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HomeMy WebLinkAbout2330 VANGUARD WAY - Building Permits (11) CITY OF COSTA MESA rte' BUILDING DIVISION 'OlFA; �I1 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca. FOR INSPECTIONS CALL:(714)754-5626 4� �"" PERMIT NUMBE : E07-00859 • PERMIT TYPE ELEC STATUS: ISSUED • DATE ISSUED: 10/1812007 ISSUED BY: RMD JOB ADDRESS: 2330 D203 VANGUARD WY CM Suite/Unit:' D203 Vicinity: SCOPE OF WORK: CHANGE-OUT FAU AND ADDA/C TO AN EXISTING CONDO, UNIT D203:•NO OTHER.WORK AUTHORIZED WITH THIS PERMIT. - OWNER: REISCH, MARTIN . . • Address: 2330 VANGUARD WAY#203D Unit: PHONE: City/State/Zip: COSTA MESA,CA APPLICANT: DICKSON,JOHN Address: 725 E DEBRA LN. Unit: • PHONE: 714400-0130 ' 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: - • 7 ELECTRICAL PERMIT FEES Electrical Plan Check Fee: • $0.00 Electrical Permit Fee: $78.00 Reinspection Fee $0.00 t i• TOTAL FEES • . ' $78.00 Ord , e. k M4,; 7 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. COPE I INSPECTION TYPE DATE INTITIALS CODE II INSPE0110N TYPE DONE INTMALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing /,. /��///__�_,_y_�____�� 200 Final Re-Roof 210 Final Electrical Wali /'I 201 Final Block/Retaining Wall 212 Final Fire Prevention �//7 202 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's. ,,e. ❑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,whichthis permit is issued. ' • 0 I have and will maintain workers'compensation insurance,as required by DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: .- section 3700 of the Labor Code,for the performance of the work for which this • permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a number are: J "� �` n _ ,fes person is required to descend,will be made in connection with work authorized m� �j L j{ ) by this permit,and that no building structure.scaffolding,falsework,or demolition Cartier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This season need not be completed(fth�ee pemlf 6valued al one Th ablars(srcn)w real 2 Art 2 Sec.341,Title 8,California Administrative Code). q Policy-Number: t 1 /NCV `_._.> 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 ers' compensation laws of California. and agree that if I should •- ome s •'•o the workers'compensation provisions of Section 3700 of Applicant's Signature the Labo sha orthwith cSmply .h these provisions. C ,,// _`'L `_a,'/ in 1t r�,,Y Division of Industrial Safety Permit Number: Dale li AppRcanl'a Signature IFDal - HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: ARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and 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? ❑Yes ❑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 e, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and - ect. -2_ a registration form for acutely hazardous materials? 0 Yes ❑No 6icr#- - i 3 a Class# / (Section 25533 of the Califomia Health and Safety Code, with some �_a�� •.........2..114— t .— fO r r nil �J exceptions, requires registration with the Costa Mesa Fire Department by rr.Y k/ 1 L'.1' / each business which at any one time has on hand a quantity of acutely `Ty.n: ors Sign-re , Da 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 CONST -UCTION 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 Dale 4. If an RMPP is presently required, has Section 25534 of the Califomia 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? 