HomeMy WebLinkAbout2330 VANGUARD WAY - Building Permits (26) •
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CITY OF COSTA MESA
A�,ogva _ BUILDING DIVISION
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..I - I 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714)754-5626
%°' °'� PERMIT NUMBER: P11-00202
PERMIT TYPE PLUM STATUS: ISSUED
APN: 93865134 DATE ISSUED: 1111412011
ISSUED BY: KJB
JOB ADDRESS: 2330 A103 VANGUARD WY CM Suite/Unit: A103
Vicinity:
SCOPE OF WORK: CHANGE OUT WATER HEATER. SAME LOCATION.
OWNER: URBAN,KRISTEN Address: 2330 VANGUARD WAY A103
PHONE: 714-654-5337 City/State/Zip: COSTA MESA,CA
APPLICANT: NOCK,TIM Address:
PHONE: 714 532-4857 City/State/zZip:
CONTRACTOR: ORANGE INSTALLERS License No. 511971
Address: 905 E CHALYNN AV PHONE: 714-348-9040
City/State: ORANGE,CA ZipCode: 92865 • CELL:
ARCHITECT: License No. PHONE:
ENGINEER: License No. PHONE:
PLUMBING PERMIT FEE SUMMARY
Sc
PLAN CHECK FEE: $0.00
;,,, PERMIT FEE: $35.80
t TOTAL FEES: $35.80
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NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord. No.92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
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CODE 9, INSPECTION TYPE DATE INTO1ALS CODES INSPECTION mpg ./ DATE INTTnAL$
v
1616 Fixed System Final Fire Prevention 206 Final Mechanical [T--- 1 Z J
1266 Pool Spa Final 208 Final Plumbing
or
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
WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver b license. ❑Yes 0 No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
O I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
jsation. provided for by section 3700 of the Labor Code, for the
rformancnce of the work for which this permit is issued.
have and will maintain workers'compensation insurance, as required by
ection 3700 of the Labor Code, for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
nu beff-are: ,r person is required to descend,will be made in connection with work authorized
. Y^ ,-/.4l ze by this permit,and that no building structure,scaffdding,falsework,or demolition
arner: v "1fv+/v+--����., or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(7Ais section need not be completed ll the permit is valued at one hundred dollars(5100)or less)
1
Po !- , r 6 �} �^p 2.Art 2,Sec.341,Title 8,California Administrative Cotle.
hcy Nu ) J ber: / 0� 7 6O 2- •
0 As owner-builder. I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the wo ers' compensation provisions of Section 3700 of Applicants Signature Dale
the Labor Code, _ all fo hwit co ply .h these provisirns.
Division of Industrial Safety Permit Number:
– " _ I
ns natur °-e— t HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No
($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds,ora volume of 55 gallons.or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. P/- 3G a registration form for acutely hazardous materials? ❑Yes 0 No
c.#..%-51( 9 71 lass#-rad.' (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
��',omreddr45gna`ur '. 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Dale 4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No
I hereby affirm that under penalty of perjury that I am ExEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes ❑No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
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 . 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? • 0 Yes 0 No
thereon,and who does such work himself or herself or through his or her own 8. (If"yes",attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044, Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
0 I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction. and authorize representatives of
\
LBusiness and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes. gre- not to occ py or allow occupancy of any building
authorized by thi it nl fi in cti•-.
