HomeMy WebLinkAbout2330 VANGUARD WAY - Building Permits (20) 4` CITY OF COSTA MESA
BUILDING DIVISION
>: -' g DEVELOPMENT SERVICES DEPARTMENT PERM NUMBER
f 1 rig !!C
�• PERMIT
PO4-00240
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, STA MESA,CA 92626
PLUMBING PERMIT
Job Address: 2330 VANGUARD WY Status: ISSUED
Suite No A102 Applied: 04/02/2004
Issued: 04/02/2004
Vicinity:
14 Parcel Nunmber: TPN00142 ISSUED BY:
Applicant: SZABO, KEVIN
Address:
Phone:
Zip: •
5tArkh .iavvod
Owner: - _ - - -.. . „ .,.
Address P•9'601C'ij0610 • \ �1S` S/J't 01
W
(situ W/ �{ Phone:\ 10-860 10\€ ,J
Zip: *Meer
Contractor: COAST ROOTER PLUMBING HTG & NC
Address: 2737 S CRODDY
STE D Phone: (714)241-1414
SANTA ANA,CA Zip: 92704
License: 529127
•
Arch / Eng :
Address:
• Phone:
Zip:
License:
SCOPE OF PERMIT
WATER HEATER CHANGE OUT.
FEE SUMMARY
AMT QTY AMT QTY AMT QTY
ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0
Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0
Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0
Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0
Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0
Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0
Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin - $0.00 0
Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0
Drain, Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0
Drain,Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0
Drain,Roof $0.00 0 Shower $0.00 0 Water Heater/vent $12.30 1
Drinking Fountain $0.00 0 Sink,bar $0.00 , 0 - Water Piping(Inst or Rep.) $0.00 0
Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 r
Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord.No.92-28,§1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void If work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2446-46(6/00)
•
DECLARATIONS
•
WORKERS'COMPENSATION DECLARATION:
I hereby affirm wider penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which,this permit is issued.
Fa I have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued.
My workers'compensation Insurance carder and policy number are:
Carrier: ' 1-71J f c
" " Policy Number: 11 6 ORS-- Z003
(This section need not be rpmp/eted if the permit is valued at one hundred dollars($100)or less.)
0 I certify that In the performance of the work for which this pe it is issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,and agree that ould b come subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions. /
Applicant Signature: til Date: �y 2'-0 !
WARNING:FAILURE TO SECURE WORKERS'[TW—^5PE1tSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(s10o,000),IN ADDITION O THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am IIcenesd under provisions of Chapter 9(comm ncing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lie.W z-9.1 2 7 ,/ Class W C-3(7
Contractor's Signature: yQ,y"4�L\ SSS
Date: 4/-7-0 1
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that 1 am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to Its Issuance,also requires the applicant for such permit
to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars(5500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). •
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. ❑Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet In depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes ❑No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature end pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management end Prevention Program for acutely hazardous materials)?
❑Yes 0 N
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Flre
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 Ilan RMPP is presently required,has Section 25534 of the Califomia Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes LJ No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No
(If yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health end Safety Code).
7 if a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes ❑No
8 (If yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given Is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
1
/Ni_ e f egad Owner(s) IDate
An r Authorized Applicant Date
LODE A INSPECTION TYPE MI INTRIAL$ LODE! INSPECTIONTYPE DEE INTRIAL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing 5-1-.0.2i
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention •
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
City of Costa Mesa
Development Services Department CERTIFICATE OF OCCUPANCY No. 0014334
Building Safety Division
P.0.Box 1200
Costa Mesa,California
The Building located at 7970 vanrmarri W . A-102
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group R-1 Occupancy.
Use of Building COXXIQtLtUUU
Legal Description n$19-151-06
(See reverse side for Metes and Bounds)
Building Permit No G16827 Electrical Permit No. G16827 Plumbing Permit No.G16827
Mechanical Permit No. al ri277 Number of apartments and/or guest rooms
ISSUED TO: Building Official✓'? r(--2& fitr—
N wrxrt Iarr7ina Limffen
P O Box 10343 by
neverly Hills. CA 90213 /J
C Date 1036274-7-4-,
This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the
Building Official of the City of Costa Mesa under Sec. 307 (el U.B.C.
cMF 1015-46 rev.1/83 White-Owner;Canary-Numerical File;Pink -Bldg.Permit File
• _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
- city OF COSTA MESA. • PERMIT NO. TRACT NO. LOT NO. ' BLDG.NO. - 5672 I• /15/Ob �:17o I F T.
