HomeMy WebLinkAbout2330 VANGUARD WAY - Building Permits (10) e.
M CITY OF'COSTA MESA
4'L` r BUILDING DIVISION
F y AI, 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 r
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PERMIT NU 'we R: E07-00850
PERMIT TYPE ELEC Jr TU ISSUED
DAT, I .D: 10/12/2007
!.tL INT.E. : SOK
- <+
JOB ADDRESS: 2330 D103 VANGUARD WY CM af S?1ie-/Unit: • D103
Vicinity: s }l
l•1 ' z�,,.
SCOPE OF WORK: REPLACE FURNACE AND ADD-A/C UNIT LOCATE.•^ SIDE OF•PROPERTY. -
OWNER: STAMMREICH, LEIGH ANN Address: 2330 VANGUARD WAY#D-103 Unit:
PHONE: City/State/Zip: )COSTA MESA,CA
APPLICANT: JOHN GRIGAS - Address: • 725 E DEBRA LN 'Unit:
PHONE: 714-400-0130 City/State/zZip: ANAHEIM,CA
CONTRACTOR: DICKSONS INCORPORATED License No. 401327
Address: 725 E DEBRA LNUnit:_ PHONE: 714400-0130 .
City/State: ANAHEIM, CA ZipCode: 92805 - ) CELL:
•
ELECTRICAL PERMIT FEES ,_ _
Electrical Plan Check Fee: $0.00 -
Electrical Permit Fee: $78.00
Reinspection Fee $0.00
TOTAL FEES $78.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia 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.
CODE I, INSPECTION TYPE DATE, NLT1n&L5 pODEE INSPECTION TYPE DATE INTTALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical / �L O
201 Final Block/Retaining Wall 212 Final Fire Prevention PP
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
WORKERS'COMPENSATION DECLARATIONS •Owner ID verified by drivfl. 0 Yes 0 No
I hereby affirm under penalty of perjury one of the following declarations: ' Driver'sticense 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):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued. , . - r
C❑ _Piave and will maintain workers'compensation insurance, as required by •
section 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
number are: --Cr
n-p f —, r3(� person is required to descend,will be made in connection with work authorized
�r-C( l_ Cr-AA I by this permit,and that no building structure,scaffolding,falsevmrk,or demolition
Carrier:_-i - or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This sed ion need not be completed the peon%is valued at one
(hundred
ddMl/i MOO)or less)
2,Art 2,Sec.341,Title B.California Administrative Code).
(Policy Number: ll 7-'c-Co ' /
❑ As owner-builder, I will not employ anyone to do work which would
O 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 = ers' yyyyyy������ pensation laws of California, and agree that if I should
b: .me - bje/the ers' compensation provisions of Section 37 0 of Applicants Signature Date
e Lab r Co.: she =wit -. .I with these provisions.
;. ,a a / d I 07 Division of Industrial Safety Permit Number:
-Applicant's Signature. - Oat HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant orpresent or future buildingoccupant FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE PP occu ant 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,or a 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' f II rce and eff g17 a registration form for acutely hazardous materials? ❑Yes 0 No
Lic. . ,` r s I/ „r- - (Section 25533 of the California Health and Safety Code, with some
(, �'� �I,�' / r rj exceptions, requires registration with the Costa Mesa Fire Department by
Or 2. each business which at any one time has on hand a quantity of acutely
L ronuador ignature dr "'-Date- - 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).
O 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)? 0 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 Date
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 0 No
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 information
furnished the on Califomia Government Code requires dithnt the requested
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the be on applications for non-residential building permits).
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. My 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
El 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
❑ 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
Business and Professions'Code for this reason: the City of Costa Mesa to enter upon the above-described properly for
.- - inspection purposes. I agree not to occupy or allow occupancy of any building
authorized this pemit until final inspection.
gal Owner ,,/�D e)
Signature Date ' *li: VI1 r)
305746(3/07)
re
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NOTE: ADDITIONS, DE'. :TIO.JS,
OR CORRECTIONS :,HAI L IlL
APPROVED BY TF -.'LANNING DI C
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L ATE: fie' G7
CITY OF COSTA MES •
A
p BUILDING DIVISION
a•la
• 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754 '' • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
7)• FOR INSPECTIONS AL : 4)754-5626 ,/
fi PERMIT NUMBERi� M07-00505
PERMIT TYPE MECH S? STATUS: ISSUED
DATE ISSUED: 10/12/2007
• ISSUED BY: SOK
r.
