating:r • _ � �� S ��'' 71. ProdJtt�ipin�Gas DOiI
r- .,
23. Gas'Pipe•Roygh &"f�st � `��^ �- =' " � 72. Underytound F-lush. '� "
�; S �' b' 7 l.� l� 1-.: � u. � �
�i ^ r T T � '1 � M " :� ; l� 1". v r� _ F "
24..Roof Framing -a>, ,, :.� s� 7- +: = 7��. UndergrAd. Storsga Tank O Gas O�OiI
�
'25. Roof'Shflathing -� y` 5 "- ,`k' n r; � 7,A,40verhead Hydto'"`� �:
r -� .-: _: i� ...
26. T�Bar Celling (Str�cturai) & Manocoat � �., � r. 75t�Dry Chemical -� s- ..
'27.'frameandFlashi�g# _�, � �,' 76:�DryStacidpipe'� x� �'' „
28.�Lathing,& Siding,�:� ,- ;�_� o- •. ���• 77. FIXED SYSTEI+tI:FINA•L �-
29. Insulation ��'�: `-' t." "' > '� `'' ' � ��- Z8. FIRE PREV. FINAL ,; -. -`"
30. Drywall,Nalling �. ` '� r� � !r �HEALTH DEPd�REQUi�}�P
31. Plaster BZown_Coa�'` ,�, � �,� `� j ;� _ 79�. FINALTNSPECTtON ; =� ' S
, 32.; Electricai'Power Meier,Final � ' ,� ,; � p 84, POOD CERTIFICATE bSg-' U D -
33 �Gin51� Electric '� r ,„ , ?� ,",' �� � ; G.:'� N6tes: �j�p� ` ��/� �,�'�
i �/ p, �j,,�,'
r. � -F�.;: ��v't^:�C�T��/N�'"�
' 34. Fina]'Heating�lGr;Con�itioniagS n x�' I � w „ �• ,; �; � r-�
35.rF.inai Gas Pipe;7est �� � � _ . �� i � � �`� . ^ !`:� ' ^ �C
-. .r n r� � - ^r.
36.�H00� Or C2nopY ^ l. � i' - s i� � �•`� .t � ��1 _• � i x �:. T
r
� 37. Final-Factory Firt�t3Ce -. ' '" '* = � ^ �
t � �a
� � � r r : . _ v c_ � n �: c. -� �
: 38. Finai Plumbing �,_ _ _ t � ' , c� .-� .,.
39. Water Service-Final� � •�� � :. =�� '
,. : �- i �:- �� yU
. 40. GasService•Finai._ x - �:^'- t -. � .• '��. -,:- :+ T
: 41. Solar pomestirFinal •- ^ � � ' � � o � -� s
a " - i -
42. -6ackflow Preventet�:' ' = � ,'� "' � ` -
- x .^.. #� =' -�
43. Backflow Irri�gation � _;" x � � --� . _
x r.
,.,44. Landscape Inigacion SYs[em.. � �j - �; .,y ;,' - r,; `= -
=45. ��,Sound AttenUation- � i! � c" * �- -- F- m � - .' e' >
- Y� T M r-x } r' H_ 3
:46. Handica�SAagulations _ � ``� ' ' "� 4 1;� � ��, Y,.
�
47. FINQL STRIiCTUF�E & BUIGDING � ��,� � %'�.i _: M >
. . /6�` l�"�;"� ' r r. �-
48.'F.INAL PLANNING.` _" � ;C h r' .y Y F
�.49. Electric Release to Edison i _�i, z . � .
�r m ' x
50. Gas 8elease to Southem California Gas Co `' --�" � `- � ` , ' ; '
- - � i� �'
'51. CERTIFICATEOF'OCCUPANCY , �, ~ - � _,, , � ,
No. Date
y`
Date Inspector
�lY
�
�
, <
� � Hall & Fbreman, Inc.
� � e Civil Engineering • Planning • Surveying • Public Works
September 23, 1996
Building and Safery Division
City of Costa Mesa
77 Fair Drive
Costa Mesa, CA 92628-1200
Project Address:
Lot Number:
Permit Number:
By Civil Engineer.
Tract No. 1521 l
40 31 31 E�Jcc�re c-�.
GRA075893
4665-GRA08
I certify to the satisfactory completion of grading in accordance with the approved plans,
specifications, local and state codes. All drainuge devices required by the grading permit, grading
plan and grading ordinance have been installed. Adequate provisions have been made for drainage
oP surface water from each building site.
The minimums are:
2% fall from structures within 5 feet from exterior walls.
i% fall for asphalt surfaces and landscaped areas.
0.5% fall ibr concrete surfaces to approved disposal areas.
The fi�al monuments as shown on the recorded tract map were set. All fina] grading elevations are
wi[hin ± 1/10 of the desiened elevations.
Supervising Civil Engi
13821 Newport Avenue, Suite 200
Tustin, Califomia 92680-7803
iel 774/544-3404
Fax 714/544-3155
No. 37445
�/�.�`� �
O C r.,. _ _ _'".i> r
'\`,'\f et�ER P, yp(i F',.\
Y �P �' r
No.37445 �
� Exp. 6/30/0�
�
�onnEssaeuaarx: 3:1 31__ENCORE _.CT._.. . uNT:
avxERsru�Ei�a,w�r+:POLYGON PROPERTIES � FLOOD: X
�ooxess:15717 ROCKFIELD BL
RVINE, CA 92718 � 714-452-0600 .
AYPL. YIJNIG \DOHESS:
,
_. _-.,__. .. _ . _ __ .. _CITY OF. COSTA ,MESA _—..BUILAING PERMIT...
47 • • _ ____ ' .!_ PERM NO: E 077608 ..
PERMIT NO: E 077608 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N_ _. _PERMIT TYPE:. ELE _. __. PURPOSE: NEW._
APCXRECTOpFN(tlNFEN;LL MAJOR_.6.ASSOCIATES.__ ___.P�:.�;_C-1686.9._ .
AHCILOXFNG'SAUDRE55: 1SS1 N TUSTIN AV uwr:
SANTA ANA CA.92701__..
c«+mAaarswu� 3ESIDENTIAL ELECTRIC ( 714 ) 556-3813
CQRH�CiOR'SMNIING 3240 S STANDARD AVE
moeEss:SANTA ANA CA_„_uc.ra_�..33436,2.�.... _
�92705 ._ ..__ _uNr:. .
UCENSED CONfRRCTONS DECLpq�TION: I hereby eflirm uMar peneMy d perjury tlw I em Icanaetl uMer O��b�a d Chepter 9
(wmmenorp wrh Section ]000� d Oimun 3 d the Busirwa eM Prdeavms Coda, e�d my licenae o in full laca enE eHea.
cmuc.No.p14395 uqcuss:C 10 uc, 0.:339362, _ EXP;. O1/97_..
.� oma 5� a� ai� �o�„aao. ���.� o�. �a.�-�.�-a
OW NEH BUILUEP UECIAP�TION: 1 Mreby elfiim under penely M Po�N�Y �� I em exemp Imm ihe ConVeqon Licenge law Ia IM `
I011owin8 meson (Sedion )031.5 Business anA Proleasiona Code: Any cny w munly whiM requirea e pertnn m cwnvun, Mm, improve,
demdeh, a repei any ewcture. prior io na oauaree, e6o reQu'vee �he appliraru Iar euch permG to fila e eq�wC elelemenl ihet M a eM '
ie liceneed W�suenl to tM provisions d �M Conlredws Licenae Lew �Chepmr 9(oommemnp wilh Sepbn ]000) d DNoion 3 oi Ihe -�
Businea end Vrdeveions Code� or Nat he a ehe ia evemq Ihaehom eM iM bavie tw the elbpeE exemqion. My violeton ot $epbn
]W 1.5 b/ anY aDP��I iw a permil wEpdf IM epplieaM Io e cnil penely d ewl mae ihen live �uMrotl Eollen �550011. ;I.
� I, es ovmer d Ihe properlY a my empbyeae wIh weges av Ihei ade mmpansqon, will Eo ihe work, eM Ns svudure e r�w intaMad ��
w aRered la seb (SacWn ]Oaa, Buuiren eiM Prolese'vre Goda: Tlie Contreaon Li�ama Lew doae riM epply Io en ownm d propeity
who builEs or impmvee thereon, entl who dros such woA NmsaM «hereaY or �hmugh he a her own employeee, paWded thet auch
imO�W��h �a nd in�aMed a o/le'ed lor seb. X.Iwwaver.IM buitliiq w inpovemenl u add wnhin pre yev W mmpbinn, dro
ownar-0uiNer wiil heve tha buNen d provirp ha ar she d'M nd WiIE or improve Iw �he WToea d aeb). '
� I. es oxiwr d �he propeM. � a*tlusivety canlrxY'vq wilh licerreed wmrecton lo canelrua the pqea (Swun ]014. Bueinme eM
Grofueioro Code: Tha Conireaas Licenae law Eoea nrn epply to en ovmer d prope�Y �o WiMe a improvee tAeiean end xiw �
conlra4Yf fw sUch prol�s �+Ih e mnlretlor�s) IiCBnaed W�uenl �o �he CAMreqon lJGanae LBw). �
� I em exemq uMer Senion: B. 8 P.C., br Ihis reesan: /��
Ome: Owner !
��
i eo nercw �nM �nd i a� a.are d e�d �m.n�,d me ren��,«�.m. a cmaomie Heenn .ne sdm cma s.a�. usos, zss», d,a
?5536, eM Rw I a eny hnure W iki�q omupenl will / wdl nd (dreb one) need to epnply wIh aaid elele codse eM iM'repuiremanta lor
epermnlweanaweiionarmodfi�ionhwnthaR'r u-O-Tyl.rarapementDinrip.RmiEenlieloonaliutlonappkmioereusmmmqlmmiheee
aw;,�,..
Deb: AOdicent
W OHKEN'S COMPENSATION DECLRXATION: I haroby etfi�m uMa penelly d paijury ms d IM blbxirp Eetlaretoeu:
� I heve uM xil meiman e cenifca�e d mneent �o eaMinwm for xwken' compeme�ion, ee prwidad tw by Sedion 3)00 of ��e Lebar
c�, m� me �rto,m��a d ma.o� ro, w�n mm ��a �. �m�,d.
� 1 hrro eM xil meinlan wakeie' compenW ion inwrenm. m required by Secian J)00 d �he Lebor CoEe. br iM peilormeMa of tM
work for wAich Ihie parmit ia ipued. My worken' mm nsalion inaurence wrier enE pdiq numEer ere:
c�a� CA�LIF COMP. EXPIRES
Po�Kv N�m�= 0 6/ 01 / 9 7
�nr: �a� �,.ed �w na �da�.d r rn. �. is ro. o,re n��e,.e dwie�a /srool o, i.s,.�
❑ I ce�tly Ihet in IM parlormence d iM work iw whch ihb pertnn is iaeued, I shell iwl empby ury pereon in eny manr�x w n to
becam wbjea to tM xvrkera' compeneelion lexs d Cdifamie, eM epree t�e� il I ahwld berome wbjeq b IM xoMre'
=omrer���a� op•�ap�pa w saa�o� s�oo w ma �eor Coaa. i en �ro,n�n.mn���ar •mn mow (o����s. ^� }` �'1
� Dete: J�� -\� RVPIcen1:1 .� r\ 1 NtSLI.C��- ll �IM� ll�.
Weminp: Fallws ro�xun woAxi romoewtlon rownPo �� ��bM'M1�4 antl �NII sub/�ct �n �mploysr fo eNMlu/ pmalUu an0
clvll nins up ro aro hunaM tMuierH aWlen (Sf00,00p), In a0tl/fbn ro M� co�t ol romperuarron aamspss �� prov/tleC ror In
Sectlon ]RI6 0l fhe La�or Cod, /ntxut, ene etromq'� I�u.
CONSTHUCTION LENOINO AdENCY: I hereby eHirm under penelry d perlury thei ihen o e mns��upbn bMirp egericy br Ne
peAmmarre d iha xwk fw whiM Iha pemit is ssuad (Seaion 309], Ci✓. C).
LENDEH'S NAME�
LENDER'S ADOpE55:
i�enM �nv i neve reed mm end�� e�d m�e in� me m� m��� rs co�rea. i aarea w canoN wun e�i mv a�e oo�mr «a��e
anE eta�e lexs ralatvp lo WiWvg conmwion enE hareW eNMrrze repreaen�ativea W ihia city io enter upan tha ebove-meMbnetl propeM
lorinspedion purposas.
ANDREA SUSTAITA
�n/� /� I Neme /�
� �c 1 l]U\LLl� � 1 Ali�t/`� Deie:
Signelure d O.mar enVAppYrantiConveaa
� (S151dfi.WP) WhBo-Buildiq 8 Sefety: Grean-Fle: Cenery-Rpplifant; Pink-Revenue; Goldenrod-Aaeeasar
JOB DESCAIPTION. .:�2.341_.SF,. LIVING/ 605 SF GARAGE _�T'�f7_ _.._ _SQ.FT: ...
CLAIM.'VALUE:.. _._.____.�. _._. _ CALC—VALUE: GAOUP OCC:__R-3 /U-1 „
COMMENTS: PLAN 3_NEW SINGLE.FAMILY RESIDENCE REF• B-77226
***x x�x ��r**x x��r�r�**x�*********x��*rx��rx �+rx�x�*�r*�*��(r*�+r**x�x *x �rx �r******x�*x�x�x+r**+r*�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
==c-�r..—.-_--MAIN_BUILDING -----.----- --------- ACCESSORY BUILDING --------- _
T.:_,,__,. __.F.T. __. IN REAR: ,. . FT. . IN FRNT: FT IN REAR: FT IN
T:.�_..._:,...FT___ _IN .RGHT:.._ . FT IN .. LEFT:, FT IN RGHT: FT ._ IN
PARKING..REQ• __ PROV:. ,_, PARCEL: 14151132 ZNE: REF NO:
PLANNING.NCSTES,>_.,�„ . . .
i ^� .. -'� � 1
1E 1E if 1E IE 1E IFlE 1E 1E 1F 1Ell' 1f� 1f 1E IF 1F iE i! 1f if if iE 1E1E 1E 1E 1E 1E 1E ik i! 1E iE 1f 1f If if if IF 1P iE ik iE iE if'lf 1E 1F 1F iE k if if iE if 1k iE IE IE fE IE1E if iI' 1E'lE 1E 1E 1E 1f� iE fE IE 1f� 1E if 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 ,. .,_ '=J .' DATE:
BUILDING APPROVED BY ,: '� �� DATE: '.
