HomeMy WebLinkAbout2330 VANGUARD WAY - Building Permits (J104) •
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. 43 -
JlvY11 I �� �/ . , ..
CONSTRUCTION PERMIT 1 /3 - /o',�, - 7 11481 / -
Applicant's Mailing Address e S C.e• I•i :.a e • 3 TYPE OF CONSTRUCTION. ® NEW U ADD U ALTERATION U REPAIR
Project Address 2330 Vanguard Way X1040 CONVERSION ❑ DEMOLISH El OTHER
Owner's Name Newport Landlnfa, Ltd• Phone 274-0953 DESCRIPTION OF WORK
�:b I`�
Condominium
m` inium / Tyce B ZONING REGULATIONS
Address F-n-RC1X 10843. Beverly Hills, CA 90213 _ TYPE OF PERMIT IA GRADING L FOUNDATION Ii, STRUCTURAL A.P.1,4149 J•1C J-nbo ZONE �'3
Arch/Eng. Clark & i-1Pdrirk. Inc. License No. C-2578 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL �jt3 -� riG
PLNG. REF.`� -17 � JJ/V T JJTig ''x lJr on-
Address 11969 San Vicente B1.#205 L.A. 90049 ❑ OTHER TO BUILDING t T 7 u
• •
PROPERTY LINE n �1J/ REAR YARD(TO P/L) Z � I b
Contractor's Name Phone PROJECT DESCRIPTION SQ. FT. 1170 OCCUPANCY R-1 �G
Address(melting) CON ST RUCTION TVPE V - 1 hr. VALpATION$61,500 • LEFT SIDE YARD _Q(0)GI bId HT SIDE YARD tid (A b)�c d
ZONE R-3 GRADING CU.YDS- Site ACRES PKG.SPACE REQ. ^ 5 PROVIDED �l dG • C
License No. - i 0l{6.1y Of �J �
LICENSED CONTRACTOR DECLARATION . ' Remarks: BU1lc11nga - Unit 104/Type Bs STREET WIDTH ' "')IK �r]e
I PARFEE$rl•5 I
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:
my license is in full force and effect. '
License Class ounce No. PLUMBING - BOWFOR SPECIAL REQU#lt�tl'w.4c td
Date - Signature
'"ORKERS'COMPENSATION DECLARATION Bar Sink Sewer Cap • ELECTRICAL
—
'reby affirm that I have a certificate of consent to self-Insure or a certificate Backflow Preventer Sewer Connection Meter ■• s s arnps
Workers' Compensation Insurance, or a certified copy thereof (Section -
.do0, Lab. C.) Backflow Irrigation Soler Collectors Construction Pole Sub Panel ,
Policy No. Company - .- - _-
8 Certified copy is hereby furnished. Bathtubs Solar Piping
Certified copy is filed with the city Building Division. •
Iril
,
r
Date Applicant Clarifiers Solar Tank ,
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Dishwasher Swiin Pool a DryersOGas - �'
mm
(This section need not be completed if the permit Is for one hundred($100)or 9
i
less): Fan Microwave
I certify that in the performance of the work for which this permit is issued, I Drinking Fountains Urinal
l 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 • ,Cocos.