CQjVSTRUCTION PERMIT [� •c,52�' J 99/ ' A- /02 .
Project Address �- 0 ..rr--�s: i zi i p. 1 � - e.- TYPE OF CONSTRUCTION NEW ❑ ADD L ALTERATION U REPAIR -Applicant's Mailing Mail=ing Address T s 0. x IOR4? . REV.
HIILS ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A•P.�t `r/9 _ /3/`- �1 Zone. / �-,3 1
Owner=Name I+rL,U1��T I-AAthI�4 Ltd. -13116.43,R111-613.5.1) DESCRIPTION OF WORK aND° WJ C� ��' / 7 Cff'
S Main Building: eco,- Accessory Building:
Res.- Z
•Address P.O. (30k InR431 Q1=V.r Ifi S.CA aoa13 Ilyu qq- E /.
.. 0
TYPE OF PERMIT U GRADING FOUNDATION STRUCTURAL T Front �T -7-4. - N
'Arch/Eng.' LA121:-HEnpiCK Lice se No. u I I
//•• 4��-{ CI TENANT y4 ELECTRICAL PLUMBING co MECHANICAL B Rear Z I
Address 11969 SAN VICFIJT£'(�lI VO L••rTA 90(49
t ,,,,,,, „.. CI-OTHER EC J---� A lnf7 /`7 //Cr1M`! "�iy/•(lG/. N
Contractor's Namp PflUL TETRICK phoTe3/�:ru'67a) - PROJECT DESCRIPTION SQ. FT. S•�CCUPANCv C Right �A�� p G
Address(mailing)
f l R Sip C______-� Aug LA 900x5 ,CONSTRUCTION TYPE VALUATIONS $ Left p QCHc- E
I , - • ; ZONE GRADING CU.YDS. ACRES • Ping. Ref. '* !-� �j Park.Fees $' Q
CitV.Lidanse No. 33.27:2 - �,C— rJY—68 ./eta`�'� �8
LICENSED CONTRACTOR DECLARATION • / G' _ • - U
Remarks: ��V ,�d� — J L'• Parking Req./Provided - ac, I
whereby affirm that I am licensed under provisions of Charter 9 (commencing -7/ - R
with section 7000) of Division 3 of the Business and Professions Code, and Use of Building: R•g� rim mjo L'. : • ' - E
my license is in full force and effect. M
Dicense Class y i PLUMBING FEES Planning Notes: E
Date ifricieClass g4 Signature r•n CTgr•4t 1•nn rnrittl'ITC I
Li WORKERS'COMPENSATION DECLARATION Bar Sink • Showers Z limn F 'r - N
rereby affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer Service Sink' $
Workers' Compensation Insurance','or'a certified' copy thereof (Section - - - -- •— . -
1
3800, Lab. 0.'.- o c�r�s�s-r canto-NS
,gip FWD
, Backflow Irrigation Sever Cap `. A!-'7:i;. ' • . ELECTRICAL 'r' `•%C_- ' FEES
Polity No. 671 iR-3L� Company STATE l.OIl P L1la.ryy� • - _. -
Certified copy is hereby furnished. '+' i• �.Bathtubs / Sewer Connecsion .• :'• (per 1 Automatic Washer" Transformer 0 15-50'kW ? ` CC
•
nnI� Certifi d espy 1 filed with the city B 9 Di - �•. . 0' .'
In Date fI-f¢- Li ' Applicant_e!s � Clarifiers - SolatCollecto'rs' �� -' - • 0 SO+KW �' •
Construction Pole Sub.
