HomeMy WebLinkAbout2330 VANGUARD WAY - Building Permits (J101) 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. 1796 11/�/y/it ,
CONSTRUCTION PERMIT B — /03'02 11481 I J- )OI
Applicant's Mailing Address v 6 •p- •:4 t` -V Hills t 0213 • TYPE OF CONSTRUCTION ' I� NEW U ADD U ALTERATION U REPAIR -
Project Address 7330 Vanguard Way _Lr101 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER - .
Owner's Name Newport Landing, Ltd. Phone274-0953 DESCRIPTION OF WORK
Condominium ZONING REGULATIONS
CA 90213 // Tie B _
Address P C) lk'1X lOP,43 r P�pVPY1y Nil]s. TYPE OF PERMIT Lit GRADING IS FOUNDATION i2) STRUCTURAL A.P.* -'119�1 - 15 I -O� ZONE CS •
Arch/Eng. Clark & Lip(lri rkr Tnf_ License No.C-2578 0 TENANT 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL PLNG.REF"4h YET_V3_I1o. T-111-1,9pILDING
"CTRAI`K
C/r ST
Address =119(9 Sign V,:Mpnt"p B1 41705 L A 90049 ❑,OTHER - TO BUILDING I pI' ( L' AR YARD(TO P/U ,.y
Contractor's Name �% 174 Pte - • Phone PROJECT DESCRIPTION SQ. FT. 1110 OCCUPANCY R-1
PROPERTY LINE I� V CI �1 (.WJ,s -
Address(mailing)
CON STRUCTION TVPF V - 1 hr. VALUATION$61-.500 LEFT SIDE YARD .9(0' (-,( bi GHT SIDE YARD S) 'C-I
•
License No. ZONE R-3 GRADING CU,YDS, Site ACREG PKG.SPACE REQ. 2 s PROVIDED Q•
LICENSED CONTRACTOR DECLARATION Remarks: :1 " 1. • 1 - nit 101 Je_ C_v STREET WIDTH ..0 1 • PARK FEE,S �� I ,5
with sectioI hereby orm 70001tofam Divl51on3 of d t heer pBuslnie55sof antlCharter 9 ProfessbnipCotla�aingntl SPECIAL CONDITIONS • LI, OR SPECIAL REQUIRER .•,.•! ,i,
my license is in full force and effect. ' .
Ucense Class' ' License No. PLUMBING '
Date Signature • Bar Sink Sewer Cap —� ELECTRICAL ,
`,ORKERS'COMPENSATION DECLARATION • - --
tereby affirm that I have a certificate of consent to self-Insure or a certificateAutomatic Washer • Meter El over 100 amps
, Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Sewer Connection
3800, Lab. C.) Backflow Irrigation Solar Collectors
- Construction Pole Sub Panel
Policy No. - Company Cooking Unit Sub Pole I I
eCertified copy Is hereby furnished. ' Bathtubs Solar Piping - '
Certified copy Is filed with the city.Building Division. Clarifiers Solar Tank Dishwasher Motors 00-1 HP ❑1%-8
Date Applicant _ •__
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Dishwasher Swimming Pool w/Spa i Dryers ❑Gas ❑Electric • Inc.Solar 09-15 HP 016-15+
(Thissection need not be completed If the permit Is for:one hundred ($100)or -_ J 1
less) f� 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 las to become subject.to the - - F.A.U. ,Pole Light '
Workers'.Compensation Laws of California. Floor Drains osetu "ra , % ' •
Date Signature , I •
NOTICE:If,after making this declaration, you should become subject to the I • Floor Sinks - .. - Wik eater •` ^Fixtures Range _ _--i
•
Workers' Compensation provisions of the Labor Code, you must forthwith I �� �/ ,�-'�� i
comply with such provisions or this permit shall be deemed revoked: 'e `>=+ Device Boxes Sign
Gas Service •utl , WaT r i_-S — I
• CONSTRUCTION LENDING AGENCY • p Outlets
I hereby affirm that there is a construction lending agency for the performance, Interceptors y"\. n • 'Standing Sections 1
of the work for, which, this permit Is issued (Section 3097 Civ. C.) t- 1
Lender's' Name Kitchen SinkT1/474, r
• lAf . Switches Trash Compactor
Lender's Address • • • '
OWNERBUILDERDECLARATION. - Lavatories - I c)L S\�}. _Garbage Disposal