JOB ADDRESS: 2330 D103+' • G D WY CM Suite/Unit: D103
Vicinity: `i4 ' .;t�,:
SQ. FT: 0 •
•
SCOPE OF WORK: REPLACE FURNACE AND ADD NC UNIT LOCATED AT SIDE OF PROPERTY. UNIT D103.
OWNER: STAMMREICH, LEIGH ANN - Address: 2330 VANGUARD WAY#D-103 Unit:
PHONE: City/State/Zip: COSTA MESA,CA
APPLICANT: JOHN GRIGAS - Address: 725 E DEBRA LN Unit
PHONE: 714-400-0130 City/State/zZip: ANAHEIM,CA
CONTRACTOR: DICKSONS INCORPORATED License No. 401327
Address: 725 E DEBRA LNUnit: PHONE: 714-400-0130 " "
City/State: ANAHEIM,CA ZipCode: 92805 CELL:
MECHANICAL PERMIT FEE SUMMARY -
MECH ITEM FEE: $65.45
PLAN CHECK FEE: $0.00
INVESTIGATION FEE: $0.00
REINSPECTION FEE: $0.00
TOTAL FEES: $65.45
•
•
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
C161E6 Fixed SyN emE pAh INTRUt.$ coin Final
Mechanical
TYPEi D ry IN
1818 Fixed System Final Fire Prevention 206 Final Mechanical�pri�^ / O
1268 Pool Spa Final 208 Final Plumbing /�
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
Thi
-
C - _ 9
WORKERS'COMPENSATION DECLARATION: Owner ID verified by drive. ❑Yes ❑No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
0 I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-properly tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued. - - .
C❑ _ IJiave and will maintain workers'compensation insurance,as required by .
setter 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 it depth into which a
number are: ,,p r-�l person is required to descend,will be made in connection with work authorized
Cartier: - � �` (sj�y/ by this permit,and that no building structure,scaNdtling,falsework,or demolition
or dismantling thereof,will be more than thirty-sot(36)feet high.(Chap.3.2,Grp
(ilus sauia-i nage ro1I e\�Zaoyya^pnmts vat'at ane nuwee"WS fsrodl ukss) 2,Art 2,Sec.341,Tale B,California Administrative Code).
Policy ` l V L-`G'-lvn
1 _ 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
ome . I to the workers'compensation provisions of Section 3700 of Applicant's Signature Date
e 10
the Lab. t . .,t s all forthwith comply with these provision
f 07- Division of Industrial Safety Permit Number
L___ Applttant'a Signator-, to
C HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
r ARNING: 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, or a 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 i full force and effec C _rj a registration form for acutely hazardous materials? 0 Yes 0 No
r- L_
Li i/` I. - Z Class#_ (Section 25533 of the California Health and Safety Code, with some
f O `2 • exceptions, requires registration with the Costa Mesa Fire Department by
���1i� 1 each business which at any one time has on hand a quantity of acutely
Contractor's Signature' (Date._ 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
•NSTRUCTION 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)? 0 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 Date
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 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California 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? ❑Yes 0 No
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 8. (If'yes".attach certificate of compliance from the appropriate air pollution
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
LICENSED CONTRACTORS to construct the project(Sec.7044,Business and
Professions Code:The contractors License Law does not apply to an owner ofSignature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractors)license pursuant to the Contractors License Laws.), certify under penalty of perjury that I have read this application and state that
❑ 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
Business and Professions Code for this reason: 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
authorizers ped
until final inspection. •
(�yy�
eat Owner(s) /Y
Signature Date _b _ f , kir j oWtk1
3057-46(3/07)
_ _ 1
Ander Autnonze• 'ppliwnt V L. to
City of Costa Mesa
Development Services Department CERTIFICATE OF OCCUPANCY No. 061 547
Building Safety Division
P.O. Box 1200
Costa Mesa,California
The Building located at 2330 Vanguard Way D-103
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
fora Group R-1 Occupancy.
