HomeMy WebLinkAbout805 SPIRIT ST - Building Permits�ooness a eu�owc: g 0 5 S P I R I T °M'
OWt@RSNAMEIFpqNN: �.rj1,YGON SOU'PH C6AST ASSOC FLOOD: X 47
moxEss: 15751 FOCKFIEliD BL
RVINE, CA 92718 714-452-0600
�cr�. �,u� �no�ss: "
ANCXRECT011FNtlNHf1: L C MAJOR 6 ASSOCIATES uc.xo.: C1686911
acxonu+o.•smo�ss: �1551 N TUSTIN AVE uxr: 640
SANTA ANA CA 92701
. canm�cTars ruue: I
- cam�cTarsxuuxa � � �
�onnEss: ue ra.:
urir:
LICENSED COMflRCTOflS DECLANATION: I Mreby � m uMm perery of parjury tlut I am liceneed under pamiona d Cheqx 9
(mmmend'p wilh Section ]000) ol DivLvion 3 d Ihe Buaiirop eM P�deaebna Cada, uM my I'reMe e in Ml laca eM s%ad.
cmuc.No.:0t�661/�49 uacuss: B uc.No.: 659262 EXP: 11/97
Dms� �� / �%1 I t% Commdor.
�OWNER BUILDEX OECIAFATION: I Mreby alfirm under peneXy d par'ryry Ihet n emmq Irom iM Camretlae Lice�ua law M IM
�, ouowvq rmmn lseeion �aai s eusiima ud a�t�,a Wa: nm cry a caun whid� requiree a pertnn io conei�cv. eXer. imyova.
.,"x'.`�moleh, w repei eiry el�uelure, D�w io da 6waxe, elso reQuirea Ihe epplie�ant ta vueh Po�e �o fib e aqned ete�smnt tlW he a sM
°$„ �IcemeE W��1 to IM prwiaiwu M Ne Comreaas Lioenae law ICheqm 8(comme�iq wilh Sed'on ]OW) d Diveion 3 d ihe
.;'�udnma eM Prolesaona Cadel a ihet M w she b wemq ihereimm end Ihe bmu la tM �laped xamqun. Iury vule�ion d Ssaion
)031.5 by eiry eppliranl for e permil a�bjMe �he epd� �o e civil penely ol nM mon Ihen frva h�nEretl EOYen �f500�).
❑ I, m owrr d IM pmpeny a my empbyeea xi�h wepea ea tMi wb cwnpenae�ion, will Eo Ihe xroA, aM IM et�ucluro b iwt inleMeE
or MereE (or aeb (Seciion ]OU.Busiro» eM Prdeavma CoCe: The Conlretlon lioense law Ame �aIaVPM�o en ownerd qopeity
wha budda or inpovea Ihereon, eM who doea such wak kmmtt or henatl n throuph hi w hw awn ampbyer, povided �hm wch
'mpwnnenla ere nd iMendad a dlwad In seb. tl, howawr, IM W itli�p a inporeinem u sdd wnhin ona yaer W mmpblion, IM
a' ownm�buiNar will heve tM burtlan d prwi�p M or eha d'M na buiN w impo.e ta iha WN�+a d+aM).
LJ I. ea owner M tM1e D�M. �%'�dusively mn�redinp wiN IbanaeE conbectaa b cortWutl ihe poptl (Setlun 1W1. &ninna anE
Pmlessima Coda: The Cantreeac licanae Lew dom ml epqy b en owner ot popeny who Wiks n impovm iM�mn eiM xho
mmrecn lor wM prqeds wilh a murma�s) licenxd W��t to tha CwNreqpa Limnee lew).
� I am ssem uMer ion: B. d P C., la N'
o�e: // � `� 4 � �� �---�---�
i m n«�nr =.n�y � i� awaa a�e �m�a m, �a���am. a cm� � d,a s�rm coee s«a� xssas. zssa3..�a
2553a, end Utl I a eny Mure buiNirq ampenl will / wll �wl (tlrcb me) rieeE to canply wIh eek atma mAs md tM nqu'vemanb br
a peim� tawnnVuctiona moEifiralionhomiMR'r�ue�i yR�enepaman� Diatnd. Reaiden�iel can�iupion eppiratiwre an e�emq Imm Nra
PfOV19W119.
Dtla� Applicenc
WONKEP'3 C04PFN4�TON DKLIN�TION: I Mreby dfirm uMer paneAy d perjwy ore A lhe blbvnip dedvYbna: '
� I hew eM xil memten e cenJicate d conesM to netl+neu�e /a xorken canpeneetion, es D��+� fa by Seclian 3100 d ihs Lebor
Code. tor iM pa�ormence d Ne wrk la wlich thn pemw u mued. .
� i ne.. ene wie meimen woMen� ca�c��� ��,�... �a�n.d W saa� a�oo n m. �no. coa.. b, m. vw«�� a m.
� work la xhich Mie pormn o ieeueJ. My warkeii mm aation insurexe mrtier eM poliq n�mber ue:
c.�: CSF�PRESS INS EXPIRES
aatir N�mea 01 / 01 ! 9 7
(ihia eeaion need na be comple�ed l tM prm�'s /w one huMmC dd/as �SfOJJ n bu.)
❑ I ceMiy Ihel in �ha pe�ormvice d ihe woM la whch this permtl o issued. 1 ehep ml emplry enY Oa� ��Y menrwr m m lo
n«wn. wbjea w �ne workere comro�wion �ew. d celibmie. .na ae� imm � �.nwu bxm�e wbjw m �n. wwken'
tompe ti))) qwis/'q�/ W Setlion 3J00 d iM Lebar Code, I shell to ' h oomp�y wE� oee pwiaan.
Dme: II� (/� ApplceM:
r
W�mlip: Fellun ro seeun worten'rompauetlen rovereps Is unlewlu( antl ihvl �WJset en smplqsr ro erlMnsl psluMu uM
clvll Mnu up ro wro huntlrM thouunJ do/Mn fSI0QP00A ��llbn ro tln dQi o/ rortpwwtbn, Lemq�s� u porkkE br In
Sxtlon 9106 0l Me Le6or CoW, /nfwuq end ettomsy's /su.
CONSTIIUCTION LENDINO A6ENCY: I hereby dfirm uMar panelry W perjury the� �Mm u e mwewion Wdi�q e{�ezy br ihe
pa�ormeMe d IM v.wk M whiM the pertni o eaued (�� �]. Cv. CI.