I hereby affirm that I am exempt from the Contractor's License Law for the • .• �I ll - - - Generator 00-5 KW 05-15 KW '
following reason (Section 7031.5 Business and Professional Code: Any city or P-Trap' - \ _
county which requires a permit to construct,alter,improve,demolish orrepair - - - -- •1'� 1 - • Transformer 15-50 KW
I any structure,prior to Its issuance, also requires the applicant for such permit - Roof Drains On - '
to file a signed statement that he/she is licensed pursuant to the provisions of • 050+KW
Contractor's Ucense Law(Chapter 9(commencing with Section 7000)of - - Reinspection Fee $15
Sion 3'of the Business and Professions Code) or that he/she is exempt - Showers ' Reinspection:Fee $15 - -
afrom and the basis for the alleged exemption..Any.violation of Section Meter ❑up to 100 amps Issue Fee- ' •$ 3
_41.5 by_any applicant fora permit-subjects the applicant to a civil Servide Sink - Issue Fee $ 3 z
penalty of not more than five hundred dollars($500). - (Zoning Approved By ' One 10)e) Date ••i-Q l�/
LJ I,'as owner of the'property or my ¢mployees with wages•as their sole MECHANICAL � 7 �/ L, ,�i ��.J Jac-So-SS compensation will:do the work,and the structure is not intended or offered . - t Application Approved By /Z) % Date Jac.3o-0S
for sale (Section 7044, Business and Professional Code:'The Contractor's ✓ ./r� n
Ucense Law does not apply to an owner of a property who builds or improves Boiler Refrigeration System Application Issued By /�/ , -•3 _o
thereon,'and who does such work himself/herself or through his or her own PP _ ( ,Date
employees, provided that such Improvements are'not Intended or offered for ' ❑0-100;000 BTU ❑100,000 BTU -
sale. If, however, the buildingor improvement Is sold within oneyear of com- Duct- Under Ground
P SUMMARY OF FEES i
lotion, the owner will have the burden of proving he/she did not build or Im- q
p�rgve for the purpose of sale). Duct-Structural System Repair/Alteration BUILDING PERMIT $ 3 �2'-- SMTP $ , 243/
LIG I,as owner of the property, am exclusively contracting with licensed con- . _ •
• tors to-construct the project (Section 7044,Business and Professions Code:-_ Duct-Ventilating - PLAN CHECK $ i 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- , i Exhaust System 0 Multiple 0 PLUMBING $
tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ GRADING I
' : , ELECTRICAL $ •
, $ • '
0 I am exempt under Section B. : P. •,for his reason Firepl/Pott.BIt. ICBG# $
Date /-)73 -/de-o owner S_�.- . . r itJ - -' Heating System&Ducting ,
PLAN CHECK $ MICROFILM $
• I hereby certify that I 'have read this application and state that •he above , • 00100,000 BTU 0100,000 BTL . - - I
Information is correct. I agree to comply with all city and county ordinances I 1 TOTALFEE : $ '
and state laws rela ing to building const action,and hereby authorize repro- Hood or Type I 0' - - ,MECHANICAL $
sentatives of thi city, to enter -eon th- above-mentlone%pr party for 1 VP • .
Inspection `rp,!s y Canopy Type II ❑' Reinspection Fee $15 PLAN CHECK $ LESS ,
Signature _Jt .
Registers • - , Issue Fee - $ 3 FINAL FEE $ 3.3/
CMF 0865-46 rev.12/82 White-Building;Can.ry-Applicant;Pink-Accounting;Goldenrod-Assessor
•
? ';CONSTRUCTION'.AND`PLANNING- ' -+'t ' -- ;- �,� POO' 'PA _ _ _ • . -
Date:• ` -Inspector _ - - Date -Inspector
i _APPROVALS .c Permit*: - ) APPROVALS Permit#
' 1, Temporary Electrical Service orCPole I - ''• _ r_ 8 " 52.-1 Pool & Equipment Location - ..