• EXEMPTION FROM WORKERS'COMPENSATION-OECLARATIO Dish=washer Sob
(This section neep not be compietetl if the permit Is for one hundred 100)or. / 1 Solar •Pipin9Eog f caVL) S Cooking Unit - - ( Meter'I�ip to 100 amps �', •' - ' _ -i
less). v I r
I certify:that in'the performance of the work for which this permit is issued•I' Drinking Fountains Solai'Tank .1 1• Dishwasher 1 Meter Dover 100 amps t do '
shall.not employ any person In any manner so'as to become subject to the
Workers' Compensation Laws of California.' p , I Floor Drains; I Swimming Pool w/Spa I '. I , / Dryers Gas ❑Electric ' I ( 'Sub Panel ( ! (P C
Date ' Signature — -
NOTICE: If,after making this declaration,you should become subject to the Floor Sinks Urinal 4 (- Motors IDO-i HP ❑1X.8 _ _-- c
Workers' Compensation provisions of the Labor Code, you must forthwith - - "• - - Fan • rir^1
comply ,with such -provisions or this,permit- shall .be deemed revoked. Gas Service Outlets: 3 'Water Closet - ( OO
CONSTRUCTION•LENDING' AGENCY- : . . _ -/ • �"•
- - a ( F.A.U. Ina Solar ❑9-15 HP ❑76-15+
I hereby affirm that there is a construction lending agency for the performance Interceptors. / Water Heater • Z to /S.-Fixtures Microwave 3 .A
of the work •for whish tjU er t Is Issued (Section 3 97 Civ. C:)
-
Lender's NameVIF F1.(HR-6 RlORTGAGF� -COP. -
Lender's Address' 1 U ACOL!J V i Li Ar E- a `/ Kitchen Sink - / Water Service . .4 00 Device Boxes
yy Pole Light`i'19 Iz STB. tiol �-a 7/ g ; 4 20 •
OWNER BUILDER DECLARATION SACRPCInn 7tO rChi•95 '� .. Lavatories G(J.4s// Hf4G/t•7we • eco 32:Outlets Range (� a{.G .
I hereby,affirm that I am exempt from the Contractor's License Law for the
following reason (Section 7031:5 Business and Professional Coder.Any city or f. P-Trap - - , .- i ~ $witches Sign - 1 S
county which requires a permit to construct,alter,Improve,demolish or-repair - - Z I T�
,any structure, prior to its Issuance, also requires the appllcant.for such permit . Roof:Drains Garbo a Dis Disposal $=arid to •
to flle a signed statemenethat he/she is licensed - - — - 4 ' 9 P g:Sections I dY3
9 / pursuant to the provisions of
the Contractor's License Law(Chapter 9(commencing with Section 7000)of - _ _ - - -
iision 3 of the'Business and Professions Code) or that he/she is exempt - Generator ❑05 KW ❑5-15 KW Trash Compactor •
refroin and the basis for the alleged exemption. Any viola/ion'of Section 4 - - - - - "
31.5 by any applicant for a permit subjects the applicant-to a civil - a^ -
tp natty of not more than five hundred dollars($500).• [ , - •Reinspection•Fee : I $25 - Issue Fee -•
$ 3 y t/s9T}{- (--t'T1'` . 2-OL
LJ I, as owner of the property or my employees'with wages as their sole Reinspection Fee $25 Issue Fee ' $ 3
compensation will do the work,and the structure is not intended or offered ' - - - MECHANICAL • FEES }
for sale (Section 7044, Business and Professional Code: The Contractor's - --- .. - - - - - PUBLIC SERVICES REQUIREMENTS: ' •
License Law does not apply to an owner of a property who builds or Improves Boiler Hood or Type I 0 • Q
thereon, and who does such work himself/herself or through his or her own Zoning Approved By ��G I f IA DatO/ V
employees, provided that such Improvements are not Intended or offered for - Canopy Type II 0
sale. If, however, the building or improvement is sold within one year of com- Duct-Under Ground : • •-+ Application Approved By • �/ / Date Til
pletion, the owner win have•the burden of proving he/she did not build or im-
rove for the-purpose of sale). - Duct-Structural i Refrigeration System •• '-' Application Issued By • • q E) Date ' I -- -g
I,as owner of the property, an, exclusively contracting with licensed con- : - -
tractors to construct the project (Section 7044,Business and Professions Code: 2 Duct-Ventilating • I . 00{100,000 BTU ❑100,000 BTU 4 00 •
SUMMARY OF FEES
The Contractor's License Law does not apply to an-owner of property who - _ ,
builds or improves thereon,and who contracts for such projects with a con- I Exhaust System 0 Multiple ❑. System Repair/Alteration BUILDING PERMIT $ 4'Lb.�' SMTP.
