HomeMy WebLinkAbout2330 VANGUARD WAY - Building Permits (13) j, F 9 CITY OF COSTA MESA
4 BUILDING DIVISION
). • •.j •.n ,� DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
Ft j1 PERMIT
M03-00693
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
MECHANICAL PERMIT
Job Address: 2330 VANGUARD WY Status: ISSUED
Suite No H101 - Applied: 12/31/2003
Issued: 12/31/2003
Vicinity: UNIT H101
Parcel Number: 93865132 ISSUED BY:
Applicant: SCHNIERER, STEVE
Address:
Phone: 714-719-1689
Zip:
Owner: SHARR, MARNIE.
Address: 2330 VANGUARD WY#H101
Phone:
COSTA MESA,CA Zip: 92626
Contractor: EMPIRE PLUMBING
Address: 12922 HARBOR BL
SUITE 687 Phone: 714-530-7320
GARDEN GROVE,CA Zip: 92840
License:794154
SCOPE OF PERMIT
REPLACEMENT OF A FAU IN THE GARAGE OF AN EXISTING SFD;UNIT H101.
1 INST FAU<100K BTU '
NO OTHER WORK AUTHORIZED WITH THIS PERMIT.
FEE SUMMARY
Quantity Quantity
ISSUE FEE $23.50 Repair/Alt Absorbtion Unit $0.00 0
Inst FAU<100 k BTU $14.80 1 Repair/Alt Refrigeration Unit $0.00 0
Inst FAU>100 k BTU $0.00 0 Ventillation System $0.00 0
Repair/Alt Cooling/Heat $0.00 0 Evaporative Cooler $0.00 0
Inst/Rep. Recess Wall Htr $0.00 0 Commercial Incinerator $0.00 0
Refrig Sys<100 k BTU $0.00 0 Domestic Incinerator $0.00 0
Refrig Sys>100 k BTU $0.00 0 Compressors/Absorption Systems
Gas Piping $0.00 0 Up to 3 hp/100 k BTU $0.00 0
Factory Fireplace $0.00 0 3 To 15 hp/500 k BTU $0.00 0
Hood w/Mech Exhaust $0.00 0 15 To 30 hp/1,000 k BTU $0.00 0
VAV Box $0.00 0 30 To 50 hp/1,750 k BTU $0.00 0
Vent Fan/Single Duct $0.00 0 Over 50 hp/Over 1,750 BTU $0.00 0
Appliance $0.00 0 Boilers
Fire Dampers $0.00 0 Up to 3 hp $0.00 0
Smoke Dampers $0.00 0 3 To 15 hp $0.00 0
Inst or Relocate Appl Vent $0.00 0 15 to 30 hp $0.00 0
Air Handlers< 10000cfm $0.00 0 30 to 50 hp $0.00 0
Air Handlers> 10000cfm $0.00 0 Over 50 hp $0.00 0
Floor Furnace $0.00 0 ' Other Mechanical Fee
Floor or Suspend Heater $0.00 0 Investigation Fee $0.00
Plan Check Fee $0.00
Reinspection Fee $0.00
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: 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(6100)
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.
X\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`A' -y
orkers'compensation Iniurance carrier and policy number are:
Carder: { kase.Yn wis 1 10(l0.d Policy Number:ft IA -002-7-08G
(This section need not be completed ll the permit is valued at one hundred dollars($100)or less.)
O I certify that in the performance of the work or which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws- alifomia,ant;• .- a^•if I.=hn• •become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these• •• 1 '••
Applicant Signature: / • / • Date: I Z j3I IOt
WARNING:FAILURE P.SECURE W' ERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
1 hereby affirm that I am licensed under rovisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is In full
force and effect.Lic.$ I Class tt) 020 .
Contractors Signature: Date: 12137/03
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 an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
O I am exempt under sec. Business end Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. ❑Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health end 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,ora volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure). _
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greeter 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 California 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? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application ap2ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes PI No
(Section 65850.2 of the California Govemment Code requires that the requested Information be furnished on applications for non-residential building permits).