LENOEN'S NMIE:
LENDEF'S AUDRE55:
I canAy ihe� I here ned Na applcetion vd mele Ihet iM ebove iMame�ion o conee. l pne to compty wilh eA dly eM wmly ordinvKee
eM slete lews relmMO �o builEinp coneVutlion eed haraby anhwae reprasentmivea d Ihu diy w mter upon tM abo.e�meMionetl papMy
�«��'°'tl�P��' LARRY DANNA
Dme: i�l I a�(��,
(S151d6.WP) While-Buikiq 8 Sefery: Greert-FAe: Canery-Applrenl: Rnk-Revenue; Gddaniod-rlsaaeaw
CITY (JF COSTP. MESA — ➢UILDiNG PERMI'.0
PERM NO; B 080F2�
PERMIT NC�: B 080629 PLAN CHECK NO; 04789-96 A GOVT; N SUPP: 1d
CONSTRUCT'ION TYPE: V—N PERMIT TYPE: STR ' PURPUSE: NEW
JOB DESCRIPTION ; 2129 SF LIVING/ 562 SF GARAGE/ PLAN 2 SQ FT: 2,691
CLAIM VALUE: 177,426.00 GALC—VALUE: 177,426,30 GROUP OCC: R-3 /U-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE / PLAN 2/
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Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILUING --------- --------- ACCESSORY F7UILDING ---------
FRDI'P: 11 FT IN REAR: 16 FT IN FRNT: FT �IN RfiAR: FT IN
LEFT: 5 ET IN RGHT: 6 FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ� 2 PROV: 2 PARCEL: 19151132 ZNE: PDRL REF NO: PA-95-36
PLANNING NbTESi SINGLE—FAMILY HOME W/ATTACHED GARAGE. PARK & CITY. TRANS FE�
> S DUE @ OCCUPANCY. �=
jF �1E iE 1E iE iE 3E %' �E �IE 1ElE �IE 1E if iE �IE if iE iE iE f(-1E iE iE �IE i(- 3E 1E iF iE iE �IE 1E it fElf IE if iE if if 1E iE �If iE iElk iE'If IE 1E iE 3f i(� 1f �F iE iE fE iE if 1h iE iE 1E ik �lE lE��IE �E 1E 9f' IF 1E if #�IE If
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N:;T S
ZONING APPROVED BY ;�'I.�� DATE; �II—� 7c�/
BUILDING APPROVF.D BY :�C.{� �� DATE; r�'I_�{j_g(�
APPLICATION ISSUED BY: �$F DATE:I�—� ��
,�����*****�����,�*�*�*���������r�������������r ��������*#*�*�*�* � ��
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 1,277.25 17,74
SMIP/NON—RES
PLAN 207.55
ISSUE FEE
BUILUING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 1294.99 0.00 207.55 1502.54 1502,54 ,00
REVENUE PIVISION TOTALS--> COLLECTED; 1502,54 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRF. SMIP/TOT GRADING PLAN—CAECK
7277.25 17.74 207.55
1f 3f 1E iE iE fE� 1E �E ff jf 3E 1E 1E �E # iE if iE iE iE jf iE 1E iF if 1E iF 1E lE jf 9E �f- #!f �E iE iE iE iE iE iE iE iE iE if� iE iE iE iE if ff i(-if iElE 3E iE fE IE �1E if #*!E 9E 3F iE if 1E �1(-iE if iE iE If !E �If -If i(�
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
SE'R 2129 DWE—TYPE V—WOOD FRAME —GOOD 77.90 165,849,10
SFR 562 RES—GARAGES TYPE V 20,G0 11,577,Zp
END OF FEES
fli 1022Q049—OD2200`i T 4T i`02.`4
DpiE: il/2?/9S TIHE: 15:52
CONSTRUCTION ANDPLANNING � POG SPA �
APPROVALS Permit # ' Date I�spector qppROVALS � Permit # Oate inspector `
t. TemF�rary Electrical Service or Po�le -- � 52. Pool & Equ�pment LocaooM1 ' �- �
- � _ _
-2. Soil Pipe�Undrgrnd. � � 53. Steel Reinforcement . .
3. Electrical Canduit Utility•Undrgrnd. � 54. forms '
4. Electrical Conduit�Undrgrnd. 55. Elect�ical Bonding � �
5. Steel Reinforcement " 56. Rough Plumbing & Pressure Test
6. Electrical UFER Gmd. - 57. APPROVAL TO COVER�GUNITE
7. Footings , 58. Electrical Conduit-Undrgrnd. .
8. Foundation - - 59. Gas Pipe, O Undrgrnd., Test .
9. Water Pipe•Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgmd. � �
10. Structural Ploor System 67. APPROVAL TO DECK � ' '
11. Properry Sewer Line & House ConneMiom '62. Backwash & RecepxorFinal '
72. Sewer Cap '� � 63. Heater & Vent-Final
13. Roof Drains - 64. Plumbing System �,Final � �
14. Fough Plumbing ' 65. Electrical�Finai � � .
15. Rough Electrical•Conduit ' 66. Solar System-Pinal "
76. Rough Electric W��ing -67. Fencing & Access AnProvai .
77. Rough Wiring Sign - ' � 68. APPROVED FOR� PLASTERING
78. Rough ElectricL�-T Bar Ceiling .� � 69. POOUSPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning - fIRE DEPT. REQUIREMENT - -
20. Rough Factory Fireplace APPROVALS Permit,�
21. Oucts, in Structure 70. Underground Hydro
22. Ducts, Ventilat�n9 77. Product Piping O Gas rJ Oil
23. Gas Pipe-Rough & Test 72, Underground Fiush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑pil
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling (5tructuraq & Monocoat 75. Dry Chemicai
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat - 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or CanopY
37. Final Fattory Fireplace
38. Finai Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic�Final "
42. Backflow Preventer
43. Backflow Irrigetion
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap RegUlations
47. FINAL STRUCTURE & BUILDING �
48. FINAL PLANNING
49. Electric Release to Edieon
50. Gas Release to Southern California Gas Co
51'. CERTIFICATE OF OCCUPANCY
No Date
� � y
���� Hall & Fbreman, Inc.
��� e Civil Engineering • Planning • Surveying • Public Works '
March 25, 1997
Building and Safety Division
City of Costa Mesa
77 Fair Drive
Costa Mesa, CA 92628-1200
Re: Tract 15211, Lot 15
805 Spirit
Job #4665-L14
This letter is to verify that the forms for the house foundation on the above referenced lot is in
substantial conformance for horizontal and vertical location as shown on the Precise Grading Plan.
Hall & Foreman, Inc.
� E�i
Jo . Sollie, P.L.S.
� ector of Mapping & Surveying
O:\WP51\4665\LETPERS\L14.WP�
13821 Newport Avenue, Suite 200
Tustin, Califomia 92780-7803
Tel 714/544-3404
Fax 714/544-3155
WESTERN INSULATIUN, INC.
4211 Latham Street, Riverslde, Californla 92501
(909) 686-8760
(909) 686-8786 Fax
INSULATION CERTIFICATE
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE
CURRENT ENERGY REGULATION, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24, STATE OF
CALIFORNIA, IN THE BUILDING LOCATED AT: '
TRACT / PHASE: LIFESTYLES @ SOUTH COAST TRACT #1521 T
LOT #: 1 5
SITE ADDRESS: 805 SPIRIT COSTA MESA, CA
-------------------------------------------------------------------
EXTERIOR WALLS:
MANUFACTURER: Schuller
MANUFACTURER: Schuller
CEILINGS : AB�TTS �'
MANUFACTURER: Schuller
THICKNESS: 3 5/8"
THICKNESS: 6 '/."
BLOW
THICKNESS: 11"
R-VALUE: R-13 (2 X 4)
R-VALUE: R-19 (2 X 6)
R-VALUE: R-30 batts
--------------�---------------------------------------------------
GENERAL CONTRACTOR: POLYGON COMMUNITiEs
LICENSE NUMBER:
BY:
TITLE
DATE
INSULATION CONTRACTOR: WESTERN INSULATION, INC.
LICENSE NUMBER: 481278
BY: .��� ��w o
TITLE: `-PROD � CTION MANAGER
DATE: APRIL 2, 1997
.
�
�oowessaem�ra SOS SPIRIT ���
a�RswwEiF�vr+: pOLYGON SOUTA COAST ASSOC FLOOD: X 47
�uoxEu: 15751 ROCKFIELD BL
RVINE, CP.. 92718 714-452-0600
�vv�. wuuxe �oox�u:
�xcxrtecTon�xa�un: L C MAJOR 6 ASSOCIATES �� C1686911
urcx.oxexc•swoxess: 1557 N TUSTIN AVE uxr: 640
SANTA ANA CA 92701
corrm�crars w�ue:
CON1111CIOR3 YYfIIlG
AUDRE55: 11G NO.:
uxr.