Use of Building Condatiin.ium
Legal Description 419-151-06
(See reverse side for Metes and Bounds)
;uilding Permit No G16R39 Electrical Permit No. G16839 Plumbing Permit No. G16039
Mechanical Permit No. r_liula Number of apartments and/or guest rooms
ISSUED TO: Building Official e c ! 46,2 61
Newport iatx39 na Limited
ted
P 0 Box 10843 by
Beverly Hills. CA 90213 /� ,/ /j/6
Date 7 f
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. FJ68(J QQ ;e;ea- T�
' CITY OF COSTA MESA "` PERM( NO. TRACT N LOT NO BLDG.NO.
IS I V�
CONSDRUCT,IONPERMIT . lcoej9 i vA/ / D -/ 03 .
Project Address a, 18 a s - I : . •- • TYPE OF CONSTRUCTION Lel NEW ❑ ADD U ALTERATION H REPAIR
Applicant's Mailing Address- . ill ti SIX 0 a • • ❑ CONVERSION ❑ DEMO H ❑ OTHE•` A.P.# y/ 9- /5/ - Q�- (Zone 3
• .a - -nl3 J1 -Q• DESCRIPTION OF WORK di.` 4111 4/0 `• � A
Owner's Name a- Ir'l• C ..11 N. Phone ,*1- o S Main Building: Accessory Building: Z
Address I?O. KA 10843., BEUERLy HILLS/CR. 90t�1� f� Q
/+ pp���� TYPE OF PERMIT GRADING �� FOUNDATIONUrW STRUCTURAL T Front Amt, N
Arch/Eng. CLARK- HEDRICR License No. C-5v-tq ❑ TENANT IX ELECTRICAL '� PLUMBING Ip MECHANICAL B l
VJ I1969 SAID VI-CHUTE P)L•; L.A. C 9 ❑ OTHER A Rear AT/Ae�i Pd _ N
Address
W PAUL TFTRICK 'Phd �� PROJECT DESCRIPTION SQ. FT. 1x61 OCCUPANCY RIM-1 C Right F ,7 XPi/rS��I C'
Contractor's Name K (� q _ R
! Address(mailing) II-SSa Ldp CiRRATc�F. RUE.. . R. ciUO S CON$TRDDTIDN TYPE N VALUATION$ /09171} $ Left y5 n��/�ra../Nn‘S
r ptel • • E
M1 City License No. 33�7R - ZONE 1 ) /•' GIRADINGCU.YDS. ACRES Ping. Ref.# ZE- D f - w Park.Fees $ /2 z9' 3X Q
`'l LICENSED CONTRACTOR DECLARATION Remarks: / 9/' •••••• ‘:,/ — ES �4 Parking Req./Provided - z0 • I
I hereby affirm that I am licensed under provisions of Charter 9 (commencing / i 7'�" �/ - (t
with section 7000) of Division 3 of the Business and Professions Code,and , Use of Building: IAV (',v)o • E
my license is in f for e and effect. _—
License Class - _, it N•.-' I • 0 7. PLUMBING FEES Planning Notes: •
RAM FOR SPECIAL REQUIREM�IVIS ' M
Date - - a- -i Signature .A K./ ,o5-.2%, ..,0.-•' -E
WORKERS'COMPENSATION DECLARATION Bar Sink Showers T
°,';hereby affirm that I have a certificate of consent to self-Insure or a certificate Backflow Preventer Service Sink S
if Workers' Compensation Insurance, or:a certified copy thereof (Section - -
j`'x3eoo, Lab. C.f1.� •�o g� E rP Tus �� • Backflow Irrigation Sewer Cap ELECTRICAL - FEES
Policy No. �C'l 113a�U Company "-
Certified copy is hereby furnished`/ //- i' pZ, Bathtubs Sewer Connection, ' •' •
(4-;� I' Automatic Washer. Transformer ❑ 15-50'KW• • ( 00 1
Cert-llf++'ed cypy filed with-the city mg n -
0 50+.KW
Date II-I`1'7S Applican Clarifiers Solar Collectors - Construction Pole Sub.