8 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 0 No
(If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
__ __alit._ __alit ...._ hew_ —_....su.__._.
7 application,a permit fromn tae South Coast s prescri ed by CaliforniaDistrict or and Sr airtol?Code 0 Yecontroloon district3been agency is required foNo work which is the subject of this
have all of the disclosures prescribed by_.CalifoHealth Safety Section 42303 made? 0 Yes 0
8 (If-yes*,attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the Information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
4 / /
— ?mature Of Lega -' ner(s) Date
• / Iz)31/03
/ And/Or Authorized Applicant Date
;ODE r INSPECTION ME PATE MALS SODEI INSPECTIONTYPE all
1616 Fixed System Final Fire Prevention 206 Final Mechanical )– ) y'09
1266 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
_ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. _
CITY OF COSTA MESA' - e. PERMIT NO. T O. LOT NO. B'LQG.NO. 1716 : / .' t , . T.
CONSTRUCTION PERMIT 6 -/t3,z,3 11 /7 -Jot •
Applicant's Mailing Address P.O. Box 30843.. v.Hi11s90213• TYPE OF CONSTRUCTION ® NEW U ADD ALTERATION U REPAIR '
Project Address 2330 Vanguard way 101 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER
Owner's Name k- I A s .,d 1 Ltd. •hone274-0953 DESCRIPTION OF WORK ZONING REGULATIONS
•
Address P.O. Box 10843, Beverly Hills, CA 90213 • Condontinium / A c /•�/,,
Clark & Hedrick, TYPE OF PERMIT � GRADING IA FOUNDATION STRUCTURAL A. 4/67- /5/ -0 0 ZONE R,3
Arch/Eng. Inc. License NO. C-2578 • ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL INC �-
11969 SVicente B1.#205 L.A. 90049 PLNG.REF.9Y '@3 �//(� 7-// ° •
Address _ nrx rn cr
,OTHER TO BUILDING Cv�J / / REAR YARD(TO P/L). �'s��t
Contractor's Name ) �•rao-1-- Phone PROJECT DESCRIPTION SQ. FT, 9WU PROPERTY LINE �J(�
OCCUPANCY R-1 oL.V
CON STRUCTION TYPE V - 1 hr. VALUATION$48,000 /LEFT SIDE YARD /L RIGHT SIDE YARD n/..' )
Address(mailing) - �.
ZONE R-4 GRADING CU.YDS. Site ACRFS PKG.SPACE REQ. i; LC • PROVIDED /�
License No. J p
LICENSED CONTRACTOR DECLARATION Remarks: )•Sill1dlyly/ - Unit 101/TypeAN STREET WIDTH on, PARK FEE$ 573, ICS
I hereby affirm that I am licensed under provisions of Charter 9(commencing
with section 7000) of Division 3 of the Business and Professions Code,and SPECIAL CONDITIONS: HOLD FOR SPFCIAI.•RFQQII�FMpa.__ • ' •
my license is In full force and effect. '
License Class License No. PLUMBING ' - ,
•Date Signature • Bar Sink Sewer Cap • ELECTRICAL
WORKERS'COMPENSATION DECLARATION
ereby affirm that I have a certificate of consentto self4nsure or a certificate Backflow Preventer Sewer Connection Automatic Washer Meter Dover 100 amps
Workers' Compensation Insurance, or a certified copy thereof (Section
Backflow Irrigation Solar_Collectors Construction Pole
oa00, Lab. C.) • Sub Panel'
Policy No. Company ' - Cooking Unit Sub Pole
8 Certified copy Is hereby furnished. • ' Bathtubs Solar Piping • . ,
•
Certified copy Is filed with the city Building Division. Dishwasher Motors ❑0-1 HP El1 h$
Date Applicant Clarifiers Solar Tank - ,
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION _ Dryers ❑Gas ❑Electric Inc.Solar'❑
(This section need not be completed if the permit is for one hundred($100)or Dishwasher Swimming Pool vv/Spa
9-15 HP ❑16-15+ , •
less). Fan Microwave
I certify that in the performance of the work for which this permit is issued I Drinking Fountains Urinal
shall not employ any person in any manner so'as to become subject.to the - F.A.U. Pole Light • '
Workers' Compensation:Laws of California.. • ' Floor Drains "a , `- 9
Date Signature -� `�. s ,
•
NOTICE:If,'after makingthis declaration,you should become subject to the Floor Sinks - -. W. •.. Fixtures .