APPLICATION ISSUED BY: � `i DATE: �� !
IE1f'1('IE1PiEiElEiEiF1ElFifififiFifikifiEiflF 1I�1FiEfEififlEiElE7E 1E
LEGALIZATION:N F E E�'� U M M A R Y STRUCTUAAL SEGMENT:N
/
BLDG PMT .PLUMBING ELECTRIC MECHANIC FIRE SMIP/AES GRADING
PERMIT 92,44. /
SOY SMIP/NON—RES
PLAN
ISSUE FEE 15.00
BUILDING—DIV-> ,PEAMIT ISSOE PLAN—CHECK TOTAL PAID DUE
TOTALS---->..... _.. 92.44„ 15.00 ,� 0.00 107.44 107.44 ,00
AEVENUE DIVISION..TOTALS--> COLLECTED: 107.44 OVER/SHOAT: .00
HLDG PMT_.,PLUMBING ELECTRIC MECHANIC FIAE SMIP/TOT GRADING PLAN—CHECK
... _. 107.44 � `_
1! 1E 1E 1F 1E 1E 1E 1f if if iE 1E 1E 1E 1E 1E iF 1E 1klk 1klF �f 1k 1E� 1k IF iE 1k 1E 1E fE 1E 1f IE 1E 1(� i! iF 1F iF 1E i!'1F ik'1F 1f'IE 1f k k if'Ik iF 1f 1E 1f� 1E IE 1E IE1E iE 1! 1E 1E 1i iE 16 iE fE iF ik IE 1F iE 1E iE iE
' �,�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
J
ELE 1,_..,-.FIXTURES LIGHTING • 1�ST 20 EA.
ELE �, .1__�,RECEPT,/S�7ITCH ^. 1 ST 20 EA.
ELE 3._._.RES,APpLIANCE NOT OVER^ 1.0 HP
ELE 2341._ . NEW,,.RES BLDG FOR 1 OR .2 UNITS/ SQ FT
END �OF FEES
I '� �
.75 .75
3.00 9,00
.03 81.94
7! Qfl:063i:i-U?:"u<3S 3`_' `' _. .�4
'vAiE: GSID";7` 'iIr[s i1:42
�
: L
COf1STRUCTION AND PLANNING POOI & SPA ,
APRROVALS Permit # Date Inspector � qppROVALS Permit # Date laspector
1. Tefiporary E�ect�ical Service or Pole _ 52. Pool & Equipment Location � - -
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement C_ �
=C� Electrical CofduR7:Ji�lity-Undfgrnd. 54. forms � � - ,
��A,- Eleetrical�ConCi+it'dJrfdrgmd. _ 55. Electrical 6onding "
� m
-_=5� Steel ReiNfarc'�rti��}its 56. Rough Plumbing & Pressure Test �,, ' J
_�:;�E'ectricatl7fER.Grnd. 57. APPROVALTOCOVER-GUNITE c.: �
., •
"-r ,7-+.� Footings�`" r,C 58. Electrical Conc�fr�Undrgrnd. � �
�F&7 FoundatioJi �jc, n �J 59. Gas Pipe, O U�.dcgmd., Test `�r,, �'�
_ ,
�Warer Pfp�,e-'E7nd(gr4nd.,� � 60. Backwash Line��Trap, � Undrgrnd. ?��
10. St�cturayFtoorfi►stem ` 61. APPROVALT(�@ECK ,_ ���'
11. Property�Sewa Lin6�& House'd:onnection 62. Backwash & Receptor�Final' �
12. Sevo�er Cap ;y ,,: ' - 63. Heater & Vent-Final
A3. Roaf Drains � - . 64. Plumbing System - Finai , _
`4. Rough P�umbin� .y � 65. Electrical-Pinal � -
�IS. Rough ElcctricabCoeduit �� �. R^, $olar System-Fy�'a7
�9�6. Rough Eff"etricVNirini� �'� %�t%,� ' � 37, Fencing & Acc,ePs�Approval,�' .
V �'OTI
,],7. Rough Wiring Stgn c• � 66. APPROVED Fa'S!'PLASTERING
�18. Rough Electric�hT 8ar Ceiling � 69. POOUSPA SYS i EA9S PINAL
l9. �AouQh N�qting,&;Ai� Canditio2j�g� ac * '✓: ^ Q�k c�' p#R-fitGEpTpEiEQUIREMEht� t+5:'.�� c':
� T �-f (l. r C�i :Ti Y � _ �-� �- r-
20. �Rou�1 Fa^dto � Fi��lace - ;,�Gc, * s � ^� APP�O��� P�,imit # x���_."�' �`
:_ -- �- � v _ .
21. �u , in�tructurca: .. .. �i- � fd -� �^'f 70.Fl.lndergrctiRid F6�dro *
c
22. Duct"s; VeAtil3�in '' C'2 • C C' CJ F* �^C' -
�� �.� � ti*; 71. ProduciPiRing�as �Oil �
23. Gas �+pe'�'ti.o��h Bp;Tpst i�.,.,t. ;j� �`" � S* 72. Undergrsu�ad F}ush �s � -?
' 24. Roof�Fraiming 'Q t ^' � >�'� •' 7� Undergr�id. Stcf�u� Tanl� � Gas ❑ Oil
N x n ,-.y �'i N*._ v
� 25. �,qoo�Sh�dthing „y '< y ' ;q p;� 7q. pverhead Nydi�iC a
26. S-Bar�CeiF"mg (Strt}2Fural) & M&'i�coat y'= >' y �* 7+T,r, Dry Ch eT�� al F''� * ,;:�r" �`'
(T � '�G 't � lT. C+C•
27. �rarrie arid F�ashir�•. oc.c � .^, :� :v� � v. -� x ` r�,�� �
, � �CTf. �" �R .-# 76. Dry Sta pipe��-. e v N =J„-- +r.
28. Lathing &Siding _'� �'SF C * � � � � 7x,'- FIXED �'F`STE'�1�FINP,�." " mN = �
n; ��� 5 •• s � eF � �.�: _.= ...
29. Insulatioa, �-;� S �; �. �c + j k< 7� F�RE PREV. FJi+tAl M
�. 30. Drywall Idiling r-' ��' � �!' S r?REALTH`BEPi�,[iEQ�.11Rt�d��T
� fJ f-t� x u
'� S �' S : r' �'-' # i f*' � V ' � J •
,. 31. Plaster 8�qwrt-Coa�:.: :-r, x � � �9. FINAL f,V PECT�.N x p E.. r^: p
. . . . � -=.i. _
.". 32.'ElectricaYYow`er Merer-Finai bf r 80% PO00 CERTI TE I S�FJED' S� T
_ . � �-� �� �� r, m ^ � .'� �
' 33.'Fin�flectriG'� �K ;•� ,,..�� .Q x 1 ' � °' � �r * ~ �' ; �-
. 1B-.:� � ,
, �3 4c� C�,_2.F'y�x��E' ��
�L 34. j�ina, eMing AiL-EonditioningV ;± .� ?• i i . n r ^ � H'" Q'
_ � . � � � � ' . 9_���� 4 ��C�.�R R ����r c_o�N�n[c�7_► c�-!�K
35. �,inai GaS:�ipe-Te�y t ,� I i•�
[r. . ..C'1 K [T c-F �
i. -`'i
36. ,Fjooy�or EanoPY n� Jn � �c�i .r � I � �� -c * ;r, oo `m
_ �„
� 37. Final'Fa2�rV FireW�ce,.� . F`"' _ :,: sv ( � � S �, * - � n'
i'38. Fina4- lumbing r* m ' w x j. r+. -�O'; �. .N
.::m x t; oCr
�39. Water Service-Fin3T'� E . � � x '" M �l '�
•T� � I i` F-o � ta �G<C.•; [..
4 L
�� 40. Gas Service-Final �v�;: � � !��c-r-.. # � � ,.K F • 4i ?� �
r. ' 6 1--� Y
- 41 . Solar pomesxio-Fi�ra( , y '� ! � "" -" C' * �
- � F r N k=i Ft r-� G i +: S
42. Backflow Preventet�# n; `�,V+��. F �- � i .x ,m. �::p �K .
- :r c. .� ��
43. Batkflow Irrigation �« �'xa, � G *' v � 3 O L���Go
� � �,: � , .. " . . . _
�}4. ;{;andsca� Irrigatiorv.SYsiem,^_�� t+i !�� <�¢ Q�K E E CK * S �•
.... c
45. �ound R'�lenuation, "- "" � '" �*% m m* r' e^ et • E+c a:
r., l . :i � fi iTl ••'k / =4 �•i--1 .A
`4B. tiandjcap�Regulatio�s S •• *. S � ' �' , t�: G c) �
'67. FINISt STRUCTUFiE & BUILpING '� r' ! ` ' - ' `•�
n-
r� tu t[rIr �, . ��F C G � y'
48. E,IN.KLPLANNING�r � `-`- :r �� i �• � � :J � :t. �
1r' r i y
49. Hectric Reiease to L�ison lpy� x� •�' * �
� .•4� � ^y �_ � �, �.;
r-� > . �-., _ . .,
�50. Gas F7elease to Southem Califor�i�fias Co � . F � �c vr: � n`� �-�=.c�
+ �> m�n T s ::C.'On
51. CERTIFICATE OF OCCUPANCY
Date
�
�I
�
.on�so�su��owc: 3131 ENCORE CT uxT:
�as�E1F1O�"":pOLYGON PROPERTIES FLOOD: X 47
- , • �ooness:15717 ROCKFIELD BL
RVINE, CA 92718 714-452-0600
�cv�. uuuxc nnoxess:
ARCXRELTOREN(yNFFA:LL MAJOR 6 ASSOCIATES ������ C-16869
u�cx.on�o.•swonEa: 1551 N TUSTIN AV uur:
SANTA ANA CA 92701
wr+m�crarswwe:ALI50 AIR ( 714 ) 951-1266
ca+m�cToaswWuxc29736 AVE DE LAS HANDERAS
�ooness:RANCHO SANTA MAAG CA uc.xo.: 526420
92688 uM:
UCENSEO COMXACTOHS DECL�HATION: I Mreby tll'vm vnder peneMy o/ peGury ihe� I em Icenaed unEer panaione W Chepter 9
(mmmenanp xnh Section ]000) d Oiviaion 3 d the Buainem arM Pmi s6ed , uM my license ia in lu � rta eM Nled.
cmuc.No. q97 3 uc.cuss:C 20 �5 6420 X: 09/96
ode: � � co���a«: � '
OW NEN BUII EN UECLGNGTION: I h�reby tlfirm uMer pendy W parN�Y �h� I am aiampl imm Ihe onUedae liceme Lew la �M
Iolbwin8 ��� (�ion'l031.5 Businesa end Profeaeione Code: Any cdy a county whiM requirea e partnil to mroVuct, eller, improve,
,_��amoloh, or repei eny slruduro, prior W ils bauence. ebo repuiree the epd�� Im euch pa'mit to fik e egned ewemen� tlW M m ehe
�'F'. ��.ae w�i �o ma wo.n�. a ine comrea«. wa,.a �.. ICheqer 9(commentlM vrith Swion )000) W D'veion � d iha
-'�usinaw eM Prdeaeions GaCaj w Ihel ha or eha ie axemq ihseM1vm anA tha beaie for Ihe elbpeE exempion. Any violeibn ol Seabn
P031.5 by eny eppliranl for a permn eubjafe the ep0licent m e dvil penetly ol rw� more Ihen ive hundred ddlen �5500��.
❑ I. sq owrer o11M papeelY a mY a^GbJaa �h wapea av IMi eda oompensalion. wJl do IM v.oA. anE IM elruelure 6 na inlended
w ollered im eele (Seciion ]000, BusnesaeM PMeaeiona CoCe: The Coniracton Liunae Lew doee nM epply�o en owner o( properry
who bWEs a impmves thereon, entl nfio doea auM wak himxll a MneY w ihraph he a her own empbyeea, provided ihel wch
improvemenla are nd inleMeE a dimeE lor aele. M, M1owever.lhe buikirp «inpwemeM c sald Milhin are yeer d cwnpbtnn, IM
�,�„-n��u,. �n ne�, me wb� a rw��o ne o, .ne ad � wae « �mw� i« ma wm�a w�l.
� I, es ovmer oi Ihe D�WaM� � eedueively mnvacinp wilh licensed wnvecion �o constmd ihe prol� (Seaian )OM, Bminms eM
PMaubns COAe: TM COMreGon Licenae Lew Coes ml epply b en ownar d properlY M� buiks a impoves tMraon vd x1w
conVec�a for wdi pqeqz wnh a mmrmor�e) Ikemed pureu.m m ihe Comrea«s Limme Lew). _
� I em axem0� unCar Senion: B. 8 P C., br I�is raeean:
Det ' Ownx'
CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: M 077305 PLAN CHECK NO: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC
PERM NO; M 077305
GOVT: N SUPP; N
19i1:7:I�7.���[�1:1
OH DESCRIPTION : 2341 SF LIVING/ 605 SF GARAGE SQ FT:
LAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /U-1
OMMENTS: PLAN 3 NEW SINGLE FAMILY RESIDENCE / REF B-77226
x ****x *x�x *�*�����******� � *x ****�*x�*+�*+�*�*x *x *x���*�+�+�*�*�******�*+�**�+�� ****�**�
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 ---------- --------- RCCESSORY 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� Grlr:%
n: �
1E�if 1E ik �E fE �E �E�iE 3E iE �E iE fE iE iE IE �E 1E �E 3E fE 1F �E 1E iF 3E iE IE iE 1E if 1f ik iE if iE�1E 1E 1E iE 1El�ElE 1E iE 1E 1E 1E iE 1E iE iE ff fE �E fE 1E jE 1F 1ElE 1ElE aE iE if if 1(� if 1f 3E 1E iE iF IE �E 1E if
� I� 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
n � / - i`/ r � �'L+
ZONING APPROVED BY '�'' :, ^ DATE:
BUILDING; APPROVED BY : ;�i(� � .�i
DATE:
'�'� �� � r l /�� � '���T%
APPLICATION ISSUED HY: "° ''� ____ �� DATE; ZZr��
°" ILEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
I do hereby ceMiry Ihel I am ewera o/ enA uMereteM �he reQuiremenla d CelAomie NeeXh end Seleiy Cotla Sediom 25505. 255�. eM
usu.�emmio,�rn��,�w�u����i�ni.ai��a2va»��,aam�cy�n.aa�e�am.�ema„a��,��.m. BLDG PMT PLUMBING ELECTR�IC MECHANIC FIRE SMIP/RES GRADING
eparmnlawnsvuciionwmoEilmtionhantMR'r�ueG�.y enepemeMDistria.Reakamialmnnruaioneppim�ionaereuamq/romthesa
pronuu,a.
oma: nca�:
WONKEWS COMPENSATION DECLAPATION: I hereby elfirm uMer peneM1y IN pe�ury me d ihe tollowi�p detluetbm:
� I heve eM wil meintan e cerlGicete d mnxn� lo sellinwre M wafkera' cpnpemetion, ro proviEed tor by Seaian 3]OD d tha lebor
Gode. fa IM perlonnarice of IM xwk /w wlich �his pemin ie iuued.