„ 2, Soil Pipe-Undrgrnd._ e _ I I Z 4, e.; _ - _ 53•. '
"Steel Reinforcement "- -
3' Electrical Conduit Utility-Undrgrnd. .l, -_ h' ?- : 54.. Forms _ : . - ` t,
•
'i 4' Electrical Conduit-Undrgrnd: ' -c-I ` r 1 41".‘ ` ' >55.11Electrical Bondingn -
5; Steel ,Reinforcement ' "1 r.- ' a ' `£ - N _ ' '2; ;;56., Rough Plumbing& Pressure Test
6. Electrical LIFER Grrid.• - - - , 0- - ' 57. APPROVAL'TO COVER-GUNITE •• '
J. Footings ' • I � - ; ' 4 ` ° = :°' •' ` 58. Electrical_Coriduit-Undrorod.. - - , • '
8. Foundation' ' I c _ ' 59. Gas Pipe, O`Undrgrnd..Test ' •
9. Water Pipe-Undrgrnd. ' - •• - - : 60. Backwash Lines,P-Trap,' Undrgrnd. .
10. Structural Floor System .' 61. APPROVAL-T,O DECK = - •••
11. Property Sewer Line& House Connection ' _T4 62. Backwash & Receptor-Final
12. Sewer Cap "o '• ! • ' ' 63. Heater.& Vent-Final _ • `
,�64. Plumbing System- Final--
73. Roof Drains -
a
14. Rough Plumbing ; ' . - (-2 - , ''65. Electrical=Final ' • - , .
` ',15.- Rough Electrical--Conduit--' - - ' - -+ ''' T-" 1"--i- 1---t--68:,
rSolar System-Final -- - • -i-' " " -
;, ;c16. Rough,Electric,�Wiring- ', i ' i. i', "'- ! - _t
it _
= "'67.1 Fencing& Access Approval _
17. Rough;Wiring;Sign'' r, !, .• I "4` ' • ' ' I ! : '68.' APPROViD FOR PLASTERING - 1
118. Rough Electrical-T Bar Ceiling; - , ' ' ',, ' Fr I 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Ar Conditioning • ; • 1 I ' I FIRE DEPT. REQUIREMENT
•
' 20. 'Rough FactoryFireplace ; • ', • : I ' APPROVALS Permit# '
21__Ducts,:in Structures ' ' i ' I I t70: Undeigrouhd•Hy�dro •
'22. Ducts, Ventilating _ - i _) ,j ' I i Il I !71': Product Piping Gas 0 Oil
' 23. 'Gas Pipe-Rough&Test IT ! i'e :72." UndergrourricPlush
t24. Roof Fra mind' •I ' nI I I ; i , I • f '73..Undergrnd. torageTank0Gas• -DOil
25. Roof Sheathing I : " ; rn' •y - 1 - I - I b i 74. Overhead i y/dro
. -226. T-Bar Ceiling (Structural) & Monocoat- j i la i - t 75:)Dry Clten'AI '
' 27. Frame and Flashing' 3 -I j ' u•a 1 76. Dry Sfandpipe
'•, 28. Lathing &Siding J,., i '77. FIXED/SYSTEM FINAL '
,
- ' 29. Insulation =' I '-, : I I J , • • �78J FIREPREV. FINAL - r
30. 'Drywall Nailing ;,I ,Notes:
i �8
31. Plaster Brown Coat ; I `L I I,� j
h d 32.'Electrical Power Meter-Final ' i, I ' I `'•`�-.,_ I
I.
�t33. Final Electric•
; ' ' • • � --I 'I ( I ' - _
34. Final Heating&;Air ConditioningI , ' '
35. Final Gas,Pipe-Testi •`- 1 I : , �F, - - •
„ C I , ,. - I ' I .- . i I _
36. Hood or Canopy.,, ,, i I -
37. Final Factory Firepla ' - - ' ,
ce' - .