EXEMPTION FROM WORKERS'COMPENSATION DECLARA Dish vuasher - - Solar Piping �/ '
(This section need not be completed If the permit is for one hundred ($300)or / / QOUG/f 0 17 .Sal Cooking Unit ` Meter '�Up to 100 amps SCC
less). -. -
I certify that in the performance of the work for which this permit i5.i5511¢tl, I Drinking Fountains Solar Tank I Dishwasher ' _ Meter Dover 100 amps' - ( ^J I
shall not employ any person in any manner so as to become subject to the - -
•
Workers' Compensation Laws of California., Floor Drains —Swimming Pool vv/Spa (• Dryers Gas+ ❑Electric . I Sub Panel (2
_CLQ Signature - - /'
NOTICE: falter making this declaration,you should become subject to the Floor Sinks Urinal 3 -Fan- I I Motors❑O-1 HP 01%-8 4-00
Workers' Compensation provisions of'the Labor Code, you must forthwith --
comply -with such provisions or this permit shall be deemed revoked. / Gas Service 5 Outlets 02, Water Closet' co I F.A.U. 'Inc.Solar 09-15 HP 016-15+ I 00
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance . - Interceptors • / Water Heater 2_03 t2 Fixtures :Microwave Z O
of the work fo icll Ltts yermitS is.issued Lac %n 3097(civ. C.) I7
Lender's Name IAJ .H A ELSE("2 .{•')ORI GAGE `-n- ' / Kitchen Sink / Water Service - ' 4 CO ga Device Boxes Pole Light it
Lender's 'Address 19 I Mean) VI(-LAGF DR.1 Me.501 -
OWNER BUILDER DECLARATION SAC�tAHEn/7(zt CA. �a555, -7. • at Lavatories - - ' / ,4070 4445faiz ' 6 on 7F{ Outlets ' Range 4, SO
I hereby,affirm that I am exempt from the ontractor s icense L w lithe P-Trap' ,
following reason (Section 7031,5 Business and Professional Code: Any city or , - 1(5 Switches Sign (� .
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 Roof Drains ` • - •
( Garbage Disposal Standing Sections
to file a.signed statement that he/she is licensed pursuant to the provisions of — - - I CO
the Contractor's License Law(Chapter 9 (commencing with Section 7000)of - - - Generator ❑0.5 KW❑5-15 KW Trash Compactor
'vision 3.of the Business and Professions Code)'or that he/she is exempt . - - , P
refrom and the basis for the alleged exemption. Any violation of Section • f I - ^ " ,Z
31.5 by-any applicant for a permit subjects the applicant to a civil Reinspection Fee Gi Y�
enalty of not more than five hundred dollars($500). " ' pe $25 Issue Fee $ 3 4TH
•
' co
UI, 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 L FEES
for sale (Section 7044, Business and. Professional Code: The Contractor's r PUBLIC SERVICES REQUIREMENTS:
License Law does not apply to an owner of a property who builds or improves - Boiler - - Hood or Type I 0 1/1/x.��' II''//�ty i 5 r�6
thereon;and-who does such work himself/herself or through his or her own Zoning Approved By U/1' �N^"Uate
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 ByDate /
Are
pletlon,the owner will have the burden of proving he/she did not build or im- ' ,
rove for the purpose of sale). : Duct-Structural Refrigeration System i Application Issued By 94/14) �g.
