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HomeMy WebLinkAbout2330 VANGUARD WAY - Building Permits (F202) p F 9 CITY OF COSTA MESA 4 � BUILDING DIVISION >:<•,,,�.,"1' \ DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER F 1at,in PERMIT J' Rain P03-00365 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 2330 VANGUARD WY Status: ISSUED Suite No F202 Applied: 06/11/2003 Issued: 06/11/2003 Vicinity: Parcel Nunmber: 93865168 ISSUED BY: • Applicant: SZABO, KEVIN Address: Phone: Zip: Oviner: FOLGA, MICHELLE THERESE Address 2330 VANGUARD WAY#F-202 Phone: COSTA MESA,CA Zip: 92626-6593 Contractor: COAST ROOTER PLUMBING HEATING &AIR CONDITIONING Address: 2737 S CRODDY • STE D Phone: (714)241-1414 SANTA ANA,CA Zip: 92704 License: 529127 • Arch / Eng: • . . Address: Phone: Zip: • License: SCOPE OF PERMIT CHANGE OUT WATER HEATER. FEE SUMMARY AMT QTY AMT • QTY AMT QTY ISSUE FEE $23.50 • Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation. $0.00 '0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 .0 'Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher '$0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain,Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain, Roof $0.00 0 . Shower $0.00 0 Water Heater/vent $12.30 1 Drinking Fountain $0.00 0 Sink, bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No.92-28, §1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6/00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. 1$ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: 5"' c_ FAN p Policy Number: t i 6 2 �0 0 3 (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which his permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Cali o a,and agre a 'f I s ould become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisio . / Applicant Signature: Date: b— 1' V 3 WARNING:FAILURE TO SECURE WOR RS' PEN N COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,030).IN A ITION TO THE CAST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is in full force and effect.Lic.a S 2-471(-, Class k ( 3 Fj t 't L Contractor's Signature: Date: (-I I —0? CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have.the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to en owner of properly who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, • or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the Califomia Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the Califomia Health and Safety Code provides that the 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. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? al Yes U No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No 8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions, Signature: Date: CERTIFICATE OF COMPUANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Sig •f Legal Owner(s) Date _(1��� -:.•r Authorized Applicant Date CODE A INSPECTION TYPE DATE INTRIALS CODE INSPECTION TYPE PATE INTITIAL6 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical y� �7 1266 Pool Spa Final _ 208 Final Plumbing 7 -10-0/ l�K 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 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 175.9 1/CITY OF COSTA MESA r PERMIT NO. TRACT NO. LOT NO. BLDG.NO. ' CONSTRUCTION PERMIT /C3 — /p•3// 11481 F -(QQ� Applicant's Mallin AddressP.O.