0 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 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 property. am EXCLUSIVELY CONTRACTING WITH 'city ordinances regarding Hazardous Materials and Emissions. - El I, as owner of the 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 property for inspection purposes. I agree not to occupy or allow occupancy of any building iii authorized by this permit until final inspection. gn iwner(s - _ 16110 O /) 3057-46(3/07) / Signature Date ►Y1/ lJ tl. � And/or Authorized Applicant. „ pate r4 CITY OF COSTA MESA a tO BUILDING DIVISION >y n C 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us t•r "'__S+-: I! se. FOR INSPECTIONS CALL: (714)754-5626 PERMIT NUMBER. M07-00509 PERMIT TYPE MECH STATUS: ISSUED DATE ISSUED: 10/18/2007 ISSUED BY: RMD JOB ADDRESS: 2330 D203 VANGUARD WY CM • Suite/Unit:• •• D203 Vicinity: , SO. FT: 0 SCOPE OF WORK: CHANGE-OUT FAU AND.ADD NC TO AN EXISTING CONDO, UNIT.D203. NO OTHER WORK AUTHORIZED WITH THIS PERMIT. OWNER: REISCH, MARTIN . ' - • "Address: 2330 VANGUARD WAY#203D; Unit: PHONE: City/State/Zip: COSTA MESA, CA APPLICANT: DICKSON,JOHN _ Address: 725 E DEBRA LN• Unit:_ - PHONE: 714400-0130 - 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: $53.00 PLAN CHECK FEE: $0.00 • _ INVESTIGATION FEE: ' $0.00. REINSPECTION FEE: $0.00 .. • ' TOTAL FEES: $53.00 • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No.92-28,§1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE S. INSPECTION TYPE DATE INm1ALS CODE INSPECTION TYP[ DA QIN n�AL� 1616 Fixed System Final Fire Prevention 206 Final Mechanical a-,1,8-OS l t 1266 Pool Spa Final 208 Final Plumbing �� 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 7/ 202 Final Factory Fire Place 220 Final Planning Approval U 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy WORKERS'COMPENSATION DECLARATIONd Owner ID verified by driSe. ❑Yes ❑.No r I here$y affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: • ❑ 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. 0 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: , • permit is issued. My workers' compensation Insurance carrier and policy IDhereby certify that no excavation five(5)or more feet in depth into which a number are: C "C--) person is required to descend, will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,a demolition /-'Gamer,_ or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2.Grp (Tris section need not i` eyerma=yaew �Ce/d at menumr ars(stoo)wkss) 2,Art 2Sec. 341,Title 8,California Administrative Code). Policy Number: lb L ©T ❑ 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 bec•••- le• • the workers'compensation provisions of Section 300 of • Applicant's Signature Date or hall for wi comply with these provisions r•` f'�_ ,t nYl�J I O I 1 �© Division of Industrial Safety Permit Number: Applicant's Signature l DISIe` HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: .RNING: 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? ❑Yes ❑ 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 in full force and eff a registration form for acutely hazardous materials? ❑Yes 0 No flair Class# �j r^q�j(Section 25533 of the California Health and Safety Code, with some ��� �'--- �I_ l!/ exceptions, requires registration with the Costa Mesa Fire Department by ��.• �11 each business which at any one time has on hand a quantity of acutely (Contractor's ignature , LDae hazardous materials equal to or greater than a weight of 500 pounds. or a l� volume of 55 gallons, or 200 cubic feet of compressed gas at standard C•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)? IDYes 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 Califomia OWNER-BUILDER DECLARATIONS: ' Health and Safety Code been fully complied with? ❑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? ❑Yes 0 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 ❑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 ❑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 • •ID 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 CI 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 authorized b his permit until final inspection. :lure aCgal Owner(s) '- ?Oaf �1F Signature Date , 1' I N 7 3057.46(3/07) - O-.V l "`...11l (__-An4lor Autnonzed Appllca t Date, I . I 1 1 I. 1 I 1 S UM MEN pri ir 1I � � 7t -rt Ct N6 1---- e--►`F K Vi" k,v �' - ' , dl I 233o 09-M6\40f $) WAY W e C w I -i* D-2 0 A yl r ii.P «tA lc EXACrIUCA ftic Uu1T L ij L i .._ J0-V .... 