Si nature Of Legal 1/a' } - r Lit
Signature Date /o(/ ed'A/rr^C� I ,
,,,,67-46(3I0]) �'qnr NiYOirted'Apdi[ant
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA a PERMIT NO. TRACT NO. LOT NO. BLDG.NO. 1804 1/a/" . - ,
•
CONSTRUCTION PERMIT (3 —/ac' 77 11481 j 4- fp3 '
Applicant's Mailing AddressP.O-BOX 10843, Bev.Ili-lls 90213 TYPE OF CONSTRUCTION IXI NEW LI ADD LI ALTERATION LJ REPAIR
Project Address 2330 Vanguard Way ❑ CONVERSION ❑ DEMOLISH ❑ OTHER
Owner's Name Newport Landing. Ltd. Phone 274-0953 DESCRIPTION OF WORK
LJ ('1'1 c'Tlli nil>Rl Type T. ' tom} ZONING REGULATIONS
Address P-C1.Bo% 10843, Beverly Hills. CA 90213 TYPE OF PERMIT ® GRADING LX FOUNDATION NJ STRUCTURAL A.P.# T("I-Ia)tn ZONE
Arch/Eng.(lark & Hedrick, Tnr License No. C-2578 0 TENANT 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL T BUILDING )90/
Address 119A9 SI virente B1 4705 T, A 90049 ❑ OTHER TL BU REF.sW , ) II�SI CP-Mary!VI Sr t ,.1
TR BUILDING /1��f ) REAR YARD (TO P/L) 21-4' G' bf/1t]
Contractor's Name �"-...2 �� Phone PROJECT DESCRIPTION SG. FT. 1525 OCCUPgpNCV R-1 PROPERTY LINE An, J
Address(mailing)
C ON STRUCTION TYPE V - 1 hr. VALUATION$80,000 LEFTSIDE YARD CUti- RIGHT SIDE YARD31S
ZONE R-"1 GRADING CU.VDS. Site ACRFS PKG.SPACE REQ. 5 PROVIDED 5
License No; __ -
LICENSED CONTRACTOR DECLARATION Remarks: STREET WIDTH v PARK FEE$ QQ
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Building X - Unit 103 / Type 8V�'�'
with section 7000) of Division 3 of the Business and Professions Code,and SPECIAL CONDITIONS. OL.D.FOR SPECIAL, REQUIREMENTS• porch (J(hr n
my license Is in full force and effect. — 1 �.,�L `^ t,� -1^� )
License Class License No. PLUMBING -1A I f N 7) T�I n� A+Q�L•T) I )i71 /s� rem-4 /I T/�cpT
Date Signature
!Bar Sink Sewer CapELECTRI AL '�f(-r• H(( j(Alta-)
WORKERS'COMPENSATION DECLARATION - p
her�by affirm that 1 have a certillcete of consent to salt•inzure or a certitice[eAutomatic Washer Meter Cover 100 amps
A Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Sewer Connection -
3800, Lab. C.) Backf low Irrigation Solar_Collectors Construction Pole Sub Panel ,
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Policy No. Company - - Cooking Unit Sub Pole •
El
Certified copy is hereby furnished. Bathtubs Solar Piping - '
Certified copy is filed with the city Building Division. Dishwasher Motors 00-1 HP 01`.5-8
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 vv/Spa
i , - ,••> t Fan Microwave
I certify that in the performance of the work for which this permit is Issued I Drinking Fountains �
Urinal .qt .
shall not employ any person In any manner so as to become subject.to the � : F.A.U. ht Pole '
Workers' Compensation-Laws of California. ' Floor Drains Water Close �•`" . 9 '
Date Signature - Ip o ..may Fixtures _ - 'Range
NOTICE:If,after making this declaration,you should become subject to the Floor Sinks • --- Wate plater ,1 -
Workers' Compensation provisions of the Labor Code, you must forthwith, • - Device Boxes
comply ,with; such provisions or this permit shall be deemed revoked. , Gas Service I .;Outlets Ater S¢ryict�:l ' S'' / Sign '
CONSTRUCTION LENDING AGENCY -, ---s , �,
I hereby affirm that there is a construction lending agency for the performance Interceptors r, gtt \ , - k5./ Outlets Standing Sections •
of the ,work for. which this permit Is Issued (Section 3097 Civ. C.) . - •'` i 4 is kA/ —
Lender'sI Name �b Switches *Trash Compactor
Kitchen Sihk' Y'. �, ,`� P
Lender's Address Lavatories • , 1 �1 Garbage Disposal •