-11 I heve and wil maMen woNa%oompanselon irourence, av required by Seqion 9)00 d the lebor Code, M iha Po�rmarKe d tM
�c--' work Iw xfiiW �hu parmn ia �ued. My wakere cam rimtion insuraice famer uM iry numbar ere:
c�a,: LI�ERTY MUT[lA� EXPIRES
aoi�Y N�mea,: 0 7/ O 1/ 9 6
(This seaiwr neap � pe comdered i tM1e pe�ml is Iw one M1undredCdlars /SiPO) w bxs.)
� I CBIIN �he� Ifl IIIB [glIOf1119fK0 M IFB WIXII IIX WIICA IIIIB pBllllll N 19'�dm an n in enY menner ao es to
beeome e bleC lo Ihe woNsra' eompenution lewe d Celi ', end rea Ilu� ii 1 ehou oma wbjea io the wveke�a'
compe el n D�so d Setlian �)00 d �M labor Coda. l I Iplh compy ' h Nosa rwiavu.
Oele: AppleenL
Wem/ng: F�IIw b uevro woMen'rorrywuetlon eoverep� b unl�wlul, and �Iu1bW/�el en lo ro ctlMiul pxiaPou erb
c/vll flnw up ro on� huntlM l/wus�iM Collen /5100,000), In �drlltlon ro Ms ro�t o/ comp�iuef oR EarrNp� p proHtletl br In
SwNon 3]O6 0l Ms Lebor COJe, Infenaq end ettornsyl leu.
CONSTqUCTON LENDINO AGENCY: I MreEy eifirm uMer parWry d perN�Y Ihel IMre is e connrveion bMinB epenq lor tM
�IBf�qTBMB O�IhB WOI�(�Of W�1IC�1�hW Gellll� IB 68YBd($0 1Ufl 30B�,CiN.Ci�.
LENOEF'S NAME:
LENOEfl'S AUDFESS:
I ceniry �net I neve mea �nis apv�k�� � r�e �I�ei ine ebova iniame�ion is correa. I w� io comoN'M�� �� �y ��umy oMinences
ends�e�BlewereblM�ObuiWnO slfWioneMhBlBq'BVlhd¢BfeVBsen�BlrvB9d��6rnY10<n�efYW�Iheebvre.mamonedP�Ga�Y
����°'p�°�`P�"ROSS FE SON
P i Neme
I Deie.
���. sw �,e oNran �rea
(515Ldfi.WP) Whno-Buildvp 8 Se1eq; oreemFAe: Canary-AppYranL Fnk-Revenue; GdEenrod-Maesw
PERMIT 9.00
PLAN �', ,n� 25t SMIP/NON-RES
ISSUE FEE ' 15.00
HUILDING-DIV-> PERMIT ISSUE PL'AN=CHECK TOTAL PAID DUE
TOTALS----> 9.00 15.00 r�"0.00 24.00 24.00 .00
REVENUE DIVISION TOTALS--> COLL�ECTED: 24.00 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FZRE SMIP/TOT GRADING PLAN-CHECK
24.00
r-
iE iE �E iE iE jE iE iE iE iE 3E 3E �E �E iE fE iE �E 1E iE iE iE iE iE if 1F if if iF iF 3E iE jE iE iE'* iE IE iE �E iE �E iE iE �E iE iF �E IE 1E if �F iF iF iF iE if if iF iE iE iE iE iE iE 3E iF aE �F iE jE iE iF iE iF iF iE 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 ^ UNIT COST TOTAL COST
i'\
MEC 1 INST FORC-AIR/GRAV FURN <= 100 K BTU 9.00 9.00
END�.OF FEES
, .��'` i ;,
l �
OL CG»G,44v-GG'eGYYr4 "��� 1' .-..
Jf,Tc: �i4/_i,9.5 Tlii:: a5:ti3
_,
'CONSTRUCTION ANDPLANNING � POOI SPA
� APPROVA4S Permit# Date Inspector pppROVALS Permit# Date Inspector
t'. Temporary Electrical Service or Pole 52. Pool & Equipment Location ' - �
2. Soil Pipe-Undrgmd. 53, Steel Reinforcement ' - . �'
3.-Electrical�Conduit Utility-Undrgmd. 54. Farms ' � '
' 4. Electrical Conduit-Undrgrnd. 55. Electricai Bonding � � �
5. Steel Reinforcemefit 56. Rough Pium6ing & Pressure Test _ -- ,
�6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE ','
7. Footings � M�= - 58. Electrical Conduit-Undrgmd. �
8. Foundatio�-� "- 59. Gas Pipe, � Undr,grnd., Test �
9.'Water Pipe•Undrgmd'. . 60.- Backwash Liney P�Trap, O Undrgrnd. �
10. Structural Floor System - 61. APPROVAL TO'DECK �
55. Properiy Sewer tine�& HouseConnection 62. Backwash & Receptor-Final
12. Sewer Cap � 63. Heater & Vent'�Final �- � �
13. Roof Orains -- - 64. Plumbing SYstem - Final .
14. Rough Plumbing' � 65. Electrical-Final � '
15. Fiough Electrical-Condult , ' 66. Solar System-Fina7
16. Rough Electric Wiring 67. Fencing & Access Approval �
77. Rough Wiring Sign _ 68. APPROVED FOR PLASTERING �
18. Fiough Electrical�T Bar Ceiling 69. POOLlSPA SYSTEMS FINAL
79. Rougb Heating & Air� Conditionin9 Z� �. �• �• - - FIRE DEPT. REQUIREMENT
20. RoughFattoryFir.eplace -• � r APPRDVAL"S -Permit#
' i`L3�i6 .
T�Y . . . a .• •
27. Ducts, in 5tructure� _ . 70. �l�)nderground Hydro ��
22. Duc[s, Ventilating � ' � 71. Product Piping O'Gas � Oil .
����- -� -
23. Gas Pipe-Rougb & Test . _ . � '' ; , 72. Underground Ffusfi . �
24. Roof Framing = . y 73. Undergmd.StorageTank,QGas ❑Oil
25. Roof Sheathing . " - � ��� 74. Overhead Hydro- T. �
26. T�Bar Ceiling (Structural) & Monocoat �"f 75: Dry Chemical -' '�
27. Frame and Flashing . = ?; _, � ' �_ � 76. Dry Standpipe , r .
.b �
28. Lathing & Siding . - � 77, PIXED SYSTEAA�FINAL '
29. Insulation. � . '� . x 78: FIRE PREV. FINAL ' � �
30. Drywall Nailing � _' HEALTH DEPx. REQUIREMENT
r
31. Plaster Brown Coat � .'� � 79. FINAL INSPECT'ON � `
32. Electrical Power Me[erFinal - 80.. FOOD CERTIFICATE ISSUED-
33. Final Etectric- • _ , � ; Notes: ��! � ,�.��
- ' . ' ��<`-' �-�-�''-��- - -
. 34. Final Heat�ng & Air,Conditioning j��. 6 Q Z��� .-, 3, .�`���
' L- -
35. Final Gas PiPe�Test - • - • -� ��
36. Hood or CanoPY ' . � � 6 (. - - : _ _
� 37. Final Factory Pireplace - � ��� ' = ` , - �
a:.
38. Final'Plumbing . ,_ _ -
39. Water Service-Final� ' ' - '
. �. --
40. Gas Service-Final ' : ' _ "
41. Solar pomesticfinab � � " - - ' �
42. Backflow Preventer . , . • - "-, .
43. Backflow Irrigation � � � ' ;�
i -
44. Landscape Irrigation System - � , . r. r� .� - . _ _ - `
45. Sound Accenuacion � •� � � ` �- � • � "
.. .
46. Handicap Regulations � . `', - � ' � .
47. FINAt STRUCTURE & BUILDWG � .
48. FINAL PLANNING � � � �
49. Electric Release to Edison + . �.
50. Gas Release to Southern California.Gas Cn � �-� . �
51. CERTIFICATEOFOCCUPANCY "
No. Date
,
�
;.:,=,-- ._..
polygon Lifestyles
in Costa Mesa
Plan 3 Lower Floor
HVAC Layout
�o-r �/D
�ASE i
313 � �NcoRe ci-
P2DViDE � a 10 ouT SiDE
F�£5H AI� W ITN MANUAL
CDAITQ.DL D4MPE�, AAlD
FILTE� R.�4�.IC. LDTS I-14,38•41
�
�1�� i�� Z, � ��',�
_ _ , ,
g�p�Z
"]Y
IZr6FB
„ ,
IZxb eB
��3
�•
�
14 y 5 215rR. .
3pr. t 14'�t FAFh
1N FL. 70157
��11Ly �bl��
a�
12"`.�1
s �ZYm CAP
I
�^Y
r
i�
ti`, ,�
f—
Polygon Life.styles
in Costa Mesa
F . 3 Upper Floor
HVAC Layout
�OT �/l
PHASE l
en s�aFr w�r�
A M{N ii�ll�
CL�A; IN �uhN
ri�:��, ?,���
c�
�'' � `'r
i,x�. ✓
�
L�`�� ��'i �'� lA�l
��
�� �—
IQ��
G�=ii��r' "!1
G? %
I�����
9a 8� �
�---, � � �isa � �
� �%� �'� �� � -,,�- IZXb��� � � ���
i � F
� I'n 3Dh�2bYZ2AC6 �
i
�' � � I8� 2R
IZQA
17_x� �F+
�+
, ����
A � :; :
�-.}� �� �
'/;�ll ��
w I�EY7
��j_/ ;^i ,x:�
�. ..�;,: �..�
�eov�c�. ti-
F�cS�{ Air
coti��_
=1Li�� %
7
�\
G'
�nonessaem�axo: 3131 ENCORE CT ��:
owwexsru�eiFaiovm: POLYGON PROPERTIES FLOOD: X 47
, �oo�ss: 15717 ROCKFIELD BL
TRVINE, CA 92718 714-452-0600
1DPL.IWWlfiI�DDNE55:
�PCXffECTOR ENCdlffp:
NCIL ON ENQ'S AOOXE55:
ca+m�crars wu�:
CWIXACTORSYYIIIlG
�noxEss:
IlC N0:
uc. w.:
UNf:
uwt:
LICENSED CONTflACTOflS DECLANAiION: I hemby Mvm under pere�y d perjury Nel I em IicemeE uMx pantioru d Cheqx 9
(canmenrinp wil� Saction 1000)W Drvnion 3 M�he Busineas end Pmieavone Code d n IioenaeieinlullNce end efletl.
cm uc. No uc. cuss: B uc. .: 6 ' 6 EXP :
Dele� ComraUor.
OWNEII BUILDEfl DECLAHATION: I MreEy affiim undm penNy d perjury tM1et I em aaemq Imm iM1e Camreeas licenea Law la Ns
lolbxine �+�^ (��on )o�t.5 &nnae eM PMeasiom Cada: am cry « coumy whirh requiree e pemie to corovuc�, Mm, impow,
demolch, a repeir any atructure, qior ro ils'owence, abo reQuirea the epplicant lor wch pamA lo fib a epmd etalemeM Net M a eM
a licermad pureuent Io iM paiaiam d tM CanlreGae liceme lew �Cheptm 9(commendnp xilh Sedian ]000) d Dii6ion 3 M tlr
BuzMn eM PrMmaiwu Godel w Ihel he a aM u mamq tharelvn eiM iM buu la the albped uemqion. My vuletion d Sepion
]W1.5 by vry eppli�xnt 1« e parmn wbpaa iM epplirant Io e rnil pmely d �wl maa ihen Me �und�eE EoOen �55Wp.
� I.mow�wrM�MPWe�YamyemD�M+wvhwe0asm�heiwbcomV��ion.wYlAOlMwwk.endtMebutluraena'vaxdW
a Meredfor aeb (Se Ybn ]ou. Buvroa eM Pmindma Cotle: TheCamrecon Limnae lew dose ml xVW to en owner d piapMy
who WiAs a inprww Ihereon, eM wM10 doae euM work IimmX a MrsN a Waq� he a her own amployaee, pv.ided thd wch
impovameMs are nd inta�dad a dlered la eeb. X, howevar. tM buiki'p ar inpro.emmu u sotl wnhin an Y� d mmple�ion. Ma
V owirorbuiNx xill heve tM burden W qo+iiq M or ahe EH ml buik «impwe fa iM purywe d eeb).
LJ I. av owiw d IM qopaily. am eaduvwN ����9 �h lironsed conVaeton to emabua tM qopa (�� )�. �+siewa mN
v,me�iom coee:lne comreaa. u�e�se iew eoec �a �Wr �o an own« a woro�v wno w�wf. « ��wa+.. �na� .�a .no
wnVecm M wd� pol� �h e ooMredm(e) Icemetl W�ueM lo the Canvaqwe Licenee Lewl.
❑ I em emmpt unEar SeMion: B. d P.C., la thia raeaon:
Dme: ovmar:
I do Mreby ceXity Ihet I em ewva d enE uMeretenE �he requiremeMs d Celiana HeeXh vM Sdeiy Cade Seeiona 25505, 25533, a�M
2553G, eM the� I a eny Mum b�ibinp omupam will / wil na (crcb are) need ro comply wIh eeid eleb catlp eM IM rtQuirameMe br
epeimillarmmW�Mianamodi(raionhomlM1eAk ue�ty enepemen�Distrip.Reeidaniialconm�uaioneppirstioruene�amqlmmNeaa
yronabm.