UCENSED COMNRCTOFS DECLRNITION: 1 Mreby Mtrm wMer perey d pa�ury tlu� I em I"r,eneed uMx pwiebne d Clieqer D
(wmmend,q wilM1 seciion i000) d oivieion 3 0l the Bueinem enE Pro/essiona Cade, vM my lioena ia in /ull lace uM aHed.
cmuc.No.:066144 uc.cuss: g uc.No.: 659262 EXP: .il/97
o.,.: l� I.��_� C c��«: �^–� �--�.`�
OWNEN BIlILOEF DECLAflATION: I heretry elf�m under perely W perinY �� � e�emq tmm �M Comraqwv Lironea Law ta IM
idbw'vp raaron (Saean J0�1.5 Busiiesa aM Hdeesiona COEa: R�ry cty Q oounlY �ich raquiree e peimil lo mnebuq. Mer. impovs.
moleh. or repei eiry sl�uclure, p'wr lo ib ewerca, elso rpuirea iM epplimM la euch pwmn b fib e agned pe�emenl ihel he ar eM
YcerieaE WA�I to Ihe praieions d Ihe Contradars Lioense law IChepx 91�memiip vrilh Sed'on lOW) d Oiiebn 3 d the
�einasa eM Pro/eseioru CoEel or tlw he m ehe ia exemq tharehom entl Ihe besie Iw Iha elbped azomqbn. My violetion d SeUion
)W t.5 by enY WP��� la e permG aubptl5lM eppl'reM lo e tiril qrelry d ml mae �Mn Me huMnE doAen �5.500n� �
� I,vownndihapraperryormyempbyeeewlhwegesestM"raolewmpansetion.willEotMwak,enC�heavucturo' �uNiendeE
aWueC br aeb (Seclian )Ou. Buvma erd Pmleee'vw Cotle: The CaMreaae Liaua law doee m� eDPN�o en�d papeny
who buide a inpiovee �herean, vM who doee euM wak Mmself or heneM w throuph he a her ovm empbyeee, pwideE �Iw euch
impmvemema era ra inteMed or dlxeE lor sele. tt. Mwever. ihe Witlirp a inpmanmi u edd xnhin wn yser d wmpW un, ths
�owner-0uiltlar will heve IM WrEm d prv+iig M or ehe d'd ral bwld a impwe la IM puryoee d eeb�.
I. av amer d Ihe propeily. em asduaivety conlrad'nB � IicenseE conVeclon to cmYrua Ihe poptl (5eaun'l041: &ninaes aM
Pmlestime Code: TM Comre]ae Lr.ensa Lew doea ml epyy lo en o�mx d p�opMy r.M builde a impovee thpeon aq xM
comrecu fa auch prol�+ �h e mnveaor(s) Icansed pureuent io Ihe Ganlmcrore Licenee Lew�. ��
� I em memq uMx Seclion: B. d P.G.. la �ho�^ '
om.: J I l-�(r � o�,: (�„��v'--�
I Eo Mreby canily ihai I am eware d aM uMentvM �M �equiremwNs d Cel�anie Ibellh eM Setely Coda Setlbro 25505. 25539. and
25534. erd Ihet I a e�ry iNun Wiki�q aaupenl will / wil rwl (acb me) need �o cwnply xvh eaid mate mdm ud IM mpuimnsnb br
e permil f«mnevunion or madifwmion kamthe R'v�enepemem Dimrid. ReaiCentiel mneliutlion eppimlbroen exemq Irom ihess
,.�,.
o�s: ' nooi�m:
WONKEN'S COMPEHSATION DECL�P�TION: I hareby aMim undx penelly d peijury ane d tlw fdbwi�q AeWrelona:
� I have ud wil meiiuv� e cMilcele M conemt �o saXimure br xaken' comOMeetion. m pwided la M Saeion 3]00 d tM labor
Code, br iM pa�lamence N Ne xwk tw which thn perm� ie iauad.
�J in.ro.m���m�.wna+o�ro���w��.�.e.�c��aMsea�a�aoame�n«coe..m.msro�«�em.
work la xliich I�ie permil ie ieaued. My wakeie' campenealion inaura�we ferrir end poliry number are:
c�.: CYPRESS INS EXPTRES
Polky Number: W A u 01 / 0 l. / 9 7
'',•``,;;: ,ee� ,�d,�a ea �o,�dINed �� wmx s ro. o� n��d,.e ddw. /siw/ o. �.�
�� I ca�lAy ihet in �he pMormence d �M work br whc� Ihb pe�mn u mued. 1 WII �wl emply� a�ry pa�aon in anY man�r n o to
becoma w4aq �o iM wrkers' oomP�ution lewe M GdAomie. eM Wree ihat il 1 ehauk bxoma wbletl to the xwkme'
compe1nsetion pmvisbn opl SeGbn 3'!00 0l lhe Lebor CaAe. I shell t wnh wmpy (x�Xh thwa qovieiwu.
Dda: L L AGWirent � w'"^'-'�
-Wlmlip: FaN n ro Jseuro woil(In' comppNatlon wvenps l� unYwN( anC II si.bNct m emplqx ro eMMrel pawltlu mL
clvll flMa y� b om hunJrstl flaumrM dollan (510q000), In MNtlon b Ms Cwt ol [ampxuefbR tlam1ps� u provMeE br In
Sectlon 9)06 0l tlro /abor Coh, InMu4 entl attomay� Isq. '
CONSTNUCTON LENDINO AdENCY: I hereby �rm uMer pereM1y d peryry that ihme b a mia�ueion bdiry epmw.y br iM
rono�� a ma won�'« .n�m mo o«m� � 4�a ts«ao� aos�, cw. c).
LENDEfl'S NMIE:
LENDER'S �DDXE%:
� cenM �nm � ne.a �eee mb wdKmion.�d am. me� me.nwe ��omimiw� o cmea. � m� �o camWr wnn en mr �a mwnr «rm.ioe.
and ntate laxa reletiq to build'eq conmuUian e�M hereEy eu�horaa repreeametivea o/ihie ciryto enim upon tM ebove�meMioned prtpery
rorms�a�o�r�s. LARI2Y DANNA
Pnm Nema
' oma �1 L
$gnelure d Oxiwr/AgenVApplicenUCOMredn
(5151-JB.WP) Whue-Build'up 85elery: Greao-Fla; Cenery-AppYcent: Pink-Revenue; CbWenmHAiveaaor
CITY UF COS'PA MESA – BDILUINv PERMIT
� _� PERM NO:- E 08063C
PERMIT NO; E 080630 PLAN CHECK NO: N GOVT; N SUPP: h1
CONSTRUCTION TYPE: V–�l PERMIT TYPE: ELE PURPOSE: NEW
JOB DESCRIPTION ; 2129 SF LIVING/ 562 SF GARAGE/ PLAN 2 SQ FT:
CLAIM VALUE: CALC–VALUE: GROUP UCC; R-3 /U-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE / PLAN 2 1 REF B-80629
iE iE if if',E 1F �1E iE �7F iE iE 1E 1k 1F iF jtlE� 1klf 1E 1E iF 1E #F!E iE k 1E j(-iE # iF 3E �f if if 3(' �E iE �E if it fE dE iE 1F If �)E')f iE 1E 1f # iE iE 1f iE 1f if fE iElE iE iF k' �)F if #�1(- iF 1E iE �C' 1E 1�' iE jk �)f iE
Z O N 2 N G R E Q U I R E M E N T S
S E T H I� C K S
------------ MAIN BUILDING --- — ---- – ------ ACCESSORY BUILDING ----- ----
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
I,EFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 14151132 ZNE; REP NO:
PLANNING NOTES>
i
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D E V E L O P M E N T _S .E�R V I C E S R E Q U I R E M E N T S
�=
ZONING APPROVED BY ` DATE:
BUZLDING APPROVED HY : ���t.��
I ./ � {—:' ;� �
APPLICATTON ISSUED BY; -����-1! _, ,/�L
at****�**��r*�u�*ieit***** � � �
LEGALIZATION:N �F E,.b'i'. S U M M A R Y
�
BLDG PMT PLUMBING "ELECTRIC MECIiANIC
PERMIT 110.56
50�
PLAN
ISSUE FEE �2.00
BUILDING–DIV–> PERMIT ISSUE P-LAN–CHECK
TOTALS----> 110.56 22.00 0.00
v
REVENUE DIVISION TOTALS--> COLLECTF.D:
BLDG PMT PLUMBING ELECTRIC MECHANIC
132,56
_ DATE:
DATE: //'�=7/n
'�iFTF*i�aEiE*iEi�if*�lt-�3F iEiE* r�iFfEic�
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
SMIP/NON–RES
TOTAL PAID DUE
132.56 132.56 .00
1.32.56 OVER/SHORT; ,00
FIRE SMIP/TOT GRADING PLAN–CHECK
if �f �lf 'N �)F M� 1: 1f iE j( ## 1E ##### if� iE 1f' if"H' �1( �IE 1f� �)E lE' # 3E fE �If'IFlF IE iE�lE 1Elf # fF 1E 1E # 1tlf 1F �IE 3E iE 1k iE fh �)E fE �lE 1E iF 1f iE if -Y.� IE * fE jE 1E �E 1E dE 1E ik iF �1F'IF 1F iE iE )E
I N D I V I D U A•L F E E Q R E A K D O W N
TYPE QTY D E S C R I Y T I�'O N UNIT COST TOTAL COST
ELE 9. FIXTURES, LIGHTING 1 5T :0 EA. 1..00 1.00
ELE 1 RECEPT/OU'CLE`P 1 ST 70 EA. 1.00 7,00
ELE ) RES APPLIANCE N01" OVEk 1.0 HP 4,25 12,75
ELE 2:129 NEW RES BLDG FOR .1 OR 2 UNITS/ SQ FT .04 95,8'1
' �END OF FEES
�'
:, .