$ (a•[7
tractor(s) license pursuant to the Contractor's License Law). - [[ PLAN CHECK $ ��•OO• PERMIT
•
❑i am exempt under Section ' 8.& P.C.for this reason / Firepl/Fact.'BIt, ICBG# 2-301 • - / PLUMBING $ •i• S •' ISSUANCE $
•
Date Owner Heating System& Ducting • PLAN CHECK $ - ."7 ENERGY P.C. $
I hereby certify that I have read this application and state that the above ' 'WO-100,000.BTU 0105,000 BTL i " •
Information is correct. I agree to comply with all city and'county ordinances _ - - . - - -t4- t0 ELECTRICAL $ •• • GRADING $
and state laws rely ' g to building construction,and hereby authorize repre- 'tar If, MICROFILM : $
sentatives of • y o ter •.n the above-mentioned property 'for - 1 • PLAN CHECK $ L� '
Inspection pu g/q '
Signature •C/ /�/.I -I _ Date��'✓/r�� • - . MECHANICAL $ /.22D.O� TOTAL FEE $ /e•1 7• L2.
Drivers'•License or,55# ' _ Reinspection Fee $25' _ Issue Fee $ 3 PLAN CHECK $ —..es�17
•CMF 0865-46 rev. 7/83 - White-Building;Canary-'Applicant;Plnk-Accounting;Goldenrod-Assessor - - - - -- - - '-
'CONSTRUCTION AND PLANNING is POC SPA
}APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1.;Tdrnporary Electrical Service or Pole ' // 52. Pool & Equipment Location
2. S&il Pipe-Undrgrnd. VIC(. 7 53. •Steel Reinforcement
3. Electrical Conduit Utilify-Undrgrnd. 54. Forms e
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
7
5. Steel Reinforcement ' 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. ' 57. APPROVAL TO COVE R-GUNITE
- - 7. Footings , - 58. Electrical Conduit-Undrgrnd.
8. Foundation _ 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 'r _ 61. APPROVAL TO DECK r
11. Property Sewer Line & House Connection /.'/fr a' 62. Backwash & Receptor-Final ••"
12. Sewer Cap 1 • .; 63. Heater & Vent-Final
13. Roof Drains- 64. Plumbing System - Final
14. Rough Plumbing, ,,/i7rc f/ C 65. Electrical-Final I
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring r iiiiip/ , ' 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22.Ducts, Ventilating 1,' 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough &-Test 72. Underground Flush