Dele: Appliram:
WONKEH'S COMPENS�TON DKLAP�TION: I Mroby dfirm uMer penelty d parjury me d Ma IoOoxi�p ddare�'wn:
� I M�w end Mi1 meimen e unifrsie d mieenl to sellinw�e M woekere embemelbn. n prwidsd la by SWiai �100at tM lebar
code. t« me penm�ce d me v.vk i« wi:cn mre o�mn a msued.
n I M�a uk xil meiman xakra' mmpanaelion ireurance. n raqu'ved by Seclion 9)p0 a ihe Lebor CoEe. br iM pMarmerca cf tM
x� �xt«�.e�nma�nqm.�a.My.awnCS�PRESS I S�'���m��• EXPIRES
c�a:
Pd'cyNumbar: — Q 1� 0 1� 9%
(ihia eecfan need rrot be comd�� / tM pem�;t b Ia one hvntlreCCWlers (Stopl m bss.)
� 1 ee�M ihet in Iha pMorme�e ol the wwk br wh'rh thie peemA is i ed, I a t e plq eny penon in eny memnr p as to
becana sybl� �o iM woAen' wmpeneetion levn ol Calibmie, e�d epre ih ii ehoiFd becane wbjed to ihe woMen'
compen lion prov wm W Sedion 3)OU M the lebor Code, I ahell 1 Ihwilh my wi iha � qovieime.
ov.: Z o andw�c �
Wam/nD� Fatlun b sxun workni rompruet/on rovaraps /a un/ewNl, antl sivll wbNef an Mnploysr to eNMml psnNtlp enJ
e/Hl flnu'q h ons huntlred tMuuM do/Mn (5100,OOOA M add/tlon ro tln ewt ol rorrp�nutbR a�P� u proHtletl bi In
Sxtlm 31(I6 0/ fhs Le6or CoOa, InMsaf, aiW attomey'� lsu.
CONSTNUC110N LENOINO �GEt1CY: I hnaby elfiim uMar parelry d parµvy ihet Ihen c e oonMrutlian bnNiq qency px the
pmlamaMe d IM xak /a whiM I�e peimi in eweE (Sedion 909]. CM. CI.
LENDEF'S N1WE:
LENDEWS ADDNESS:
I qnily tlut I heve read N's appliution uM ame Ihel IM above iniormetion'v wnep. I qiae lo wmply vrilh M ary eiH counly aduierime
eM eleb bwa rok�iq Io buikvp consttuclbn vd Mreby aNhor¢e repasenle�ivae at Ihu tilyto antar upon IM ebnn.meMoned p�opaty
�����'°'tl� �`�"` N EL AQUINO
Pnnt Neme
oda: Z
Signe�ure d Own enVAppliranVCamretlw
(5151�aB.WP) While-Buikmp 8 SelelY:OreamFb: Canery-Appirant: Rnk-Rawnw:OOMenroFAeemw
CITY OF COSTA MESA — HUILDING PERMIT
� • PERM NO: P 079572
PERMIT NO: P 079572 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
JOB DESCRIPTION
CLAIM VALUE:
: GAS SEISMIC SHUT OFF VALVE
LK:l1I�II7:lrUl�F
SQ FT:
GROUP OCC: R-3 /U-1
COMMENTS: PLAN 3 NEW SINGLE FAMILY AESIDENCE REF: H-77226
if 1E 1F IE M ik if 1f iF IE IF IE iF 1E 1F if ik 1f 1E 1E k 1E 1E if fE IE iF if IE 1k fE 1E iF 7f if iE 1k if iE 1E 1f 1E 1k 1E if 1E �E if if if If 1E if� if If 1i iE iF 1E 1E 1f 1k 1E iF �E IE 1E iE iE iE iE iE iE 1E i(� IE iF'IFlf
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: 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: 19151132 ZNE: AEF NO:
PLANNING NdTES>
� 'y
iE iF iE 1E 181E M iE 1E 1E iE IE 1E 1E IE Ik iE iE ih iE 1E if 1E iE If i6 it i! IE if 1ElE 1E 1E iE 1E 1E iE 1f ii 1i if 1f 1FiE if iF if if iE iF iE1E iEiE 1E IE ih 1i 14 if IE1E ik �E iE 1E 1F iE 1E 1F IE 18 ik 1E fE M 1I� 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 HY `%. ' DATE:
BUILDING APPROVED BY :
APPLICATION ISSUED BY:
iE if iE 1F if IE Ik 1f iE fflE fE iE iE 1E fE iE iE IF iF IE N
LEGALIZATION:N
PERMIT HLDG PMT PLUM8IN5
25E
F E E S U M M A R Y
ELECTRIC MECHANIC
DATE; /
DATE: ��—�(�7
'�F7F�f 1(' M if 1f if' iE if 1E 1E iE�i�iF1k 1f
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
SMIP/NON—RES
PLAN -
ISSUE FEE 22.00
BUILDING—DIV—> PERMIT ISSUE PI.AN—CHECK TOTAL PAID DUE
TOTALS----> 8.75 22.00 " 0.00 30.75 30.75 .00
REVENUE DIVISION TOTALS--> COLLECTED: 30.75 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
30.75
iE iE 1E 1E k fE IE'lE fE iE'IE'k iE iE iE'lf 1E 1E iE if if iE 1E i! 1E 1E if 1E if iE iE 1E If 1F 1klf If 1f 161k if k 1f dE 1Eif if if if 1k 1F iE 1E if ik �F 1F 1f 1E IE fE iE 1f 1(� 1E iE iE iE iE 1E 1E 16')f iE 1E iE 1f iE 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 A I P T I O N UNIT COST TOTAL COST
l
PLU 1 GAS SERVICE 8.75 8.75
' END OF FEES
01 00215441-00215441 TOT 30.75
DATE: Q4/2"a/95 TItIE: 09�42
CU'j�STRUCTION AND PLANNING P_xOOL &� SPA _ �
� APPROVALS Permit # - Date inspector APPROVALS Permif # � Date Inspector
. y
1� Temporary Electrical Service or Po1e 52. Pool & Equipment Locatio� = _ � .-'-�,�
2. Soil Pipe�Undrgmd. �. ' � 53. Steel Reinforcement -' � � _
� 3: Electrical Conduit Utilitv-Undrgmd. � 54. Forms '� �! ,.�
���?L. E�egtrical Conduit�Undr9md. � 55. Electrical Bonding �, f-
f C�S. SYeel Reinforcement 56. Rough Plumbing & Pressure Test � � q�
�r. �
;�.-�; Electrical UFER Grnd. 57. APPROVAL70 COVER�GUNITE _ �
( - -
C7�1 Pootings -� . 58. Electricai'Condu[£-Undrgmd. _
:�8; Foundation 59. Gas Pipe, ��U¢d�r�grnd., Test
- � V
r•5. Water Pipe-Undrgrnd. 60. Backwash Linest RTrap, � Undrgrnd.
�10' Stiuctural Floor System � ��' 67. APPROVAl70rp,ECIF"� �' �
11. Property Sewer Line & Housg�onneciion 62: Backwash & Receptor�F,inai �
i
12. Sewer Cap .5,�-' '" . 63. Heater & Vent-Final - _.
13. R�f Drains ��� � 64. Plumbing System � Final.--� �,
�74. Rough Plumbing _ 65. Electrical�Flna�
a15. Rough Electrical-Condult b: 66. Solar SYstam�Final � ""-
16. Rough Electric Wiring � 67. Fencing & Acc_ess'ApProval .� ,�
t7. Rough Wiring Sign , 68. APPROVED F�j$�.PLASTERING ��'
�78. Rough Electrical-T Bar Ceiling 69. POOL/SPA SY5TEMS FINAL
19. Rough Heatiog & Air Conditioning RRE DEPT. REQUIREMENT
20.;Ro � �h � to: Fi*eplace ,��' T :, � :� 'T''" �F •z F C'
, �9 � Y _ , APR�OV�Ai:3�C Pptmit # --.
Y.P.. S � 1 •• •-•F r '�
Z�.��l1CCSr I(L$if4LlU� i�..r.. Y, � ^Y �r^ V' �
� r• v t a � FF -.S x c ^ r;x 70.FL1n68fge,ya�mad f�ydr0 �.
22. Ducss. V,entit�.ting=,� ^.,S » �� e,> - -� .V
71. ProdJCL�ipin�,C'ias � Oil
w.�.
23.'�fiasEPipe�oygh &"f4est � �,.,_ * J' � �.; M 7z_ Undefgr.ound �IiA� 4� �
� ,r . � r.r r. . ._li.' a ^ �.. .� s l. r-+ � ' r
'24.��Rooi-Frammg: .��; � =.F - � � � � - 7�3. Undergmd�.Stora�,eTank OGas ��-Oil
25. Rodf'Sh'gathing �r L `u '� �'± r" ��" 74'. Overhea� H d'"F' *
ti r v, • i x C. (li fi t.. Y� -�'
'26.`T�BaS Ceiling (Strue'i�uraq &{vlonocoat +� n �i == 75. Ory Chemical u +� C f.
r
27."Frame and Flashin � � V � ~* ^ � �•_- * = �' ,�
�_ n z9�. � G :. :- �+ 2�;:. �6. Dry Sta�iipiP�,SJ r
`. 28.`Lat�ingi& Sidin9;u; ;,; -�-' x � �+... r , �
ht. FIXE6�.YSTF�F.INAL
� 29. Insulati"q},?i' S� � �, "= �, `� I � 7$, FIRE PREV. �INAL x� �
�
� .,
� 30. Drywali�ailing �j� " � * i � ;e ;-i�•�, ��.-3HEALF}:i DEf�T,.AEQUIREMENT
�' 37. Plaster B�owr�Coa�� �._,r x. � � � 79 ��itVA4`�i��,SPEC�ON y� e
�� 32.;Electric�{.Pov'�'er L�ci'e[er;Final � E'� Y.7; � j �. 8B, FOOD CE�TI[��ATE 1SSUEb
33.`FinaT Electrip� Yx � �� ��: �T: ; i �+� . • �
� . m r� x '�:+ ' ic r � I !'� (�t05: �' � i
r �'����=-- - -
� 34., Fin� Heating & liY,u.;C6`�r�t1ltion � � x x j i �;; C- .S n� , S , n
k. � ._ . . _ . . . .
35.r�inal•Gas'Pipe-Test* '� . }' � �� ^ T= � T r
r• .. r. �: .-. � �; ^ r7 r+ x
36.'Hoo`d or;�CanoPY `=-'v �a' �� * � � cs `:-ic ..� , x � �~
, �` i r
� 37.!'Fin671Fa�tory Fir�"PYaca.,. ��' n. ..''� � ix 2 � n
�' 38. Pin2l.Plumbing �� ~�� •. � �_ + ' � a S :y w G•
� 39. Water Service�Firia�:r. � � ' ��' .r � � . kr. � ;� �� * y
c m
� � 40. Gas Service-Finalzr K �. r•• S � �� � �
r r; rc �ca
; 41. Solar pomestiaFinal S " � •• '�� O' � � � �S'% �- ' �
� m -;v a a. T �
` 42.�ackflow Preventer� F" ti �` � � � :* ^ �_, x � � -
i
�_ .. .. .
43. Backflow Irriyation+ G'S5 * x c° � U - •
z m r, , i ^ .v,� :^�
;,.44. L.andscape Irsipatio` SYstem_ "',-�, ;, , �` '�-� ; s � �
� _n.. x :Tt �J C• �:c c rt; r� .;.:, r ro
,;. � V �..- _. '- - -- " . - _
;�5.'�Sound �tenuatiorn. - �:- . �' � �- E- - - i r-� !-� c o ra1 •: �
r. Y � T'k � [' .T aZ �'C� '� ._
� .� -� .. .. ... .
'46.'',Handica�'Regulatio�s S ' � ' •• ••F - � � `-" ••`i �
� _ r� x .K �.. F S "�+�:; S ?� -
�47._PI L STRHCTURE & BUI�DWG - � � ;r oi s � * -
. L-. I I tY p' ,r F-. •
48.'FINAL PLANNW�' �.`�,�., � i-i; f f.�',` �. -j d; � � t:
,49.rElectric Release to Edison � � ' �* g a � • , �
� '> - t
i 'e � 7 c _: � � �,
L50. Sas.Release to Soufhem Califprni�,Gas Co ; I k c- �. �• or^ � p •
:51. CER7IFICATE OF�CCUPANCY' Y � � �, " .� * . :,,
No. Date
r
.knesso�em�axc: 3131 ENCORE CT uNr:
�' viplxsn.rueir�r+axn:POLYGON PROPERTIES FLOOD: X 47
� _ �ooness.15717 ROCKFIELD BL
RVINE, CA 92718 714-952-0600
APPL. M/JUNO AODAE55: � �
�xcxRec,on��n:LL MAJOR & ASSOCIATES uc.ra.: C-16869
urcxan�c.•s�nox�ss: 1551 N TUSTIN AL* uar:
SANTA ANA CA 92701
ca�m�crarsw�:NOVA PLUMBING INC ( 714 ) 556-6682
CONiPACTONSYNtdlG 3103 W CENTRAL AV
�oox�ss:SANTA ANA CA uc.ra.: 457898
92704 �NT:
LICENSED COtlfRpCTONS DECLAFATION: I hareby ellim uMx y of pe�ury thm I em Icensed uMer provisiona o1 Cheqm B
(commencing wilh Seclion ]000) ol Diviaion � W tha Buainea end Proies i s Cada, arM r license is in lull brce e�M aHen.
C�'�I 0665 6 uccuss:C 36 uc. o.: 4 78 EXP: O1 /97
/1 a�� com,ea«:
� OW N BUILUEP DECIANATION: I hereby elfirtn under penaly d perjury �hat I em exemq Irom iM CaMretloro license law lar the
' owmp reeaon (Seeion ]03t.5 Busirees aM Prdeasions Cada: qny ciy a munry v,fiitli reQuiree e permil to mrtsW�M, el�er, improve,
mola�, a repei eny svuclure. priar io ns 6weMe, e6o requirea ihe epqimm la such q�mn to fib e aqred at�emenl ihet M a aM
icenaed pursuent lo the prm�sioro d Me Contrman License Lew �Cl�epler 9(mmmercirq wuh Sepion J000) 01 Orvsbn 3 of tlr
.uainess eM Prdmaians Gode� w Ihe� M a ehe ia eaemq Ilwrehom eM the baqis.fot IM elbpeE uemption. My voW ion d$apnn
imi s W�,r �cp�� b, a oa,mn dqw• in. evW�� m. d�i p,,,e�ry a �a mon inen r e nu�erea aaws �ssoop.