1 7 ter eat-' ' .j Range . .- -. .. . _ _
Workers' Compensation provisions of the Labor Code, you-must forthwith ,-1y Device Boxes
comply with such provisions or this permit shall be deemed revoked.' Gas Servic`Z 'i, tout :d ' . : s"/ [er S= icS¢�s _ Sign , •
CONSTRUCTION LENDING AGENCY • - Outlets
•
I hereby affirm that there is a construction lending agency for the,performance ' ' Intercept° Standing Sections
of the work for which this permit is issued (Section 3097. Civ. C.) .
Lender's Name - - - _ Kitchen Sin 111111.111.1 Switches Trash Compactor
•
Lender's Address • - - • I r•
Garbage 0581
OWNER BUILDER DECLARATION - Lavatories 9 p .
I hlowin areaso that I am exenipt• the Contractor's License Law for the' -lA Generator ❑0-5 KW ❑5-15 KW .
following reason (Section 7031'.5 Business and Professional•Code: Any city or . ' P-Trap �raiV�� _ '
'county which requires a permit to construct,alter,improve,demolish or repair - ■.'•� Transformer D 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 - ❑50+KIN I
the Contractor's License Law(Chapter 9(commencing with•Section 7000)of • -'- • • -- '• - - - !Reinspection •
Fee $15
s elision 3 of the Business and Professions Code)'or,that he/she is exempt , •• Showers - •' •' , Reinspection Fee $15
efrom and the basis for the alleged exemption. Any_violation of Section ' - - - - Meter ❑up to 100 amps •
-' oJl 5 by. any applicant for.a permit -subjects the applicant to a civil ' • - - Issue Feb $ 3
penalty of not more than five hundred dollars($500)t - Service Sink Issue Fee -, - $ 3 Zoning- - �, -_ - y ..y a
LII Approved By pI Date r
I, as ationer of the property or my employees-with wages as their sole • �I
compensation' will do the work,and the structure is not intended or offered I ' MECHANICAL L -
for sale.(Section 7044, Business and Professional Code:'The Contractor's -- Application Approved By •f rate �^'� ��$�/,
License Law does not apply to an owner of a property who builds or Improves ' , Boiler Refrigeration System - 2 QT
' thereon, and who does,such work himself/herself or through his or her own • - Application Issued By ` / Date -•••' -
employees, provided that such improvements are not intended or offered for Duct• -Under Ground ❑0-100,000 BTU ❑100,000 BTU •
sale. If, however, the building or Improvement is sold within one year of com- SUMMARY OF FEES ' •
I n, the owner will have the burden of proving he/she did not build or Im- • ¢
V0 for the purpose of sale). Duct-StructuralSystem Repair/Alteration .DA / 36
I,as owner of the property,am exclusively contracting with,licensatl con- BUILDING PERMIT $ �.�-'- i SMTP $
tr ctors to construct the.project (Section 7044,Business and Professions Code: Duct-Ventilating .. - -- ... - - •PLAN CHECK $ PERMIT
The Contractor's License Law does not apply to an owner of property who - ! ISSUANCE . $
builds or improves thereon,and who contracts for such projects with a con- Exhaust System D Multiple ❑ PLUMBING I $
• tractor(s) license pursuant to the Contractor's License Law). • GRADING $ -
❑ 1 am exempt under Section B. : P. for this reason Firepl/Fact.Bit. ICBG# ' PLAN CHECK $ i •
` �.� •
,ELECTRICAL ' $ $
•
Date Ad-/•�d��� Owner - - , t Heating System& Ducting MICROFILM $