38. Final Plumbin ' I - "
39. Water Servicg-Finali I I ! .
40. Gas Service-Final ; ''%1 , I .
•
41. Solar Domestic-Final ' ' •-' ' I ! '
42. Backflow;Preventeri I 1 l:-;: ! ' i • '
' h 2' - ` ° ' ,tr ' n.• -
43. Backflow Irrigation
44. Landscape Irrigation System i ,. - I .: ; ; - i • • _ .
45. Sound _Attenuation ; ' I` I - I =' I : ' -
46. Handicap RegulationsI I ' .-` i_ I- ' i
47. FINAL STRUCTURE & BUILDING - I -
48. Special Requirements Completed , I I -
I c I I
49. Electric Release;to,Edisoni I ' I ,_ _' ' :J._$ I _ __'___- _.-- '
.
50. Gas Releitse to Southern California Gas Co ; I I • I • -
51. CERTIFIICATE OF OCCUPANCY ! - •- _ - _ ,
No. Date " 1 ,: I ' , ,
City of Costa Mesa
Development Services Department - t'
Building Safety Division CERTIFICATE OF OCCUPANCY No. L�,
P.0.Box 1200
Costa Mesa,California
The Building located at earl 17>..,,,.a td>.. t—trn
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a GrouP R l Occupancy.
Use of Building Caidatii.TIltun
Legal Description 419-151-06
(See reverse side for Metes and Bounds)
Building Permit No G16870 Electrical Permit No. G16880 Plumbing Permit No. G16870
Mechanical Permit No. al ART(' Number of apartments and/or guest rooms
ISSUED TO: Building Official 2 . (r /
Newport taniila United
\ P 0 Box 10843 by
Beverly Hills. CA 90213 _ ry
Date
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 o_.uer Tines and sign all appropriate declarations. 571 6 I /1 5/0::
CITY-bF COSTA MESA- - I'°' ) 1
PERMIT NO. TRACT O. LOT NO. BLDG.N0.
: CONSTUCTION PERMIT CJ k (etalCD /94� r) T- /0 / •
P oject Address - \• 1: C i - • TYPE OF CONSTRUCTION NEW U ADD LJ ALTERATION U REPAIR
Applicant's Mailing Address fTOR E -Hats CONVERSION ❑ DEMOLISH ❑ OTHER
-
A.P.# j — o- s Zone
DESCRIPTION OF WORK sfi/� LC.Owner's Name 1FlNC+ LPhoPne
(�
Address C• Pte( IQt543•/ l3�UERLy H1115, 9Coel'� ���G �S� //O S Main Building: Accessory Building: 0
I CLARK - NFO IP/ C 5844 TYPE OF PERMIT U GRADING ® FOUNDATIOIgqN ® STRVCTURAL T Front AVA.CdED N
,� Arch/Eng. K License No. ❑ TENANT ® ELECTRICAL ® PLUMBING EX) MECHANICAL B I
CO Address 1196 SAN ULCFIJTE.(lLUD./ Lg.e/��{t'{ _�'_q�_��__iq`` ❑ OTHER • A Rear // 'T �7�„�r�jSj�e N
I Contractor's Name p / PhtrF9'_/ O'4'7�,�1 PROJECT DESCRIPTION SQ. F�Tr.- 1�3 OCCUPANCY-IR-1I M'I K Right T�/��7 nein
ie -r lT.,'_. G
Address(mailing/ IIB R LA 6RAt.JC-,E A()G., L,A."IIJIJ.IJ R
CON ST RUCTION TYPE tf'-N VALUATIONS (6.S $ Left27/' O,N,n.,_ 5Toc • p E
ch City License No. '#' 33278 ZONE GRADING CU.YDS. ACRES Ping. Ref.# ZE-,-j-6g Park.Fees $4��' 3 U Q
U
LICENSED CONTRACTOR DECLARATION Remarks: 77 C S O/ - {{�17` Parking Req./Provided 2,- -2-4:7I
I hereby.affirm that I am licensed under provisions of Charter 9(commencing " ` /Jr R
free,with section 7000) of Division 3 of the Business and Professions Code, and Use of Building: _,,t_.G 7'-- E
my license is in full torr and effect. - •
.M
License Class fi- I• - ' - a I • Planning Notes:
�_ _ / s�/��'r�. PLUMBING FEES E
Date - --- Signature �:�»> �L /.