Date (-U•
I, as owner of the property, am exclusively contracting'with licensed con- - ❑0-100,000 BTU ❑100,000 BTU
tractors to construct the project (Section 7044,Business and Professions Code: 3 Duct-Ventilating (p S M RY 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- • Exhaust System 0 Multiple 0 System Repair/Alteration ' - BUILDING PERMIT $ SMIP $ t-Lea
❑Seam exempt under Se°towner License Law). -- - - --- - - - • --- PLAN CHECK $ 222'q S-
/
PERMIT
tractor(s) license pursuant to the Contractor's _--
Da
, B.& P.C.for this reason Firepl/Fact.Blt. (CBO# 23D PLUMBING $ �'
. I I �F=U 00 ISSUANCE $
I Heating System& Ducting I— ENERGY P.C. $
PLAN CHECK $ (c•75
I hereby certify that I have read this application and state that the above / X0.100,000 BTU 0100,000 BTL ELECTRICAL $ 3'-4. 20 GRADING $
information is correct. I-agree to comply with al Pcity and'county ordinances -
and state laws rel ting to building construction, and hereby authorize repre- I $ S• (•ze MICROFILM $ '
sentatives 0 t • city to ter u n t e above-mentioned property for PLAN CHECK
inspection p es. /�/y /� 5y/ - ' ' - ' MECHANICAL $ t 7-o0 TOTAL FEE . $ 'h77.98
Signature LlliO aC/ �11. Date �� 't'7 -
Drivers' License or SS# . Reinspection Fee $25 Issue Fee I $ 3 PLAN CHECK $ - 3,SO ' •
CMF 0865-46 rev. 7/83 White-Building:Canary-Applicant;Pink-Accounting;Goldenrod-Assessor • - - - • - .. -- - - - . - --. _ - - _ - •
CONSTRUCTION AND PLANNING POO SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1'1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. Z` yr Gift, 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd,. 54. Forms -
4. Electrical Conduit-Undrgrnd. I / 55. Electrical Bonding A
5. Steel Reinforcement 2l/3 Rd, �� 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. / 57. APPROVAL TO COVER-GUNITE e-
7. Footings 2 386 btL, 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 61. APPROVAL TO DECK f.
11. Property Sewer Line & House Connection 00,- /hoe 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater.& Vent-Final
13. Roof Drains ! 64. Plumbing System - Final �'i
i
14. Rough Plumbing 65. Electrical-Final - - ,r
15. Rough Electrical-Conduit - 66. •Solar System-Final
16. Rough Electric Wiring ���tt'�� 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 i 71. Product Piping 0 Gas O Oil
•
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑Oil
25. Roof Sheathing i{✓i/8r ,,t, 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat / 75. Dry Chemical
27. Frame and Flashing
/�� 76. Dry Standpipe
28. Lathing & Siding ` �� 77. FIXED SYSTEM FINAL • •
29. Insulation • 9f3`85- (/L 78. FIRE PREV. FINAL
30. Drywall Nailing �,//3/ScV/� HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ` 79. FINAL INSPECTION
32. Electrical Power Meter-Final j/j tt, 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning i1 f3/, /p��yl�C . >14..I e J,'- Q Q/z4s- 4-
35. Final Gas Pipe-Test /1 JO, 1---fr//{7� .(K.�9iS. si
36. Hood or Canopy
37. Final Factory Fireplace p
38. Final Plumbing
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
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING �, 1/C.;48. Special Requirements Completed
fig/1
/161&
fi
49. Electric Release to Edison - -
' 50. Gas Release to Southern California Gas Co '
51. CERTIFICATE qF OCCUP ,9Y ry�
NO. /61,7 Date Y bL9
TN„ H To UNTIIT THAT IASr1RtIOl MS SUN 1NSTALLto a CtNrINIWNCt rum M CURRENT PURR Ntautton,
CALIFORNIA A@11NISIRATIU CODE, Tint Et, STATE Of CALIFORNIA, IN THE WILDING LOCATED ATI •
2330 VANGUARD WAY, COSTA MESA 0 0103
Street Lot NeNBer Ni.
QTENIDA WALLS
N.nur.clurer MANV TI I F TMdrwu/Type R11 SI/," N Wee R11
CEILINGS
Batts: Manufacturer MANVTI I F Thlctneti R19 Fill," a yetis RI9
Slam: Thlctnese Ne. Este Vt./INE
Sq. Ft. Covered R
FLOURS
manufacturer MANVILLE TAI ctttttHMI R11 31/2" a hire R11
SUS ON GRADE
Manufacturer T%lctnesa/Type A Tatty
Width of muslin 'tithes
FOONOATION WALLS
Nenufecturer Tticteue/Type N Valve
GENERAL CONTRACTOR LICENSE NuetR
Sr ruts DATE
INSOLATION conTnciOR L.A. INSULATION CO. , INC.uctasr IUNuta430486
Sr ( �;^ TITLt RRFeIDENT DATE 1/9$/86
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate Declarations. 17q6 1 /:14/".
