Loading...
HomeMy WebLinkAbout2330 VANGUARD WAY - Building Permits (8) CITY OF COSTA MESA r ,1 e.,S ""'F:9 BUILDING DIVISION r 1 irw,�(�, 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us - • . -. - • �, 1 FOR INSPECTIONS CALL: (714)7545626 4b`°>oowno A' p " .;',i!iciir.y_: ' New Years Day,Memorial Day, Independence DaVERMi ThNIJIYrgfiewd ChlBt1 1am0347 • t PERMIT TYPE B_MISC STATUS: ISSUED APN: TPN00142 DATE ISSUED: 11/03/2011 Zoning: , ISSUED BY: JOB ADDRESS: 2330 M VANGUARD WY CM Suite/Unit: M Vicinity: Primary Occ: Const Type :?? SQ.FT: 0 Valuation: $1,741.00 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. .. - . . . . BUILDING M-UNITS M102, M103, M202,AND M203 OWNER: NEWPORT LANDING/TOTAL PROPERTY MANAGEMENT Address::.__2.__..._. _.I 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. .,/ 'A"•'‘"-1' - Phone ENGINEER: License No. Phone FEE SUMMARY • • Building Plan Check: $0.00 - .- ' Building Permit: $63.15 Electrical Permit: $0.00 SMIP Residential $0.50 _......_� SMIP Commercial $0.00 Bldg Std Admin Fund $1.00 • ;;,I. L. TOTAL FEES $64.65 . , 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: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28, §1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes,,and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration"of this permit. CODE#. INSPECTION TYPE DATE INTIIIALS CODE# INSPECTION TYPE DATE " INTmALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 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 �/ d .- 204 Final Demolition 250 Final Building/Occupancy X Il• 8' j j f.l WORKERS'COMPENSATION DECLARATION: Owner ID verified by drivel a license. ❑Yes 0 No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: 0 I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-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. 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:n A person is required to descend,will be made in connection with work authorized C `�'F/06S-C: T&,s+ by this permit,and that no building structure,scaffolding,falsework,or demolition Carrier: .1— C�®'• or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This section eed not be completed if the permit is valued at one hundred dollars($100)or less.) 2,M2 Sec.341,Title 8,California Administrative Code). Policy Number: 33 Coo r8j oa.cp -f f 0 As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is . require a permit from the Division of Industrial Safety,as noted above,unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the b bur Code,I shall fo with coin ay •Rh these provisions. JJ Applicant's Signature Date `a D LA-/ 1/ /3 0 Division of Industrial Safety Permit Number: Applicants signature 7oDate HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to W G: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE file and IS I •WFUL 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No �rici Lic. • Class# .1 (Section 25533 of the California Health and Safety Code, with some / exceptions, requires registration with the Costa Mesa Fire Department by /t 7 art each business which at any one time has on hand a quantity of acutely Contractor's Signature rale 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 C�•.'.TRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? ❑Yes ElNo (Section 25534 of the California Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? El Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). O I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If"yes", attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and ❑ I. as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: a contractor(s)license pursuant to the Contractors License Laws.). 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 ❑ I am exempt under sec. ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. II Si ng aturgol Le al O (s / / /.e?� signature Date I\/�hll pi�'`o !