OS 0022U12�-0022�129 T CrT 1a2,56
GATE: 12/02/95 TIME: 09:67
CONSTRUCTION AND PLANNING . . POC �SPA ' �
' APVROVALS Permit # � . Date I�spector AppROVALS Permit # - Date Inspector
7. Tem;+orary Electrical Service or Pole : 52. Pool & Equipment Location � � �
2. Soil Pipe-Undfgrnd. ' - 53. Steel Reinforcement� , . .
3. Electrical Conduit UtiGty�Undrgvnd. �. 54. Fo�ms �
4. Electrical Conduit-Undrgrnd. 55: Electrical Bonding
5. Steel Relnforcement �� .56. Rough Ptumbing & P�essure Test
6. Electrical UfER Grnd. � 5�. APPROVALTO COVER�GUNITE
7. Footings 58. Electrical ConduibUndrgmd.
8. Foundation 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe�Undrgrnd. .' 60. Backwash Lines, P-Trap, L7 Undrgmd.
70. S[ructural Floor System 61. APPROVAL.TO DECK ' '
1 t. Property Sewe� Line & House Connection • � 62. Backwash & Receptor�Final _
�
72. Sewer Cap � 63. Heater & Vent-Final '
13. Roof Drains 64. Plumbing System - Final �
74. flough Plumbing � 65. ElectricabFinal � .
75. Rough ElectriCal-Conduit 6. Solar�System-Finai . .
76. Rough Electrie Wiring 67. Fencing & Access ApProval � •
77. Rough Wiring Sign . 68. APPROVED FOR PLASTERING . '
18. Rough ElectriCaLT Bar Ceiling .- 69. POOVSPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT -
20. Rough FactorY Fireplace APPROVALS Permit #
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilati�g 77. Product Piping L�Gas GOiI
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank �Gas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (StructuraQ & Monocoat 75. Dry Chemical
27. Freme and Flashing 76. �ry Standpipe
28. Lathing & Sid�ng 77. FIXED SYSTEM FINAL
29. �nsulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power MeterFinal i� . FOOD CERTIFICATE ISSUED
33. Final Eleciric � � otes: �_/� ` r
34. Final Heatin9 & Air Conditio�ing -�
35. Finai Gas Pipe•Test
36. Hood or CanoPY
37. Final FactorY Fireplace
?�. Final Plumbing
39. Water Service-Final
40. Gas Service-Final -
41. Solar pomestic-Final
42. Backtlow Preventer -
43. Backflow Irrigation
44. Landscape Irrigation Sys[em
45. Sound Atten�ation
46. Handiwp Regulations
a7. Frnr,cL STRUCTURE & BUILDING
48. FINAL P�ANNING
49. Electric Reiease to Edison
50. Gas Release t0 Southern California Gas Co
51. CERTIFICA7E OF OCCUPANCY
No. Date
-'G !
i .
'� i�oowEsSaF ew�owc: S 0 5 S P I R I T ��+T�
avr+�nse�wEiFroaxT+: pOLYG0�1 SOUTH COAST ASSGL FLGOD: X 47
���� 15751 ROCKFIELD BL
iRVINE, C� 92718 714-452-0600
�rr�. wudxo,wowew:
urcxRECTa+r�r+�+: L C MAJOR & ASSOCIATES ��: C16£56911
urcx.ux�asmox�ss: 9.551 N TUSTIN AVE uxr: 640
SANTA ANA CA 92701
c«nn�crars r+�:
cam�croxs �uuio
�ooxess: uc.ra.:
uxr:
LICENSE� COMPACTOFS DECLANATION: I hereby eXim under penWy W perjury tlut I em Icansatl unEer pransione o/ Cheqx e
(mmmendrq xiih Sec1ion ]000) ��4^ 3 of the Buai�sa eM Prdesaiona Code. ud mY lioaroe u in lull bru end ellatl.
cmuc.no.: 066144 uc.cuss: B uc.No.: 6591 _6,I?` 2 EXP: 11 /97
Ome: Comreqw: Vd^���
�
OWNEfl BUILDEP D CLANRTION: I ha�eby elfirm uMar penely d par'ryry I em emmq tmm iM Cmlreqwe Lieme Lew la iM
Idbxig �eawn (�� ��11.5 Busiins e�d Pmfessions CaEe: AnY ��Y a� ry�✓fi �0uiree e pe�mil �o oonavucl. Mer. improva.
demolsh, or repev eny alruciure, O�r W iU esuenca, ebo repuires Ihe apdirem lar euch permil b fib a eipiwA ele�emant Ilul he a ehe
e �icanmd w�um �o ina pwAians a ine comrea«e liceme lew Icheq> a(canmmdno wnn seaon r000) a Di.ewn a a �M
Bwi�wn eM Prdeaiau COCaI a ihel he a ehe is xamq ihxahan eM tM baeie fa the elleped ssemp�ion. My violelion d Seaion
)OJ1.5 by eny eppliuni lor e perm� wbjwa tha epplicent to e mril panely d M more Ihen tNa huiMred Edlve �55p0�.
❑ I,mow�rd�hepopMyamyemployeeexihwepeaa�iheidaewnpenulbn,willEotMxwk,enEtMewnurocew�imaMeA
or oflered br eele (Sec�ion ]OM, Busiinea end Prafessune COJe: The Conlredan l'xenea lewdoea �iM epplyto en o�merd popeM
W�1D b11�9IX��11W W!B �hBIBMI. Blld Miq 40l9 SIIC�1 MIXk fY119lM IX �1BIfld IX �llO19h hs IX �1M OYT MlGblev. P�� �� AC�1
unqwemenls are nd iMeMed ar dlered Ia aab. H, howmx.IM Witli�q a Mprowmeni ie edd wnhin an yur d mmplNon,1M
�ownarbuiNer will heve Ihe burAan of 0�'ing he or she diE �rol build a improve fa �he W�a d eeb).