CITY OF COSTA MESA . •• PERMIT NO. TRACT NO. ' LOT NO. BLDG.NO. / -
CONSTRUCTION PERMIT /Q APs 11481 , (/ D /03
Applicant's Mailing Address P O 'Fox 10841, RPV Hills 90713TYPE OF CONSTRUCTION ® NEW U ADD lJ ALTERATION U REPAIR
Project Address 2330 Vanguard Way D-103 ❑ CONVERSION ❑ DEMOLISH El OTHER
Owner's Name Newport Landing, Ltd. Phone 274-0953 DESCRIPTION OF WORK ZONING REGULATIONS
Address p,O,Box 10843, Beverly Hills, CA 90213 ® L r°TNlun / r 1Y y, /�j - Jtj/ -( j ZONE R.......5C-2578 rr
TYPE OF PERMIT GRADING l FOUNDATION
�J STRUCTURAL RUCTURAL •
A.P. •
Arch/Eng. Clark & Hedrick, 1.11C. License No. ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL PLNG.REF. :5-8,3-BA 7_/�I IQ/BUILDING _�
r 7v SFTRA(-K P/1 QT
Address 11969 San Vicente B1.#205 L.A. 90049 ❑'OTHER TO BUILDING 7 „-�}
f' PROPERTY LIN L REAR YARD(TO P/L) (M+
Contractor's Name Phone PROJECT DESCRIPTION SQ. FT. 1•�2S OCCUPANCY R-1 //C'-
bid cg/
Address(mailing)
CONSTRUCTION TYPE V - 1 Ilr. VALUATION$80,000 LEFT SIDE YARD HT SIDE YARD
. 1 ZONE R-3 GRADING CU.YDS. Site ACRES P KG.SPACE REO.070 PROVIDED a 5
License No. __ _ +J
LICENSED CONTRACTOR DECLARATION Remarks: Building D - Unit 103/Tyre C STREET WIDTH / PARK FEE$ 891.5/
I hereby afIonr7l that) I am licensedion under provisionsBusnCfer 9 Code,(commencing OLD FOR SPECIAL REQUIRED/HATS"(nth I.IC dab-1
with cannon 7000) of Division 3 of the Business and Professions Code,and - SPECIAL CONDITIONS.
my license is in full force and effect. �t' + �l�{ n�,},1(.,y. ,A., `p;{q� f �W-z
License Class License No. PLUMBING y1 rT�- `�j I "--/6^'+' 'A" "_"" s 7 (�(NYY) J �V, /
Date Signature Bar Sink Sewer Cap ' t++ rr ELECTRICAL, j1 - _f
•ORKERS'COMPENSATION DECLARATION -- .- rY
areby affirm that I have a certificate of consent to salt-insure or a certificate / Automatic Washer • Meter.0-over 100 amps _
Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Sewer Connection
3800, Lab. C.) Backf low IrrigationSolar_Collectors Construction Pole / Sub Panel
Policy No. Company
B / Cooking Unit • Sub Pole '
Certified copy is hereby furnished. Bathtubs • Solar Piping _
Certified copy Is flied with the city Building Division. / Dishwasher / Motors X0-1 HP ❑i%43
Date Applicant Clarifiers Solar Tank ''LL
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION / Dryers lGas DElectric Int.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. 7 Pole Light '
Workers' Compensation Laws of California. Floor Drains Water Closet / • e 4,� -
Date Signature
NOTICE:If;after makingthisdeclaration,you should become subject to the Floor Sinks Water Heater ' Fixtures - Range -
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 Outlets Wates =• a Sign
CONSTRUCTION LENDING AGENCY utlets
I hereby affirm that there Is a construction lending agency for the performance Interceptors T / - •
Standing Sections
of the work for which this permit Is issued (Section 3097 Civ. C.) - ' -a1 Switches
Lender's Name - / Kitchen Sink p6���j�1g�,{i }• Trash Compactor
Lender's Address • - : /' Lavatories • • 4. 1b / Garbage Disposal
OWNER BUILDER DECLARATION l C I herebyafTirm that I am exempt from the Contiactor'sLlcensa Law for the 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 Transformer ❑15-50 KW