9-3 Fog_ &ramp F1.ccg2 ) CII Y' • STAMr:SA I Rest 0£Uce K I ) YL?N:. ..':I.; DIVISION n�^ U o " SUBJECT TO BLDG. DEPT. REG. I Z,.. Nev., e f 01C Fb 7f( �7er%rs '� 1 ()TE: ADDITIONS, DI=.T.E1'1ONS, I 010 m-pp rou e& a J /4 Co A,- OR CORRECTIONS SHALL M, AP 'RUVED BY THE PLANNINGI:e- , \\:,,,,, GRtrs R K TeR S 1 D E uu (,,L\ 4. �� ftce k) a.7C .r 7 / PO. 3:• -703. Ir fire. CA J.61,5 I ;� [ .. ,: r/ J'/fit./ 2 Ventura. Suite 500 .none CA 9_615 Property Munnyernent 949.4150 1515 tax 9:9 585.0146 vrni@villageway corn June 19, 2007 Leah Reich 2330 Vanguard Way D203 Costa Mesa, CA 92626 RE: NEWPORT LANDING HOMEOWNERS ASSOCIATION ARCHITECTURAL APPLICATION TO INSTALL A.C. UNIT Ms. Reich: The Newport Landing Board of Directors has approved your Architectural Application to install an air conditioner with the stipulation that it is placed in the alcove. No further action is required and you may proceed with the installation. Sincerely, VILLAGE WAY MANAGEMENT, INC. Martin Mulvihill Property Manager At the Direction of the Board of Directors C A commun 11lV Proviciiny Homeowner Association tvlanayement Since 1969 C M aSSOC AIIONS r,Ienrure \\VillagewayOJ\ProjecnAve.pon Landing 2411.4chuennal&CCRUrch Conespv007D203 Aprv1061907.doc City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. 001652 Building Safety Division P.O. Box 1200 Costa Mesa.California The Building located at 7770 v=,,..,.o,-,a TAM., rL)rn 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 frnrir•minitmm Legal Description 419-1 cl—Ott (See reverse side for Metes and Bounds) Building Permit No (;16843 Electrical Permit Nor316R43 Plumbing Permit No. f31AR43 Mechanical Permit No. (.1 FR44 Number of apartments - and/or guest rooms ISSUED TO: Building Official 7 E— + :42;x- ' Newt. Landina Limited • P O Box 10843 by / J/ Beverly Hills. CA 90213 Date RV /9( 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 1 SJb170r ItIU/ U.) '4i� -/ TB 'P' 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. - - - - CONSTRUCTION PERMIT iVeaq j ///e-/ / . - -,W._.)- 5.688 I /1,5/& . &"..77.3,' -i,- Project Address .. • • p• .D–'1 a TYPE OF CONSTRUCTION ® NEW U ADD L_J ALTERATION U REPAIR . t. Applicant's Mailing Address Ra• fetOx I00t13.7�'P-EU• Hi1.�5 ❑ CONVERSION ❑ DEM IISH ❑ OTHER A.P.I # Ll/cf —/ ( --c::526– I Zone JQ.3 , Owner's'Name MEtLJP•CRT L-NNISH1JG Ltd PhaT3/77t''O S DESCRIPTION OF WORK �D• / / .. 1 '-•�� S Main Building: Accessory Building: Z Address P.O. Ea 10843 p6UEPLf HHI1L5/ CA 90!213 E77 � o ` C o TYPE OF PERMIT I� GRADING in FOUNDATION- i= STRUCTURAL T Front/���G fo - N t Arch/Eng. ' QLAIRI<–HEDRiCk License No. -C75844 ❑ TENANT ICJ ELECTRICAL PLUMBING IN MECHANICAL B Rear A.x-fiG!) / N Address _I19F9 SAM UICENTE OL\LD;) L-�-/ 9oou9 ' C7 OTHER • A f CD Contractor's Name PAUL TETRtCk Phon !��-�� PROJECT DESCRIPTION SQ. FT. I e76I OCCUPANCY R-I�M-I K Right 26 '� ne�,�,.-ct 9 ---""27' / (3 1 Address(mailing) 11858 LR GRIlIOG6 flUt, l..A.g-41.S CONSTRUCTION TYPE N VALUATION$ 69,7tL3 . s Left 96'lo ��Piar�sT S E ZONE GRADING CU.YDS. ACRES 6 M City License No. '')als Ping. Ref.# — - Park.Fees $ �� 9„ -7 G LICENSED CONTRACTOR DECLARATION J U Remarks: '�'�� 50/ �. n�// Parking Req./Provided -�Q - I I hereby affirm that I am licensed under provisions of Charter 9 (commencing / / R with section 7000) of Division 3 of the Business and Professions Code,and Use of Building: �� /.... • E my license is in full force and effect. PlanningNotes: • M License Class - �lalse / PLUMBING I FEES - E Date LI--I Q-9,1 Signature ors--. Bar Sink Showers N 1YiORKERS'COMPENSATION DECLARATION ^"•"e��)T� hereby-affirm that I have a certificate of consent to self-insure or a certificate a r(F;�U ss�.