Date Signature - Fixtures
NOTICE:If,after making this declaration,you should become subject to the . Floor Sinks • - %Wa - Range . •
Workers' Compensation provisions of the Labor Code, you must forthwith (� Device Boxes• comply with such provisions or this permit shall be deemed revoked. . Gas Service O :s " s. ce - Sign
CONSTRUCTION LENDING AGENCY Outlets
I hereby affirm that there Is a construction lending agency for the performance Interceptors Standing Sections •
' of the work for which this permit Is Issued (Section 3097 Civ. C.) en
,
Lender's Name ' - - - - Kitchen Sink p - t*\-X - Switches Trash Compactor
Lender's Address - •
Lavatories i C\G, • Garbage Disposal
• OWNER BUILDER DECLARATION 7
I hereby affirm that I am exempt from the-Contractor's License Law for the P-Trap ` Generator ❑0-5 KW ❑5-15 KW
following reason"(Section 7031.5 pusiness and Professional Code: Any city or l \� - •
•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 Rdof Drains ,. • Transformer ❑75-50 KW ,
to file a signed statement that he/she is licensed pursuant to the provisions of - -(4
t Contractor's License Law(Chapter 9(commenting with Section 7000)of ' ¢\"" ❑SU+KW Reinspection Fee $15
kion 3'of the Business and'Professions Code) or that he/she is.exempt Showers • Q Reinspection-Fee $15
,from and the basis for the alleged exemption. Any violation of Section Meter Opp to 100 amps Issue Fee - $ 3
',.y -1 5 by•any applicant for a•permit subjects the applicant to a civil _
' Uenalty of not more than five hundred dollars($500). • ' Service Sink - Issue Fee $ 3 Zoning Approved By 4 Date �- �_
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 • MECHANICAL __ ApplicationApproved By - "- Date i -�/"S
for sale-(Sec(ion 7044, Business and'Professional Code: The Contractor's ------ -- -- -- --- - -
License Law does not apply to an owner of a property,who builds or Improves Boiler • Refrigeration System Issued
thereon, and who does such work himself/herself or through his or her own - ApplicationBy Date
' employees, provided that such-Improvements are-not intended or offered for ❑0-100,000 BTU ❑100,000 BTU
sale- If, however,the building or improvement is sold within one year of com- ' Duct-Under Ground . SUMMARY OF FEES
pie Ion, the owner will have the burden of proving he/she did not build or im- -
-
r ve for the purpose of sale). • ••• Duct-Structural System Repair/Alteration a - 4 •
•as owner of the property, am exclusively contracting with licensed con—
' ractors 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' I . Exhaust System ❑ Multiple❑' I PLUMBING $
tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ GRADING l $
❑ 1 am exempt under Section ' B.&P.C fo this reason . Firepl/Fact.BIt. ICBG it
Date Owner- wear /a.�Q! .. a ' . Heating System&Ducting ,ELECTRICAL $ $ ,
I-hereby urtif that I'have read hisapplication and state hat the above I 00-100,000 BTU 0100,000 BTti" - - PLAN CHECK $ MICROFILM $
Information is correct. I agree to comply with all city and co my ordinances • - ' - , TOTAL'FEE $
and.state laws relating to building onstruction,and hereby authorize repre- MECHANICAL $
sentatives of'thisacity to enter po t•e above-mentioned ro erty for Hood of Type I ❑
Reinspection Fee $15 ' LESS
' inspection pure. - : Canopy Type II 0 PLAN CHECK $ ' ADVANCED,PC $ ,
Signature Ile . _, /s- Date
Drivers' License or SS# - A' '-• Registers Issue Fee $ 3 • FINAL FEE $ .t2•,'3i
CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor
CI t)dONSTRUCTION.ANDrPLANNING I.I r t C • , - n . - F00D, ?1'IiPA t• - '
i
-- 5- 1 r•- r, s - - Date - 'Inspector - - - . ; Date Inspector
y .=APP.ROVALS Permit+# APPROVALS Permit.44
r Te_mp"orary Electrical Service or Pole I ;" % "' 1 :'52 Pool & Equipment Location' - • - -
ra2:• SoilPipe-Undrgrnd.` '-• 1b -4_ �, E• 1 '' u; . iP 53..Steel Reinforcement - - '
_= 3: Electrical Conduit Utility-Ungrgrnd.i ; . s. 3..'j ( :_54.• Forms - -'I. F '� - r- - .5,- _
4: Electrical Conduit-Undrgrnd. ,t! ` ! Z:. - r� . 55 Electrical Bonding
rt
57 Steel Reinforcement' i " n: .. , • 56.s..; Rough Plumbing &Pressure Test -
6r Electrical OF ER Grnd.' 41 - "- -- • ' 57.-'APP,ROVALTOCOVER-GUNITE • ' ' n
7. Footings , 'I � j ,J e' `- r s •-, , -58. Electrical -Conduit.Undrarnd. • . • _ - -
8. Foundation • - .- - •-59. Gas Pipe,'O.Undrgrnd,;Test' I - •
9. Water Pipe-Undrgrnd. ' F ' _ #_ 60. Backwash-,L•ines,P,Trap, D Undrgrnd,-- ' • '
10. Structural Floor System ',° - ' - 0 ' . • ss
1 61. APPROVAL-T,0 DECK _ `r
11. Property Sewer Line & House Connection o a. 162. Backwash & Receptor-Final. p • •
12. Sewer, Cap 1 i • o ' -
•;7.c c 63, Heater &Vent-Final _
13, Roof Drains • •• S 1 g 64, Plumbing,System: Final - •
14. Rough Plumbing - I • -- - 65. Electrical-Final -
r-i5i •Rough-Electrical-Conduit-__ .r •r ( --, -, - ; -66. -SOW System-Final , .