24. Roof)Framing i 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 9h(igr VL 74. Overhead Hydro -
26. T-Bar.Ceiling (Structural) & Monocoat '/ 75. Dry Chemical
27. Frame and Flashing J1.2-y a (/44-- 76. Dry Standpipe
28. Lathing 8/Skiing 0.5A rV" -' 77. FIXED SYSTEM FINAL
29. Insulation lie 6%N( 4G/ 78. FIRE PREV. FINAL
/ HEALTH DEPT. REQUIREMENT
30. Drywall Nailing ��/S/b �� -
31. Plaster Brown Coat - 79. FINAL INSPECTION
32. Electrical Power:Meter-Final 'y/ / 80. FOOD CERTIFICATE ISSUED
33. Final Electric / ' Notes:,/. _ y�� Watrc�
34. Final Heating & Air Conditioning 3:g 4 fr' . .� '�',
35. Final Gas Pipe-Testilk e
,t4
36. Hood or Canopy
37. Final Factory Fireplace i 7f -7% 9 '
38. Final Plumbing rQAV& yya-- .
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final '
'42. Backflow Preventer
43. Backflow Irrigation. . . I •" rt- e
44. ,Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations,
47. FINAL STRUCTURE & BUILDING t/ vL:48. Special Requirements Completed igr49. Electric Release to Edison NN ..
.150. Gas Release to Southern California Gas Co •
. 51. CERTIFICATE OF OCCUPA 2j/� 6
No. /Io.7`I Date "`e'vlr�" t
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA _ PERMIT NO. TRACT NO. LOT NO. - BLDG.NO. 1790 I /I2/:/EL: 1; (:-1 i;• 7
CONSTRUCTION PERMIT g 70 , 7 8' 11481 - / / - /02-
n-
Applicant's Mailing Address P- 13ox 1 0843 V.H111 q 021 3 TYPE OF CONSTRUCTION L.dd NEW Li ADD U ALTERATION U REPAIR
•
Project Address 2330 Vanctuard Way -- ❑ CONVERSION 0 DEMOLISH ❑ OTHER •
Owner's Name Newport Landing. Ltd. phone 274-0953 DESCRIPTION OF WORK
• ConCondominium / Type D I, )� ZONING REGULATIONS
Address P 0 PhX 1084'1r Retrerl / Hills, '{A 90213 TYPE OF PERMIT ® GRADING L.0 FOUNDATION U6.1 STRUCTURAL , A.P.# I-0 — 61-O6 ZONE EM •
Arch/EngCI ark k HPr'lrirk Tnr License No. r-2578 ❑ TENANT ❑ ELECTRICAL 0 PLUMBING 0 MECHANICAL r pp O "-figg/,,I ILDING /n
PLNG.REF.#7� 5 .j/V• 7//1TC.YcTwnrr r/r er n(PD
Address 11969 San Vi recite 13] . 4205 L.A. 90049 ❑ OTHER / 2,., kit GI d9
TO BUILDING REAR YARD(TO P/L) - L,+
Contractor's Name Phone- PROJECT DESCRIPTION SQ. FT.1 SS0 OCCUPANCY R-1 PROPERTY LINE �/-� .
Address(mailing) CONSTRUCTION TYPE V — 1 Ylr. VALUATION$81.500
LEFT SIDE YARD ll. RIGHT SIDE YARD �#'
License No. ZONE B-3 GRADING CU.YDS. Sl fin ACRES PKG.SPACE REQ. hn PROVIDED '-15 .
LICENSED CONTRACTOR DECLARATION Remarks: Building X — Unit 102 / `type D STREET WIDTH ��r r PARK FE(EE$ PA ,t I •
I hereby affirm that 1 am licensed under provisions of Charter 9 (commencing 7�,,,,�1�- 1-
with section 7000) of Division 3 of the Business and Professions Code, and SPECIAL CONDITIONSfOLD. FOR SPECIAL REQUIREMENTS' `r nhi Y71
my license Is in full force and affect. 1 1 LL,,,,,, �� y ,,}� y.,. ,,,,,,¢¢¢ Of License Class License No. - PLUMBING Sa-tl.n,S & 17 LjLktter] Until pr(-nFnI fruit-dal-inn Ul
Date Signature _ L
Bar Sink Sewer Cap ELECTRICAL /Wiry p 4' 61 .