• – I ,•T y' I workers' Compensation Insurance, or a certified copy thereof (Section - Backflow Preventer • Service Sink ani 7 FORE SPEC=ACL S • 3800, Lab. C.) /' I1 ." Backflow Irrigation • Sewer Cap � ' - , ELECTRICAL FEES Policy No. 567138--8 h CompanySIFFrE COMP–MIS Rpt n r. ® Certified copy is hereby furnished. . • O _ Bathtubs' Sewer Connection ' .;-'r, (f-CO -I Automatic Washer • Transformer 0 15-50 KW ' ( Certified£opyl's Med with the city g s�9 0 50+KW Date It-IS- A.4 Applicant �.C/. Clarifiers - Solar Collectors. ".,. Construction•Pole Sub. EXEMPTION-FROM WORKERS'COMPENSATION DECLARATI Dishwasher Solar piping (This section need not be completed if the permit Is for one hundre ($100) or / ,POOCN 4vty - sop Cooking Unit - - I Meter Klup t0,IOO,amps - • - -S c0 less). - - -I certify that in the performance of the work for which this permit is issued, I Drinking Fountains Solar Tank ` Dishwasher ' Meter Dover 100 amps ( DO shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa 1 ' Dryers ) 1Gas ❑Electric ' Sub Panel Go DO Date Signature — NOTICE:If,'aTter making this declaration, you should become subject to the Floor$inks Urinal Motors❑O-1 HP ❑1'/:-B (�-Do Workers' Compensation-provisions of the-Labor Code, you must forthwith ` n - .Fan IT comply with- such provisions-or this,permit shall be.deemed revoked, Gas Service ,, Outlets c2 Water Closet Co { F.A.U. - Inc.Solar 09-15 HP 016-15+ 1 OC CONSTRUCTION LENDING AGENCY- / _ , I hereby affirm that there is a construction lending agency for the performance , Interceptors / Water Heater 2 h Fixtures Microwave ' of the work fgr w hiSy�rJntL�is s}�yd ,(,5e 097 Civ. C.) - - 2�[, Lender's Name Well RFI•#t]J�tR IYFJMtTL�A( G �. Kitchen Sink - Water Service Device Boxes - y Lender's Address / - `"1 0I) Pole Light , tlj719 ut.1COLN UtuAGE t't`R_�j1Biil-e SOI OWNER BUILDER DECLARATION 5ACRAMEn1'TO (:/t a, Lavatories a 4.4e# AMCA//,yam Outlets ! •9Jwg _ / iD 00 24 Range so I n affirm that I am exempt31.5from tse Contractor's l License Law or or P-Trap following reason (Section 7031.5 Business and Professional Code: Any city or { 5 Switches Sign • 3�O county which requires a permit to construct,alter,Improve,demolish or repair - - , rany structure, prior to Its Issuance, also requires the applicant for such permit Roof Drains - 1 Garbage Disposal Standing Sections , t DO to file a signed statement•that he/she is licensed pursuant to the provisions of 'he Contractor's License Law(Chapter 9(commencing with Section-7000)of - the 3 of the Business and Professions Code) or that he/she-is exempt _ Generator 00-5 KW 05-15 KW Trash Compactor erefrom and the basis for the alleged exemption. Any'vlolat ion of Section - J31.y by' any applicant for a permit su jCts-the applicant to a civil . $25 Issue Feb - $ 3 Z �1�'r i- b t s l25 _ 'Z- enalt of not more than five huntlred dollars($500). Reinspection Fee • LI 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 - - • thereon, and who does such work himself/herself or through his or her own - . • Zoning Approved By :r5C`L1-1� ///��� Date rJemployees, provided that such improvements are not Intended or offered for Canopy , Type II ❑ /�/ / w�-�sale. If, however, the building or improvement is sold within one year of com- Duct- Under Ground Application Approved By - v f� Date• pletion, the owner will have the burden of proving he/she did not build or im- p ove for the purpose oT sale). Duct-Structural Refrigeration System Applimtion Issued By �� Date t- 3II - LJ I, as owner of the property,am exclusively contracting with licensed con- ❑0-100,000 BTU ❑100,000 BTU • 01tractors to construct the project(Section 7044,Business and Professions Code: - 3 Duct-Ventilating SUMY OF FEESThe Contractor's License Law does-not•apply to an owner of property-who _ t ' pbuilds or improves thereon, and who contracts for such projects with a con- Exhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ 3DO SMIP $ �1•28tractor(s) license pursuant to the Contractor's License Law). - ' - PLAN CHECK $ zR� PERMIT • • 0 I'am exempt under Section , - B.