I hereby ertify/that I have read his application and state.ghat the-above - ❑0-100,000 BTU ❑100;000 BTU - 'PLAN CHECK $
Information is correct. I agree to comply with all city and c•unty ordinances ' I TOTAL FEE. - $
and state laws relating to building construction,and hereby authorize repro- 'MECHANICAL $
' sentatives of Pal/
to
nterterr uJ6n th appove-mentioneq pr pert for Hood or Type I ❑ •
• Reinspection Fee $15 LESS
inspection pure �Sr LA4 - " �_�4 /-��/� _ �y� Canopy Type II ❑ PLAN CHECK $ ADVANCED PC $ ' �'L
Signature .1 pate a 3
Drivers' Li7nse or 5S# Registers Issue Fee $ 3 FINAL FEE $ 'x 70•
CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor •
CCONSTRUCTION AND'PL',ANNING: " ' !. . x" •- g s. -POOL A - - _ - -
Date -Inspector - - - Date Inspector
:APPROVALS , Permit# ' - , "APPROVAL'S- Permit'#
h- A Temporary Electrical Service or,Pole y ; c 52a &Pool Equi menu Location - - :;r:-. '
', 2) Soil Pipe-Undrgrnd.: p o; ` " - 53. Steel Reinforcement - -
3) Electrical Conduit Utility-Undrgrnd. ';.; .
__ ;_' , . 54:'Forms ' - -
`� 4'. Electrical Conduit-Undrgrn ;d, t a n r c 1,552"- Electrical Bonding -
5' Steel Reinforcement. ' t ` .,' i 7:.2, ? 56. Rough Plumbing& Pressure Test
•6: Electrical UFER Grnd.' a - ' - - tii t 57.-APPROVAL.TO COVER-GONITE• - . -
7. Footings •, •c, I.. - - _ - _ 58' Electrical Conduit-Undramd. - _ .
8. Foundation , - ' '`59. Gas Pipe, D Undrgrnd., Test' .
9. Water Pipe.Ur*lrgrnd. , ' - `• ' 60. Backwash Lines,P-Trap, 0 Undrgrnd. ,
10. Structural Floor System 1 •, - 7'- - - 61. APPROVALTO DECK - " - • " .
11. Property Sewer Line & House Connection - t • •i.62. Backwash:&`Receptor-Final- . -
12. Sewer Cap - - 63. Heater & Vent-Final - •-
•
13. Roof'Drains s c • -64. Plumbing,System - Final - -
.
14. Rough Plumbing ' - r - - - • 6s. Electrical-Final 1 • - - -
1;15-R -t - 1,---1-: 7ough Electrical-Conduit'r---; - -- - - -.- -- --- - r --66:. Solas System-Final - .,- . - - . .- "
'16. Rou h Electric Wiring-. • t - - - -I. 9 - , l 9 - I i ,3, i -i, -i. - -67.1 Fencing& Access Approval ! - -
= 17. Rou h Wirin Sin ' ' ' "' ; = r I .''' • ! ' -
9 9: 9 f i , 68. APPROVED FOR PLASTERING
18. ihOugh Electrical-T'Ba`tCeiling; I -- i - 1',; -' I s69 PODL/SPA SYSTEMS FINAL -
u 19. Rough,Heating&;Air Conditioning r ; 1: I i ,t1,i. `FIRE DE6.1tEQUIREMENT
I•• •
•, 20. 1Rough,Factors' Fireplace, i i ' I 1 ' ' I ' ' IAPPROVALS t.-*.P mit# _ ! '
. r i
:. 21. Ducts,in Structure •r n � , 's ',70.-Underground�Hydro
,'22. `.Ducts, Ventilating -. ' - , 4 ; e i I ; .1 71.; Product Pipi g D Gas 0 Oil
23. Gas Pipe-Rough & Test ` i . ' T d _ '72.; Undergrouc it Flush
24. ,Roof Framing ' ,- ' - n. I r: ' - ,_ ' ; 73.' Undergmd.Storage Tank D Gas 0 Oil: , • 1
25. ,Roof Sheathing .ti, ' "1r,• I 74..`;Overliead Wydro '
26. T-Bar Ceiling (Structural) & Monocoat i - 75; Dry Chemical •
27.-Frame and Flashing - - ' ,i • I ' ' ;• • c i' ,76., Dry Standpipe `
a 28. ,Lathing& Siding ? ' I ii i , i •,;<u' •.-)77. FIXEDISYSTEM FINAL
29. Insulation _ _ - ' ' ,• C � 478 FI,RE1PREV. FINAL
/ 30. Drywall Nailing I i . I . INooteS;--LI '
.231. .Plaster Brovvn Coat I i I
it X32. 'Electrieal}Power Meter:Final ; I I, - ' f t I i 1 ' ' -
1
- t1.