� I, ea omier d the propaM a �rv �GM� �h wepes es Ihei sde canparee�ion, will do IM v.oA, enE Ne structuie o na imeMed
a oflereE M sab (`�tion 100C. Busiwm enE Profeasbm Cade: The Gonlreaae Lioanae Lew doae eq� epplyto en ownerd qopMy
wM Wide « inprovea ihareon, eed who daee aueh woA Nmaell a heraetl w Ihrwph �b a her own empbyeee, provkad thm eueh
imD��ams me not inlenEed a dleieE la ade. H, however, ihe WiNieq w'unprrnemeM n aok williin ona yeer M mmplation, iM
owriarWikbr vnll heva ihe burden d 0�'iip he or eha dk erot build or im0� �w tM Wmo*a ��e).
❑ I, m ounar o/ ihe pmpeM. ��d�aively mmrminp wilh IicenseE convectore b coneVua ihe pml� (Sedion 109I, Buainse eM
Profeseione Coda:�The Comrectore Lbeneel.ew doae nM eppy Io en ownerol propeny who buike wimpovmtAareon erd wha
conlrec�a lor cuch,projeas wnh e mnlredoqs) licenaed W9uem io the ConVedore Licensa lew). �'
�
� I em esamq uMar Section: B. 8 PA., Iw �hin re�avon: . .
Dele: Ownec
I do hareEy ceMy ihel I em eware d W urcbislenA ihe reQuiremenro d CalPomie Heell� eiM Sebty Cab Seaure 25505, 25533, uM
25531, enG Ihei I a eny Mure builEirq om�pant will / wil nm (aRb one) need lo cwnply wih eeid a4b codee eM IM mpuiremenb la
e pertnA Iwmnslruclion a moEifwalbnhanlMAi�anepemeni Diaiia. Reaitlentiel ompiutlon eppimlbroare exemq Irom theas
pwiaione.
Daie: Acdicenc
WOPNEN'S COMPEN4ITION DKL�N�TION: 1 hereiy eifimi uMer px�ehy d perjury one d Ne blbxiep EMeeuum:
� I heve aM vril meimen e cenXiute d ooneenl to seMiroure br xvrkan' compenution, n prwiEad fw by Ssqion J)00 0l �Iw Lebor
coae, m� me �rt«��a a ma won �« wm�n m�a �n �, �..�ad.
• 11 I hew arM xiX mvmem workere cwnpenaNqn inau�enca, u reQuiretl by SeUim 3]00 d �hs Lebor Code, la �M peRo�men<e at �M
�G"' work�a»tdchm�ene�INieiaeued.Myw«keUL�eC,�'"CASUA`LT�l�iqnumberme: EXPIRES
1
voi�y N�mc«: — 0 6/ O 1/ 9 6
(Thia eMiwr neeC nof be romplefed d t�s prmAie lor one hunEmd EWlers /Sf00J w lua.)
nM �het in ihe perlormence ol �ne wwk la whch ihie pe�mit i'xued, I ehdl mt • oy eny pemn in e�ry mennx vo ea �o
bec e wbjed t �he xarkers' canpenaelion lewe d CelMana ep�ee ihel il I a k became wbjeq to tha xorkere'
//�- 11 9�1M QpN 9Ul19 W.�iNYJfI 3100 M IM1! IBI%If COEl. I HM1BII 'MI pn' WIIh p..
/ U . l � AGWcent:
Wem/np: Fellun ro ae uro wolkwi romp«wtlon rov�r�ps b un/awN( ena �M/I sW/�et an.mployx ro eNMnl pxuNu an0
c/H/ flnu up ro ons h�rtlrM tMuxM LWMn lS1G'U.0001. M adr//tlon ro N� cwt ol ronpxwt/on, tlemsq� u pvNtlsC br In
Sxtlon 3)O6 0/ tl�s L�bm Cods, /nMut, end siromsy'� /su.
CONSTNIICTON LENDINO AOENCY: I hereby elfirm unAer penelry ol perNrY �� IMn ie e omsiruaion bMi�p eparwy br IM
plf�pTBfKG O� IhB WJf�I �U! Nilf�' 1 �hA �l111119 9811ld (�CIOII'�OaJ. CN. Ci�.
LENOEN'S NAME:
LENOFP'S ROUFE53:
:^<nlro me��
e ie�a ie.
slele Ihet Ihe ebove inlormPoion is mrted. I eprea lo compty wi�h ell cny enE munty oMinenroe
m ard heraby emhorae repreaemetivea o/ lhis dly lo enler upon Ihe aEmre�menfoned pmpeM
I,HINS
I me /� �j
Dme: -1 -1
�genURpplrayl mired
(5151de.WP) WM1na-Buikvp 8 Safaly: GreerFle: Cenery-Appirant: Rnk-Ravenue; Goldenmd-Rsaeaor
CITY OF COSTA MESA — HUILDING PERMIT
PERMIT NO: P� 077282 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU
JOB DESCRIPTION
CLAIM VALUE:
; 2341 SF LIVING/ 605 SF GARAGE
CALC—VALUE:
PERM NO: P 077282
GOVT: N SUPP: N
PURPOSE: NEW
SQ FT:
GROUP OCC: R-3 /U-1
COMMENTS: PLAN 3 NEW SINGLE FAMILY RESIDENCE REF: H-77226
*****+�+�**�******�**�*+t*+�*��x���****�**+� � �t*�*��r�***+F�*�t*�*+�*���*��*******�r�r�****�
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY PUILPING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PAR}CING REQ: PROV: PARCEL: 14151132 ZNE: REF NO:
�LANNING NOTES>
, � ; t
i r . " .r �= r�.� .�;� /y' �a�:
!f iE if iE 3E 1E 3E 1E IE iE 1E �ElE IE iElE iE iE 1E i(-if 1E �E iE �E 3E 3E �E 3E iE iE IE iE �E iE iE 1E iF iE �E 1E 3E 1E iE jElE if if if i(-1E iF iE iE 1E iE iE iE if iF jFiE iG-1E IE iE �E iE IE iF 3f if if if 1E iE iE'IE �E
�' D E'V E L O P M E N T S E R V L C E S" R� E^Q jU -I. R"�E�'M E N T S
� - �� f% .�, ' - (`- '�L�
ZONING APPROVED BY '� � �.�t ��t �.'-„ -':DATE: �
E� } �
HUILDING APPROVED BY : r,� /'���'il':'�l I./,'�.•�DATE;
�- � /l� � • ' ` �. b`q '. ' ,
APPLICAT30N; ISSUED BY: c.'� /�.""'�� ^ � �:'r DATE:
iEiFiElEiEit1(�iEit�itaFiElEiEiEiEiE�tiEitiEiE3F�F�fiF�'iFiF;F�F1FiFiF if3FiF'�F3F'iFTf�FTF3FiFiF?f#iFiE�tic�atiEitiEiE** iE
LEGALIZATZON:N F E E ���A.R Y STRUCTURAL SEG ENT:N
il /. �.•_ `� r �%/ �1�
BLDG PMT PLUMHING ELECTRIC� MECHANI6 , FIRE SMIP/RES GRADING
PERMIT 139.00 '-' '! ;- �, •�1 v+
253 � ��� �� SMIP/NON—RES
PLAN .: G� . . ' � `� r„'C:.;
ISSUE FEE 20. 00 ' • � � ` � �
BUILDING—DIV—> PERMIT ISSUE PL`AN—CHECK TOTAL PAID DUE
TOTALS----> 139,00 20.00 c�0.00-, 159.00 159.00 ,00
CL ' . "� (1
REVENUE DIVISION TOTALS--> COLLECTED:„ '�= +`'159�00„ OVER/SHORT: 00
BLDG PMT PLUMHING ELECTRIC MECHANIC, ' EIRE j,SMIP/TOT GRADING PLAN—CHECK
159.00 �- = � � i
,fi
3E iE iE iElE iE iE 9E iE 1E iE if �)E fE iF iE iF iF if if ft ik if iE iE ik iE iE it 1E iE iE iE fE iE IE IE iE iE �E fE if iE if iE iElE jE.if iE 3t iE iF 1E iF iF iE iE iE 1E iE iE iE iE iE iE 1E if iE it if iE iE IE �E iE 1E iE if
I N D I V I D U A L'� F E E� ;B R E'„ A K D 0 W N
.�i� � �I�'i��\
TYPE QTY D E S C R I P T I O�N �.�, '�'' ,„� �UNIT COST TOTAL COST
', . ��,,
PLU 2 HATHTUB �-; '~," � n"!'' ;.r- t%� 1 7, 00 14 . 00
PLU 1 DISHWASHER �-' � ���� 7.00 7,00
PLU 2 LAUNDRY TUB OR WASHER ,,,, •� ,�'' '�• '�`;; 7.00 14.00
PLU 2 SHOWER - �;�'� 7,00 14.00
PLU
PLU
PLU
PLU
PLU
PLU
PLU
1 SINK, KITCHEN ,, " _Y� ,.-, 7.00
5 WASH BASIN `� , 7,00
3. WATER CLOSET (TOI�ETfli,� 7.00
1' WATER HEATER AND/OR'•VENT 7.00
1' WATER SERVICE �j• 7.00
1 GAS PIPING SYS OF- 1 TO 4 OUTLETS 5.00
1 GAS PIPING SYS 5+ OUTL—PER OUTLET 1.00
7.00
35.00
21.00
7.00
7.00
5.00
1.00
.
�"� �'""- POG SPA
�I j CONSTRUCTION AND PLANNING � - , �
APPROVA4S Permit #� � i� Date Inspector APPROVALS � Permit # � Date i�spector
,
� i. TemDo�ary Electrical Service or Pote 52: Poot & Equipmenc Locacion �
2. Soil Pipe•Undrgrnd. � ' � 53. Steel Reinforcement -.
- 3.' Electrical Conduit�Utility-Undrgrnd. - 54. Forms . -
4. Electrical.Conduit-Undrgmd. � 55. Electrical Bonding ' �
5. Steet Fe�nlorcement � 56. Rough Plumbing & Pressure Test '
6.� Electrical UFER:Gmd. 57. APPROVAL TO COVER�GUN�TE I.
7. Footings " � 58. Electricai�Co�duit?Undrgmd. � � ��
. 8. Foundation � " 59. Gas Pipe, O Undigmd., 7est
9. Water Pipe-Undr9md. � _ ,�_Ctb 60. Backwash Lines, P-Trap, O Undrgmd. �
10. Struc�ural Floor Syscem . � 67. APPROVAL TO DECK ��
it. Property Sewer Line.& House Connection /.z��� 62.� Backwash & Receptor-Final
b
12. SewA�CSp � � 63. Heater & VenbFinal - .
13. RooS Drains � 64. Plumbing System - PinaV' �
74. Rough Plumbing; 7� �'�5,� 65. Electrical-Final ^ •
L
15. Rough Electrical-Conduit ' 66. Solar System-Final - ' '
16. Rough Electric Wiring 67. Fencing & Access Approval �
17. ftough W�ring Sig� 68. APPROVED FQR PIASTER4NG �
18. Rough Electrica�-T Bar Ceiling � 69. POOL/SPA SYSTEh9S FINAL
19. i3ough Heating & Air Conditioning - , FiRE DEPT.�REQUIREMENT .: -- .
20. RougN FaGiory Fireplace - - � �" APPROV{}LS" Permit # ' � - �
21. Ducts, in 5truccure- _ . �-� 70. •Under9round Hydro
22. Duc[s, Ventilating, � � '' °�� 71, Product Piping n.Gas ❑Oil
23. Gas Pipe-Rough & Test -- T%-Z3St , 72. Underground Flush ��
!
24. fl'yof Framing � . . _ ' 73�. Undergrnd.SmrageTank OGas ❑OiI
'25. ftoof Sheathing ' ` - 7A" Overhead Hydro - •
26. T-6ar Ceilin9 lStructura1) & Monocoat ' ' ' 75: Dry Chemical � " ' _ , - _ � � -
[7. Frame and Flashing ' • 76. Ory Standpipe - r �� . . - � r - -
28. Lathing & Siding � ' - _ 77: FIXED SYSTEN1�FINAL" � ' �
29. Insulation '. � � - 78-. �FIRE PREV. FINAL . - - ' �� ��.,
30. Drywall Nailing � � = HEALTH DEPT �REQUIREMENT:- ' - . ` �
31. Plaster Brnwn Coat �� ; 79. FINAL INSPECTION �
32. Electriwl Power MeterFinal � r 80.• FOOD CERTIFICATE ISSI�ED � -�
_ "_ - L
33. Final.Eleclric ` , � � � � Notes: ,y ?
. _ ` `Y-Jd " �6����.H-p � k% _ - -
34. Final Heating�& Air Conditioning' - ., ' r - -_
- a � S� `��-C/� re+b��i_zQ '2 t �
35. Final Gas Pipe•Test ��`�if� ' ' - '
� �- - , �y! �jl=� �-�� �---Z""-`�'C..�- -
36. Hood.or Canopy �- - . 1, -
- -�� 66_�i��L�-_S.£�L!LGE_ _ . '
37. Final'Factory Fireplace - ' �� " � � -
. . ' �% �Z��. �G_7_L _2_ELC(_ -
38. Final Plumbing � .. � ZS .� - - - -
: - ?'z�3�G^/�r� _.
39. Water Service-Final I?�t/�� C)_ �
40. Gas Service-Final . � � - �� � ��
"Z��'`� - Z S -�G-_��r�,�- _ _ .
41 . Soiar �omesticFinal :- " �` � _ �' - _
42. Backflow Preventer _ r�/� � � - _ -
43. Backflow Irrigation ' • _ _ZS-�� ` , ; , � _' _ ' _ �
. . , � � _ _ ` - � - -
44. Landscape Irriqation�System , . � � � - . .
' 45. $ound Attenuation ' � ' ' ' '
46. Handicap Regulations - . f ; � - _ � - � .
47. FINALS7RUCTURE&BUILOWG � _/` " `
_ ,• . -
48. PINAL PLANNING' � '"�� - x
49. Electric Release to Edison _ - � _ � , ' - .
50. Gas Release to Southem California Gas Co , �_. - - --
51. CERTIPICATE OP OCCUPANCY
No Date
.