& P.C.for this reason / Firepl/Fact..Blt. ICBG# 230 I ' PLUMBING $ �.CJ� ISSUANCE $ • Date • Owner • i Heating System& Ducting ' PLAN'CHECK $ • t�•7 c7 ENERGY P.C. I $ I hereby certify that I have read this application and state that the above ' NO-100,000 BTU 0100,0006T GRADING $ Ind state correct. I agree to comply with all city and county ordinances - - - CO ELECTRICAL $ 34-20 - and-state laws rel ing to building construction, and hereby authorize repro- - PLAN CHECK $ IS.i50 MICROFILM $ sentatives o t city t0 ter on the above-mentioned property for r Inspection p s. MECHANICAL . 17•00 -1-f-O t!�� Signature Date "-e V- TOTAL FEE $ (�+7 / Drivers'L . Reinspection Fee $25 Issue Fee $ 3 PLAN• CHECK $ 3-SO / --7/ • CMF 0865-46 rev. 7/83 - White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor - s -- - - - - -- _ - • - - /' rc' (CONSTRUCTION AND PLANNING POC SPA • • 'APPROVALS Permit# Date Inspector APPROVALS Permit# - Date Inspector 1.' Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe,Undrgrnd. 53. Steel Reinforcement , 3. Electrical Conduit Utility-Undrgrnd. 54.• Forms • ' • 4. Electrical Conduit-Undrgrnd. ` � 55. Electrical Bonding ,/ '5. Steel Reinforcement 3J-Y - 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE ' 7. Footings �7 r3 /�� 58: Electrical Conduit-Undrgrnd. • 8. Foundation r/r ' S 59. Gas Pipe, O Undrgrnd.,Test ) • 9. Water Pipe-Undrgrnd. _ 60. Backwash Lines, P-Trap, Undrgrnd. • 10. Structural Floor System - 61. APPROVAL TO DECK 11. Property Sewer Line& House Connection62. Backwash & Receptor-Final - 12.•,Sewer Cap - 63. Heater & Vent-Final 13. Roof Drains ' - 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit /y 66. Solar System-Final ��// 16. Rough Electric Wiring �.6dar67. Fe cing & 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 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof,Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing -- 1/p4r vv 74. Overhead Hydro 26. T-Bar,Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing �'�3/8-r (/v 76. Dry Standpipe 28. Lathing & Siding ` 77. FIXED SYSTEM FINAL 29. Insulation VC, • 78. FIRE PREV. FINAL 30. Drywall Nailing /3 tt % HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat- 79. FINAL INSPECTION . 32. Electrical Power Meter-Final c , , 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: q� 34. Final Heating & Air Conditioning WI 77g ". S�.G-4,a.i- I Y�'1s' n„4__ 35. Final Gas Pipe-Test /b-Jet.ff -Sy/4 . 36. Hood or Canopy ' - 37. Final Factory Fireplace 1•���77 - VIVi /y/�,��+v 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, /I/Igi g, f� . 48. Special Requirements Completed f���/a 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co • 51. CERTIFICAJ /9ge �' No, ,s� /r � ISOCCUPWS • • IS TO CERTIFY TWIT INSULATION MS lin INSTALLED IN tONVOdWtt MTN TM CUUENT [KNOT At4ALAITI)K, CALIFORNIA ADMINISTRATIVE C . TITLE IS, STATE Of CALIFORNIA, IN Tic NIItDINS LOCATED At. 2330 VANGUARD WAY, COSTA MESA O Ca o 3) Street Let Aueter vett Me. EITLRIOR WALLS Manufacturer MANV III R TAlttnees/type R11 WA" I blef P11 CEILINGS Batts: Manufscturtr MANVTI I F TMdnees RI9 6'I " A R19 Stern: Manelatturfr Thickness M. loot Nt.ISs SA. Et. Covered N Ulm FLOORS nenefacterer MANVILLE TM /tyw R11 T/z" N Teles R11 SLAB on GRADE Menulecturer TAlcknees/tyye N tales Width of Imetttlen Inches rOUNoAIION MALLS Menefee ttttt TA f A Valve G[M[RAL COMIMCTOR LICENSE NMI IT TITLE DATE INSUUAl1ON CONTRACTOR L.A. INSULATION CO. . INC.ucENSE RUNNER 430486 ST ('Wgir TITLE PPRCTf1FNT DATE /2A/gra- I