OWNER,BUILDER DECLARATION - ' .••/' i •.� •, 5j\ •I hereby.affirm that I am exemjsl from the Contractor's License Law for the `moi i. - Generator 00-5 KW 05-15 KW
• following reason (Section 7031.5 Business and Professional Code: Any city or P-Trap - �\��
county which requires a permit to construct,alter,Improve,demolish or repair G / Transformer 015-50 KW
any structure, prior to its-issuance,also requires te applicant for such permit ' Roof Drains - /
•
to file a signed statement that he/she is licensed pursuant to the provisions of '( '
,,,We Contractor's License Law(Chapter 9 (commencing with Section.7000)of ` • ❑5U+KW' 'Reinspection Fee $15
> .dslon 3 of the Business and Professions Code) or that he/she-Is exempt Showers Q� Reinspection Fee $15
•c•:4aefrom and the basis for the alleged exemption. Any violation of Section - Meter Duo to 100 amps Issue Fee' .$ 3
i.r31.5 by any applicant for 'a permit subjects the applicant to a civil --Dar;
penalty of not more than five hundred dollars($500). Service Sink Issue Fee $ 3 J Zoning Approved By Uri /Uric Date /rQ/aP1 Cy"�
U I, as owner of the property or my employees with wages as their dole '/'
Compensation will do the work,and the structure Is not intended or offered • - - MECHANICAL Application Approved By ( (f�/N z- A, Date / --567-9,4
for sale (Section 7044, Business and Professional Code: The Contractor's - -- ---- - -- - -- -- --- - -- _- -- - A`/1 CJ ✓✓ -
License Law does not apply to'an owner of a property who builds or improves I Boiler. ' - • Refrigeration System / fs--30
thereon, and who does such work himself/herself or through his or her own Application Issued By r Date
employees, provided that such Improvements are not intended or offered for ❑4100,000 BTU ❑100,000 BTU
sale. If, however, the building or improvement Is sold within ono year of com- Duct-Under Ground SUMMARY OF FEES •
pie Ion, the owner will have the burden of proving he/she did not build or im- CO
ve for the purpose of sale). - Duct-Structural • System Repair/Alteration 'BUILDING PERMIT $ 37.3-- SMIP $
• I, as owner of the property, am exclusively contractingwith'licensed con- - - -
tra rs 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 $ i
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 $ '
0 lam exempt under Section B.& P C.f•r this reason Firepl/Fact.Bit. ICBG'/k $
r ELECTRICAL ' $
date �E Ar Owner eirg�1 :� ir/nor Heating System&Ducting • - MICROFILM • $ .
•
-I' hereby c:rtify that'I have read this application and state t .t the above- 04100,000 BTU 0100,000 BT - - - . PLAN CHECK' $
Information Is correct. I agree to comply with all city and cou Y ordinances '' TOTAL'FEE ' $ •
and-state laws relating to building construction,and hereby authorize repro- Hood or MECHANICAL $ •
sentatives of this city to enter p n t•- bove-mentioned rop property for Type I 0 Reinspection Feel $15 LESS $
Inspection ourp�o a / 1 Cano. T •.e II ❑' PLAN •CHECK $ •
Signature�Q/,!/LG/�/1, L P . P Date "- e . I ADVANCED PC• �y
Drivers' Li nse or SS# - Registers Issue Fee $ 3 , FINAL FEE. i $ ,'77 --
,
CMF 0865-46 rev.12/82 White-Building;Canary-Applicant:Pink-Accounting;Goldenrod-Assessor
%?CONSTRUCTION_AND`PLANNING' ` - r --'- - ''r9 " „ '--POOL%'- PA, _ •;.
• o 'bite' 'Inspector ` , . .Date - Inspector
? _rAPPROVALS q Permit#- - r -APPROVALS - Permit# -
c 1c Temporary Electrical Service or,Pole • �' c F
-? , ^ : :'52r Pool & Equipment Location._ -
�• d 2? Soil Pipe-Undrgrnd.- - - • a'- '_ 1 53,-Steel Reinforcement -:'-:.