+ '" ess oF ew�ou+c:
EXS NRME IFRNOYIN:
• AUOPE55:
�
�VPL. NAlI1NG ADURE55:
�RCXRECTOP HNiNEFA:
APCH.OX ENG.'S ADDNE55:
uc. ra.:
CONfH�CTd1'S NAME:
CONiN1CTOX'SYYl1Hfi
100NE55: ' 11L.N0.:
UNT:
UNT:
UNT:
LICENSED CONTRACTOflS DECLAHRTION: I Mreby eNirm uMer peneXy d parjury �hat I em IicenseE under prwiaiona d Chepar 8
(mmmenan8 ��h Sxibn ]ODO) ot Drvision 3 W ihe Buai�ro» enE Pro(eaeiona Coda, vM my licenee a in lull facs vd eHeq.
CRY UC. NO.: LIQ CWSS: LIC. NO.:
Dme: Convada:
OWNEN BUILDER DECIAflATION: I hereby e/firm unEx peneYy d perlury ihel I em exempt Irom ihe Con�redon Licenne Lew la tha
�dbx'vp reeson (`�bn )0'l1.5 Busiwn eM Pmlaubna COEa: Mry cYY a muny wM1irh mauiros e peemn w mmwa, eXer. impwa.
>moleh, or repei eny eVucl�re, pior b ila eauerke, abo requiree �he epd�� lor euch permN to fib e aqired etmement tliq he or eM
IiceneeE Wnuent to t�a prwieiona d iha Conlredom License law �Chepter H(mmmannn0 �h SMnn ]oaa) d Divwion 9 d the
dusneee aM %dwione Cada� or ilw he w ehe ie eaemq �hereimm end the bavb Ior �he elbpeE axemption. My violetpn ot Seqion
J031.5 by eny eppliunl lar e permn wbjma the epplirem lo e wil pa�ly of na mpa �hen fne huMred tlol4n �fSW��.
❑ I, m owner o� the D�DanY or my empbyeee wqh wepes av Ihe'x sde mmpeneation, will do ihe vroM, enE ihe atmclure e nM inlended
«alleead I« eeb (��� ]01d. Bu.vremeM PMesaomCode: TM Conireaore Lioenee law doea rot epply Io en ownerof propeM
wM bu/Es a inproves Iherean. eM x1w aoes such wk NmeeM a henel or �hraph he a her own empbyeee, provided the� euch
improvemenls ere not intended w otlereE lor sab. II, howeveq �he buiMinp or imD�a�ment is edd wi�hin ona yaer N comple�ion, �ha
ownxbuikm xill heva iM WNen d povirp M w eha dk irol builE a improve lor �he Wmose d eele).
� I, es ownar W �he prape�ry. em eRclusivety conlracling wnh licenaed conlreclars io cmavua iM Prol� (Seeun )06a. Businms eM
Proleasione Code: Tha Contretlon license lew doea na epply w en ovmar d propenY �o Wike « impoves thereon enC who
wnVacl5la wtli pqeda w�IM1 a mnvetlw(n) IrenseE W��t to tM Conlretlon Uceme Lew).
� I em exemp undar Section: B. d P C., br thia reemn: .
De�e� Owner:
I do hereby cenily �he� I em awere d eM undentend the requiremenU W CelAomie HeeXh end Selery Code Seclbne 25505. 2553�, eM
25536, arM the� I a erry M1nure Wiki,p attupenl wili / wil irol (drcb aie) rread to comph/ wih sek pela mdes vtl IM rpuiramanle 1«
eparmnlwcanewnionwmodArationhwntM�i uaT�enepamantDistriq.ReeidemielwnrivauneppG�iomereexemq/mm�Mse
pravisione.
W ONKER'S COYPFHSATION DEttARATION: I hereby elfiim uMar peneny M pe�jury oro d �he tollowiip Eetluetiona:
❑ 1 heve enE wil meinlein e cerlifkate d mneent �o netl�inaure la wakera' compenxlion, � provWeE tar by Seaion J]00 d tha lebor
coee. �« ine pedormance m �ne woM �o, wnicn �nle p,imN is issued.
� I heve eM wil meimen wwken' oompanution inwraMe. m requi�ad by Sepbn �100 d ihe lebar Code. for tha pe�larmvica d Ihe
wark lor which thie paimn ia isaued. My wakers mmpenaeiion inaurance fartier vd pdiry number ara:
Cemac
Pdiry Number:
(Tiiis sMion neeE rrof 6e romplefeC ( fM1e pemrAis Ior one h�nEreL ddlera ($t00/ a bss J
❑ I cenAy thet in ihe perlomurice d ihe work /a which thu pa�mn u iawed, I ehell m� empry ary pe�n in e�ry manmr eo m �o
bacame nubl� to the xarkera' campenaiian lewe ol Celibmie, end eprea Obl il I ehouM bxome eubl� io tha xwkan'
compen.mlon pm:neions o� seaion a�oo o� �ne Leeor coea. � snel� tunnwnn mmoM �n �nose o�+a�ons.
oa�a: nodk�c
Waminp: Ftl/un ro wcum woKsri corryxwtlon roverap� 4 un1�wNl, entl aMlHub/�cNn smp/oysr ro ctlMml p�vltlu anC
Nvll llros up ro on� �undrM ehouurq tloll�n (Sf00,000J, N M11fbn ro M� cwr ol rortp�rwt/on, tlam�ps u proHMJ br In
Sectlan 9P06 0l Me LMor CoOe, Infeiesq ena efrornsy's Ise�.
CONSTHUCTION LENDING �GENCY: I Mreby elfirm uMm penaXy d perNrv �� �� m e mnelNtlion bMi�p epercy lor tM
peAomiance M ine wonc ror vmich �ne permil is issued (seabn aoe], crv. c).
LENDER'3 NMIE:
LENUEH'S RUDRESS:
I ceniy ihm I heve read this appliraiion uM atete ihm �he ebove iniwmetian e mrteG. I aprea la comply wnh ell rny aM munry oNinezea
enE slete lawa rela�ip lo WilEip cons�rupan eM Aereby aNMrixa repesenlalivea d this afy lo entar upon IM ebove.mentioned propeM
lor insoanion ourP�s.
Daie:
SignaW m d Owner/AgenVApplicenUGonlrenor
�5i51-aB.WP�' WhnsBuildip85ele�y:Greeo-Fle:Cenery-ROGliceni;Fnk-Revenue;GolEenmFPaeessor
PERMIT NO: P 077282 PLAN CHECK NO: 01487-96 N ,
*����**x�*��*�***x*****�*+�*****+�********�+�*�+�**�* �� *��*�***+�***+�***� x ***�x�+�**� +� a�
TYPE pTY
U 1
D E S C R I P T I O N
GAS SERVICE
END OF FEES
UNIT COST TOTAL COST
7.00 7.00
oi oa%oa5az_�,��r.�,,a�a � ��s� ,�--
LATr: 0:%i°..S" ( ._..'.,�t
S�ic: la:1i
��� CONSTRUCTION AND PLANNING
APPROVALS Permit #
1. Temporary Electrical Service or Pole
2. Soil Pipe•Undrgrnd. .
3. Electrica� Conduit Utility-Undrgrnd. �
4. Electrical Conduit�Undrgrnd. . -
5. Steel Reinforcement
6. Electrica� UFEft Gmd.
7. Footings
8. Foundation
9. Water Pipe-Undrgrnd.
10. Structural Floor SYstem
11 . PropertY Sewer Line & House Connection
12. Sewer Cap `
13. Roof Drains
14. Rough Plumbing •
15. Rough E�ectrical-Conduit
16. Rough ElectricbYiring
77. Rough Wiring Sign
18. Rough Electrical�T Bar Ceiling
19. Ropgh Heating & Air Conditfoning
20.�Rough Factory Fireplace
� 21". Ducts, in Structure
I22. Ducts, Ventilating
I 23: �Gas Pipe�Rough & Test
�
I24. R+�f Framing
I25. Roof Sheathing
. ,
I26.. T Bar C¢��ing (Structural) & Monocoat
� �7�. Frame and ,FLlashing
� 28. Lathing & Sidin9
I 29. Insulation '_
I 30. Drywall Nailing
I31. Pia'ster Brown Coat
I32. Electric8l Power Me[erFinal
I33: Final Electric:_
134. Final Heating & Air Conditioning
I35: final Gas Pipe�Test
�36. Hood or Canopy
�37: Fina� Factory Fireplace
Final Plumbing
Water Service�Final
Gas Service-Final
Solar DOmestic-Final
Batkflow P�eventer
Backflow Irrigation
LandscaPe Irripation System
$ound Attenuation
Handicap Regulations
FINAL STRUCTURE & BUILDING
FiNAL PLANNING
EleMric Release to Edison
Gas Release to Southern California Gas
CERTIFICATE OF OCCUPANCY
Date
Date
POO SPA
Inspector APPROVALS Permit# � Date Inspector
52. Pool & Equipment Location
53. Steel Reinforcement .
' S4. Forms
55. Electrical Bonding
56. Rough-Plumbing & Pressure Test
57. APPROVAL TO COVER-GUNITE '
58. Electrical Conduit-Undrgmd.
59. Gas Pipe, O Undrgmd., Test .
60: Backwash Lines, P�Trap, Q Undrgrnd.
" 61. APPROVAL TO DECK �
62. Backwash & Receptor-Final ,
63. Heater & Vent-Final - -
64. Plumbing SYttem - Final
. 65: Efectricat-Finai �
. 66. Solar SVstem-Final
67. Fencing & Access Approval
� 68. APPROVED FOR PLqSTERING
69. POOL/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
70. Underground Hydro
71. Product Piping O Gas OOiI
72. Underground Flush
73. Undergmd. Storage Tank � Gas ❑ Oil
74. Overhead HYdro
75. Dry Chemical
76. Dry Standpipe
77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. HNAL fNSP£CTfON
80. FOOD CERTIFICATE ISSUED �
Notes:
(
PL Af� 3
L�D3
L i �40
�b-e- c �
'►b-S�b �I
% "?
�� .
.�ti fp,2
� ,�ti �
ti � �,
�' ° a`�
. � �� '
a=r��l
„E
11 'L dQ
�� . 1
Z ' '��
2 ,�
� �tiy2
�ytv ' °� 4°� ti
1
� yti.� fi5
�01 ti51 y
�a ti� �r � �
b•,M �y44 �ay+ 4LyS tiaS�Y
�ya'�' y�ti 10�� . .
�
�yi9
s 6; �� .Tqb,
t ati
L �'
4�' 2�n -d�� ,� �
yf�4l 1
�
qr� oN
'MV
�
LoT
,�
'y:i�i
�ti[:J`
w�.y.:
�:ttz.
w
�' ��� � � �
P-'
/VZ "P
� �
.,
� _r
�b"SI-g 0
�b- 5-b Q
i � n�
��
'� ; 9
4'v = 6, �'�� %b�
�
' ' �i
�
��� � � �� f .
a' '�i° �
� �,
�L ��5 N
M,$ � ., ��i �h.
�� �•
�\
,\
.\
� �
� o'�
�•
�
H�O�� •bi�
�� �
a,
�• �
;r
�
, o�
.��,4 ,
a d',�-s
a'�
Z,o
�'t� ,,iPl- b
��� ?�,z-o
'►'1� �S - o
e� �'1 J „ I ; I
x dV7 ��{7-7i
/�-!�1 „9 ,-I
� '1'1� ?r��1-,Z
i. dn d v7��1 `)� „�l � L
� � �� M� � S
, �`I� ,Z/g -,�
dn d v�/'7'1� q -,6
�
��
��� *�- P
d d-a ..o ;4
"1"1� ,01-�b
11� ��� ; �
d v7 „o ;I
'1'�� ,?+,I I ; I
dn dt✓��/�"1'1� „(oj-Zr
1�� /Iii �Y
z, ,c b,�. x b�- ,?/Pj ;b
'1'I� „$",�C
Z,� X�{ X�'/£ 2/ o�
�d� a�4NV� „O,IZ
/ '1'1� N*,�L-7�
ar3H��ne �'��
��d� IX�xI ,�-4
; �igx�'iEXI �-OI
u I
,TT
bi „� ,,a;z
°�'� -��� s-�►
a�'�v�/-+-,� ��-► a-,�� ;,0;8
b,£x�,�b�,r b-.��
.. ,
�bi, I
� O°I
� Nb�d
�' i
�
,�DDfiE550F9WLqNG: 3� J] ENCORE CT ' uNT:
°w"E"'s"""EiFaaw�: pOLYGON PROPERTIES FLOOD; X 47
AOOflE3£ 157�1' -ROCKFIELD BL
IRVINE, CA 92718 714—q52-0600
MPL. M1111NG ApOpE55:
urcx�cTonexnx�n: LL MAJOR & ASSOCIATES �� C-16869
.1RCN.Op ENC.'S ADppE55: 1 S S I N TUS T 2 N AV uxr.
SANTA ANA CA 92701 q5 O(o00
COMHRCi0R51UNE POLYGON COMMUNITIES ( 714 ) 95�-1266
caxmncroasxuuxc 15751 ROCKFIELD
�ooxess: IRVINE CA ��.: 659262
9 2 718 uNT:
LICENSEO CONTppCTOpS DECLARATION: I hareby aifrm under paneYy ol parjury Ihel I em licenaed under pwieime o( Cheqa 9
�COTTBflflflA Nllh $BC�1OII1000� Of �IV19IJ113 p�1�18 BU3111099 Blb PfOiBH89119 CiOdB.BM1�T`/�CBIIBB NIIIiY��(pCB Bfb B�iBL1.
cmuc.No.: `�1 uc.cuss: C Zp uc.No.: 659262 EXP; 04/97
Dele: Conveqor:
WNEH BUILDEX OECLRPRTION: I hareby elfirm under pe�Xy d parlury thet I am eRemp Imm iM CaNretlon Liceriae Lew la iM
awirg reazon (Seqion ]031 S Bus'vrese end Profeuions COEe: Any cpy v counry v,hich repuiras e permu �o cansWct, eller, improve,
moloh, or reyei eny avueture, piior to na'swenee, e6o requirea Ihe applie�aM for weh peimn to file e agriatl etatemanl thel M a ehe
.a licerceed punuent io tha proviaiona d tha Comredon Licenae Lew �Cheptx 8(mmma�iq wi�h Sed'pn 100U) d DNbion 3 W Ihe
Buainemm enJ Pro(msons Catle� a tl�al M a sM is exemp Iherehom enE Ihe batia la ihe elbpaE axemplbn. My violetion d Sedion
)031.5 by any epplicent fa e permn subjeea Iha epplicent �o e civil penelry d m� mwe ihen INe hundred dollen �SSOU�.