33, Final Electric , 1 ` i- '
t 34. Final Heating &Air Conditioning 1 ' I ' i i
35. Final Gas PT •est '- � s. � ; l I`, ':'+ ' ' 1 ; r 1111 ' -
ipe- -.
36. Hood or,Canopy . i I p - i ;. 1 " I : i ;.- 1 • , -
37. Final Factory Fireplace : 1 F. - _ I 1 ,
38. Final Plumbing , I 13 ;t i I I - ..
39. Water Service-Finall ' i . ' i 1 i i
' ' I , • I • 1 -
40. Gas Service-Final , ' ' 1 , + l -
41. Solar Domestic-Final -�_ _' i ;_ _i_ '
42. Backflow,Preventer s , ,, 4.
43. Backflow Irrigation 1 ' •` t t . . -
44. Landscape Irrigation System - ,•t- ,- I .. -
45. Sound Attenuation ' I •- ' : n i " , 1 r. i •
46. Handicap Regulations , I .J , I l , 'T ; r I , !
47. FINAL STRUCTURE & BUILDING ' ' t !•- - `
48. Special Requirements Completed ,i - ' I • - -.
49. Electr Release'to Edison; " I 1 ', - .- � ; '
50. Gas Release to Southern California Gas Co , l I 1 .
51. CERTIFICATE OF:OCCUPANCY
No t' I Date ; -•+-�• -� --r- 1 ,- - - - --
1'1
City of Costa Mesa
Development Services Department CERTIFICATE OF OCCUPANCY No. 001579
Building Safety Division
P.0.Box 1200
Costa Mesa,California
The Building located at 2330 Vanguard Way 14-101
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 rnnitninitatl
Legal Description 419-151-06
(See reverse side for Metes and Bounds)
auilding Permit No G16869 Electrical Permit No. G16869 Plumbing Permit No. G16869
Mechanical Permit No. r1 FR69 Number of apartments and/or guest rooms
ISSUED TO: Building Official I, 1 :la4iLt "—
Newport 7andina Limited
P O Boot 10843 by
Beverly Hills. CA 90213
Date.•-l✓ dr �HSu
1 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the
Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C.
CMF 1015-46 rev.1/83 White-Owner;Canary-Numerical File;Pink-Bldg.Permit File
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA1 - PERMIT NO. TRACT NO. LOT NO. BLDG.NO. 5571 5 1/155/Ba 7 I I n'::• I,
•
CON' gTRUVION PERMIT • Ca.1 (pg G9 . Ic j1 ( L} 01 .