$OX 10843 -v Hill 21,3 TYPE OF CONSTRUCTION if-2 NEW 0 ADD C ALTERATION U REPAIR Project Address X2330 Vanguard Way 202 0 CONVERSION 0 DEMOLISH 0 OTHER Owner's Name Newport Landing, Ltd• Phone 274-0953 DESCRIPTION OF WORK ZONING REGULATI NS Address P.O. Box 10843, Beverly Hills, CA 90213 Condominium s - Clark & Hedrick, Inc. C-2578 TYPE OF PERMIT i[ GRADING sI FOUNDATIONNa STRUCTURAL A.P.ds �/9- /51-oto ZO'N1E Arch/Eng. r License No. ❑ TENANT -: ELECTRICAL —PLUMBING •� MECHANICAL PLNG.REF.',to-p3-'JI p, T-)19(VILDING s noir V rn CT Address 11969 San Vicente 81. j 205, L. A. 90049 ❑'OTHER TO BUILDING ,- PROJECT DESCRIPTION SQ. FT. 1170 • OCCUPANCY R-1 PROPERTY LINE(A REAR YARD (TO P/L) li Contractor's Name (T. -rr2- Phone r LEFT SIDE YARD ' a beg RIGHT SIDE YARD �1 G ,D)dc Address(mailing) CONSTRVCTIONTVPF V - 1 111:. VALUATION$61rJ00 ZONE R-3 GRADING CU.YDS. Site ACRES PKG.SPACE REQ. 03 PROVIDED !� 5 License No. _ LICENSED CONTRACTOR DECLARATION Remarks: Rlrildin I - Unit2o2F STREET WIDTH / OPARK FEES 881 31 I hereby affirm that I am licensed under provisions of Charter 9(commencing V Tyne - -. • 12 OR SPifCL'.L ..-�•.,.•..,,,s..rtsu with section 7000) of Division 3 of the Business and Professions Code,and SPECIAL CONDITIONS: my license is in full force and effect. License Class License No. • PLUMBING • Date Signature Bar Sink Sewer Cap ELECTRICAL 'KERS'COMPENSATION DECLARATION - ?by affirm that I have a certificate of consent to self-Insure or a certificateBackflow Preventer Sewer Connection • / Automatic Washer Meter [lover 100 amps, . ,vorkers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.) Construction Pole Backflow Irrigation Solar• _Collectors / Sub Panel • Policy No. Company / Cooking Unit Sub Pole El Certified copy Is hereby furnished, a Bathtubs Solar Piping Certified copy Is filed with the city Building Division- ,/ Dishwasher / Motors 140-1 HP ❑1334-8 Date Applicant Clarifiers Solar Tank / EXEMPTION FROM WORKERS'COMPENSATION DECLARATION / Dishwasher $wimmi / Dryers %Gas ❑Electric Inc-Soler 09-15 HP 016-15+ (This section need not be completed If the permit Is for one hundred ($100)or / • less), Fan Microwave I certify that In the performance of the work for which this permit is issued, I Drinking Fountains •\ shall not employ any person In any manner so as to become subject.to te - • - .- r / F.A.U. Pole Light ,L,S Workers' Compensation Laws of California, Floor Drains tate CIO a �� / Date Signature , Fixtures NOTICE:If,after making this declaration,you should become subject to the Floor Sinks ) sten eat. - :5 - - Range. • Workers' Compensation provisions of the Labor Code, you must forthwith Device Boxes • comply with such provisions or this permit snail be deemed revoked. .6 Gas Service - Ou )(, W ervice Sign CONSTRUCTION LENDING AGENCY b Outlets I hereby affirm that there Is a construction lending agency for the performance Intercept• s - % ,1 ! Standing Sections of the work for which this permit is issued (Section 3097 Civ. C.) Trash Lender's Name - / t - 1 7 3 Switches ' Kitchen Si ^")' Compactor Lender's Address, OWNER BUILDER DECLARATION Lavatories ` - ,e CJ��• / Garbage Disposal I hereby affirm that I am exempt from the Contractor's License Law for the - ,} c C i Generator 00-5 KW 05-15 KW following reason (Section 7031.5 Business and Professional Code: Any city or P-Trap ✓� j/ • county which requires a permit to construct,alter Improve,demolish or repair ❑15.50 KW Transformer any structure, prior to Its Issuance, a epulres the applttant for such Permit Roof Drains ,l to /ilea signed statement that he/she Is licensed pursuant to the provisions of 1" ❑$U+ KW. .Contractor's License Law(Chapter 9(commencing with Section 7000)of - Reinspection Fee $15 ti�I ion 3 of the Business and Professions Code) or that he/she is exempt Showers Reinspection Fee $15 9from and the basis for the alleged exemption. Any,violation of Section - 1/ Meter �up to 100 amps Issue Fee $ 3 Y,S by any applicant for a permit subjects the applicant to a civil - malty of not more than five hundred dollars($500). Service Sink Issue Fee l $ 3 Zoning Approved