�L`.C�� ./J ,e GJ 3e6]-46(3/0]) And/or Authorized Applicant Dale Applicant to flit In all spaces except those within heavy border tines and sign all appropriate declarations. CITY OF COSTA MESA '• P MIT NO. TRACT NO. LOT NO. BLDG.NO. 1 7 1 1. I, _ CONSTRUCTION PERMIT I — 103 4/;-• 11481. • I /'t{ {IO) Applicant's Mailing Address P 0 BOX 10843' Bev•H111s 9021.E TYPE OF CONSTRUCTION ® NEW U ADD U ALTERATION Ll REPAIR Project Address 2330 Vanguard Way $4-101 0 CONVERSION ❑ DEMOLISH 0 OTHER Newport Landing, Ltd• Phone 274-0953 DESCRIPTION OF WORK Owner's Name Con tum A ZONING REGULATIONS _ Address P.O.Box 10843 Beverly Hills, CA 90213 TYPE OF PERMIT ® GRADING UR FOUNDATION STRUCTURAL A-P.1Y• I-4/9 - J5)-Ott) ZONE J_,3 Arch/Eng.Clark Hedrick, Inc. License No. C-2578 0 TENANT 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL gt1 Im LNG Vicente Bl. #4205 L.A. 90049PLNG. REF.sib 11 7)Jct (avers rrl Cr Address 11969 San , 0 OTHERI�p TO BUILDING_ I�\f � I bJ6O EAR YARD(TO P/L) 131 t^ I hl� Contractor's Name Phone PROJECT DESCRIPTION SQ. FT. 920 OCCUPA cpQQY R-1 PROPERTY LINE i L/.Rl Address(mailing) CON ST RUCTION TYPE V - 1 hr. VALUATIONS 48,000 LEFT SIDE YARD I('1 IGHTSIDE YARDa(pl c1I -hMM. ZON): R-3 GRADING CU.YDS. Site ACRFc PKG.SPACE REQ. w' 3 PROVIDED �1 G� License No. __ Is 1 d V LICENSED CONTRACTOR DECLARATION Remarks: BulldingH - Unit 101/Type AR STREET WIDTH r PARK FEE$ 573• IF3 I hereby affirm that I am licensed under provisions of Charter 9 (commencing "I T"" with section 7000) of Division 3 of the Business and Professions Code,and SPECIAL CONDITIONS: my license is In full force and effect. dinar.SPECIAL REQUIREMENTS License Class License No. PLUMBING , Date Signature ,• V KERS'COMPENSATION DECLARATION JBar Sink Sewer Cap ELECTRICAL thy affirm that I have a certificate of consent to selfansureor a certificate Backflow Preventer Sewer Connection Automatic Washer Meter Cover 100 amps workers' Compensation Insurance, or a certified copy thereof (Section Construction Pole Sub Panel 3800, Lab. C.) Backflow Irrigation Solar_Collectors Policy No. Company _- Cooking Unit .Sub Pole BCertified copy Is hereby furnished. Bathtubs Solar Piping - Certified copy Is filed with the city Building Division. Dishwasher Motors 00-1 HP 013S-s Date Applicant Clarifiers Solar Tank EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Dishwasher her SwimmingPool w/Spa Dryers ❑Gas ❑Electric Inc.$olar 09-15 HP ❑16-15+ (This section need not be completed if the permit Is for One hundred ($100)or les .certify that In the performance of the work for which this permit is Issued, I Drinking Fountains Urinal Fan Microwave shall not employ any person in any manner so as to become subject to te - - • F.A.U. Pole Light Workers' Compensation Laws of California. ; Floor Drains Water CIO Date Signature Fixtures NOTICE:If,after making this declaration,you should become subject to the Floor Sinks eat - Range Workers' Compensation provisions of the Labor Code, you must forthwith. N'Il\1641: Device BoxesCONST wCT N ENDING or [h15 permit •shall be tleametl leVOketl. Gas$¢rVice Datl¢isI _ Si9n CONSTRUCTION LENDING AGENCYOutlets 1 hereby affirm that there is.a construction lending agency for the erformance Interceptors Standing Sections of the work for which this permit is Issued (Section 3097 Civ, C,) SwitchesLander's Name Kitchen Sink j) `/ Trash CompactorOWNer'sER AddressLavatories I �V / Garbage Disposal OWNER BUILDER DECLARATION {{ /1 hereby affirm that 1 am exempt from the Contractor's License Law for the p—Tru ` ' Generator ❑0-5 KW ❑5-15 KW following reason (Section 7031.5 Business antl Professional Code: Any city or P __ 4 county which requires a permit to construct,alter,Improve,demolish or repair - 1� Transformer 015.50 KW any structure, prior to Its issuance,'also requires the applicant for such permit Roof Drains .'1�11V to file a signed statement that he/she is licensed pursuant to the provisions of �y` ❑5U+KW' 2;Contractor's License Law(Chapter 9(commencing with Section 7000)of • ` Reinspection Fee , $15 •ion 3 of the Business and Professions Code) or that he/she Is exempt • Showers \''N Reinspection Fee $15`>"_.