3: Electrical Conduit Uiility-Undrgrnd. 1 t r- - ?:54'Forms - -
?' 4.. Electrical Conduit-Undrgrnd:- - ; t - �'; l 55'Electrical Bonding - • , -. -
5_ Steel Reinforcement I : p. , Fv ': : 56., Rough Plumbing &PressurTt •
e es
6: Electrical OF ER Grnd.I d ii ' " s --p . , 57';APPROVAL.TO COVER-GUNITE' - .
7. Footings) ~ °_a ; q� - t " ;: .; X58.'Electrical Conduit-Undrornr1.-
•
8. Foundation _ , ' 1 I ::.;C ti , 7 •• - 59. Gas Pipe,;0 Undrgrnd.,Test
9- Water)Pipe-Undrgrnd, ; --- r60. Backwash Lines, P:Trap, D Undrgrnd.
10. St rluctural Floor System ; a v r - - 61. APPROVAL TO DECK - - -
. 11..ProperttSewer Line.& House Connection c , ' r' - 62. Backwash& Receptor-Final - -
12. Sewer Cap 7 I J, - ' 63. Heater & Vent-Final
I E - '
13. Roof Drains 1 " e .64, Plumbing System - Final - '
14. Rough Plumbing 1 --' - '65. Electrical-Final - - - - • - ,
- 15.`Rbugh Electrical-Coriduit"'-' "- 17.7"- ----1 66-.1 Solar Syitem-Final i - - - -- - - .-...
:16. .Rough,Elec'tric Wiring, , I r I ., I; ••I :-j 1-- , j-�-.:1---.1; X67:, Fencing& Access Approval -- , : -- - -- - . "
•;17, `Rou"gh•Wiring,Sigfn ' I :• t ' _ I:;j 1 - ! t ; 17,„; ti : , 68. APPROVED FOR,PLASTERING• _ • -
18. ,Roug`h,Electrical-T'Bar Ceiling' ', '1- I ' 69.:POOL/SPA SYSTEMS FINAL
19. Rough Heating& Air Conditioning ' _ I .r I I
1 FIRE DEPT. REQUIREMENT _ •
• . 20. IFfough factory Fireplace' a a I i I i I i I I APPROVALS Permit# - •
' 121. Ducts, in S{ructure ' R. i I II I ; I I I 1 I I yo.1 Undergrdund Hydro - I
•;;22.. Ducts, Ventilating I. i I •, It I I l l I . X71 Product,Pipi'ng DGas 0Oil •
Y 23- 'Gas.Pipe-Rough&Test I I ,� .I ,,_ . ; I t- -I -' - r72 Undergr0und Flush - - -
24. Roof Framing-, i !�,- , , I �., I.p 1 n, � ' ; i ,7;3,� Undeigrnd.Storage,fiank ❑Gas D OiI '
125. Roof Sheathing , I ' ' ! Ire', 1 ‘ 1,-..... I I ;V- H i i74.�Overhead Hydro jrr
•
$ 26: TBar Ceiling (Structural).& Monocoat ' I I 7 i 7 I r ,75:-Dry Chemical/7 I - '
,,;27. Frame and Flashing :: I , _ I y I i -• I 4/ `76.! Drly Standpilh , - 1 - - '
' it ' '
0 . 28. [Lathing&Siding• ; ,;1 .i I I /I '177. FIXED, ,
'
29,Glnsulation . s - 5, j i 11 .I I ' I l r?r., I I ,.,78f FIRE'PF{EV. FINAL . • I
o 1 , h 1 I I ' I l li f i ,Notes: !�
o '30. DryWall Nailing I I r , , 1
- 1M131. ;Plaster Brown Coat 1 ; ; 1 II ,I -I I- I- -I/ l' }<.�- .5-, a.,�` I • ' •
I '
9 32. Electrical Power Meter-Final I ,i f 1• 1 I�,I . err i ,'I/, - '+
, i iI
33_IFinal Electrio- -- ' t- - -rp-ry . _ i_ ,I ' i7• ' . 1 . _
I� - _
1-j
34. Final Heating & Air,Conditioning _ , , � I i i....._„. I ' -
35. Final GasPipe=-Test I i '' 1 I - ' r.
;„ I - ' - r'
36- Hood or Canopy-•1 7 ! 1. I ,. 1. 1 ;- , > : . l I ,.