By '�)hr, Date f0-`�y/d•� co 1, n owner of the work, my structures.. not wages f sole C/ �, ��� osale lion will do the work,and the structure is not :intendedThe C or offered MECHANICAL Application Approved By (N Date /A-30-535 for sale (Section 7044, Business and Professional Code: The Contractor's - - - -oi -- ----- -- - - - - ------ // License Law does not apply to an owner of a property who builds or Improves [Boiler ; Refrigeration System r /�/ p p 42 thereon, and who does such work himself/herself or through his or her own 111 Application Issued By • / Date /-J - o employees, provided that such Improvements are not intended or offered for ❑0 ,00 U 100,000 BTU ❑1000 BT sale. If, however, the building or improvement is sold within one year of corn- Duct-Under Ground SUMMARY OF FEES pietion, the owner will have the burden of proving he/she did not build or im- - J r for the purpose of sato). Duct-Structural System Repair/Alteration BUILDING PERMIT $ 3 �q'O•- SMTP $ "wwT"'t i as owner of the property,am exclusively contracting with licensed con- rac • b rs to construct the project (Section 7044,Business and Professions Code: .41 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 0 PLUMBING $ . tractor(s)license pursuant to the Contractor's License Law). - GRADING $ ' 0 I am exempt under' Section B.6 P.C. or this reason / yFrirepl/Fact.Blt. !CBO aW • PLAN CHECK $ • Data /�'�3 r17f13 Owner �� / ,hating System SI Ducting • ELECTRICAL $ $ / I�1PLAN CHECK $ MICROFILM I $ • I • for at ars sect I haverread ms application Pith all and t y the above ` 0-100,000 BTU ❑100,000871 - - ' Information is correct. I agree to comply with all city and toll til rise repre- ordinances TOTAL FEE $ and state laws relating to building constru ion,and hereby authorize rHood or Type I i •- MECHANICAL $ , sentatives of this y to enter u••n t•• above-mentioned pro erty for YP Reinspection Fee $15 LESS inspection ourpos / / Canopy Type II PLAN CHECK $ • • Signature :,rt isu Registers t Issue Fee $ 3 FINAL FEE $ 3 .5-S/ CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor • n t'.CONSTRUCTION:AND-PLANNING - r 1 = ,=' ter- {r_ OOCH.. pq ..• - - t`' C, ' c ' n • z ;;Date • Inspector - - , .- - . Date - Inspector - ?• :APPROVALS Permit# '- - 'AP.PROVALS Permri•# ' r T1: ;emporary Electrical Service or Pole . - r : - -, , .-52r Pool &tEguipment Location • • _ • it) 2? Soil Pipe-Undrgrndr - • .r - 1,- ; ,. - -` . 53 m Steel Reinforcement : • 0 3!'Electrical Conduit U'tiliiv-Undrgrnd: ' - - ' ; 54. Forms ' • r: 4- Electrical Conduit-Uhdrgrnd-. - _ :a •' 55 ��Electrical-Bonding , . • - in5: Steel Reinforcement • -•• 56. Rough Plumbing & Pressure Test . 6. Electrical UF FR Grnd., ,- . , - - z 57. APPROVAL TO COVER-GUNITE - 7. Footings 1 , ` ' ` 58. Electrical:Cgriduit-Undrornd.. _. ' . 8. Foundation ' - . - - •59. Gas Pipe, 0 Undrgrnd.;Test ' 9. Water Pipe-Undrgrnd. ; • - - : 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System '1 ; . ' 4)� - :.61. APPROVAL.TO DECK _ , 11. Property Sewer Line'& House Connection 62. Backwash.&Receptor-Final . • 12. Sewer Cap ` 63. Heater & Vent-Final . - 13. Roof Drains - • '64. Plumbing System- Final - - < 14. Rough Plumbing I • ' - . ,-65. ElectricalPinal - . - o• . 15:-Rough'Electrical-Conduit's - '- - ,----1 -rr r' r -- --r _ - - - - - . • 1 !, .tel I , 1 ' Solar'SYstem-Firial ''-16. Rough Electric Wiring, - i - . • - � I I •. , I:, _ 1 .�,. ; :I;-67 { Fencing& Access Approval • 't17. Rough.1Niring Sign.: 1 L , - , `I J ,: 68.1 APPROVED FOR PLASTERING • , • -18. !Rough-Electrical-TyBar Ceiling; " I : I 1 1 - I' '. `69JPOO.L/SPA SYSTEMS FINAL - - - 19. 'Rough`Heating& Air Conditioning ' T i • I „ .. FIR DE EPT.,REQUIREMENT. ' - II 20. 