Projec'.tilddress ) • i a V , i:-.. aa S — 0 • TYPE OF CONSTRUCTION" X.1 NEW U ADD -U ALTERATION Lf REPAIR J'�/� - 2 _/
Applicant's Mailing Address' Is #• Si*, e8 •
�g E • US ❑ CONVERSION 'CI DEMO ISH ❑ OTHER,. .^ . , A,P.# �h(q - 151 -(tel(/: - 1 Zone 253
Owner's Name L E. �lD\� S k SI _(/ Ph6ne a .-4 a 1 DESCRIPTION OF WORK �� � �"�' 1�`— _I 1
_ lJ S Main Building: Accessory Building: Z
Address a.1. Bo as . - :.7 r t- .I : • a - E -- - - — O
r� y • p I� TYPE OF PERMIT pp'1I GRAPING �.FOUNDATION 7 STRUCTURAL T Front N
Arch/Eng. CLARK-HC•DR\C C License No. C-584 ❑ TENANT YJ ELECTRICAL IpI PLUMBING ® MECHANICAL B -
Address i 49€9 SAL) UICEAJTE BLV., s ;4 ❑ OTHER A Rear N
PAUL. 'T lR%CK Phone,��l 0�n qjl r-.. _. C Right -G
Contractor's Namr• dam•627 - PROJECT DESCRIPTION 5q. FL ��•�ti'�� OCCOPArvCY R-�a/M 1 K
�` 118 S LA GRA,.' t AVE., 5 CONSTRUCTIONTYPE �'N VALUATION$ 7S,497 s Left E
` Address(mailing) ^7 f ZONE GRADING CU.VDS. ACRES -Q(-f-LOS Park.Fees $ '/ U
rX O Ping. Ref.# �/ I (, U
City License No.
(°) r
LICENSED CONTRACTOR DECLARATION Remarks: sir #' n( -� `L R
Parking Req./Provided LW 2_0 I
I hereby affirm that I am licensed untler provisions of Charter 9 (commencing r `�1�
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with section 7000) of Division 3 of the Business and Professions Code, and Use of Building: r 5 . C ��p pp • E
. my license is in full fort. and effect. - - AL i' p,.
Licena Clas s— nsea •
PLUMBING FEES Planning Notes: HOLD. FORS �1V.(111tilillill lJ M
Date - '1 - �t5 Signature L/. s �e-c• aleel- - •N
WORKERS'COMPENSATION DECLARATION Bar$ink Showers T
hereby affirm that I have a certificate of consent to self-Insure or a certificate Backflow Preventer Service Sink S
Workers'Compensation Insurance,- or a certified copy thereof (Section - - - - - - _
,d00, Lab. C.) - yst,A=Y c Backflow Irrigation �® 'r t:_ ELECTRICAL _ FEES
Policy No. ' 7(ss-8y Company SATE CONR 1 - -
fCertified copy is hereby furnished. • Bathtubs /o a� I. Automatic Washer Transformer ❑ 15-50 KW (' ,
Cer{I led' py ys,tiled with the city B • Di > , 0 50'+ KW ..
Date `1'17-2{{� Applicant�. `r Clarifiers i ' . Construction Pole Sub. - I - -
EXEMPTION FROM WORKERS'COMPENSATION DECLARATIO DiSfiwasher • / • •
(This section need not be completed if the permit is for one hundred 100) or) / �� • Cooking Unit l Meter �up to 100 amps S OC,
less). - I Diinkin Fountains
I certify that in the performance of the work for which this permit is issued -I 9 - ''I= Dishwasher''''.. I Meter Dover 100 amps + • -( 00
shall not employ any person in any manner so as to become subject to the ,y,
Workers' Compensation Laws of California. "I ' Floor Drains C
® . '). Dryers Ga5 ❑Electric ( Sub Panel _ /o CO
Date Signature - T
NOTICE: If,after making this declaration, you should become subject to the Floor Sinks -1 Fan ( Motors 0O-1 HP ❑1 -8 2..OV
Workers' Compensation provisions of the Labor Code, you must forthwith l -
comply with such provisions- or •this permit shall be deemed revoked. � Gas Service Outlets - Water Closet (7 toll I. F.A.U. Inc.. Solar,09-15 HP 016-15+ •
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CONSTRUCTION LENDING AGENCY -
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I hereby affirm that there is a construction lending agency for the performance Interceptors 'L} Fixtures , z .