I.16. Rough Electric Wiring : ,; ,1 . T: i' i • 67.;Fencing &•Access Approval - • '
t`17. RoughWiring Sign; - • , + 11 - ! 1 68. APPROVED FOR PLASTERING '
18. -Raugh:Electrical-T BarI,Ceiling: I - i i 69 .,POOL/SPA SYSTEMS FINAL '
i. 19. Rough Heating &Air Conditioning :, ' ( I i i ' ' j• �FI='4 \...!......RE.DEPT. REQUIREMENT ,
20. Rough Factory Fireplace) II ; ' 1 APPROVAL§\, Permit
21. bucts,.in Structure I ,, i 70.:Underground Hydro
''22. Ducts, Ventilating _ i !' 1 I I fn/1.'Productg Pipina//,Gas 0 Oil• ,
I i23. Gas Pipe-Rough &Test r I ? ' I 1 , -'72. Under round flush
; 1-24. Roof Framing_: T ; , i!,•••+ • I-, I '`°93. Undergrnd.$Enrage Tank O Gas O Oil '
ti25_ Roof Sheathing I I.' I I 1 4 1 ` ; P', "74: Overhead-:Hydro • '
x,•26. T-Bar Ceilirig (Structural);& Monocoat ' 1 ' I^;�i¢�' +75?'Dry Cherjiical - -
-27. Frame and Flashing . `i• i = 1 - I ' 1 2/4 '! 1 , 76..Dry Standpipe 1
r 28. "Lathing &Siding ' ; + I, i ' r� r 77. FIX 'D SYSTEM FINAL
•
II "29. rlusulation = I !, /,4•I , a;. 78. FIRE.PREV, FINAL
. .-30..Drywall Nailing v , ' '�'` Note • .
-1- 1 s. `;f -•- - -
31. Plaster Brown Coat ! i 1 I l , (
•
s 32 . Electrical Power Meter-Final i I I 1 I ' I 1 I ,
•33, Final Electric 1 1 I •I• ! -
34. Final Heating&'Air.Conditioning ' ' I 1 -
35. Final Gas•Pipe-Test-I :- 1 ' _' - -
•
36. Hood or Canopy , , . . R,, , •
37. Final Factory Fireplace. I n i. 1 •
38, Final Plumbing I . , • , 0; - • I'' ! J
39. Water Service-Final' ' ' ' ' 1 •
40. Gas Service-Final ; ! I.-: r , ' '
41. Solar Domestic-Final � i i"? 'i 1 , ! _I I , _
42. Backflov✓;;Preventer -
43. Backflow{Irrigation; :- ' • i :- , ` ; ' _ -
44. Landscape Irrigation System 1 ' : , - 1 - -
"-
45. Sound''Attenuation ' ,� I ; I i 1 _ I
-
46, Handicap Regulations ! , ,. ; `r . 1 ' + , 1 ' - ' '
47. FINAL STRUCTURE & BUILDING i' ' i ! 1 ' I '
48. Special Requirements Completed' ; ' I I rj ' i - - .
49. Electric Release to Edison I I .!..._1_. .1____ i , _ _ - 1 - ,.
50. Gas Release to Southern California Gas Co I i I ! 1 I I I i ss
51. CERTIFICATE OF OCCUPANCY _ . r ' ` ' '
No 1 . • 1 Date ' ( , I • I , ! • • .