`7from and the basis for the alleged exemption. Any violation of Section - Meter ❑u to 100 amps .:5'x1.5 by any applicant for a permit subjects the applicant to a civil PP Issue Fee $ 3 enalty of not more than five hundred dollars($500). Service Sink Issue Fee $ 3 Zoning Approved By Orr.it OM /// Date iar1d43TO3 I, n owner of the work, my employeesctwith wages their sole �Q/4 / �� compensation,(Sen will do the work, and the structure is not : Theintended or 's MECHANICAL Application Approved By G✓�' nate ��—S " for sale (Section 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 ' 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 ❑0-100,000 BTU ❑100,000 BTU sale. If, however, the building or Improvement is sold within ono year of cpm- Dutt-Under Ground 21�,0 0 SUMMARY OF FEES plot n, the owner'wlll have the burden of proving he/she did not build or im- ' r e for the purpose of sale). Duct-Structural System Repair/Alteration '� /? ^e L I,as owner of the property, am exclusively contracting with licensed con- • I BUILDING PERMIT $�.--t'a� SMIP $ ,t tors to construct the project(Section 7044,Business and Professions Code: .I. Duct-Ventilating PLAN CHECK $ PERMIT The Contractor's License t-aw 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 his reason Fiiepl/Fact.Bit.ICBG# PLAN CHECK $ $ Date ES*flZ.AOwner "aOis:�Jtws'a. -re Heating System& Ducting - ELECTRICAL $ • I hereby certify that i have read his application and state • at the above-- - -❑0-100,000 BTU❑100,000 BTL - • PLAN CHECK $ MICROFILM $ ' information Is correct. I agree to comply with all city and county ordinances TOTAL FEE $ ' and state laws relating to pg construction, and hereby authorize repro- • - MECHANICAL $ • enter sentatives of t city to enter u•on he above-mentioned pr rty for Hood or Type I 0 Reinspection Fee $15 LESS Inspection ignatre ur s.. /?� Date Canopy Type II 0 PLAN CHECK $ ADVANCED PC $ Signature A/La�G Drivers' License or SS# / / Registers Issue Fee $ 3 • • f FINAL FEE $ Sen- ..... —..... CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;pink-Accounting;Goldenrod -Assessor q,7 / .. . , .,. _ .. . i' C CONSTRUCTION AND-PLANNING =• '_ '� - - ,FOO! WA '-Date 1 • •inspector - - - - Date Inspector -,' APPROVALS , Permit#� - _ - APPROVALS Permit# 'c tt,: Temporary Electrical Service or-P616 ' i-i' : .'52.'Pool &Equipment Location' - - , 'r 2: Soil Pipe-Undrgrnd. {% , . • 53'Steel Reinforcement _ _ , ` , 3: Electrical Conduit Utility Undrgrnd. - - , 54:: Forms - - :". 4. Electrical Conduit-Undrgrnd'. ' _ - ' - - ' - ' t 1 ' 551 Electrical Bonding " 5; Steel Reinforcement I 4: a „ - 2,56., Rough Plumbing &Pressure Test 6. Electrical UF ER Grnd. : - }' , ' 57 - APPROVAL TO COVER-GUNITE 7. Footings I - - ' 58:- Electrical-Conduit-Undrernd. -- 8: Foundation - - _ _ .- 59. Gas Pipe,_O'Undrgrnd.,Test 9. Water Pipe-Uridrgrnd. j -- -: , 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 - t : 64. Plumbing System - Final • 14. Rough Plumbing - - ' : 65. Electrical-Final 15.`Rough Electrical=Conduit-' - .. - " - -- - 1- . 166. Solar,System-Final . . -' - '16. Rough Elec'ric Wiring , I Irk - •- -, 67 i Fencing & Access Approval• - - - -- - - 17. :Rough Wiring Sign ' ;, • _ ; : : ; I X68. APPROVED FOR PLASTERING - 18. ;Rough•Electrical-T'Bar,Ceiling J ' .' ' -if. 69.! P-OOUSPA SYSTEMS`FINAL - _ - 19. ;Rough Heating& Air Conditioning I f,' I l ' f , j i FIRE DEPT. REQUIREMENT - , e 20. Rough.Factory Fireplace ; I I ' • � APPROVALS Permit# '° 21. Ducts, in Structure • ' ,I I ori ::I. _ I i I 70.mie•t.ground'HvSfro 4'.22. Ducts, Ventilating - • •t , j ' ; . I ' 7P4� Product Piping Q,Gas ❑Oil .,23. Gas.Pipe-Rough&TestI I ' i 7`2 -Underground 5ltish� ,' 24. 'Roof Framing- r• i I j _; : A. ' i ;1 ,73. Undeigrnd.Stortige Tank 0 Gas 0 Oil 25. 'Roof Sheathing .I - , ! ,7 74:,Overhead Hydfo 26. T-Bar Ceiling (Structural) & Monocoat , ( • - I : 1A 3 75. Dry Chemical _ 27. '.Frame and Flashing ' : ! Q y 76. Dry Standpipe I 28. •.Lathing & Siding - . • i• , , I J rpt t77.; FIXED SYSTEM FINAL 29. ,Insulation ? ` 78. FIR IREV. FINAL _30. 'Dryv,all Nailing I ; • I ' . Ib'<� )Notes: ri 31.'Plaster Brown Coat i Z R //` , - ' -1 32.