� I, av owner ot �he pmpenY w my ampbyeea weh wapes ea ihe'x wla mmpeneetion, will Eo IM vroh, end �he elruclure o ml interMeE
a dlared lor seb (Senbn )OCd, Business eM Prdessbns Code: Tha Coniraclo�a Limnu Lewdoee �wt epplyto en ow�rd pape�ly
who WiWs «impmvea �hareon, eM wfio daee aud� vrork MmseM w hanap or thraqh hb a her ovm empbyeae, qmideE thel euch
imqovemeMe are rot imeMeE ar oHered br sele. M, howaver,lhe WiNirq or impovemenl is edd wnhin are yeer d mmplelbn, iM
owmr-buikbr will heve tha buNen d pmving M or she Ek nd build a improve fa tM W�a d aeb).
� I, ea owner d �he popeM. em eadusrveN ��reuine �h licenaed conVeclare canalfud ihe mjed (Seaion ]006. Buainms vd
Prolesaione Coda: The Coniraelors L'censa lew doee nd epply to oxn o peop 1�• who uiks ar impovea thereon aM vAa
COIIVBCU �O! 81C�I DfO�Bt19 VIIIh 9 mfIVM1IX�9) �CBf180E pUBU8111 �O 1B i�i0 �9 q9 BM< 9W%.
❑ I em eKem dar enion: B. 8 P.C.. Im thia
o�e: D o�,a,: �
I do hereby cenily thm I em ewere W aM umbrstend the reQuiremanb ot CalAomie Heellh eM Sefery Code Seaiom 25505, 2553�, eM
255�6, enE Ihet I a eny iNure buildirq owvpant will / wJl nd (drcb are) need b compy wYh aek Nme codee eM tM rtyuiremaMa br
apermillorconsvunionormadificetionhomlheAi�u y.�anepemaniDislnd.Retidmiielcona�rudionppfMatipree�eeKemqiromiheee
woviabns. .
oe�e: qpp�kem:
WOflKEN'S COMPENSATION DECUflRT10N: I Mreby elfirm uMx penelry d pa�jury am d IM blbwiip dederalbm:
� I heva end xil mein�ein e cerlHicele d consenl to aeH-inaure (a waAe�s' canpenWbn, m providad Iw by SeUim 3)00 d Ihe LeEn
coee. �« �ne pedo�manca a m< won� ror whion mis p,rmil c lasuea.
r.l I heva enA �d meintan woW.e�s' wmpensmion im�rame. ac required by Sepim 3100 d ihe Lebar Code. lor the perlormenca d �M
2� work Iw whid� thia paimn is iasueE. My warken' mmpanamim imure�we rarrier eM pdiry numbar are:
ce„�a,: LIHERTY MUTUAL EXPIRES
Pd'cyNumber: Q%� Q 1� 9 7
�m;:.axvion nead �a'» �aerea s me o�e;s ro. �e nuneree daie� �f,00i o. resv.�
❑ I cerlJy ihel in iM peAoimema d tM1a woM fa whrh thia paimX is nauad, I e ���QQQmt ploy ry perean in vry mannx eo u �o
bacome � ta trya vrorken wmpe'mmion lexs W Celtlamu, tl p ��eho d bacoma eubjeri b Ihe waken'
campenaeti provi 6ns m saaion a�oo ot �ne Lebo, code, �,nd� nnwn� a py m, pioNsim,.
Deta: � d � 7�9 � Apdke�x: � r�
Wem/np: Felluro b�ocuro workera' compauatlon coveraps q unlawlul, erW sIWI subjzf an employx to cNMvl pentltlu anJ
clvll flMs up ro ons hunered MousenG �a/Mn fS1Pq00p), M ediltlon b tlis caaf ol rompxwtbry tlemepu aa provMetl br In
Seetlon 31f5 0l fhs Lebor COW, lirtasst, and ettomey'� lsu.
CONSTfiUCTON LENDINO ROENCY: I hereby elfi�m uMar panely IN perNry Ihat ihem ia e mna�rueian bMirp epency br Ne
re�o�ne� d ma �n� i« .n�d� mm w�n ie ssuea Is«aoo aos�. cw. q.
LENDEN'S NAME:
' LENOEH'S ADOHE55:
I cMily ihet I heve read thia epplica4on eM stale ihet IM ebove iMormetian ia mired. I egrae io mmply w�h dl dry enE oouMy adiriencee
end atme lexs relelmg w build'mp conmudion aM hereby euHwrrze representetivre Mihis dryb aMer upon Ihe ebwe-men�ionad qoperly
br irupeaion purpous.. � l .. - . . -
!V �-L -�t . L � p
P iNema
D�a: �� I %
� SigneWreMOwnar/ AppYranVConireaa
(S15N8 WP) While-Buildiip 8 Sele�y; Greao-Fle; Canary-ApP��C Pink-Revenue; Gddenrod-bseamr
CITY OF COSTA MESA — BUILDING PERMIT
`� � PERM NO; M U79876
PERMIT NO: M 079876 PLAN CHECK NO: N GOVT; N SUPP: Y
CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: NEW
JOB DESCRIPTION : SUPPLEMENTAL TO M-77305 SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /U-1
COMMENTS: PLAN J NEW SINGLE FAMILY RESIDENCE / REF B-77226
*�t*i�-**��**rx�*�x-********x-***+t*i�****��r*�r*�t-�t�-�-**i�**********+�+ti��t�t�c-**+��-�t�t�-�-i�x�*�-�-i�****
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S '
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 14151132 ZNE: REF NO;
PLANNING NOTES>
i h, � . •'
iE IE iE 1E 3E �E jE iE iE 3E If �E iE 9E 3E iE �E if iF iE if �F if 1E iE ik 16 iE 16 iE if iE 1E iE �E iE 1E 3E iE 1E 3k iE �E ik�iElE iE iE iF iF iF iF if if 1f IE 9f if if iE fE iE iE iE iE 1E �IFlf if iE 1E jE �F It 3E �k IE 1E 1E
D E V E L O P M E N T S E R.V I C E;S R E Q U I R E M E N T S
ZONING APPROVED BY ` DATE;
BUILDING APPROVED BY ; DATE: -7
f.<�.s, �,y_.. '�.� �, �(�'• i / `�
APPLICATION ISSUED BY: •(I - DATE:
iFiFjFiFiElfiElElEiFdtjFiFjF�fifiFiEif*iEif fE�EiEfE1E1(��E�EiE1k��� 3E3f
LEGALIZATION;N F E E S U M M A.R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 45.00
25R SMIP/NON—RES
PLAN
ISSUE FEE
BIIILDING—DIV->
TOTALS--->
PERMIT ISSUE PLAN—CHECK
45.00 6.50 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
51.50
6,50
TOTAL PAID DUE
51.50 51,50 .00
51.50 OC�ER/SHORT: .00
FIRE SMZP/TOT GRADING PLAN—CHECK
if if if iF iE fE iE iE 1E 1E 1E'%3E �E aE 3E �E �lE fE �IE'lE iE �)E �E 1F 1E iE 1F'lE'lE'lE iE'IE fE i@'1E �E iE �IE dElE 1E iE iE �f iE fE if iE 1E IE 1f iE 1k 3E iE if 1k 1k 1E 1E 1E 3E iE iF iE iF iF if iE iE iElElE 1E 3E if iE jE
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
MEC 1 FACTORY FIREPLACE 9.50 9.50
MEC 1 INST HOOD W/DUCTS FED BY MEC EXHAUST 9.50 9.50
MEC 4 VENTILATION FAN CONN TO SINGLE DUCT 6.50 26.00
END OF FEES
D1 Q02f7362—OQ217362 T EeT i1.5p
DRTE: IOl17l95 TIME: 12:50
' ' - � Pl & SPA - . � --
CONSTRUCTION AND PIANNING - . . -
� Date lospectoi 'APPRpVALS Permit # Date � Inspector
APPROVALS Permit #� ` . . . �
'�
t. Temporary ElectHral SarJice or Pole �_ � �� 52. Pool & Eyvipment Location,-; � �. �.�
2. Soil Pipe-Undrgmd. ' � �; � � - 53. Steel Reinforcemem " �l. � . ' -
- 3: ElectriwfCond'uirUtility-Undr.`grnd. � � � 54. Forms . � %� - C=
.�� � , � . �'.�',
41Electrical,Contluit�Undrgmd.' ' � 55. Electricai Bondfng '
5. Steel Reintorcement' . � 56. Rough Plumbing & Pressure Test M i�^ -
6. Eiectricai UF,ER Gmd. 57. APPROVAL TO COVER�GUNITE �• � ��t'
�
7. Footings � - � - � 58. Electrical Gondui[�Urdrgmd. t`- �
_8. Foundation; �t� _ - _ ' ` � , . 59. Gas Pipe, C Und?grnd., Test '� ;
� 9. Waier Pipe�Undryrnd.� � " " 60. 8eckwash Lines, P-Trap, � Undrgrnd. '
10. Structuraf Flooj System � � ` 61; APPROVAL 70 DECK'F• (; .�
17. Pro'perty.Sewer �ine & House'.Connection � ' 62. Backwash & Receptor ;F�hat ,
72. Sewer Cap � � � f`� `•�, 63. Heater & Vent•Final ,
73. Roof Drains _�, ��� -� . � Cj 64. Plumbin9 SYstem � Finai!"".��.,
s
`t�4. Rough Plumbing ' � � 65. ElectricabFinal ,
d5. Rough Elearica`I=Conduit � _ 66. Solsr SVstem-Final • � '�
/.
16. Rough ElectricLViring � � �� � - 67. Fencing & Access ApProval � � •
17. Rough Wiring Siyn ''� �' ' 68. APPROVED FOR PLASTER WG ��. �
78. Rough Electr.icabT 8ar Ce.i�ing , , 69. POOLISPA SYSTEM19S FINAL
79. Rough Heating & Air Conditioning - FiRE DEPT. REQUIREMENT �
20. Rough Factoiy Fi_replace ,�� , -` �- APPROVALS Permit #
�• - „�, -
27. �Ducts, in $tructur.e,' ' "F' '����.,. '_ - _ ' ? 70.�Underground Hydro �
22. Ducts, Ventilating _ . 77. Product-Piping 0-Gas � Oil
23. Gas Pipe'-'Rough & Test '� . ;- - 72, Unde�ground F1ush �
24. Roof Framing �_ .. . - •= 73t Undergrnd.StcrageTank OGas O�OiI -
25. Roof Sheathing - - "" " ,' 7q, Overhead Hydro
�26. �T-Bar Ceifing �Structurail & h4o�ocoat . - 75. Dry Chemical �
. �
27. Frame and Flashing' - 76. Dry Standpipe : -
� - - -
28.lLathing & Siding, � . � - � .• r 77. FIXED-Sl STEM'FINAL '� -
29. Insulatio,n •= fi - "' ` � � ,� 7.8. FIRE PREV. FINAL ,. -
30. D:ywali Naiiing r�� - � •- � HEALTH DEPT. REQUIREMENT
31. Plaster,BY�own.,Coai� _ � . � ' � � 79. FINAL INSPEC710N - _�
32. Electrical Powar Meter�Final . - 80. FOOD CEF�TIFICFlTE ISSUED
33. F.inai'Electric "k ? - Notes: '
rr� , -
. 34..FIna1 He�tings& Qir.`C�nditioning�.' Lf:2S�� '- .. .- .-. . .' _ �
35. Pinal Gas-Pipe-Test�' - - • ' • " - "
- r
36. Hood,orCanoPY_-,:._ �' . . �-ZS " - ` - � . .�
37. Fina� FactorV Fireprace _ � - !�_�� - ' .a - ---� .- . " -
38. Finai�Plumbing � , � � _, . ` ,. �• �
� 39. Water Service-Finai � � , � � " � - <� -
40. Gas Service-Finai . , , � ; � ' _ �
41. Solar pomestic-Final �: � . d � �
.
42. Backflow Preven.ei�. " ' - ', � _ ' - -
43. Backflow Irrigation+ � : _ � �- �� - -.
�.
44. Landtcape Irrigation System, - . -„ - - :; `- - � , ',. - _ •
'45. Sound Attenuation•. . r= -� . . t- -- �- - - -� ' � ,
T ' �I r�l r
_46. Handicap;Regulatioqs =' _ ° ��� ' ". _ _ : ":' ' �
47. -FINAL STRUCTURE & BUI'CDING - - _ • ,., ,
48. FINALPLAtvNING� ' _
49. Electric Release ta Edison � i' ' � ,. � '
-50. Gas Release to Southern Caiifornia Gas Cn � � . � �
51. CERTIFICATE OP OCCUPANCY "
No. Date
:i
"�essoFem�nwc 3131 ENCORE CT
axr+edsru�eiva�vxr+: STEVE SCHOFRO
ADDXESA 3131 ENCORE CT
COSTA MESA CA 92627
MPL. WJIINC AWXE55:
RIICXRECT ON EINiNFEP:
MCH.Ofl ENO.'S ADONE55:
-- UNT:"�
FLOOD: X 47
uu no_
UNT:
coxmncrarsw� ROBERT SLEZACEK (714)631-4310
CplfiIACTOR54MIWG 1b0 MONTE VISTA AVE
monesx CUSTA MESA CA uara: 54165b
92627 uxr: H
LICENSEU CONTflACTOFS UECL�NITION: I Mreby eltim under pnuly d pe�jury NM I Iice�uMx p d Cheqm 9
(rommentl�p wil� Section �a0o) W DiNabn 3 M the Bueineee eM Prdeasima Code, eiM i lull �eHea.
cm uc. No.: uc. cuss: g uc. No.: t'��/Zi i� /
� 1L
oeie: cw�vmor.
OWNEH BUIL�EN OECURATION: I heratiy elfirm uMer penely d perryry �he� � em eRemq Imm iM Con�repae liwma Lew la Ne
�dlowine reawn l5eaion �oat.s Bui�rean ene Prolaesons Cada�. nnv dy rc mum�/ xhidi naui�a e pe�mn lo oma11uc1. ellx. impae.
bmdoh, m rapei eny nructure, pior w Ga'eauence, ebo requime tM epplimnt for wch parmil to fib a tlpnetl vietament tlw M«sM
ie limnsed Wnuen� �a Ihe qovieqne d �ha COM�eelae lieeeree Lew �CAepx 9(mmmenri�p wilh Setlqn'lOW) d Divcqn 3 of �he
Buama arM Prolmions Godal n ihei he a eha b exemp inxehan eM �M bea'n iv ihe e1b0� ezemNion. MY vidmion d Sedion
)oat s M em eovlicent t« a Wrmit'¢ubptls iM eGWicent �o e mil V�eM W rw� mae �lun liv. hurdred doAere IS5ool1.