WORKERS'COMPENSATION DECLARATION _ f Y�J
I hereby affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer - Sewer Connection • •Automatic Washer - 4 Meter Dover 100 amps
of Workers' Compensation Insurance, or a certified copy thereof (Section - _ - '
3800, Lab. C.) Construction Pole Sub Panel
Backflow Irrigation Soler_Collectprs _
Policy No. Company - - Cooking Unit Sub Pole
•
8 Certified copy is hereby furnished. Bathtubs Solar Piping - _—
Certified copy is filed with the city Building Division. Dishwasher Motors 00-1 HP ❑1X-6
Date Applicant Clarifiers Solar Tank _
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Dryers ❑Gas ❑Electric ' Inc.Solar 09-15 HP 016-15+
(This section need not be completed if the permit Is for one hundred($100)or Dishwasher Swimming Pool w/Spa -
less). Fan • Microwave
I certify that in the performance of the work for which this permit is Issued I Drinking Fountains Urinal
shall not employ any person in any manner so as to become subject to the - - - - F.A.U. Pole Light
Workers',Compensation Laws of California. Floor Drains - Water C _ l '
Date Signature FixturesRan e
NOTICE:If,after making this declaration,you should become subject to the , Floor Sinks aterztte% - 9 ---•
Workers' Compensation provisions of the Labor Code, you must forthwithi-,:'-, Device Boxes Sign '
comply .with, such provisions .or this permit shall be deemed revoked.- ' , Gas Service . SWa}}}((((er Service) g
CONSTRUCTION LENDING AGENCY r gp T "
I hereby affirm that there is a construction lending agency.for the performance Intercepto nn '�, '+ `' ':'s" Outlets Standing Sections
of the work for which this permit is issued (Section 3097 Civ. C.) - F t` " v ^; �%•• Switches •
Lender's Name Kitchen Sin h, t/'� \ tlTrash Compactor
Lender's Address V y - } ^Garbo a Disposal OWNER BUILDER DECLARATION ' • Lavatories' 9 sp
I hereby affirm that I am exempt from the Contractor's License Law for the ' Generator ❑0-5 KW ❑5-15 KW
following reason (Section -7031.5 Business and Professional Code: Any city or - P—Tiap ',Lis'{ [•1(;,•/� i
county which requires a permit to construct,alter,improve,demolish.or repair \v��i J•- Transformer ❑15-50 KW
•
any structure, prior to its Issuance, also requires the applicant for such permit Roof Drains „ii
to file a signed statement that he/she is licensed pursuant to the provisions of -{r .- 05U+KW '
'the Contractor's License Law(Chapter 9(commencing with Section 7000)of - •tl R` '•-� ' Reinspection Fee $75'
Division 3 of the Business and. Professions Code) or that he/she is'exempt . Showers Reinspection Fee $15
therefrom and the basis for the alleged exemption. Any,violation of Section Meter ❑up to 100 amps • Issue Fee $ 3 f
7031.5 by any applicant for a permit subjects the applicant to a civil �_.. I1A1/� Iilaei/ .!S
penaity of not more than five hundred dollars($500). ., Service Sink Issue Fee $ 3 Zoning Approved By err>)r l Date `1 (7�7
•
LI I, as owner of the property or my employees with wages as their sole ��)
compensation will do the work,and the structure is not intended or offered MECHANICAL Application Approved By/iron Z-.• fr, —/C 'hate /". -So—g�
for sale (Section 7044, Business and Professional Code: The Contractor's - - - - -- -- - - -- -- - - — - - �l.J/
License Law does not apply to an owner of a property who builds or improves ' Boiler - Refrigeration System Application hued7 /lam Date �7-, O -e-3
thereon, and who does such work himself/herself or through his or her ownBy
employees, provided that such improvements are not Intended or offered for00-100,000 BTU ❑100,000 BTUsale. If, however, the building or improvement is sold within one year of com- Duct-Under Ground ' , SUMMARY OF FEES .