1. n owrr d tM pW�Y. em e�tivsVdy mmrmmB x+lh 4cenaed mnVMae ro canmua IM MM�.ISeaun 101,. Bwiiwsc end
Pmleviwre Code: TM Contreaas licenee lew daee nd epply lo en ow�r d papeM ���be or improvr Ihereon aM who
conlrecb fa euch prqacl5 vnlh e mnlreifa(s) IcenseE WA�I lo IM Can�rettae Licenea Lew). �
� I em mxIAp uiider SGenbn: 8. 8 P.G.. br Nie reemm •! • �� �
Dele: II /.i-1 I 1 L Owner '
�
I do hereby ceNty Ihel I em ewere of end uMeniend the requiremew d CaIAp ie Meellh aM Seiety COEe SeUbm 25505.25593, anA
nsaa. end wm i v vn nn�re wiuim «wa� �n i.ii �a lw�b o�w1 �ea� o canNr.�n..d .�at. ooee..m m. Aa��.m. ro.
Dale: ADp��eni.
WOPKEH'S COMVENSATON DECLAfl�TON: I hereEy elf uMx prWy ot pejury one d IM fdbwirp Eetle�etiom:
� I heve eM wil manien e ceMAicele d mneant to vaMinaura M xwken' wmpenmlbn. m prwked for by Setlbn 3M0 d tM Lebar
CiO�l. iW ��! �p111BlCB Oi I�N MIXk iIX M�IICh ��Iq V0�11 B tMIMd.
�I heve enE �til manten xorke�s' mmpenaetbn inwrence. av rxryired by Sequn �]00 d tM Lebor Cotle, br tM pe�lormaMa d iM
work tor MfiirA thu pemin o aaueE. MY ��' �Pa�� imura�w wrier end pd'wy number ere:
c�«: CYPRESS INS EXPIRES
aa� N�mn«: �'' 01. / 01 / 9 7
�mia sea� �eea �n w m„�d.� r rn. �� is ro. ona nuneree dd� /sroo/ w�.1
❑ � renM ��� ue ronamence a �ne wanc �w wncn inie v� is uwee. � ehel� na emoM �r o� � dw mww m ea �o
necane wdee m in. wnfers� ewna�� �ew. W celilania, end ro�. �mm � � snwa beroma .ubjw m �n. .Mmn�
�mw��� o�/+ab�a /a seaion a�ao w me �ano, coae. � sndi �on � n oomvN wnn in(m�e proviviona.
Deb: II � 1 F� V ApplicenL :.L��--
W�mina: c uun ro ueun workra'rompm,etlon coveraps l. unurlu( uM � aWJ�et an �mployer ro alMlxl perWtlr aM
clvll flroa up ro ma hwered Mouund JUIMn ft1P0.0W), M etld/tlon ro Ms cw ol romvrwtbry Cemq�s� u poHEW br In
SxHon J106 0/ M� Labor CoOa, /ntxsaf, �nd �ttomry i/wx
CONSTIIUC710N LENDINO AOENCY: I hereby etArm under pereM1y d pxjury �Mt iMn o e conatrudion bndiiq epam.y iw tM
peAarmenw d �he xvM for which �he peimi ie uaued (SeGun 3091. Civ. C�.
LENDEN'S NUIE:
LENDEN'S ADONE55:
I canM the� I heva reeE Ihis epplicmim eM meta Oul �he eEwa inlarmetion ia cortep. I proe to comply wi�h ell ary eM counly adimMe�
antl etele levre rele�inp to build'vq conslrudion eM hereby eNhorrze rapneentetiv» d ihe aly b enter upon Ihe ebwe-meMbned papeny
fairopeuion purpmn.
LP.RRY DANNP_
o.�a: d=) �(�
(5151d8 WP) Whne-Buikip 8 Selery: G'earFb: Cenay-Appira�i: Fnk-Reven�e:Oddenm�Asemwr
CITY OF CGSTA MESA - BOILGIDlG PERMIT
�'� PERM NO: P Og063�
PERMIT N0: P 080632 PLAN CAECK NO: N GOC�T: N SUPP: �`1
CONSTRUCTION TYPE: V-N PERMIT TYPE; PLU PURPOSE: NEW
JOB DESCRIPTION : 2129 SF LIVING/ 562 SF GARAGE/ PLAN 2 SQ FT:
CLAZM VALUE: CALC-VALUE: GROUP OCC: R-3 /0-1
COMMENTS; NEW SINGLE FAMILY RESIDENCE / PLAN 2/ REF H-80629
�**���r***�r�x�#xat�***�at**u*at***�*�*�***u*�x��**�*�at�*it�**�x*ft*�****���+��it*itit�r*+�+�*
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 HUILDING -------- --------- ACCESSORY DUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT SN REAR: FT IN
LEFT: F'T IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ: PROV: PARCEL; 14151132 ZNE: REF NU:
PLANNING NOTES:
� �
iE iE �F 1E ff # 3E iE iE 3f �F jE 3E 3E 3E 3f fE iE IE 1E fE jE fE dE 1E fE iE iE iE 1E iE iE 3E 1E 1E iE 1f 1E dE if iE iE iE iE iE iE iE iE aE 1E iE if �E 1k if iE jE fE iE iF iE fE �E jE iE iE 1E iE jE iE �E iklE * iF iE iE iE iE
D�E V E L O P M E N T S E R V` I C E S: R E Q 0 I R E M E N T S
ZONING APPROVED BY . - ., DATE:
BUILDING APPROVED BY :
APPLICAT�IORI ISSUED BY:
!E iE IF iE �E iE iF 3E if 1F 1E jE �E jF aE jE iE iE 3E IE 9f �
-4
DATE: /
DATE; � � 27 �k.
********�'*����**
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGM$NT;N
� Y :G
BLDG PMT PLUMBING ELECTR`IC MECHA�IIC' FIRE SMIP/RES GR�ING
PERMIT 198,00 ' i '"
258 � ��'' '- _ V' �" .. �' SMIP/NON-RES
PLAN '
ISSUE FEE 22 , 00 �,� ��' �� �� ' '��
BOILDING-DIV-> PERMIT ISSUE PLAN-CHECK �� �-TOTAL PAID DUE
TOTALS----> 198.00 22,00 '� i� 0.00 220,00 220.00 ,00
U
REVENOE DIVISION TOTALS--> COLLECTED: m220:00 OVER/SHORT: ,00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE�• SMIP/TOT GRADING PLAN-CHECK
220.00 �' 'i -� � ".-
Qi �022QiQ3-0�2T0143 T C�T ZZp,pp
*x#�+�x*�c**�u�**x���c�*�*�****��x*x�t�**x�r+a+i�*x�:**�"*�r**+��*�ASE#j4.*1URI�3*�4i14�"��0$�:4'�#*�+��
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 T,P T I,C� N- . UNIT COST TOTAL COST
V i. •
PLU 2 BATHTUH � �• ��, 8.75 17,50
PLO ] DISfiWASHER �� �' .,, $ • �5 g , 75
i:� . �
PLU 2 LAUNDRY TUB OR WASFiER "' ��, �,^ _ 8. 75 17 , 50
PLU 2 SFiOWER !'- 8.�5 17,50
PLU 1 SINK, KITCHEtd . - 8.75 g,`75
PLU 5 WP.Sii BAS I�7 r-� F . a. 75 93 , 75
PLU 9 WATER CLOSET ('CO�iI;£ji�, i . -- G.75 26,Z5
PLU 9. WATER [[EATER AND/-OR���ENT�f" 11,OU I� pp
PLC) 9. WATER SERVICE ,� ii;,�*'�t ,� 8.75 p, 75
PLU 1 GAS PTPING SYS °OF;�_•�1=.xQ-4 OU"1'LETS:� �.SU 5,50
PLU 2 GAS PT.PING SYS 5+ OU'�L-PER OUTLET . 1.00 ;� p�
.%'