- - -
City of Costa Mesa
Development Services Department CERTIFICATE OF OCCUPANCY No. 06i5$3
Building Safety Division
P.O.Box 1200
Costa Mesa,California
The Building located at /13/1 q._..t,J„wa tam., T_t not
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group F-1 Occupancy.
Use of Building Cnrvlrmi nium
Legal Description 419-151-06
(See reverse side for Metes and Bounds)
Building Permit No G16R71 Electrical Permit No. (116R73 Plumbing Permit No. G16873
Mechanical Permit No. r_i CQ71 Number of apartments and/or guest rooms
ISSUED TO: Building Official • - - -- '247 J7
Nnuirntt Tarrlirtn T.inti+pci
P O Box 10843 by
patmr1v Hi11c. CA 90213
7
Date — " /�,.X' /7 ' V
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 MESA • PERMIT NO. TRACT NO. LOT NO. BLDG.NO. - 5709- -I /15/85 :i.";.- 01.4T.. 'I't•
-CONSTRUCTION PERMIT •
C� toS73 f/'/c'/ / �I-1/�9
Project Address • 1)ni L 1 :n•pp ' n - / TYPE OF CONSTRUCTION ® NEW U ADD U ALTERATION LJ REPAIR •
• Applicant's Mailing Address r Ct• A�k s IOU.• ( 1"1E • Witte?. ❑ CONVERSION ❑ DEM//pppp����ISH� El OTHER ^^ cy ft'
� AA'.# y/9 - / L)•i -O� Zone fa
Nbla)PORT LAA)Dlr`)C, e0-7 -04S3 DESCRIPTION OF WORK b ! "� S Main Building: Accessory Building: Z
Owner's Name n� L .Phon�en n C L`r�p� Y�
t Address Po boar 11)8113., h7t1JL,na.y NII IS• C�_91I�1,2) TYPE OF PERMIT ID GRADING FOUNDATION IaiS RUCTU RAL E Front/�v7j P{P r 1 3-h sT / O
(I! ARK -N ICK License No. C-5 Uy �p1 1p� " n N
Arch/Eng ng. • I .eyR (+ ❑ TENANT ILfJ ELECTRICAL PLUMBING IN MECHANICAL B /4713 A - / I
I.'- Address 1196' SAN U�CFAITE S3L.: L- 9� Qq LI 'OTHER p A Rear //��. `(((/// N
b) Contractor'sName PAUL TET RICK PhonP/ O-�7y,I PROJECT DESCRIPTION SQ. FT. ISIELI OCCUPANCY R-UM-1 K Right y6/ ,.,Ps;'rP51- y„-�.wTt7 G
QD Address(mailing) 11858 LA GRArJGE ME.r L.A.90o05 CON ST RUCTION TYPE �-N VALUATION$ 7a,1•}sa - S Left p"Z‘ r0 Hf'JS/`PS/ -+n-V[rJ RE
W ZONE GRADING CU.VOS. ACRES q O
( City License No. J� 7 Ping. Ref.#Z •--534./- g• Park.Fees $ / /� 3� U
-- LICENSED CONTRACTOR DECLARATION Remarks: rC 6 DI-S-yL Parking Req./Provided 2._ 2_6 • 1
I hereby affirm that I am licensed under provisions of Charter 9 (commencing
1 ��� / R
Ivy with section 7000) of Division 3 of the Business and Professions Code, and ' Use of Building: Pier
-E
my license is in fu I force and effect,
License lass - ce No PLUMBING FEES Planning •Notes: M
Date Signature , Bar Sink ; Showers HOLD FOR SPECIAL REQUIREMENTS N
'ORKERS'COMPENSATION DECLARATION T