37. Final Factory Fireplace- I 'L o+ I- " I - ' I I � I I l _ •i -
38. Final Plumbing I 1 ' 'i of •'; 1 ,' I I i ; 1 I . _
39- Water Service-Final I " I ;i I i ' ,
40. Gas Service-Final ' � i= I ' I I I , 1 , I , '
I
41. Solar Domestic-Final .� _ r i i ' •
42, Backflow Preventer _ '�� ' I
_
43. Backflow Irrigation ;.•' :' ' ' I _ I ' • I c ' '
44, Landscapelrrigation;System'-=• ! r'•J I-, 1 ' I g( ' - ' 1 ' 'c ' ' I
45. Sound'Atten =
luation 1Y. 1 : -' I - I I 1 :I , • I ..:I I - -
.
46. Handicap Re,gulaticins , , r I I,. , I' 1 '-i , I I ' I s- . • :
47. FINAL STRUCTURE & B(3iLDING II '•: ' - ' ' 1, ' , -
1 I 'I , ' I' I ' I i . 1 i .
48. Special Requirements Completed IIi I I . 1 I I •
i
HI>
49. Electrip Releasetto Edison) j is , .�_ -._ ., _ _' _ _ 7 , ,
50. Gas Release to Souihern California Gas Co I 1 I I I I I I ! •
. 51. CERTIFICATE OF OCCUPANCY r ' I_1 1 -_ ._I -_ « 1 •
1 , 1 t- 1- I- I - - --t- , •
- ----i -
'o Date _1 .
City of Costa Mesa
Development Services Department CERTIFICATE OF OCCUPANCY No. 001635
Building Safety Division
P.O.Box 1200
Costa Mesa,California
The Building located at 13Zn crn....tn a 6Tn , n_1nl
has been inspected and found to comply with t'he provisions of all City of Costa Mesa Ordinances applicable thereto
fora Group R-1 Occupancy.
Use of Building COI1daninitEU
Legal Description 419-151-06
(See reverse side for Metes and Bounds)
Building Permit No G16828 Electrical Permit No. G16823 Plumbing Permit No. G16828
Mechanical Permit No. (;l 6828 Number of apartments and/or guest rooms
[�-2;t: `�
ISSUED TO: Building Official e d'� svl-
Newport Ianditu7 Limited
P O Root 10343 by
Beverly Hills. CA 90213 ��/�J��/, j9,G
Date "Mgit/ 1
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 lel 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.
a' CITY OF COSTA MESA- • - PERMIT NO. TRACT NO. . LOT NO. LDG.N0. -
7 CONSTRUCTION PERMIT (3l6a� /�yg/i / 4^ !03 5673 I/I5/65 7390 I' Ti.
Project Address' - • et I .ppi fi�//\ ,pi p�1ra - \ TYPE OF CONSTRUCTION [X NEW U ADD LJ ALTERATION U REPAIR
Applicant'sMailingAddress. P.O. PM InR s7��E�A�L pHp1ILL�S/s.. q '❑ CONVERSION ❑ DEMOLLIIcHH ❑ OTHER pip,# Zone
•
Ov,ner's Name NEWPORT LAl i#IG Lt PO t7l l V 53 DESCRIPTION OF WORK `-^-/N� w7- A24CiE t' �� 9 g: ` ��� 1 --3 q
/� I / �q �1 S Main Building:g5j Accessory Building: / Z
Address P.O. �nx fo8N3, BEUERL`/ !'/US,(4 9p(Ll� _ TYPE OF PERMITp� C GRADING KI
FOUNDATION ® STRUCTURAL . E Front 20 - 77 Pr% N
Arch/Eng. CLARK - HEDRICK License No.C-584y ❑ TENANT N11 ELECTRICAL Iy PLUMBING EX] MECHANICAL 8 / rl
l/96q SAN-11 avd. L. 9n049 ❑ OTHER • /i-/ A Rearae� 7z Ajewec. /lie N
Address ��rrII�rII / /✓�
Contractor's Name PAI IL TETR ICK Ph /890- Na I. PROJECT DESCRIPTION SQ: FT. I CS's0475. 3@CCUPANCY R-. C Right �•f•1--A�.k �J G
CON ST RUCTION TYPE Z N VALUATION Rai Left /
Address(mailing) I18S8 LA GftRNC�E Av�N )O S J}7�j¢-(Jt co")t E
> L.A. 400;5 ZONE • - GRADING CU.YDS. • ACRES �p O
' City License No. # �a /-2 /// P.Ing. Ref.# �� C> 5/—6� Park,Fees $ /�0a,•/ 3eq U
LICENSED CONTRACTOR DECLARATION ' Remarks: �G 5o j + f.��� Parking Req./Provided , - ZQ - 1
I.hereby affirm that I am licensed under provisions of Charter 9(commencing / [ / J. '-R
With section 7000) of Division 3 of the Business and Professions Code, and I Use of Building: /Q,, CnN pro• ' E.