of the work •f Ilc�tjjj��1i X55 gggerJpjt� is is, sed ( 4n^ 30g7,Ci .) P C� •Microwave
Lender's Name WCYF Y�JfiGIC I<1TecAsaC Kitchen Sink - � I s-- Device Boxes Pole Liht
Lender's Address' ej'/19 NCOL.N VILLAGE j1R• 50 g 'lt'
OWNER BUILDER DECLARATION*cap N D/lr AO Ea , Lavatories / I Co _ 2 Outlets Range S
I hereby affirm that I am exempt from the Contractor' License taw or the P-Trap reason (Section 7031.5 Business and Professional Code:iAny city or ' P I/ Switches • Sign 3
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 q
'to file a signed statement.that he/she Is licensed pursuant to the provisions of
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the Contractor's.License Law(Chapter 9(commencing with Section 7000) of - • Generator 00.5 KW ❑5-15 KW Trash Compactor
fivision 3 of the Business and Professions Code) or that he/she is exempt • I - • •
erefrom and the basis for'the alleged exemption. Any violation of Section - •
)31.5 by any applicant for a permit subjects the applicant to a civil - `z- '` icl•-t-E� IZ 2- Ot)
endlty of not more than five hundred dollars($500). Reinspection Fee $25 Issue Fee • $ 3 -
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LJ I,.as owner of the property or my employees with wages as their soleReinspection Fee $25 Issue Fee $ 3
compensation will do the work,and the structure is not intended or offered MECHANICAL ' . I 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 ❑ • IIy, /' ' -c///(YL5j
thereon, and who does such work himself/herself or through his or her own _ I I - • Zoning Approved By �/ '�/w Date // '•'j' -`�
employees, provided that such Improvements are not Intended or offered for Canopy Type II ❑ I //
Duct- Under Ground //f4 �S
sale. If, however, the building Improvement is g within one year of corn- Application Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im-
rove for the purpose of sale). Duct-Structural a Refrigeration System � Application Issued By _ tat
LJ I, as owner of the property, ain exclusively contracting with licensed con- '
®0-100,000 BTU ❑100,000 BTU q
tractors to construct the project (Section 7044,Business and Professions Code: 7 Duct-VentilatingSUMMARY OF FEES
The Contractor's License Law does not apply to an owner-of property whoBUILDING'PERMIT ' $ �(~ �� SMIP $
builds or improves thereon, and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration )
tractor(s) license pursuantaw)to the Contractor's License Law). r .5";2e
• mr PLAN CHECK $ 7 3r C^ PERMIT
0 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Bl t. ICBO#7�jC ( f • PLUMBING $ 32---'QD ISSUANCE $
Date Owner ' • ENERGY P.C. $
i Heating System&Ducting PLAN CHECK $
I hereby certify that I have read this application and state that the above Z0-100,000 BTU 0100,000 BTU GRADING $
Information is correct: I agree to comply with all city and county ordinances I - - " - •4 r3 ELECTRICAL 33.
and'state laws re ing to building construction, and hereby authorize repre- t� MICROFILM $ '
sentatives city to rJger u•• the above-mentioned property for PLAN CHECK MICROFILM
c
inspection s. /// _ ,..,,v', I - MECHANICAL ii =LT) c, ) TOTAL FEE $ 10 ---)4-
Signature `- . Date/2/Y"0T
/. Reinspection Fee '$25 Issue Fee $ 3 PLAN CHECK 4.03) 3--C
Drivers' License or SS*
r -„, CMF 0865-46 rev. 7/83 White-Building; Canary-Applicant;Pink-Accounting;Goldenrod -Assessor - - ' ' - ' . . - - - -- -- - • - - - - - - ' -1 I I e 1.g II/
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CONSTRUCTION AND PLANNING + - • • - POOL ,PA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. .Temporary Electrical Service or Pole 52.-Pool & Equipment Location
-2 _Soil Pipe-Undrgrnd. y/�� �j/J£•' 53. Steel Reinforcement
.3:.Electrical Conduit Utility-Undrgrnd. .-- / ' 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Elect"rico) Bonding
"5..Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. -Electrical UFER Grnd.. 57. APPhOVAL TO COVER-GUNITE .!