hereby affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer Service Sink S
of Workers' Compensation Insurance, or a certified copy thereof (Section _ -
-
3800, Lab. C.) �--1 t'p A Backflow Irrigation Sewer Cap • - • ELECTRICAL f FEES '
Polity No. SC)I )38 29 Company S1'MI' CORP.SNS.Ri?4_ - -- - -
IIi�II Certified copy is hereby furnished. /1 Bathtubs Sewer Connection0 15-50 KW' '
1IiiLI' coC� ' Automatic Washer ' Transformer
ww Cert fiCd cop,,11(( filed with the city B Q���pfgy ppj�r�I s '�
Date II 19- Applicant /k ZGCv 'Clarifiers • Solar Collectors. '- Cd-nstruction Pole_Sub. ❑ 50+KW
EXEMPTION FROM WORKERS'COMPENSATION DECLARAT / Diihwasher / -
_ ONL ? • SCooking 1 pampsS
(This section need not be completed if thepermit is for one hued Solar Pi in
P (E300)or P g r /f Unit Meter u to 100
CZ
less)• -
I certify that in the performance of the work for which this permit is issued, I Drinking Fountains • Solar Tank _ I' Dishwasher - Meter Dover 100 amps r r�.
shall not employ any person in any manner so as to become subject to te -
Workers' compensation Laws of California. ' Floor Drains • Swimming Pool w/Spa - I Dryers Gas' ❑Electric I Sub Panel GC}
Date Signature s�
NOTICE: If,after making this declaration, you should become subject to the Floor Sinks Urinal 3 Fan ,- ,.- ( Motors 010-1 HP ❑iS-8 . . LF W
Workers' Compensation provisions of the Labor Code, you must forthwith - •
comply with such provisions or this permit shall be deemed revoked. / Gas Service Outlets a- Water Closet , ' (o i F.A.U. . Inc.Solar ❑9-15 HP ❑16-15+ ID
CONSTRUCTION LENDING AGENCY' l
I hereby affirm that there is a construction lending agency for the performance Interceptors / Water Heater .'z co `2 Fixtures
of the work fort wp�'�rrcti. till Is issl�mtl csestlpm ,3,097 Civ. C.) 'Microwave -�.E�
Lender's Name Vdb RHR MUKiGFIH., l]'1- Kitchen Sink ' ' / Water Service Device Boxes I
Lender's Address Pole Light
9 Iq r lura vIUA�F Iz. Slur SOI
OWNER BUILDER DECLARATION Lavatories '
SPC)zANSMp/C' 588 OZ !!/A3f/ M,4Gf//vim (, Da 21 Outlets Range t- 3C
I hereby affirm that I am exempt from the Contractors License La / r the P-Trap reason.(Section 7031.5 Business and Professional Code:•Any city or p I Switches Sign 3 b
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 . • I Garbage Disposal Standing Sections 00
to file a signed statement that he/she is licensed pursuant to the provisions of - — . I
the Contractor'sLicense 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
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 - Z Z OL .