my license is In full force and effect. - -
License Class b' • _ / � 1 se ••. i.• • - ' PLUMBING - I FEES Planning•Notes: :E
date - • - Signature ' /.. ./i� ? ,in
'_ . j -
•'ORKERS'COMPENSATIONDECLARATION / Bar Sink •
l Showers I Z CO IsptDFane crghT P^+1T1TAT:-Af , . .N
I hereby affirm that I have a certificate of consent to self-insure Or a certificate I s...,J •
T
LI of Workers' Compensation Insurance,-'or a certified copy thereof (Section- Backflow Preventer Service Sink _ .. $
p,., 3800, Lab. C. /-- . -e '- - v -
y/ ba - 84F_Onth TAIS.FU1� Backflow Irrigation Sewer Cap •i,+ , .• ELECTRICAL , ._..-,' FEES -
Policy No. company
I I�-J Certified copy.is hereby furnished. :/ �, Bathtubs / Sewer'Connection '?'' _ (0 OO Automatic Washer 'Transformer ❑ 15-50 KW I=' -I,
\, ¢L certified Opy"Is filed with the city B' .- ' ,
1 :::LLL!!UllffY!! Clarifiers _ ❑ 50+'KW;`y • ,
•
Date I�- If}- $LF Applicant Solar Collectors i " ' ' - Construction'Pole Sub. r
'EXEMPTION FROM WORKERS'COMPENSATION DEC LARATIO Dishwasher , •, $Olaf Piping q '/ G CookingUnit - Mete? u (0'100 amps"CV) (This section need not be completed If the permit Is for one hundred $100)or ' / PQp6HOq/L y+ / / P • 5 3Q
I certify thathn.the performance of the work for which this per�pit is,issued I • ,- Drinking Fountains Solar Tank ,_ . - }I , ' , I / Dishwasher . Meter Dover 1100 amps v I W
shall not employ any person in any manner so,as to become'subject to,the I
Workers' Compensation Laws of California) `rt/ Floor Drains Swimming Pool w/Spa / Dryers Gas' ❑Electric ( Sub Panel '(Q� '
Date Signature - •'
NOTICE: If,after making this declaration,you should become subject,to the Floor Sinks _ Urinal I Fan Ilnn
Workers' Compensation provisions of the Labor'Code, you must forthwith - '- -' - - - -- I Motors11:10-1 HP ❑1'h:8' .~ _ S[� I
comply with such provisions or this permit, shall be deemed revoked• Gas Service `JOutlets 3Water Closet
CONSTRUCTION LENDING -AGENCY ' ' • • ' / �-+ - - -� F.A.U. - I• nc.SOlar�❑9-15 HP 016-15:1- ,I QC
I hereby affirm that thele is a'construction lending agency for the performance , Interceptors' i / Water Heater • - . 2..0(.._) "Fixtures I Microwave
of the work forwhich this permit Is issued (Section 3097 Civ. C.) /� , 370 '
Lender's Name- 1A/ fERw EPL1SEFi FiQF2TC AC E (20: Kitchen Sink Water Service I '
Device Boxes -
�}.� Pole Light
Lender's Address a S. i -: ' . pT\� • -
OWNER BUILDER DECLARATION SACRA01E p CA, /�QQ� Lavatories / 4),.54/ itfifeeq/04)6. ' 8 CO Outlets - • Range ,(o 40
I hereby affirm that I am exempt from the Contractor's License Law o the , -
following reason (Section 7031.5'Business and Professional Code: Any city or , .. p : , 3 - - .. 21 Switches ! Sign 1 , -S cc '
&
county which requires a permit to construct,alter,Improve,demolish ,repair '
any structure, prior to Its issuance, also requires the applicant for such permit .Roof Drains - 7 Garbage Disposal Standing Sections