CONSTRUC710N AND PLANNING
APPROVALS Permit # �
1. Temporary Electrical Service or Pole
2. Soil Pipe-Undrgrnd. � � '
3. Electrical Conduit Utility-Undrgrnd.'
4. Electrical Conduit�Undrgrnd.
5. Steel Reinforcement
6. Electrical UFER Grnd. ,
7. Footings
6. Foundation
9. Water Pipe�Undrgrnd.
10. S[ructural Floor System �
1 t. Property Sewer Line & House Conheciion �
12. Sewer Cap '
13. Roof Drains '
14. Rough Plumbing
15. Rough Electricai-Conduit �
16. Rough Electric W��ing -
17. Rough Wiring Sign
78. Rough Electrical-T Bar Ceiling
79. Rough Heating & Air Conditioning
20. Rough Factory Fireplace
27. DuCts, in Structure
22. Oucts, Ventilating
23. Gas Pipe-Rough & Tesc f
24. Roof Framing
25. Roof Sheathing
26. T-Bar Ceilinq (Str�ctural) & Mo�ocoat
27. Frame and FlaShing
28. Lathing & Siding
29. Insulation
30. Drywall Nailing
31. Plaster Brown Coat
32. Electrical Power Meter-Final
33. Final Electric
34. Final Heating $� Air Conditioning
35. Final Gas Pipe�Test
36. Hood or CanopY
37. Final Factory Fireplace
� Final Plumbing
39. Water Service-Final
40. Gas Service-Fl�al
41. Solar pomestiCF�nal
42. Backfiow Preventer
43. Backflow Irrigation
44. Landscape Irrigation SYstem
45. Sound Attenuation
46. Handicap Reg�lations
ai. FiNat S7RUCTUAE & BUILDING
48. FINAL PIANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Cn
Date
Date
PO� y SPA
inspector. .AppROVALS � Permit # �
. , 52. Pool & Equipment Location � -
' '53�. Steel Reinfo�cement
� • 54. Forms ' : �
`55: Electricai Bonding � � �
56. Rough Plumbing & Pressure Test
� 57. APPROVALTOCOVER-GUNITE
58. Electrical Conduit-Undrgrnd: .
59. Gas Pipe, �.Undrgmd., Test
. 60. Backwash Lines, P-Trap, G� Undrgmd.
61. APPROVAL TO DECK . �
62. Backwash & Receptor�Final
63. Heater & Ve�t�Final � �
� 64. Plumbing System - Final �
65. Electrical�Final � �
, . �66. Solar System-Final
� 67. Fencing & Access Approval �
68. APPROVED�FOR PLASTERING
69. POOUSPASYSTEAISFINAI. -
� FIRE DEPT. REQUIREMENT
APPROVALS Permit #
70. Underground Hydro
77. Product Piping �Gas �Oil
72. Underground Flush
73. Undergrnd. Storage Tank O Gas ❑ Oil
74. Overhead Hydro
75. DrY Chemical
76. Dry Standpipe
77. FiXED SYSTEM F1NAL
78. FIRE PREV. FINAL
HEALTH OEPT. REQUIREMENi
79. FINAL INSPECTION
80. FOOD CERTIFICATE ISSUED
Notes: / / - 7 n _C-.� �, `... _
�
Date I Inspector
:� ..
i
w�/�00P�
OWNEF'S NWE IF qqWX:
�ooness
IVPL. AWl�lfi AODpE54'
�xcxracrox e�un:
APCN.OP FNG'41DDNE55:
g�5 5p�
uc, qo.:
mmxm�crars xua:
cwm�croas�uuxo
ww�ss: � uc. ra.:
��.:
PERMIT NO: P Ofl0632 PLAN CHECK NO; 04946-96 N ...,.�, -
i6 i' if iE k iE if iE iF iE # iE iF iE jE iE iE iE iE iE ik �1(� iE k if ## ik ik iE it� 3E �)F iE 9t-iE iE iE if iE iF 1E iE iE iE iE iE i4 iE iE iE iE if ik if iE iE iF iE �IF iF i! �If �1E iE if �lE iE iE 3E 3E �lE iE if iE k 1E ik #
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL C65T
urn: PLU
PLO
uxr:
IJCENSED COHfNACTORS DECLAPATION: I hereby � m uMx panelly d perjury Nm I un licenaed inMer pvria'vu d Chepla 9
(oommmrirq xilh Se 1ion ]000) M Diviebn 3 W Ihe Buaimv end PMeeeiona Coda, eM my licenee ie in lull lace end eNM.
CRY IJC. NO.: IJG CVSS: 11C. NO.:
DNe: ' 0. 7 Conneeor. 0
OWNER BUILOEN OE L�NATION: I Mreby effirtn unEer penety d parN�Y �� m eicemp imm tM COMretlae Lirome lew la iha
idbwiip �eewn (Setlbn 1031.5 Buanma eM Pmteaio�u Coda: A'ry cLY a ooun which �eyu'vas e pmnR to canebxt. Ms.'vnpove.
demd'oh, a rapei any n�ucwre, prior �o ih 6eueMe, ebo repuiiee the epd�� �or euch paimil to fib a eipned naemem tlw M or eM
ie licensed W�a�l �o Ihe Wb+abna d IM Con�redaa license lew �Cheplm 9(oominentlnp xilh Satlion )OW) d Diiwion 3 d Ilr
Bueiirev ud Prafesaivu Code� a ihel M a ehe ie azamq IherMmn enE tM bmia la tha dbped ezemqion. My violetion d Setlion
)031.5 by eny eppliceM Iw e parmil whjens IM epplicenl lo a ovJ panely oi nd mare tMn /ve hunEred ddW �55Wp.
� I,a�ovmsrdlMO��Yamyempbyarewdhwapesm�he'vedemmpansmion,xi11do1hewak,andNeaVumrtewmtiMaMad
a oflered br eele ISection NM. Bueinea eM Prdaesbru Cada: The Conlretlan licrose Law Eom M eDMYto en ormerd popnry
who WiEe a inprovea Iherean, eM wM10 doee euch wak Mmsell a heeaeX or thrpqh hw a her own emplvieaa, provideE Ihet wch
imWnvemeMa ue nd inronEeA ar dlered la aab. H. howewr. �M Witlin9 a inP�� a rold xilhm aw Yeer d cami�ion. IM
xmer-0uilder xiA heve �M bu�den M pro.inp he or eha dk nd build or improve tor Ihe WN�e of aele).
❑ l m owrer d iha ww�Y. em utluardy mn�red'n6 wilh Fcmeed convaciws m conarua tM pd� (Seaion lObl. Bwirees uk
Prdeaione Cade: TM Cmirepore Licenm lew doae nd epply to en owner d qopeny wha buitla a impwr Ihe�eon aM who
CO�IRC1! /V t1Y'JII p10�B'.l= N\1�10 tlM118C01�9� �ICBf1]!d P�RUBIII �O ��18 �iMIfBL1IX9 �KMi! �6Wi.
❑ I em exemp under Senion: 8. 8 F.C.. br thu reeaon:
Dete: Ownx:
1 do hereby ce�ity Ihet I em ewere d eM urWaeiend Iha mQuiremenb at Celtanu HeeXh ud Sefery Cada Sqiwn 15505, 2553J, vd
YSiM. ud tlut I a ury Mun buJdi�q oocupam will / wil �(� �) �ad b compy wi� eeid elete codes aM iM rtpuiremmb M
epertnnlamneVUMionamodificetionhamiheA'v ue�ry enepement0etritl.FeaidentialoonmrutlionapplmbroenavemplromNaee
povisonn.
Dale: Appl'ran:
WOFKER'S COMPENS�TION DKL�H�TION: I heroby elfimi Wer pw�al�y d�wjuy pr d the Idbwi�q Mtludum:
� I hwe uM wil meintein a ceMcme d ooneenl to seXinwro M wMera' compenWion, m providd fa by Setlian 3]00 d the lebar
Cade. la tM pM«mence M Ne v.ak iw xtich thia permil b ivaued.