'Rough Factory Fireplace 1 '' I I 1 : ! APPROVALS Permit • 21. Ducts, in Structure •� i I , I 7(., Underground>H,ydro 11 • ° x'22. Ducts, Ventilating 1 1 1 I ,�,•:71,1 Ptr*oduct Piping D Gas ❑Oil 7 r „ 23. Gas Pipe-Rough & Test ' ; ,-: ' I,.~ ' 1 Idrra J2`, Underground Flush ,c ,x.-24. Roof Framing- ,&, I it -it,,73.! Uridergrnd'.Storage Tank 0 Gas 0 Oil 5 25. ,Roof Sheathing L= ; , . . i - 7A ,Overheat Hydro . �• ' -26.,T-Bar Ceiling (Structural) & Monocoat : ; ` ' _1 ' : ✓r'• )t . _ , ay 75. DrG�hemical' -- r . 127. Frame and Flashing - • ' I ' ! < i11 ' b,. , ,; 76. Dray Jtandpipe , - _ g - I. ;i 1 i / , , �- ), 77.' FIXED SYSTEM FINAL • 28. Lathing& Siding , 29._Insulation c r1' 1 I I -14.---t. ...,.._ s. ! I78.:;EIRE PREV. FINAL • .: ,;'-30. Drywall Nailing 'l 1 I Notes: r • 31. Plaster Brown Coat , i ' _I 1 i- ' r , r32. 'Electrical Power Meter•Final , Ir 1 1 - 33. Final Electric ctric _ ' ...-.I _ 1 ,. i 1 I 1 I ; ' , 34. Final Heating &.Air)Conditioning !: : A ' - • ' � ` I ' 35. Final Gas Pipe-Test' • 4 '1 ` I . - - 36. Hood or Canopye r - ' - , ' 37. Final Factory Fireplace`.• r I ^ - I I , --' , . • , , ' - 38. Final Plumbing i - ' - :' I i , i I c - - 39. Water Service-Final - . v . I ; i - 40. Gas Service-Final - _� ' i •• 1 ' . I 41. Solar Domestic-Final 1C : I_ ; __, _.. _'__ • i--I - ; ,_- ' 42. Backflow-Preventers . ' ' c- 1 I ' it - .r r _ _ _ __ _ _ _ _ _ _ -._ . ^t,l : , , , . , I - , ,. i. : , - 43. Backflow'Irrigati ..on - ' $ - 1 , 44. Landscape Iragation System , i I^ "I ; I ;_ :1 i 45. Sound. Attenuation , 1 : I ;' , ; I l , :C. - ..I - - 46. Handicap Regulations'' ' ' ' ; ' , c . • 47. FINAL TRUCTURt.k BUILDING ' 1 ' ' .' ' i , 48. Special Requirements Completed) r1 ' ' 1 , I . I 49. Electric Release to Edison) - _ ., • 50. Gas Release to Southern California Gars Co . I I l ) 1 I 1 51. CERTIFICATEOFIOCCUPANCY ' ' ' _I �. - ' No i r I ' Date ! --- -, I _ -I ' . • • • City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. L u A J J 7 Building Safety Division P.O.Box 1200 Costa Mesa,California The Building located at in i7=•-•56,= ran., V-1/10 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 COAdaninitI t Legal Description 419-151-06 (See reverse side for Metes and Bounds) Building Permit No G16858 Electrical Permit No. G RSR Plumbing Permit No. C+IFRSR Mechanical Permit No. al FRFR Number of apartments and/or guest rooms )� ISSUED TO: Building Official /�' t- `f nti Newtort Tand rta Limited P 0 Box 10843 by Beverly Hills. CA 90213 ,/ /7g6 Date V /" 0 CEJ 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/B3 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. 5609 1/14/8565:::.29 L 1' CITY OF COSTA MESA • PERMIT NO. T137913./ LOT Nq. BLDG.NO. 1 CONS1TRUr TIO J PERMIT & ( 9Sg I•ppl / f''LOZ • Project Address x330 UAA1 GOARQ 1' TYPE OF CONSTRUCTION IN NEW U ADD LI ALTERATION LI REPAIR �/ /j • ApplicaLit•s Mailing Address R.0, x.,. 10 J aV• WILLS ❑ CONVERSION ❑ DEM pLISH ❑ OTHER • _ A.P.#C, — //% — /5/ —O(� Zone R -- 3 LJI j 'DESCRIPTION OF WORK � �a'034/^'� Owners Name k la_ CIi C 1. I ! PhrTrte /10 S Main Building: Accessory Building: Z Address .0_ PoX 10843 f IiEU. HIU.sv CA. gook 13 TYPE OF PERMIT ❑ GRADING' IX' E J • 0 .p'7® FOUNDATION IPJ STRUCTURAL T Front �� GL)c�• 7 N ' corch/Eng. �C�1L/ARRK- HE.,DR1CK License No. C�S$y'y- El TENANT ELECTRICAL lin PLUMBING I MECHANICAL B Rear q '���,/ / N , iAddress J JJ-€a �PJ UICEKTTE I"' �^1 ❑ :OTHER A ll• Contractor's Name PAUL 'TTRIC.K - Phon _ • di PROJECT DESCRIPTION SQ. FT 1183 OCCUPANCY R'I i M"I C Right -7' ran eA7rt-S7 f-�^ G 'L R sIf CONSTRUCTIONTVPE —N VALUATIONS FS 640 $ Left '°�� �t, �, i�-�7f E Address(mailing) L.