-',Electrical Power Meter•Final ,' . I , � ��r, 33. Final Electric I I i 34. Final Heating&,Air Conditioning • I , 35. Final Gas Pi Test• a - I 36. Hood or Canopy.-•- c r, 37. Final Factory Fireplace. 1 . I 38. Final Plu nbing ; l : - I I , _ . - i ' - 39. Water•Service-Final i I • - - - 40. Gas Service-FinalI i . - I 41. Solar Domestic-Final i ' I • I , 42. Backflova;Preventer I ' ,r .I 43. Backflow Irrigation • I ' '' - 44. Landscape IrrigationSystem - • . 1 ' ' ' ' • , - 45. Sound.Attenuation . j•. i 46. Handicap Regulatigns' • N • . ' ' I I • i i I 47. FINAL STRUCTURE.:& BUILDING „ ' . H- . 48. Special Requirements Completed j f ~I , , 49. Electric ReleaseitoEdison ; ' - . 1 _ __- _ I _ ' • I 50. Gas Release to Southern California Gas Co , ' ; - - 51. CERTIFICATE OF OCCUPANCY a 4 _ _ _.: _ _ _. . No Date Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. .11 „,,,m" • PERM NO. TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA CONSTRUCTION PERMIT c�aoZ/S �Lc�� h� 7x336 Groat, vlare, L./a �'Pro'ect Address ��7 y ], i A4An_ )a/, t;/R9 , • /V'hr-et-CJ / /�ti aM A-P TYPE OF CONSTRUCTION LI NEW LI ADD LI ALTERATION LI REPAIR i Applicant's Mailing�Ad�dre"ss�"''ppp _ • 1 1 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P•# I Zone Owner's Name /yz✓w�G%� 's^ - /Phone. 0-67T/ DESCRIPTION OF WORK/USE OF BLDG. Address . ( ' I/ -•L ?t'. €1 S Main Building: Accessory Building: Arch/Eng. At-•- n' / License No. TYPE OF PERMIT ❑ GRADING LI FOUNDATIONE o �.py ('+ ❑ STRUCTURAL Front Address �/ .+a s/ .J stj.n Vl'n ce P ® lVQ 'gyp ray El TENANT ❑ ELECTRICAL ❑ PLV PLUMBING ElMECHANICAL B Rear • • N Contractor's Name Lti kr G(Ge-IC Phone 9/�/_,T4-+V ❑ OTHER C Right N ?1/4-5-9 r�� PROJECT DESCRIPTION SQ. FT. OCCUPANCY Address(mailing) /� 7 r /0/4.0--I s 4 Sas. O.'''�� K - G 3 �O t/ CONSTRUCTION TYPE VALUATION$ S Left City License No. / ZONE GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: 4cu f.. Pt e4 pis Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code,and s Y 1-V T my license is in fui `orce and effect. /, r"O n�q S 'License Class C- Lic se No./-s J O U . Date Signature^ ^1°4---, PLUMBING FEES '•'ORKE S'COMPENSATION DECLARN Bar Sink Showers ELECTRICAL FEES •reby affirm that I have a certificate of consent to self-Insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink ap Automatic Washer Transformer 0 15-50 KW Polis Lab. C.) K t C ^ _o Policy No. (/CCD/!!73 Company U Y++ � Backflow Irrigation Sewer Cip Construction PO '- � . 0 50+ KW ❑ Certified copy is hereby furnished. Pole Sub. Certified co is d with the city Building Division./J / Bathtubs Sewer Connection • Cooking Unit I Meter yup to 100 amps 5 Date /7/ (� Applicant (�n /It.)*A.C4e�_ —' EXEMPTIONROM WORKERS'COMPENSATION DECLAMATION Clarifiers 1111 $Olaf Collectors Dishwasher Meter Dover 100 amps (This section need not be completed If the permit is for one hundred ($100) or Dishwasher less). Solar Piping Dryers OGas DElectric Sub Panel ' I certify that in the performance of the work for which this permit is issued, I 41 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. otors❑0.1 HP ❑1'/:-8fornia. — Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 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 Microwave comply with such provisions or this permit Shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes 1 hereby affirm that there is a construction lending agency for the performance Pole Light of the work for Mh s aL mi is d. ctIon 3097 Civ. C.) Lender's Name ...,(SInterceptors Water Heater Outlets Rangee Lender's Address 7 ! T/ /414 CII /Iff /!44,,Se 41-✓h 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 LaundryTra s any structure, prior to Its Issuance, also requires the applicant for such permit y Generator 00.5 KW 05-15 KW Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000) of livision 3 of the Business and Professions Code) or that he/she is exempt terefrom and the basis for the alleged exemption. Any violation of Section /031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). U 