� I hevs eM wil meiMen xnrkere' camVa�un ireurvee. n nW'ved M Sae'vi 3)W d Me lebar Coda. tu tM V��� d tM
wark t« whidi ihia pemin o iaueE. My waksis' rompeneelion inaurenca fartix vM pdiq number ere:
Certbr:
Policy Numbar.
�This aecfian rieed rwi 6s cand�d i �hs peim! u b one hundred ddlera /f1P01 a bm.)
❑ I cenh' � in Ne pertomarca d iAe wak lor which thie permn w mirod. I eheG M ampb/ ery peevi in ury manner w n to
baroma eubjetl b tM workma' compenaetion lawe d Celilanie. enE egrea thel il I ehwk become eubptl to iM waken'
�mro��� o o�a + a s.n� s�ao a ma �e« cros. i.wi ionn � n�cN •m, mo,. pwe�o�,..
o�<: 'l a�a�: ��--..��— ln -
W�mLp: FWun ro�xu rolkr�• rompauetlon mverep� I� �nNwNl, �ntl aIWI ubHel en rrplayer ro alMw prul0u uW
Nvll flnu aq ro aro huntlrod Hpu1end Co/l�n (SIPq0001, In sAC/fbn b M� ewf o/ rompsrwfbn, denxpq �� prov/tlW b� In
SxXon JRM ol tl,s LaborCOAr. Infaas( end �IromsY'� Isu.
CONSTqUCl10N LENOING AOENCY: I Mreby alfirm under penelry d per'ryry Ihel Ihen n e mislrudion bMi'p epency M Ne
Dariamerce d iM Mo'k M whidi ��'s P�i o ewad (Sedion 309). CN. C).
LENDEN'S NAME:
LFNDEq'S ��ONE53:
1 cMity ihel I heve reeE Ihia epplire�ion eM dme thet Iha eEwe inlormmion is mrtea. I pree to compN �h ell ury arM muMy oMinancea
�e eime m..� �dm�a �o w�buro �+o-� �d na.enr.wb.�e „n��m� d ino av ro auer uw� ma wow-���a aw«n
�a Imroaion p ��nwae. �
t• v^✓' IJ-�,.....-
nnt Nema
r� oma: / � � (
SiBnmu` Oxner/RpenUApD�e�✓Gonlraan
�5151de.WP) W�ile-BUJdiq d Sa/ely: GraerFle: Cenaiy-Appicant; Pink�ieranue; OOWe'voFMeewr
GAS SERVICE
SEWER, CONNECTION
TO BUILDING EACH 22,00 22.00
END OF FEES
�DUF'�YGATE REC=FIPT�
Oi 002:0103-Q0220103 TOT 2?p,00
DATE: 12/G2/95 TI11E: OE:45
1\
, aoop�ss a em�axc: a 0 5 S P I R I T ��+T�
a�xs"wEii�a�,": pOLYGON SOUTH COAST ASSOC FLOOD: X 47
'�pEK� S.S%S1 ROCKFIELD BL
[RVIt�E, CA 92718 714-452-0600
�vv�. �wuNo wo�ss: '
�xcxmcroeexu��x: L C MAJOR 6 ASSOCIATES ucxo.: C16869].1
ANCNONFHO.'SIDDNE55: iSS], N TUSTIN AVE urrr: 640
SANTA ANA CA 92701
WNIN�CTqfS NAYE:
cwm�croxs wuuw
�NORE55: UG NO.:
uNr:
UCENSEU COMHACTOHS pECl4p�TION: I hereby eRim urWx peneXy ot pa�jury IMI I em liceneed undar poviebm ol Cheptx 9
(commena�p xdh Saction ]000) of Oivrsion 3 d Ne Buvnew eM Prdeeeiona Code. eM my licenae e in lull lan enE eMaq.
cmuc.No.:066144 uc.cuss: B uc.N : 659262 EXP: 11/97
o�a: � c�i�ao�:
OWNEN B LOEN DECLANRTION: I Iwreby elfiim urMm penery M perjury thm I vamq hom Ihe Contretlaa Lioeme law la iM
lolbxinp reaeon (Sac�ion ]031.5 Buenens end Proleeabna Code: AnY cilY a mun whiM requirea a pemin lo ooneln�ct. eller. improve.
demdoh, ar rapei eny atrvciure, pbr lo its 6auence, ebo rx�uires Ihe epplicenl la euch pa�mil to file e cpMd eWemeM thu he a ehe
o iwmaee w�� �a �na w�+�. a ub comrea«a u�eroe t.. �cnea« s(canmenaro wnn seaun �aao) d o::o� a d me
6ua�ea eiw Raeuau coeel « mm ne v ene ia e.amp marem�m ene me mw ta me dkuac uemq'v,. �nv vidmion a seeion
]03t.5 by ury epplicent f« e permn abpee the epplicem ta e rnil paneXy o/ M more ihenlna huMred ddlw �SSWp.
❑ �.e.ow„e.dmeo�o�rwmr.mdwee.wenwea�.sm.:eoboomoe���..u�doinewwk..�ethe.aww.:�afineiMea
aMered br aeb (SecUan )ou.8uvrev eM PMessmsCaEe: TM Comredae License lewtlom na MWYb en ownerd p�apem/
wla buids a inprwea thxeon, eM who doas suM wak AmeeX a MnM or Nrap� he ar har own employese, piwideE thet euc�
im0�menie ere nd inleMed ar ollaed for eele.11. Mwever, �ha buiNine or impovemeM ie eok vrilhin me yeer d mmplMbn, Ihe
X awnxbuilder vAll heve tM buNen d O�a'inp he or sM d'M � build w impro.e Iw iM WP�e d aele�.
❑ t.. ow�« a ma ywero. em e.d�v �v.a�e wnn imtiee c«,n.na. �o cwreaw ma c�a� �seaion ra�. e�.u�ss m,e
Pmleaeiwre Coda: Tha CoMmaae Licenae Lew doas iwl eppy w en owrcr d popaity who Wilde a impwm ihereon entl who
convec1a fa suM Orq�e v.nh e wnlredoNs) Icensed pureuen� to ihe Conlredors Licenea Lew�.
❑ I em ezemp �Mer Seclbn: B. E P.C., br Nu�^
D�e: JI /•xl I�i G �.r: -�C.._.� 1��--'
i ao n.�nv �r �nm i� a...a a e�e ��a ma rea��mmam a cdawn�e Heenn .m smmr coa. s«rm. uws, zssaa..�d
us3.. ena inm �«.my nnwa wibinp «woe�� �+n � wi �a w�u, m.) rmd m ainWY wih veid abta wdsn end IM �eT���a^aqs tar
epe�m�tawnsuuctbnnmodifirationhantMAi e�y erupemamDiatna.HeaiEeMielmM�utloneppimtomereuemqtmmNwa
provisione. ,
ove: " Appc.m:
WORKEfl'S COMPENSRTION DECIAFATION: I MreEy elfi�m uMer pendiy of peijury me W IM folbxi�q Eatluetione:
� I hevs uM xil meimen e cenifrate d mnaent io seMiruun M xpken' cpnperoeibn. n provided fa by &aewn 3]00 d tM laba
Cada. lor tM parlmwice d Me wak la Mich �ho pamn u iausd.