WORKERS' COMPENSATION DECLARATION
Bar Sink Showers -..,..rm^TOSAITc • T
I hereby affirm that I have a certificate of consent to self-Insure or a certificate -
rt FOR b ❑(.il'L t t•. T
I Workers' Compensation Insurance, or a certified copy thereof (Section - - 8ackflOwPreventer Service Sink HOLD $
3800, Lab. CJ A•� PPnn c] Backflow Irrigation Sewer Cap �� ELECTRICAL FEES
Policy No. 56138- 84 Company STATE COMP, alS. - .. .
Certified copy is hereby furnished. 0. Bathtubs . Sewer Connection /• Automatic Washer Transformer 0 15-50 KW
Certified copy's lied with the city m - - - Y3
Date (I'la-k� Applicant L�ia �%%YlldfY'1 Clarifiers • Solar Collectors'. - .: ConstructionPole Sub. � 5Q+KW
EXEMPTION FROM WORKERS'COMPENSATION DECLARATI Dishwasher Solar Piping 'I Cookin Unit •Meter �y
(This section need not be completed if the permit:is for one hundre ($100)or , dLii6/rO4Y �`s (� 9 / sauyP to 100 amps S p
less). '
I certify that in the performance of the work for which this permit is issued, I - Drinking Fountains Solar Tank - Dishwasher Meter Cover 100 amps '-
shall not employ any person in any manner so as to become subject to the - - / (
Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa, l / Dryers Rtas .OElectric 1 ,Sub Panel • • C, 00
Date Signature
NOTICE: If,after making this declaration, you should become subject to the Floor Sinks Urinal - Fan - Motorsµm
,0-1 HP 01%-87j Co
Workers' Compensation provisions of the Labor Code, you must forthwith -
comply with such provisions or this permit shall be deemed revoked. I Gas Service 5 Outlets 2 Water Closet • (Q co F.A.U. Inc.Solar 09-15 HP 01'6-15+ I
CONSTRUCTION LENDING AGENCY ao
I hereby affirm that there is a construction lending agency for the performance Interceptors L Water Heater Zc tD Fixtures Microwave 2 ,Q .
of the work fork y�h1b Chi hermit is Icy d ($p�t{p�1 3yy7 Civ. C.)
Lender's Name W 6y GR Rtl1SER RaKTC�A(SF a Kitchen Sink Water Service r ' 00 Device Boxes
Lender's Address CP IC) Warn! Ni��s VI(LAfR R snit* sn' - I `,. _Pole Light •
OWNER BUILDER DECLARATION s�Iti RIMIENTOI y;V(1] Lavatories - • 7 ({ rN ,-tole Air • l Outlets Range COO
I hereby affirm that I am exempt from the ontractor s Licen 9a Law for the .
P-Trap reason (Section 7031.5 Business and Professional Code: Any city or p s' l9 Switches ' Sign 2) O
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 A
to file a signed statement-that he/she Is licensed pursuant to the provisions Of /
the Contractor's License Law(Chapter 9 (commencing with Section 7000)of •
'Division 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 violation of Section •
)31.5 by any applicant for a permit subjects the applicant to a civil Reinspection Fee 3 Z "n-� � 2.- 00
natty of not more than five hundred dollars($500). Pe I $25 Issue Fee $ G
LJ l, 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 improves Boiler CIi 'N-� We / 116
thereon, and who does such work himself/herself or through his or her own Zoning Approved By I • Date •J
employees, provided that such Improvements are not Intended or offered for ■ ai,
sale. If, however, the building or Improvement Is sold within one year of com- ' Duct-Under Ground Application Approved By ' V Date 8r
elation, the owner will have the burden of proving he/she did not build or im- joja
p�1rove for the purpose of sale). Duct-Structural 1 Refrigeration 9- Application Issued By I- Oat: 1 tri S5
0 I, as owner of the property, am exclusively contracting with licensed con- Tl a ,1a 11I ■ II 111
tractors to construct the project(Section 7044,Business and Professions Code: z Duct-Ventilating (4 Ll SUMMARY OF FEES �j
The Contractor's License Law does not apply to an owner of property who- BUILDING PERMIT $ q '� SMTP $ S `/'P
builds or improves thereon, and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration
tractor(s) license pursuant to the Contractor's License Law). •
PLAN CHECK $ 2- PERMIT
0 I am exempt under Section - B.& P.C.for this reason i Firepl/Fact.Bit. ICBG#Z301 " Ob PLUMBING $ 30.00 ISSUANCE $
Date OwnerHeating System& Ducting PLAN CHECK $ /0--7s ENERGY P.C. $
I hereby certify that I have read this application and state that the above I 14 0:100,000 BTU D100,000BT •
, Information is correct. I agree to comply with all city and county ordinances LI. 0 ELECTRICAL $ 34.140 GRADING $
and state laws re mg to building construction, and hereby authorize repre- PLAN CHECK 15-.70 MICROFILM $
sentatives of t city' to enter upon the above-mentioned property for $
inspection p es.