: file a signed statement that he/she is licensed'pursuant to the provisions of - - l I CO
e Contractor's License taw(Chapter 9 (commencing with Section 7000) of ' I -
ivision 3 of the Business and Professions Code) or that he/she is exempt I _ I . • f Generator ❑45 KW ❑5-15 KW Trash Compactor
therefrom and the basis for the alleged exemption. Any.violation-of Section - _ _ �� 1 1 '-�` i Z.
7031.5 by any applicant for al permit subjects the applicant -to a civil - t--t'Z-
penalty of not more than five hundred dollars($500). :Reinspection`Fee . ' I $25 - Issue Fee 1 , $�3
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 �p�
thereon,'and.who does such work himself/herself or through his or her own -�. {�y,C L rig/FLA-in
W
employees, provided that such improvements are not intended or offered for Canopy Type II 0 • - Zoning Approved By L/1 / UY�1 Date /�
sale. If, however, the building or Improvement is sold within one year of com- I Duct-Under Ground ' I Application Approved By •
Date /L7
pletion, the owner will'have,the burden of proving he/she did not build or Im- 1 - '•'
move for the purpose of sale). Duct-Structural - 1 Refrigeration System - .' Appliwfion Issued By D • Date 'I` - '
LJ I, as owner of the property, am exclusively contracting with licensed con- ` -•
tractors to construct the project (Section 7044,Business and Professions Code: '4 Duct-Ventilating i 00-100,000 BTU ❑100,000 BTU ,.17 0 SUMMARY OF FEES
-The Contractor's-License Law does not apply to an,owner of property who _ �(17
builds or Improves thereon, and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING,PERMIT $ 07 SMIP $
tractor(s) license pursuant to the Contractor's License Law). // •. PLAN CHECK $ �`a/• o0 PERMIT
❑ I'am'exempt under Section B.& P.C.for this reason / Firepl/Fact.'Bit. ICBO#27jOI• T Co PLUMBING ' $ '� -ISSUANCE $
Date - Owner! Heating System& Ducting P •LAN CHECK $ i ENERGY P.C., $
I hereby certify that I have read this application and state that the above ' / FN0-100,000 BTU ❑100,0008TL - i 1
information is correct. I agree to comply with all tity-and.county ordinances ' •.!-+- • CO ELECTRICAL , $ - GRADING • $
and-state laws rel ng,to building construction,and hereby authorize repro- . .�{( y MICROFILM $
sentatives of • ity, to ter win the above-mentioned 'property for I PLAN CHECK $ G.� pQ
inspection pu es. /�/q • • MECHANICAL • $ ' ' TOTAL F•
EE $ 789* 12'
Signature IQ S/�setter
Date..././a.,97109.1
Drivers''License or 55 = __�_ _ Reinspection Fee •
I$25 Issue Fee ' $ 3 PLAN CHECK ' $ 3-.00' - •
CMF-0865-46 rev. 7/83 White-Building:Canary-Applicant;Pink-Accounting:Goldenrod-Assessor' ' - - - . - _ /
CONSTRUCTION AND PLANNING •s- Pt &SPA
• - , APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
r•
1. .Temporar-y Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. .5/3/hrc.£2 53. Steel Reinforcement •