• �'� •• f �7 — /2,- �.. an, .ye �j ZONE GRADING CU.YDS. - ACRES pin Ref. Park.Fees $ U City License No. —M 327 oZ1� 1 - 9' U LICENSED CONTRACTOR DECLARATION Remarks: J.� ( Silt -2994 Parking Req./Provided •'' as 1 I hereby affirm that I am licensed under provisions of Charter 9 (commencing t 44.., (.� _R with section 7000) of Division 3 of the Business and Professions Code,and Use of Building: ,a _ E my license is In ful arc:and effect. Plannin +Notes: M . 0 i♦S PLUMBING FEES ' License Cl.s ze • I 9 _ .E Date �� Signature !E!2Zt'I�// e ntn rein nnTm.r r^^••'n^••r`rn•C +T YORKERS'COMPENSATION DECLARATION Bar Sink Showers ' • \p;,`yereby affirm that I have a certificate of consent to self-insure ••r a certificate Backflow Preventer Service Sink 'S• Workers' Compensation Insurance, or a certified copy thereof (Section" ' va 00, Lab. C.)�67I�8 O� -T.F �nrir?' MS.RVUS Backflow Irrigation Sewer Cap _ ELECTRICAL • -. r FEES, Policy No. O Company r iI��I Certified copy is hereby furnished. a, Bathtubs Sewer Connectidn •� L(;pa 1 Automatic Washer Transformer ❑ 15.50'KW' ' I S'�" Certi}letl ippy,�s}sled with the city B ' DI yn�/1 - - Date II—1`i'274 Applicant �Cli I Clarifiers Solar Collectors - Construction Pole Sub. 0 50+KW '-r. _ EXEMPTION FROM WORKERS'COMPENSATION DECLARATIO Dishwasher" -- - 'Solar Piping /' -' ' (This section need not be completed if the permit is for one hundred 100)or P 9iCOV6N O.�T Cj c O Cooking Unit l Meter �11p to 100 amps s S'OL` less). - - - I certify that in the performance of the work for which this permit is issued I - Drinking Fountains Solar Tank • 4 ( Dishwasher Meter Dover 100 amps - ,, oQ 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 ( Dryers C Gas ❑Electric I Sub Panel (O DC Date Signature . 2 NOTICE:If,after making this declaration,you should become subject to the Floor Sinks Urinal P Fan I Motors 00-1 HP 01%-8 if GC Workers' Compensation provisions of the Labor'Code, you must forthwith- �- - - - comply with such provisions or this permit shall be deemed revoked. / Gas Service Outlets ,I/ Water Closet - (D co I F.A.U. Inc.Solar 09.15 HP 016-15+ ) 00 CONSTRUCTION LENDING AGENCY - I hereby affirm that there is a construction lending agency for the performance Interceptors / Water Heater Qco 12. Fixtures Microwave Z r�p of the work fo����pp�YYp❑�((1rB �tp�s 2e��rmp1tt``Iig issypp {t �fpnp9 iv. C.) _ Lender's ',. LIMC1JGK hl[MC'oIS CSG - Kitchen Sink / Water Service 4-on—a Device Boxes Pole Light Lender's Address DECLA LiICOW UAALLtSJT ;DR $01 - OWNER BUILDER DECLARATION ACIZ r(ELITOI kie !.415sa7 , 02 Lavatories / 4eAs%! IyifCf/ii267 (o OO 2_i Outlets Range 5.00 I hereby affirm that I am exempt from the Contractor's License w for the - - following reason (Section 7031.5 Business and Professional Code: Any city or P—Trap, _ - 9 Switches Sign ( FO county which requires a permit to construct,alter,improve,demolish or repair - Y any structure, prior to Its Issuance, also requires te applicant for such permit Roof Drains I Garbage Disposal Standing Sections -to file a signedstatement that he/she is licensed pursuant to the provisions of .� Ino • -Ole Contractor's License Law(Chapter 9(commencing with Section 7000)of Generator ❑OS KW❑5-15 KW Trash Compactor 'vision 3 of the Business and Professions Code) or that he/she is exempt Pa ,refrom and the basis for the alleged exemption. Any,violation of Section • - ' 14-712. ' 31.5 by. any applicant for a permit subjects.the-applicant to a civil , Reinspection Fee + 2 x"L'T Z CO enalty of'not more than five hundred dollars($500). I _ Pa I $25 _ Issue Fee $ 3 ��T t4 2 CI,-as'owner of the property,or my employees with wages as their sole MECHANICAL Reinspection Fee $25 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered 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 improvesBoiler . , Hood or Type I 0 • thereon, and who does such work himself/herself or through his or her own - Zoning Approved By Date employees, provided that such Improvements are not intended or offered for Canopy Type II 0 / sale. II, however, the buildingor improvement is'soltl within oneyear of com- Duct-Under Ground - Application Approved pP pP By _Date gpletion,rove the owner will have the burden of proving he/she did not build orim- • - I U $S grove for the purpose of sale). Duct-Structural , Refrigeration System Application Issued By Date LJ I, as owner of the property, am exclusively contracting with licensed con- 3 ❑0100,000 BTU ❑100,000 BTU tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating SUMMARY OF FEES -The Contractor's License Law does not apply to an owner of property who . Exhaust System 0 Multiple 0 System Repair/Alteration q r • builds or improves thereon,and who contracts for such projects with a con- BUILDING PERMIT $ ' 331 •OD SMIP $ •5- tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ 21 s ( S PERMIT . O 1 am exempt under Section B.& P.C.for this reason ( Firepl/Fact.BIL. ICBG#2301OO PLUMBING • $ 3n.00 +ISSUANCE $ Date Owner. + Heating System& Ducting PLAN CHECK $ fn.7S ENERGY P.C. $ ' I hereby certify that I have read this application and state that the above ' ®0100,000 BTU ❑100,000BTL ELECTRICAL 33.20 GRADING $ information'Is correct: I agree to comply with all city and county ordinances ' - - - - 0 $ and"state laws rel ing to building construction,and hereby authorize repre- PLAN CHECK $ 15./ O MICROFILM $ sentatives of city to a ter u'�n he above-mentioned property for I� Inspection p s. /A/ MECHANICAL • $ 00 Signature ' 4/ ',aDate /, I TOTAL FEE $ (G S�I' Z9 Drivers' License or SS • Reinspection Fee $25 Issue Fee $ 3 PLAN CHECK $ 3, so . - • CMF-0865-46 rev. 7/83 - white-Building: Canary:Applicant Pink-"Accounting;Goldenrod -Assessor- - - — ' • - - . -. - - - ,_ • CONSTRUCTION AND PLANNING POO iPA APPROVALS - Permit#- Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 1. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement .3. Electrical Conduit Utiliiy-Undrgrnd. . 54. Forms 4. Electrical ConduitUndrgrnd. 55.. Elecrical Bonding Z 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test . -6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE ' 7. Footings _ i 58. Electrical Conduit-Undrgrnd. - 8. Foundation 59. Gas Pipe, O Undrgrnd.,Test {' . 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. . 10. Structural Floor Systemi 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap -' 63. Heater& Vent-Final 13.E Roof Drains • 64. Plumbing System - Final 14. Rough Plumbing /6(/1ldC L(D 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring /04-e � 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 ' , 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 y� 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing (tJf 0/,j( r.4-- 76. Dry Standpipe 28. Lathing,&`Siding //1• ` 77. FIXED SYSTEM FINAL 29. Insulation /0//'0 c f VC/ 78. FIRE PREV. FINAL yr�/ L 30. Drywall Nailing ! vHEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 1 79. FINAL INSPECTION . 32. Electrical Power Meter-Final /�7 80. FOOD CERTIFICATE ISSUED /� -, 4 e 33. Final '" Notes:Notes: a..,t' _Y - 34. Final Heating & Air Conditioning F,z,y /M4"' 35. Final Gas Pipe-Test 1.2/s/ds [.EJ 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing t/t.',7. - ?fit 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 c;,12-3-lg. (ee/ 48. Special Requirements Completed f-' 49. Electric Release to Edison , 50. Gas Release to Southern California Gas Cor No.oCERTIFICATE�1O Dat PAN /' •' it' .