Signature ... Date/e7P2 MECHANICAL $ (� � .
•� TOTAL FEE $ 1(' ' I
Drivers' License or SS 9z . Reinspection Fee $25 $ 3 PLAN CHECK $ l -CCS •
CMF 0865-46 rev. 7/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor - ... - -
• cOIRSTRUCTION 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. 3//fC 4f" 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding '
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
•
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings ' 58. Electrical Conduit-Undrgrnd. i,
•
8. Foundation . -59. Gas Pipe, 0 Undrgrnd.,Test
1 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 4/Jq/f,i'M 62. Backwash & Receptor-Final ,
92. Sewer Cap �"!t 7� 63. Heater & Vent-Final
y •
-13. Roof Drain 64. Plumbing System - Final
14. Rough Plumbing . - • 65. Electrical-Final
15. Rough Electrical-Conduit 66: Solar System-Final
16. Rough Electric Wiring `74,h6-../QC/ 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 p/o($ GOO FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace Y 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 Framing73. Undergrnd.StorageTank ❑Gas ❑Oih•
25. Roof Sheathing �icJ'r �j 74. Overhead Hydro
,. ��[!
26. T-BarT.Ceilingm (Structural) & Monocoat 75. Dry Chemical
27. Fra �;and Flashing ylilt/4r Vt./ 76. Dry Standpipe
28. Lathing&Siding / 77. FIXED SYSTEM FINAL
29. Insulation 9 4' VO 78. FIRE PREV. FINAL
•30. Drywall Nailing to/c( //0---' - HEALTH DEPT. REQUIREMENT
31. Plaster'Brown Coat ll 79. FINAL INSPECTION
32. Electrical Power Meter-Final /�_ 80. FOOD CERTIFICATE ISSUED
33. Final Electric - / u/ " , Notes:�� �F e 141.94,-- -h,t..
34. Final Heating & Air Conditioning / / 4% /'�'// r , .(
35. Final Gas Pipe-Test • /24/0'T/ GbP`
36. Hood or Canopy �/��
37. Final Factory Fireplace (/ k �,Nia
38. Final Plumbing I�'i��/�l
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 1
47. FINAL STRUCTURE & BUILDING 9 7,s kG Ve/
48. Special Requirements Completed '/iJj/ OP n,„
49. Electric Release to Edison �'�`' •'
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPAN .1 198h '5,,C...,
YG 6)„_ ti itt
No. a �U Date CEJ y (�C(f C®7w
1 I
- Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CCTV"OF�COSTA MESA CONSTRUCTION PERMIT PERMIT NO���/� TRACT NO. LOT NO. UNITONOr 6459 12/26/35 I.:pc. i'.,
Project Address 2330 Vtan pa- '-'4-o -C-- B U
r
Applicant's Mailing Address9TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION U REPAIR
��jj ry ti. Qr,</rap
Owner's Name {U t7E et., /44,4,47 J ("Q Phone V 7U 67e/ CI CONVERSION EI DEMOLISH ❑ OTHER A.P.,#6 Zone
DESCRIPTION OF WORK/USE OF BLDG.