any structure, prior to Its Issuance, also requires the applicant for such permit , Roof Drains _
to file a signed statement that he/she is licensed pursuant to the provisions of 5k 1 ❑5U+KW i
Contractor's License Law(Chapter 9(commencing with Section 7000) of • - $15 Reinspection Fee • $15'
:Ion'3 of the Business and Professions Code) or that he/she Is exempt . Showers
ction Fee
•from and the basis for the alleged exemption. Any violation•of Section - �[ - / Meter gup to 100 amps •Issue Fee $ 3
._e1.5 by any applicant for a permit subjects.the applicant to a civil , 1•� l�
• �nalty of not more than five hundred dollars($500). Service Sink o is Issue Fee $ 3 Zoning Approved By `ll1� 2 / Date -J_
U I,'as owner of'the property 'or my employees with wages as their sole ���.....JJJ �r/d
compensation will tlo the work,and-the structure is not Intended Or offered MECHANICAL Application Approved By a/a /• _______Date /�-30-8.S
for sale.(Seciion 7044, Business and Professional Code: The Contractor's . '
License Law does not apply to an owner of a property'who builds or improves Boiler • Refrigeration System ^/-,.( o
thereon,;and who does such work himself/herself or through his or her own . Application Issued By �l• �i Date �3 --3 _53
employees, provided that such improvements are not Intended or offered for ❑0-100,000 BTU ❑100,000 BTU
. sale. If, however, the building or Improvement Is sold within one year of com- Duct-Under Ground SUMMARY OF FEES
•
elation, the ownerlwill have the burden of proving he/she did not build or im- - -
r •e for the purpose of sale). Duct-Structural System Repair'/Alteration BUI LDING PERMIT $ �7�i '= SMIP $
6-,GO
I, as owner of the property, am exclusively contracting with licensed ton-
' ra rs to construct the project (Section 7044,Business and Professions Code: �j 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
$
•
0 1 am exempt under Section B.& ' C.for this reason / Firepl/Fact.Bit. ICBG s&
ELECTRICAL $ $
Date � hOwner ....d .2 ,i 1_ ..f / Heating SVstem ELECTRICAL MICROFILM
I hereby certlf that I have read this application and state at the above -g�0-100,000 BTU ❑100,000BTU - - PLAN CHECK, $ $
Information is correct. I agree to comply with all city and county ordinances • TOTAL FEE I $ • '
and state laws relatin to building construction,and hereby authorize repre- •Hood or MECHANICAL $
sentatives of this t�y to enter up n t ,- w ove-mentioned property for Type I Reinspection Fee $15 - • LESS '
inspection ourpRsg� _ A / / / Canopy Type II _ PLAN CHECK $
Signature v !('Jl o ant / `. . eata/)' / �^� - - ADVANCED PC $
Drivers' License or SS 1/ __,_ _ 777 7� Registers �- Issue Fee $ 3 FINAL FEE $ 378'60
CMF 0865-46 rev.12/82 White-Building;Can.ry'Applicant;Pink-Accounting;Goldenrod -Assessor '
' r - POOP 'PA '
C c CONSTRUCTION AND"PLANNING , .
Date- Insp ector -- Date .Inspector
APPROVALS Permit#` r : 'APPROVAL'S - Peimit#' -
'. 1: Temporary Electrical Service or Pole R ' ; - .ni 152. Pool & Equipment Location'
' 2? Soil Pipe-Undrgrnd. . - - ' : ':,. 53: Steel Reinforcement - -
37 Electrical Conduit Utility-Undrgrnd.. •• . - • _ 54.,Forms , _ . , •' . - - - '
.,i: 4Electrical Conduit-Undrgrnd . : ' ' ':;, „ : 557 Electrical Bonding - .