3. Electrical Conduit Utility-Undrgrnd. - 54. Forms i
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding `,
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Gm&
57. APPROVAL TO COVER-GUNITE
7. Footings • ; ' 58. Electrical Conduit-Undrgrnd.
8. Foundation - ' 59. Gas Pipe, 0 Undrgrnd.,Test A
9. Water Pipe-Undrgrnd.. /. 60. Backwash Lines, P-Trap, 0 Undrgrnd. .) 4.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer:Line & House Conne �+Y L ction tits-- N 62. Backwash & Receptor-Final '
n
12. Sewer Cap ' 63. Heater & Vent-Final ✓, a.
13. Roof Drains .0 64. Plumbing System - Final •
y'
14. Rough Plumbing 0/S/Pir„ber 65. Electrical-Final ..4,
15.
15. Rough Electrical-Conduit // ' ,• 66. Solar System-Final _
16. Rough Electric Wiring /1/2/gF 1 jq, 67. Fencing & Access Approval
17. Rough Wiring Sign 111 r` 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 ' ' 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough 8& Test - 72. Underground Flush
24. Roofframing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing WS' V . 74. Overhead Hydro
26. T-BanCeiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing /j.t6 $' `IA- 76. Dry Standpipe
28. Lathing Si Siding ri<pi V/� 77. FIXED SYSTEM FINAL
29. Insulation - C (/C-. 78. FIRE PREV. FINAL
30. Drywall Nailing . //g` tiC--, • HEALTH DEPT. REQUIREMENT
31. Plaster-Brown Coat 79. FINAL INSPECTION .
•
32. ElecQical Power. Meter-Final Z i// J/1 80. FOOD CERTIFICATE ISSUED� - t"
33. Final1lElectric - Io /`(J Notes:`d�i� , 6:41 a "j'/Y;t ist.i .
34. Final Heating & Air Conditioning 31-W
3"W i. - ��s
35. Final Gas Pipe-Test x/t0L „fa
36. Hood or Canopy ,
37. Final Factory Fireplace y,7_y4 Oft
38. Final Plumbing /n "'ft
_
39. Water Service-Final ,-
40. Gas Service-Final •
41. Solar Domestic-Final '
42. Backflow Preventer
43. Backflow Irrigation ,
44. ,Landscape Irrigation System
45. Sound Attenuation • -
i .
46. Handicap Regulations , I
47. FINAL STRUCTURE & BUILDING ? G /(.-
48. Special Requirements Completed Ow
49. Electric Release to Edison 7 .
50. Gas Release to Southern California Gas Co - (1.-
..-
-
51.
1.-
51. CERTIFI q/TE OF OCCUPq/N,15 �' / t
No. �t,E O Date r0 /7'•cvii'✓�' ! C� ?
E
11111 IS TO CERTIFY TRAY INSULATION RAS ITER INSTALLED II CONFORMANCE VITN 114 CURRENT ENERGY IIDD AtIWf.
CALIFORNIA AUIINISTAATIVE CODE. TITLE TS, 01 CAurpNIA, I TNt WILDING LOCATED AT:
2330 VANGUARD WAY, COSTA MESA ' A( (o3)
Street let r woe(M.
I11IA10A NAILS
Manufacturer MANVII I F ttlttnen/Tyre P11 11
CEILINGS
Ratty: Namur atturtr MOM,II I F TMdnne RICI n1/2" A Valtt R19
Ilam: Manufacturer TBI Ne. hue Nt./189
Si. Ft. Covered R Value
FLOORS
wrwr.eturer MANVILLE TNIckMte/Tyre R11 31/2" I Value R11
SLAB ON GRADE
Nunttwet TBI /Tips A Volvo
MIRA of Insslstlen Innhes
rOUNDATION NALtS
manufacturer Thickneat/Type A Valve
GENIRAI C0111MCT011 LICENSE NIMOtA
It Etat DATE
Insu,ATI L.A. INSULATION CO. INC.uccast mmmi430486
It TITLE PPPCTOFNT DATE 1/21/66