LIenalty of not more than five hundred dollars($500)., - Reinspection Fee „ I $25, Issue Fee - S 3 A-i4 r�
I, as owner of the property or my employees with wages as their sole • - • Reinspection Fee . $25 Issue Fee . $ 3
compensation, will do the work,and the structure Is not Intended or offered MECHANICAL FEES I
for sale (Section 7044, Business and Professional Code: The Contractor's - --------- ----- -- '' - - PUBLIC SERVICES REQUIREMENTS:
License Law does not apply to an owner of a property who builds or Improves Boiler , Hood or Type I 0 ,{
thereon, and who does such work himself/herself or through his or her own Zoning Approved By ��� G Date / Ai 4
employees, provided that such Improvements are not Intended or offered for Canopy Type II 0 /
sale. if, however, the building or improvement is sold within one year of com- Duct-- Under Ground Application Approved By fir Date /i/ '
pletion, the owner will have the burden of proving he/she did not build or Im-
prrove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By *LAP Dat: Mi •
LJ I, as owner of the property,am exclusively contracting with licensed con- ❑0-100,000 BTU ❑100,000 BTUtractors to construct the project(Section 7044,Business and Professions Code: 3 Duct-Ventilating co( SUMMARY OF FEES
The Contractor's License Law does not apply to an owner of property who • $
builds or Improves thereon,and who contracts for such projects with a con- - Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ • RS�Z.00 SMIP S �
tractor(s) license pursuant to'the Contractor's License Law). PLAN CHECK $ 22S'SO PERMIT
0 1 am exempt under Section B.&P.C.for this reason 1 Firepl/Fact.Bit. ICBG#230(' ' LI.70 PLUMBING ' $ 2j,3,c ISSUANCE $
•
Date ownerHeating System& Ducting PLAN CHECK $ ` (n.'75 ENERGY P.C. $
I hereby certify that I have read this application and state that the above - ' WO-100,000 BTU 0100,000 BTU
information is correct. I agree to comply with all city and county ordinances iQ ELECTRICAL $ ?7.1- ZGRADING 0 $ y v7�
and state laws re ing.to building construction and hereby authorize repre- is •(p0 MICROFILM $ /� •7aC
sentatives o t city to enter upon the above-mentioned property for PLAN CHECK $
inspection p es. MECHANICAL $ 00
Signature - Date - TOTAL FEE $ -n
Drivers' License or SS 46 . Reinspection Fee $25 Issue Fee $ 3 PLAN CHECK $ - "8 31s-0- yc471.e& •S # '
•
CMF 0865-46 rev. 7/83 White'Building;Canary-Applicant;Pink-Accounting;Goldenrod'-Assessor -- - i 69a.
r9
l ,• ''
CONSTRUCTION AND PLANNING POI, & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
•
.{ 1..Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 7l/fr., r 53. Steel Reinforcement
'3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding /r
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test /,
6. Electrical UF ER Grnd. . 57. APPROVAL TO COVER-GUNITE
4.
7. Footings ' 58.58. Electrical Conduit-Undrgrnd. A •
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. ,-'' If. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Conne'c'tion 44y//f Ater 62. Backwash & Receptor-Final
12.:Sewer Cap 63. Heater &Vent-Final
13. Roof Drains. / 64. Plumbing System - Final ' /
14. Rough Plumbing' 65. Electrical-Final 7
15. Rough Electrical-Conduit 66. Solar System-Final
•
16. Rough Electric Wiring '1114/0-- tee, 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 Sigeir CEO 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 I 73. Undergrnd.Storage Tank 0 Gas 0 Oil.
25. Roof Sheathing "1la7lgjf (/G74. Overhead Hydro
26. T-Bar Ceiling {Structural) & Monocoat I/ 75. Dry Chemical
27. Frame and Flashing 9 (16' �(i 76. Dry Standpipe
g&
28. LathirlSiding J 77. FIXED SYSTEM FINAL
. 29. Insulation ti �( � 78. FIRE PREV. FINAL
.30. Drywall Nailing 0VC-' - HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION .
32. Electrical Power Meter-Final /A/ /j 80. FOOD CERTIFICATE ISSUED
33. Final.'Electric � I Notes,04.�4L.. ,v 0_4 Vahn
34. Final Heating& Air Conditioning I-AA 4l ///J./
! �'•' -
35. Final Gas Pipe-Test f /jam!der/74 '"
: '
36. Hood or Canopy
37. Final Factory Fireplace
/7/743/g
0A
• 38. Final Plumbing /7i 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
47. FINAL STRUCTURE & BUI LDING - ,5 ;g ve_ c
48. Special Requirements Completed {fv
SM `dr .