5' Steel Reinforcement' _ ' ' 56. Rough Plumbing"& Pressure Test
• ' ' - ` 57. APPROVAL TO COVER-GUNITE
6. Electrical UFER Grnd. � - - .
7. Footingsii.• 1 t -58: Electrical-Conduit-Undrpmd-
8. Foundation i I ' L" 9 - , ' 59. Gas Pipe,_O Undrgrnd:,Test• -
9. Water Pipe-Undrgrnd. , , •'. .66. Backwash Lines,P-Trap,:O Undrgrnd.
10. Structural Floor System . ` 1 - Al. APPROVAL TO DECK - -
11. Property Sewer Line & House Connection r - 62. Backwash'&-Receptor-Final - - -
12. Sewer Cap • - 63. Heater&Vent-Final . - '
13. Roof Drains _ 64. Plumbing System.- Final - ,
4 14. Rough Plumbing ' -' , 65. Electrical-Final ''
0
2 , 15:--Rough'Electrical-Conduit ' -I- - .--• -1--: 66.,Solar System-Final i - - - ' - -
r :16. Rough Electric Wirings ' _ ' '-- i _ 67. Fenc &ing Access Approval; - i - -- -
17. Rough WiringSian. - - i I _ 68. APPROVED FOR PLASTERING -
' 18. Rough _Electrical-T,Ba`f,Ceiling' :1 1 I 69. POOL/SPA SYSTEMS FINAL ' ' ' -
19. Rough`Heating & Air Conditioning 1' _ ; • I FIRE DEPT. REQUIREMENT
Ji
20. ?hough-Factory Fireplace' ' ' I, 1APPROVALS Permit#
: 21. Ducts,in Structure ' 1i 1 r i`'
, 1 70. Underground'Hydro
22. Ducts, Ventilating -. ' '! i . 71'. Product Piping 0 GasrOil
23. Gas Pipe-Rough &Test , I 72. Ufderground Flush': l.,.
124. Roof Framing ; 1 - "1 i - ' 73. ,Und 'rgrnd.Storage Tank'O Gas 00i1
25. Roof Sheathing , I , r 'l ' " I 74 Overhead Hydro '/.
. 26. T Bar Ceiling (Structural) & Monocoat- , , . , ' ' 7F5. bry-ichernical //
' -27: Frame and Flashing , . I I; , t 1 i f r '- � ;
. _ I ?7/¢. Dry.Standpipet. , .
28. ,Lathin & Siding ' ' I '
i. 9 _ +77. FdXRD SYSTEM FINAL ,
y '
29. Insulation .• , , i , ; }477g. FIRE PREV'FINAL
30. Drywall Nailing ' I ' ' I ' ,y ti ,`Notes: // '
a'31. Plaster Brown Coat I i' I : t /,,
• r32. Electrical Power Meter-Final i I h�•-•••,....„ if
33. Final Electric i _ I ' y I
34. Final Heating & Air Conditioning t I
35. Final Gas.Pipe-Testi i- ', ;' : • 'F i . l _ , 1 ! ` . ' I r
36. Hood or Cpy_ ' ' - -
ano
37. Final Factory Fireplace,, . i i- is 1 . i , I " ' '
38. Final Plumbing ' ' • ' ',I I, I - i ' '
39. Water Service-Final' - i 12} -' I ' ' I : I ,
A I: I 1 , I ..
40. Gas Service-Final 1 I 1:: , I , , "
41. Solar Domestic-Final I ' I , I _-4. 1 - I -I-_ 4 . , - . -
42. BackflowPreveriter� I : ,rI I i y I , _
T .
43. Backflow Irrigation, xi • �I. - I ' ` ,
44. Landscape Irrigation System ,�= - - I . .j,
45. Sound •Attenuatiori m I-. I • I - I "' , ; ' I -1 I I -
46. Handicap;Regulations 1 ' -I:' I / c ' •
-
1 . .
47. FINAL STRUCTURE & BUILDING' I' , "
48. Special Requirernents Completed ' - 4 i ,
49. Electric Releaseito Edison ' 'i I. .. .I ' ' I 1 ' .. . .
50. Gas Release to Southern California Gas Co 1 • . ' I I
•
51. CERTIFICATE OF OCCUPANCY .. ,- __ • " - '•
No. Date 1 ' 1_ ' 1. .1 . - _ .