7. Footings 1 - '' t 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 .e.
11., Property Sewer Line& House Connection ` /y/p%!. n//�e 62. Backwash & Receptor-Final
12. Sewer Cap /,�. /. //// 63. Heaterr& Vent-Final
13. Roof drains.. ' / 64. Plumbing System - Final
14. Rough Plumbing ft4(6(85' (,LO 65. Electrical-Final
15. Rough Electrical-Conduit - . 66. Solar System-Final.
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16.• Rough Electric Wiring /49/0/4-5E6/, - 67. Fencing & Access Approval
17. Rough Wiring Sign •[me/49/0/4-5E668. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning /0///86-. GW 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 i' '7/Q/Vic 1.,./C... 74. Overhead Hydro
• .26. T-Bar Ceiling (Structural) & Monocoat / 75. Dry Chemical
27. Frame and Flashing /i//4 L/- 76. Dry Standpipe
28. Lathing &'Siding ( 77. FIXED SYSTEM FINAL
29. Insulation id 7^111/' 71)C 1 78. FIRE PREV. FINAL
30. Drywall Nailing (.7,K C/`''' HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat . 79. FINAL INSPECTION
32. Electrical Power Meter-Final 7 ��j/, 80. FOOD CERTIFICATE ISSUED
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33. Final Electric - X16 �[ v Notes: _4, � �'7F5
34. Final Heating & Air Conditioning /,'_K Se- -
35. Final Gas Pipe-Test 0/Wes- c,c,
36. Hood or Canopy
37. Final Factory Fireplace 'lel
38. Final Plumbing • I'� J�
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer 1., :l
43. Backflow Irrigation .
44. ,Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations / . 1
47. FINAL STRUCTURE & BUILDING a-/3/84, �/C. 1
48. Special Requirements Completed /-30-16,
exf
49. Electric Release to Edison AA • -
50. Gas Release to Southern California Gas Co
51. CERTIFICATEOFOCCUPA__NGya��e/ c_ n . L1. �J-
No. i , Date o��,,((�l CC�7 f"„ (i (//{.�.V ,
:11114,11 TO CERTIFY THAT INSULATION WAS toll INSTALLED III CDNrONIATICt VIM TN CURRENT INFDt1 REWUTIOIIS,
CALIFORNIA Att11NISPUTITI CODE. TITLE IS, Or CALI�TA, II(TME RuuDIMN LOCATED AT,
2330 VANGUARD WAY, COSTA MESA µ (01 )Street lot r Tract W.
EITERION WILLS
Manvracturer MANVTI 1 F Thletnese/Type R11 414" I R11
CEILINGS
tette: Nanvracturtr MANVTI 1 F %lan tt R19 nl," R Valve R19
Ilo v: Manufacturer 1Metnan Mo. Up •
Wt./Iq
Sq. ft. Covered I valve
FLOORS
14nvracturer MANVILLE Mit tnen/Type R11 31/2" I R11
LII ON 6eAo[
Manu/acturer ThIctnate/Type R Talus
1111th el Innlutles Inches
WIL
f0U,Ott ION WAS
Manufacturer Thlctneel/Type R Valve
AENIRAL CONTRACTOR LICENSE NIMIER
NT TITLE DATE
INSULATION conTMACTON LA. INSULATION CO. , INC.uctnst NIn ta430486
NT TITLE PRECIFWNT DATE 1/2R/86
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