pie on, the owner will have the burden of proving he/she did not build or im- -. '•T
ve for the purpose of sale). Duct-Structural • System Repair/Alteration BUILDING PERMIT $ X79-"° SMIP $ S I
I, as owner of the property,am exclusively contracting with licensed con-
tra tors to construct the project (Section 7044,Business and Professions Code; ' Duct-Ventilating, PLAN CHECK $ - ' PERMIT
The Contractor's License Law does not apply to an owner of property who ISSUANCE ' $ ' •
builds or improves thereon, and who contracts for such projects with a con- Exhaust System 0 Multiple❑ PLUMBING $
tractor(s) license pursuant to the Contractor's License Law): 'PLAN CHECK $ GRADING $
O I am exempt under Section B. . • C.f•r this reason Firepl/Fact.Bit.ICBG# $ ,
Dela -E7,'� Owner
seime�/1' rz� ///r. Heating.System&Ducting ELECTRICAL $ MICROFILM $
-I hereby -rtif that I have read his application and state t -t the above- ' '❑0-100,000 BTU El 100,000 Ei Ir' - - PLAN CHECK $ -
information is correct. I agree to comply with all city and coun y ordinancesMECHANICAL $ TOTAL FEE ' $
and state laws relating to building nstruction, and hereby authorize repro- Hood or Type I 0 •
sentatives of thisgRy to enter p n e -bove-mentioned pro arty for yp Reinspection Fee• $15 LESS
inspection p�urpo�e}'yy� � ��j > Canopy Type II 0 PLAN CHECK $ ADVANCED PC $
Signature can or s a^'' • ! Date(
Drivers' LieSnse or SS# �• Registers Issue Fee $ 3 FINAL FEE - $ '.5 4.7I
- V
CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
''. ` CONSTRUCTION AND PLANNING ' r .. ' ' L `
-7 - I- ;POOL& SPA '
n ' - •• bate Inspector ' --Date Inspector
ti _APPROVALS ` Permit# ' ' ', ,APPROVALS• '-Permit.#
1, Temporary Electrical Service or'Pole ' ti' - ' a: E' ;- , :'52.:Pool &•Equipment Location - >V
J 2, Soil Pipe-Undrgrnd. - ' �'= - ' - 7 • -'. 53f Steel Reinforcement - - • Y
• 3: Electrical Conduit Utility-Undrgrnd! , • F _ -•- - - 54.- Forms - ^ _ _ • v _
4. Electrical Conduit-Undrgrnd > ' ::.,2 t65. Electrical Bonding > _ 41,-•:. , _ - ;
5_ Steel Reinforcement' ; ' I.-
1 _ e ':o - + 56_ Rough Plumbing:&Pressure Test
6: !Electrical UFER Grnd,1 ' c _ ' ' i• i ^ri. 57. APPROVAL TO.COVER-GUNITE
7, Footings i I , i o c^: . - '.58
. Electrical Conduit-Undrarod,:
8, Foundation - - • r _ 59. Gas Pipe, 0 Undrgr`nd:,Test ; - `
9, Water Pipe•Undrgrnd, 1 . • ' 1 - - - ! 60, Backwash Lines,P-Trap, 0•Undrgrnd,• -
10. Structural Floor System a r r 61. APPROVAL.TO•DECK -
11, Property Sewer Line& House Connection . ,it 7 •,62. Backwash'& Receptor-Final ; _ I _
12, Sewer Cap . ' ' j i; • ^ ' 63, Heater.&Vent-Final 4 - . . -
13. Roof Drains ; . ; - , 64, Plumbing-System - Final . . • -
14. 'Rough Plumbing : `-a • I 65. Electrical-Final -
- H5.:Rough Electricaltonduit-, y- - I :`T !-Ti ' 66.1 Solar4Sy4tem-Final- - - - - - - - -• -
'16, Rough Electric Wiring, , I r ' I, I r ,, '14'�- .r 1-t -i -"-- 67, Fencing &-Access Approval _ • - - - „_ -- _.