�] � n..�..�e xi� maime:i woncen mmoe�se�oo �naurance. e. rw���e M seaian a�oo a me �enm coee. ror ine oertamenm a m.
work la whieh Mis peemit n ieaued. MY wakert mmpenemion inaurence rarier end pd'uy number ere:
c��: CYPRESS INS EXPIRES
Pol'ry Numbec ) Q 1� Q j� 9%
�This aenion neetl nof be comPlered'Y ihe pelmAis /w one hvMied dollen /310p� w Ipa.l
� I cenM the� in tM pe�imnv�ce W Ihe wwk 1« xfiich ihu pmmu o roued. I dWl m� empby e�y penon m ury meninr vo ee to
becmre vubled b IM waken' canV�seiion lewa d CefAwnu. arM e0ros tlW il I Mwk becone wM� to IM waken'
. compemelion provis'one M SeGion �)00 W tha Lebor Code, I ehell f1 �hwnh mmp�y xnh IMee provieiona.
oma: Cl nod�m: `"^'�it L�i-^—
w.,.�ma: r. �� ro.«�� won�e.; �a�ro.,�..no� �ow�.w r, ��i.wn.�, .�a n,ml.n.� «�m�m� ro�mmm.�c.�.ro...�e
elM flm� up ro on� huntlrM tMuuiN Ool/en (S1UqWO), M atltlltlon ro Ms roat ol rompruaHoR ameP� ��WavMeL br In
Sxtlon �108 0/ Ms Le6or Cob, Infenst � efromey� Iwx
CONSTRUCTION LENDIN(i ROENCV: 1 Mreby etfiim uMer penely oi parjiry Ihet thare ie e oonst�udion bMi�p epency M IM
perlormenm W �ha vrork fa wfiich Ihe permi ia vauad (Sedun 30B), Civ. C�.
LENOEH'S NI14E:
LENOEP'S ADDPE55:
I cerliry Ihel I heve reed this epplcmion enE qete Ihet Ihe above inipmelion ia corten. I epree 10 mmply xnh NI ay vd mumy ardironme
eM mma lexx relei'vp to buildip cnnatrwion eM hereby euNnca �apaeentmivea d Ihb tl1y ro enter upon tM ebow-meMionetl p�operly
����°�'�""0�"' I,ARRY DANNA
o�a: 3:7 6
(5151�46.WP) WhilsB�iN'rp85elery;OreerrFb;Cenery-AppFceM:Pink-Revanue;OoltlenmE-Aeaeawr
CI'fY OF COSTA MESA - BOILDING PERMI'f
r � PERM NO: M OB0631
�. �
PERMIT NO: M 080631 PLAN CHECK NO: N GOC�T; N SUPP: N
CONSTRUCTION TYPE: C�-N PERMIT TYPE: MEC PURPOSE; NEW
JOB DESCRIPTION : 2129 SF LIVING/ 562 SF GARAGE/ PLAN 2 SQ FT;
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /U-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE / PLAN 2/ REF B-f30629
**ie�r*�t�t+��r*****�t**�x�***�t***ieie***at**fe**��-*�-+t***�**�-*******��*****�*******ie*�rt**at��
Z O N I N GS ERTEHQAUCIKRSE M E N T S
----------- MAIN BUILDING --------- ---- ---- ACCESSORY BUILDING --------
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT: FT TN RGHT: FT IN LEF1'; FT IN RGHT: FT IN
PARFtING REQ: PROV: PARCEL: 14151132 ZNE: REF NO;
PLANNING NOTES>
% 'T
df 1E iE iE iE iE iE iElE iE iE 1E iE if �F iE iE iE �E IE iE �E iElE 1E iE 1E iF iE 9E jE 1F iE IE 1E-)E iElE if iE iE dFlE 3E jf iP ff 3E 3E �F iE iE if ik iE 1E fE fE iE 1f 1E 1ElE ik �E iE iE 9F �f iF iE 3E iE iE ik �E if jE 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
1.
ZONING'APPROVED BY DATE:
BUILUING APPROVED BY : DATE:
�*p**�x***�*�*��+Ur*D*B** y -- `��'�'�F**�*D***** �����*
�
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 , 58.25
258 SMIP/NON-RES
PI�AN °
ISSUE FEE "` 22.00
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DDE
TOTALS----> 58.25 22,00 _- 0.00 80.25 80.25 ,00
REVENUE DIVISION TOTALS--> COLLECTED; SO.ZS OVER/SHORT: ,00
BLDG PMT PL,UMBING ELECTRIC MECHANIC FIRF. SMIP/TOT GRADING PLAN-CHECK
- : 80.25
��*�*x**�u��***�*�***��u***+������*i��***********+�*x�+��+�+�*���**�**+��*��*��*��r***�
I N D I V I U U A�L _ F E E B R E A K D 0 W N
1'YPE QTY D E S C R I P T I"O N UNIT COST TOTAL COST
MEC 1 INST FORC-AIR/GRAV FORN <= 100 X BTU 13.25 13.25
MEC 1 FACTORY FIREPLACE 9,50 9,50
MEC 7 INST HOOD W/DOCTS FED BY MEC EXHAUST 9.50 9,50
MEC 4 VENTILATION FAN CONN TO SINGLE DUCT 6,50 26.00
END OF FEES
i°
ui D022ti1i2-U022Q112 T CiT gp,25
QATE: 12/02/9� TItSE: 08:53
. . .
CONSTRUCTION AND PLANNING . - PO r SPA
��- APPROVALS Peimit # - Date laspector p�ppROVRIS '-Permit # Date Inspector
7. Temporary Electrical Service or Poie� 52. Pooi & Equipment Location � -
2. .Scil Pipe�Undrgrnd. � : 53. Steel Reinforcement ' �
.
3. Electricat Conduit Utility�Und�grnd. �54. Forms ' � _;�
4. E�ectrical Conduit�Undrgrnd. � � 55. Electrical Bonding ', _ '�
5. Steel Reinfo�cement �- 56. Rough Plumbing & Presiure Test '
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Pootings 58. Electrical Conduit-Undrgrnd. - �
8. Foundation ,59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrgrnd. "60. Backwash Lines, P-Trap, 0 Undrgrnd. �
70. Structural Ploor System _ '� 61. APPROVAL TO DECK ' . �
7 7. Property Sewer Line & House Connection 62. Backwash & Receptor�Final ._ . .
12. Sewer Cap � , ., 63. Heater & Vent-Final �
13. Roof D�ains � 64. Plumbing System � Final
74. Rough Plumbing � 65. Electrical-Final � _ .
15. Rough Electrical-Conduit � 66. Solar �System�Final .�
16. Rough Electric Wiring � 67. Fencing�& Access ApProval .
77. Rough Wiring Sign . � -68. APPROVED FOR� PLASTERING . .
18. Rough E�ectricai-T Bar Ceiling � .' 69. POOL/SPA SYSTEt�AS FINAL �
� Rough Heat�ng & Air Condiiioning . � O_ � FIRE DEPT. REQUIREMENT � �
� Rough Factory Fireplace � _ O,��r p APPROVALS Permii #
I II
21. DuCtt, in Struaure 70, Underground Hydro
@ Ducts, Ventilaxing ,'�. H 77, Product Pipin9 �G.s ❑Oil
23. Gas Pipe-ROugh & Test 7Z, Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceilin9 (Structural) & Monocoat 75. Dry Chemicai
27. Frame and Flashing 76. Dry Standpipe
28. Lathinq & 5�ding 77. FIXED SYSTEM FINAL
29. Insulatton 78. FIRE PFiEV. FINAL
3D. Drywall Nailin9 HEALTH DEPT. REQUIREMENT
31. Plasrer Brown Coai 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electr�c Notes:a'I�'Y' � ftQ� G hl � ll
@ Final Heating & Air Conditioning ��
�1� 9 � � 9'1 � II� R,t i z ED (� P/
35. Final Gas PiPe-Test
36. Hood or Canopy
37. Final Factory Pireplace
38. Final Piumbing �
39. Water Service-Final
40. Gas Service�Final
47. Solar pomestic•Final
42. Backflow Preventer ,
43. Backflow Irrigation
44. Landscape Irriqation SYstem
45. Sound Attenuation
46. Handicap Regulations
47. Fwq� STRUCTURE & BUILDING
48. FINAL PLANNING .
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Oate