� I. es owner ol ihe qopeny or my empbyeee wil� wepea es Ihei eda oompenWian, xill do tM wwk, eM IM at�ure w ml iMerMed
w Me�ad M eeb (Seclnn )046.6�sinmaeM Prolesvma Code: Tha Coniretlas lioeme lawEon nol eOD�Y lo en ownerd popMy
wla buiEs a'unprwee IMraon, end who doea auch work MmaeM ar heneM or Mraph he w her own empbyme. pmvided Ihet euch
imv�m�� �e nol inldMed a ollered f« eeb. X. however. the buiNi�p a mqo.aneM is sdd xilhin one Y� d oompbtun. Ne
owrier-buitlx xill heve tM burEan d provinp M or sha CiE nd buiM w impwe /w tM W�a d We).
❑ I. ae ox�rer d tha propaM. ��duervdy cantrenmg wnh liceneed wnlrmWn ro cmeVud IM pmjrl (SeGion 101I. Busmaee enE
rm�e�mm coee: me comraaon ticensa �.. eoe. �a wWr �o e� o.m« a a�ro�r wno wua. «impov.. mm.on.ne wno
conlrecb (w wu� pqaea wuh'e comradorya) IkenseE Wnuenl lo ihe Co ore Licema Lex�.
� I em uamq wber Sec�ion -� B. d P.C., br th�
r
o�e: ' rn.,�a�
i m n�M �r �n.i i�n awme a ene u�deB�d,a me �a��,�a�ia a ca��omie Heenn ena seroiy coae seaon. zssos, usaa..�w
zssw. ena md i a�v nn�� daiemu am,o� �n i.wi na ccvcb a»I naed �o �pr.�n ..d mma md..�d m. �.mamm.w b.
a pmn� torconst�uctian a modifra�ionhantM A'e�iiy .irerepemant Dianq. Reeidenliel mn&iudion eppimtiom en exemplimm ihese
prwisione.
Dele: AOV����
W ORKEN'S COMPENSRTION DECl1flATON: I heraby elfiim u�Mer panelry d pa�ury are d IM Idbwiip Eetlualiom:
� I heve and wil meimen e cenNcme d mnsenl to veXimura br workan' cpnpanamion, ee pwided la by Samm 3)00 d �he leba
cam. �« in. ron«�a a ub w«k io..i:d, ing o� a��e.
❑ 1 Ma eM wJ meiman �wrken' mmpevelion insurarce. m rpuired by Sadion �)OD d tha Labor Cods.lor ihe psrlorma�e d ihe
wak for which Ihie permil in ieauad. MY warke% campenamion inwraice urrier enE pdiq wmber are:
c��:
Pdicy Number: '
(Thia seeion need na be como�� d�ha pertnd is iw one hunereC dWlers /$fPD) w bse.)
I cenAy Iha� in Ine periamence W �M wark br whch �hie permil ie i»ueE. I ahNl � N a� ��Y menew o o to
became wbjxl jo Ihr wnMns' m bemelion bwe d Ca4lanie. eM epree t M s w� a �o M
compenae�iox6�ri i6n �io� d the lelwr Code, I I hwnh tM '�
G�
Dde: l ADdk��
We . aNun ro 1seuro wohew'rompwutlon roverps b unlewlul, entl aNll aW/�ct an m�ployx to etlMrul p�n�ltlu nM
c/vll Ariea up ro om �unerM thouwM Sollan (S1Gf4000A M M11tlon b tlw ewt o/ ronpwv�fbM1 4nrps u proHtNO b� In
Srotlm 9]OS ol tlro Leba� COM, Imens4 end ettomsy'� Iw.
CONSTNIICTON LENDING AOENCY: I Mreby alfimi under penelly d perjury that �hen ia a mnn�uabn biMinp epaxy br ihe
peno�me�a a me .oM io,.n�m mo re�� �_ �e�.d Isaeo� aoe�, ca. c1.
LENDEN'S N4ME:
LENDEP'S AODHE%:
I cenM �hm I here read this applicmion eM dele �hal iM above iMamelbn o cwae. I eprae �o compty xilh ell ury mM oouMy ord'u�v�me
enE s�ate laxs relaling to W ild'vq eonsUudian eed hereby euMor¢e rapreaentalrves d Iho dly lo enter upon the ebwa�mentiwwE prapery
lor �reavfion ou.amx.
(5151-OB.WP) Whne-Buikmp 8 Selery; Gmen-Fle: Cenery-Appirant: Rnk-Revanue: (3aldemaG-Nmsv
PERMIT NO: E 084831
CONSTRUCTION TYPE; V—N
PLAN CHECK NO:
PERMIT TYPE: ELE
N GOVT: N SUPP: N
PURPOSE: OTH
JOb DESCRIPTION ; ZNSTi�LL FROG FOUNTAIN ANL PAD FOOTINGS SQ FT:
CLAIM VALUE: CIaLC—VALUE: GROUP OCC; R-3 /
COMMENTS: PAD FOOTINGS AND SLAB FOR FUTURE PATII� COVER
�it*�rititir�rttit�t��r�r�rit**;t*��r�rit�r�r�r*�r*�r**�r;r*it*�r*�r*�*�r�r*;r��**at*�r����t�;t�r*****�e***at;r;tit;t*��
I Z O N I N G R E Q U I R E M,E N T S
� s E T b A c x s
------------ MAIN BUILLING ---------- --------- ACCESSORY BUILLING ---------
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>
� ^'lt
iF it if 3F �E fE iE ih iF iF if ik iF i! iF if 3f iE fE'k if * 3f fE �E iE iF fE 1E 1E if'IF iF if �F iF if 1F iF iF iE 1F 1E iF if iF 3("7F if iF if if if'lf iF 1h if iF'1Elf 1F iF iF if iF 1f if� iF iE if iF 9f df if iF if aF iF 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
ZONZiJG AF�PROVED BY `� DATE:
BUILUING APPROVED HY
APF+LICATION ISSUED BY
*;r*�r*****�r�r*�r�r��r***�r�r
LEGALIZATION;N
BLDG PMT
PERMIT
F E E S D M M A R Y STRUCTURAL SEGMENT;N
FLUM&ING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
3.00
SOt SMIP/NON—RES
PLAN
ISSUE FEE 22,00 .
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 3.00 22,00 0.00 25.00 25.00 ..00
REVENUE DIVISIO%1 TOTALS--> COLLECTED; 25.00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
' 25.00
if iF �1k if iF iF ik if �lf 'sF i! i! iF ik iF ik iE ik i! ikif iF iF ik iF 3! if iF 1F iF iF �1F ff iF ik if i! iF if if iE iE if iE iF iE iE if if iF iF iP iE 1E iE iE iE if if iF if iE iF iE it �E iE iE if �k iE iF if iE iF it fE iE li
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 Z O N UNIT COST TOTAL COST
ELE 3 RECEPT/OUTLET 1 ST 20 EA, 1.00 3,t�0
END OF FEES
e�-za-i�g���e:�e p�rses.ea
ac��a:�i-e�i�r�.
�Ek��zr: ea�eaa
� CONS7RUC710N AND PLANNING POO� & SPA � .
� t APPROVALS Permit #� Date Inspector APPROVALS - Permit #
1. Temporary E�ectrical Service or Pole ; 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ,� -
��3r Electrical Condwt Uiitity-Undrgrnd. 54. Forms .� .
..,
•;r4'. Electrical ConduitsJqdrgrnd. `��2-� 55. ElecTrical Bonding -.�
���i5; Sttiel ReinfotcemeOtE , 56. RoOgH Plumbing & Pressure Test �
�'�'� ElpctricalUFERjGrFitl. � 57. APPROVALTOCOVER�GUNITE
.� �
jr;7�. Footings � . - � _ 58. Electrical�ConduirUndrgrnd. � � �
8! Foundation ,r ; - � . 59. Gas PiRe, � Undrgmd., Test '� �
v
9. Wafer Pipe�Undrgcnd. ,'� �- . � 60. Backwash Lines, P-Trap, O Undrgrnd,
� 10. Strtictural Ftoor S�+stem , 61. APPROVAL TO DECK �
7 7. Property Sewer Line.& House_Connection 62. Backwash & Receptor-Pinai
12. Sewer Cap � _ � - � � 63. Heater & VenrFinal : � , �;
13. Roof Drains � �� �- . 64. Piumbing SYsjem -��Final
14. Rough Plumbing� - . 65. ElectricabFinal '
15. Rough Electrica��Cai.+.duit '�r �' � 66. Solar System�Final �
I�. . .
I.16. Rough Electric.4Liriny:r - � - � 67. Fencing`& Access ApPtoval
I 17. Rough Wiring Sign ^ ' �- � 68. APPROVED POR PLASTERING
i.]. V
��18. RoughElect�icai-TBar Ceiling - ' - � 69: POOL/SPASYSTEMS�FINAL -' -
I 19. R'ough Heatiny & Air Conditioning- `� '- - Fl,f�§AEPT„REQUIREMENT '
,> > � n .r- o�•: � ., ,n a'r _ ,r S ,.-:
� _,:; �x = � v:_� �. - a��� � i.
, 20.'.,,i�ough Facm � Fi�e¢lace -, �; . S p a: ,- APPF,�OVAIS" �, Per.mit #• _
s
I 21.�Duc'ts, iriStnfccurO�Y � .... ;S :. 5 �� , `: " � "-r"-, - r.
-, �.�: � S t� �7 �� ,1 e 70.�- ndergY�rtcl F{�d�o �:
�. �.. �
� 22. Ducci, Ve�tit8xin9,y p � � j �t ': � � r �. �, 71. Producti�iPing G£as C Oii
123. Gas Fpe-Rou4h & i'est :T15 �� �*i � �'� _ 72. UndergroiinA FZ6sh ` "
- Ter i'K�� 'C Y
�24.`�oo�'Frar�ing' r� "'`� �: ' � c �K 73; UndergrntlVSto,r,;ggTank.�7Gas G�)il
�25. Roo4�She.�thing �� Y t ' r_ ^- � '� F 74�. Overhead Hydr�j.� K
i L• J *1 :: � K •-`
!26. �-Ba,r',Ceiling (StrL�}�ral) & IFto3ocoat ,. : ,. �� ,; 75� Dry Cher�ical ,., � E ;;�
27. �Erame and Flashiqg � - '.� 7 'r 'b'' 76. Dry Star�pipe•^'� �� � Y
� - �. ; > a'.-� :. -� �; r
26. Latfiing � Sidin9�u � `" �j ; �: - �: �` � �j 77, fIXED S�STE�4�INAl:, ��
29. Insulaiior`f � � �� � - " � �, j � �� 7��,. FIRE PREV. FIf` L i � '� ��
i
30. Dry�n.-aII,A(ailing „�} � � �.� � � 4� ��-I,EALT}�, DEP�'�2EQUIE{EM
31. Plaster BYpwn'Coat: i S i^�*- � ( �� 79. FINAL IN�ECT7DN t' �
�32.;�Iectric.�LPo+!�r N}A�ei Fynal �� j�� iv ' I/ �" 84 FOOD CERTIF.�CATE ISSIJEQ.�
'� � � I ,J: . T) A1 y •
33. �Finai}Ele�tric> r F �q � = � Z./ - � //� Notes: :n y �niT! .. ,� ..J T!
� ...� , . i_ ��� � ,
�4.'Finai�He'ating`& Ai! �Condiiioningz ~ �" T { � tf �y • �� •,� ,-�W . ! _
{ _� .� . -a n � �, , �-� � � �� i i- y ,.
15..Final Gas�iOe,Tesy;. .� .. �: r-+ i Lr• fK .-•,.. :^�� �7:- �� : *
�6. Hood'or'CanopY " � � ` �'. . " •1 � ���'- - .� n � y � .�
- 1 '� ::1T7 .1 .k � ' � i�� . ...,� p � r
7. F.inai:Factory Fireplace •r. �'=.,-. iv R�
�. Fin�I,Plumbing '� K ^'�' � J " ^
•l 1. .l J F
3. Water Service�Final� � �L ; "' .p �A
). Gas Service-Final > � tTi � ;r�� �c . r,;
a�: - r
�1. Solar pornestic-Fina�;'' �' N �� � �
n 4
!. 6ackflo�v.Preventer f: i' .
i _ • •C '�.-� -i F. ''
,. Backfiow Irrigation Y ,. " �i� r
�. .Landscape Irr�iGatiori System'r " '^ ` `�
-, y -rr n t_.
,..
� Sound Atterivation' ... . -
� Handicapflegulatioos - 7 K ��
I FIN�'L STRUCTUfjE & BUIL"DING �' _
FINALPLANNINGr � � -�
�. �EIeC(ric Release to EtliSon -
Gas Release co
Date
�*: -± Tt'• - ' �r
a �z �
�l��iylil
���
H [ �
l
_,.., � •^ �n
�' '
�� L .� v k •
. -£ �.�t
"3•� " k � 7
.Z�, c
� �. e 7 ,
ir,.� y --
�•� . ,
n z ,�i
� ;j,� - �-, ��
.v
_.7 i
��� s ;:
1 , K
�= �.
:ti r -
•y e
r �:
; .� ,
. y;, • % n .
o : '� �� t -
. � h . � �
Date I lnspector I
FEES:
Cy
BUILDING PERMIT LOG
TYPE OF PERMIT:
S�UAREfOOTAGE:
�r��oo r �r� ar �« i— i uviC ia � v oc �+ra.�v� i Cv i v
SPECIFIC AS POSSIBLE IN RECORDING ACTIVITIES
, _� j�o �e � � c,v���
3 i 3� En�o�.�. ��- ��� 3�
BUILDING PERMIT LOG
EMPLOYEE:
ADDRESS:
PERMIT NUMBER: TYPE OF PERMIT:
VALUATION: SQUARE FOOTAGE:
PERMIT FEES:
DATE: TIME IN TIME OUT ACTIVITY
ONLY ONE ADDRESS PER SHEET- TIME IS TO BE CACULATED TO THE NEAREST 15 MINUTES
PLEASE BE AS SPECIFIC AS POSSIBLE IN RECORDING ACTIVITIES