- 17, Rough Wiring'Sign ' t 1 7 ; I - -_ I > i 68. APPROVED ?OR PLASTERING - - c
18, Rough Eldctrical_T,Bai Ceiling' li I. ! - I - 1 i - I '' • 69.i1P000SPA SYSTEMS FINAL ' ' ' ' -
-, n 19- _
RoughHeating& Air4Conditioning i ' ! l ((� FIRE DEPT:REQUIREMENT, - t
' 20. Rough Factory Fireplace 1 I 1 APPROVALS Peimjf#
21. '21 Ducts,;in Structure, I ! Ii i 1 I I I 70: Underground Hydro • ' - i
4 "22. Ducts, Ventilating , c' 1 i it 1 I I 1 ' I 71.1 Product Piping OGas 0Oil ' _ i i
I
' ' 23, Gas.Pipe-Rough&Test t, I w I 1 • 72:4 Underground Flush
‘.. 24. Root Framing' ' j1 - '' a •ti g' •. I , i 73,. Undergrnd.,StorageTank 0 Gas 0Oil
• I_25. Roof Sheathing . ; IL: - '7 _ 14:: _ - :1 ' i74: Overhead Wydro • -' ' '
26. T_Be'r Ceiling (Structural) & Monocoat 1 • I - I 1 ,-75-,Dry Chemical ,; ; I
- 1
• 27, Frame and Flashing -' I i I f 476.I Dry Standpipe
28, Lathing& Siding ;., , , I, j, ,I l I . ; I : ' 1 r c _77.° FIXED SXSTEM FINAL _
,i 29. Insulation i + ; - h 7
,I rr - - - '
- ., - I !1 " I 8; FIRE PREY, FINAL
• , h I - ' 1r, I
30:.Dryvvall.Nailing I !I ( I I Noies:_,_� •
31. :Plaster Brown Coat I I II, . I- I I I ' � I I---- - - - IIi - - ' _,I - -I-' --
J •
. 32. Electrical;Power Meter,-Final i 1 I i I I : i I •
3 •
3. Final Electric I 11_-- ' 1 ' i
- 34. Final Heating&'Air Conditioning I • ' I
35. Final Gas Pipe-Test - ; T ' r i . t. ( i i I •
, -•
- -
36, Hood or Canopy':' '• -'!".4
I 1 _ - _, - - - -
37. Final Factory Fireplace S. _ ! •.I ' ' e H I r - .
38. Final Plumbing , 1 I • l i . i : - -
i I
39. Water Service-Final ' -
40. Gas Service-Final i 1 I ; I r, 1 , ' ! , ; ! I I
41, Solar Domestic-Final ' i lt:i ,i 1 - i--t- 1- -I ---- l -
.1 - •- - -
42, Backflow Preventer ' Imo: -- 1 ' I 1 ' • '
43, Backflow Irrig5tioni ,::I I I' ;i ,(`i t I . l.; I ie u. , `.I -1 ', I I 1 ,
44, Landscape Irrigation_System i;,•: ;, t. . e 1: I 1 , I I I , I -
45, Sound `Attenuation 't ' ,I
46. Handicap Regulations I , • 1- I :7.,l - ,
•
47. FINAL STRUCTURE & BUILDING. , ' ._ , ' ,I I t I - •
1 r , 1 I
48. Special Requirements Cornpleted -t'• I 1 j ' I ` I I ' 1 I , ! ,
49. Electric Release!to Edison' ! -- _ '- .T _ - - ._ _I 1 _ •-___ -_I. _
•
50. Gas Release to Southern California Gas Co I I 11 I I 11 I I , " ' '
51. CERTIFICATE'OF OCCUPANCY ', J� . ' _ -�_ �._ -__ _ . :
No, Date 1 . 0 ' I ! i 1 I j '
•
T111SIS TO CIATIFT THAT INSUMTtOM WAS PHUI VISTA/L[0 III tomroomiCt WIN llrt MAUI (AEROT REEMATImB,
CAIIfONNIA Att1INISTMTIVE CODE, Hilt IS, STATE Of CALIF IA. I THE WILDING LO010)AT,
2330 VANGUARD WAY, COSTA MESA f /oa)
Street tot r Tract M.
tIttRIOR MAILS
MANVTI I F Thiel/len/Top. P11 i'6" I Valve P11
CE it ICS
Patti: Nano, cturer MANVII I F tell R19 6W" N P19
P1o1.n: Nanufacturer M. Pap Mt./tq
SR. ft. Covered R Yalu,
(tools
Manufacturer MANVILLE Tell Ityve R11 3Y2" I ralue R11
SLAP On GRAM
Manufacturer Tellctnut/top. A Valve
width of Ittulative Inches
' fOUNOATION Watts
Nanufacturer TMctnen/Type A valve
AENIMI CONTRACTOR 11CINSt NUMMI
AY TITh OAtE
INSUAIION CONT OR L.A. INSULATION CO. ,_ INC.tictnst wain 430486
Pr TITLE PRFSIf1FNT OAMt 1/2A/96—
i I A f1Ft Rf1 -