49. Electric Release to Edison • �'
50. Gas Release to Southern California Gas Co • . n .;\
• 51: CERTIFIC'p11Ti OF OCCUPA IAC .Qi / ?/4G 1 h�
No. / Date 0- ,Y C ' \ A
CITY OF COSTA MESA •
a4111"'FQp BUILDING DIVISION
fI ,1 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714)754-5626 1
@o.roPERMIT NUMBER: BX11-00342
PERMIT TYPE B_MISC STATUS: ISSUED
APN: 93865183 DATE ISSUED: 11/03/2011
Zoning: ISSUED BY:
JOB ADDRESS: 2330 J104 VANGUARD WY CM Suite/Unit: J104
Vicinity: Primary Occ: 1 Const Type :??
SQ. FT: 0 Valuation: $2,475.10
SCOPE OF WORK:
REMOVE AND REPLACE WATER PROOFING SYSTEM AT STAIRS AND MID ENTRY LANDINGS. REPLACE ANY DAMAGED
PLYWOOD
SUBFLOOR AS NEEDED. REMOVE SIDING AND RESET AS NEEDED FOR ANY SHEET METAL REPLACEMENTS. WORK IS
LIKE-FOR
LIKE. NO STRUCTURAL CHANGES AUTHORIZED BY THIS PERMIT.
OWNER: NEWPORT LANDING/TOTAL PROPERTY MANAGEMENT Address:: 2
CORPORATE PARK,#2 Unit
City/State: IRVINE, CA Zip Code: 92606
Phone: 949-261-8282
APPLICANT: EHLERS,JACK Address: Unit:
City/State: Zip Code:
Phone: 949-635-6767
CONTRACTOR: PROFESSIONAL SERVICES CONSTRUCTION INC License No. 590919
Address: 23146 ARROYO VISTA Unit:
City/State: RANCHO SANTA MARGARITA, CA
Zip Code: 92688 Phone 949-635-6767 Cell:
ARCHITECT: License No.
Phone
ENGINEER: License No.
1'';
Phone
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FEE SUMMARY
Building Plan Check: $0.00
Building Permit: $83.25
Electrical Permit: $0.00 -----
SMIP
_ -SMIP Residential $0.50
• SMIP Commercial $0.00 __
Bldg Std Admin Fund $1.00 - . _ _
TOTAL FEES $84.75
HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 -PER CMMC Sec. 13-279
Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm.Prohibited all hours-Sundays and the following Federal Holidays:
New Years Day,Memorial Day, Independence Day,Labor Day,Thanksgiving Day and Christmas Day
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable.codes,,and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODEC. INSPECTION TYPE DATE INTITIALS 600E S INSPECTION TYPE DATE' ' INTRIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Root 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 ��
250 Final Building/OccupancyI— ) \ f+11'
204 Final Demolition x
WORKERS'COMPENSATION DECLARATION: Owner ID verified by drive.s license. ❑Yes ❑No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure fooworkers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
,(C'] I have and will maintain workers'compensation insurance, as required by
section 3700 of the Labor Code, for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
;Zeta(65 =JJs. eo _ by this permit,and that no building structure,scaffolding,falsework,or demolition
Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(Thissedon be completed dthe perm(is valued at one hundred dollars($100)or less)
2,Art 2Sec.341,Title 8,California Administrative Cade).
Policy Number: 33dcc r (2,2 4, -7/
❑ As owner-builder, I will not employ anyone to do work which would
0 I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued.I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of
Applicants Signature Dale
the bor Code,I shall orth 'thi o .ply with these provisions. JJJ
to ' / -I� / //75/4
J/.3/ L/ Division of Industrial Safety Permit Number:
Applicant's Signature ate / HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
W T- ING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS LAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes ❑No
(5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST. AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds.or a volume of 55 gallons, or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license isinfull forceandeffect. Q a registration form for acutely hazardous materials? 0 Yes ❑ No
Lic.# J 0 / / Class# /> (Section 25533 of the California Health and Safety Code, with some
f�� exceptions, requires registration with the Costa Mesa Fire Department by
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