Address 9s9/r LA Lclu,/- 1/v///� /c.)• Nf/u S Main Building: Accessory Building:
�`�4. /yerdrIL4 License No. TYPE OF PERMIT U GRADING U FOUNDATION E ZO
Arch/Eng. / //..�,�ss ❑ STRUCTURAL Front
Address /1521' SrO., Viten J{ NOyf ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N
Contractor's Name (.•-/40ky '. E/c64+rr Phone 574/an ❑ 'OTHER A
C Right N
Syp/x's
Address(mailing) 9 ,,l��/ GirA 5.414-1.4)/•••dI
C/17 J1 PROJECT DESCRIPTION SQ. FT. OCCUPANCYK G
CONSTRUCTION TYPE VALUATION$ $ Left
City License No. 74,Us/7' ZONE GRADING CU.YDS. ACRESR
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: ''``,, Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code, and Wo USe— YA ease-
my license is in full force and effect. p T
License a IO • Ly�pnse Nap C/TO821 S
Date C..r Signature P...7 C^ PLUMBING FEES
''ORKERS'COMPENSATION DECLAR ION / Bar Sink Showers
` ` tereby affirm that I have a certificate of consent to self-insure or a certificate - ELECTRICAL FEES
/`V A Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
`-d 3800, Lab. C.) /� f Automatic Washer Transformer 0 15-50 KW
Policy No. VCCAD/73 Company Lk (CArf Backflow Irrigation Sewer Ca 0 50+KW
9 P Construction Pole Sub.
Certified copy is hereby furnished.
Certs d/�copy i}til d with the city Bsy�ding Pivisioy. // Bathtubs Sewer Connection Cooking Unit Meter I&,p to 100 amps
Date �`//, moi/ Applicant (4._ ,, /1/s/�e`P�� I P .5 �d
EXEMPTION FR}bM WORKERS'COMPEN�ON DEfCLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100) or
less). Dishwasher Solar Piping Dryers ❑Gas DElectric Sub Panel
I certify that in the performance of the work for which this permit Is issued, I -
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan
Workers' Compensation Laws of California. - Motors DO-1 HP 01%-8
Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+
'NOTICE: if,after making this declaration, you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures
comply with such provisions or this permit shall be deemed revoked. Microwave
CONSTRUCTION LENDING AGENCY Gas Service OutletsWater Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for .which his pg�mit Is Issyetl }S ction 3097 Civ. C.) interceptor's Water Heater
Lender's Name f-✓ir2��f MOrYS'#4 p Outlets
/ / Range
Lender's Address 97/5 G-r..Cc/ti //,//1•K Or Kitchen Sink Water Service Switches Sign
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal ;Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator ❑0-5 KW❑5.15 KW Trash Compactor
any structure, prior to Its Issuance, also requires the applicant for such permit Pa
to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains
be Contractor's License Law(Chapter 9(commencing with Section 7000)of .
(vision 3 of the Business and Professions Code) or that he/she is exempt
.ierefrom 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 Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work,and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
License Law does not apply to an owner of a property who builds or Improves
thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS:
Boiler Hood or T
employees, provided that such improvements are not intended or offered for Type! 0 ZoningApproved
sale. If, however, the building or Improvement Is sold within one year of core- Canopy Type II 0 pP By Date
pietlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date
prove for the purpose of sale).
0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date (�
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct- Ventilating ❑o-100,000 BTU ❑100,000 BTU SUMMARY OF FEES
builds or improves thereon, and who contracts for such projects with a con- •
-
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $, SMTP $
proof of their Worker's Compensation insurance should be provided to me. - PLAN CHECK $ PERMIT
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. IC80# Fire Dampers ISSUANCE $
__ PLUMBING ' $
Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that theabove 00-100,000 BTU 0100,000 BTL— GRADING $
information is correct. I agree to comply with all city and county ordinances ELECTRICAL $
and state laws relating to building construction,and hereby authorize repre-
sentatives of this city to enter upon t e above-mentioned property for PLAN CHECK 50% $ .2
inspection purposes. MECHANICAL $
Signature f/'EJ,(� Date /2/2�`r TOTAL FEE $ l D'cp
Drivers' License or S5#�/ Reinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev. 10/84 White - Building: Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
A CONSTRUCTION AND PLANNING PC L SPA
Date Inspector Date Inspector
a APPROVALS Permit# APPROVALS Permit#
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 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 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 System - 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 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 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 O Gas • 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank O Gas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
2S. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final //r / t} 80. FOOD CERTIFICATE ISSUED
33. Final Electric f(y6((.rj Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
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
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date -