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: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 Zoning Approved By Date pletion, the owner will have the burden of proving he/sho did not build or im- Duct-Under Ground Building Approved By Date____r, prove for the purpose of sale). D 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 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con- tractors) license pursuant'to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration BUI LDING PERMIT $ SMIP $ proof oftheir 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.Bit. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Dater -Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 06100,000 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-' PLAN CHECK 50% $ MICROFILM $ ives of this city to enter pon the above-mentlonetl Pro er y for /� inspection pur ses. 2 D� MECHANICAL $ TOTAL FEE $ inf-5- DSrivers' _ ��� Date 4,S— Reinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% Drivers' License or S* - p $ CMF 0865-46,rev. 10/84 White - Building: Canary - Applicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNING POI SPA 1APPROVALS . Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 5. Steel Reinforcement 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, 0 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 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. 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 //a fy 80. FOOD CERTIFICATE ISSUED 33. Final Electric SCJ 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 • City of Costa Mesa 001597 }r' Development Services Department CERTIFICATE OF OCCUPANCY No. V V b J 9 7 Building Safety Division P.O.Box 1200 Costa Mesa,California The Building located at 2330 Vanguard Way M-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 COndaliniun Legal Description 419-151-06 (See reverse side for Metes and Bounds) Building Permit Nol.16742 Electrical Permit NoT.16742 Plumbing Permit No.G16742 Mechanical Permit No.C1 i7'7 1 Number of apartments and/or guest rooms ISSUED TO: Building Official • Naumrt Tandiner TAmit ci P O Box 10843 by Rover-1u Ni11c, CA 91121T '� ' � /y p/, Date Y )f7 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 (e) U.B.C. CMF 1015-46 rev. 1/83 White-Owner;Canary-Numerical File;Pink-Bldg.Permit File 1 Applicant to fill in all spaces except gee within heavy border lint('and sign all appropriate declarations. •..CITY•OF COSTA MESA PERMIT NO, LOT NO. i- BLDG. NO. -' , - ' CONSTRUCTION PERMIT. J I col �'Z . ; 1T , / i 1 In-/O J 4861 ' I/ J /,� ) l e dProject Address • qA , - p '4 d' • TYPE OF CONSTRUCTION NEW ADD U ALTERATION U REPAIR ' Applicant's Mailing Address t O. INN ,f.O04L •j IJ Hills ❑ CONVERSION III DEMOLISH ❑ OTHER- ( pis�. - A•P,#y/ '-i / - oh .Owner's Name L to ra E.t S L Pt Phone 3/474--01/5ii DESCRIPTION OF WORK G'OA/CIO GJ Cavi 4Ce p [y, Q 1 RM. r� �s �/� p l rt S Main Building:. Accessory Building: , 2 Address f/•s�0•1 Y I°V •-a') 41EU• sll)L�'�j q"n• -1Cl/r'YI3 TYPE OF PERMIT ❑ GRADING ® FOUNDATION II STRUCTURAL T Front /j� �� T T • N Arch/Eng, CLARK- I ,enPICk' License No. A. 529.Ll- • ❑ TENANT I ELECTRICAL ® PLUMBING ® MECHANICAL B pi ne/>\r FX/ s / 'N Address )I 96%1 .S(SIV V IICEE-t` iF (O.` . A ° .9ü , 9 ❑OTHER - A Rear l I �� PAUL /CTR)CI� �t/l __ R-I.IM-1 C Right Qx �_' S 7' „G. Contractors Name , �1 //++�r�111ss, 1 ee,,''��Phon€/�' •r "6�. � PROJECT DESCRIPTION SQ. f 33�:tF5/i//(aCcuPANCY-1_uFu-:�— /h'p re"s e '7- - Address(mailing) I I R 58 Lid GRIWGE bitEi L.A 9E0�s ;C ON STRUCTION TYPE _IL-N VALUATION $ 76.50 & $ Left 3O v i, naMtfsr5 .- q 'E City License No. 33.9,18 ZONE '[ GRADING CU. ACRES Ping. Ref.#Zg- / -68 Park,Fees $ /, 7_'9 3 Q LICENSED CONTRACTOR DECLARATION f C 1/ 50/ — ", _ �. Q 5 • U Remarks: ////��/ L7 / Parking Req,/Provided ••-_zv7 1 I hereby affirm that I am licensed under provisions of Charter 9 (commencing ; ) � �1•-- R with section 7000) of Division 3 of the Business and Professions Code, and Use of Building: !, 49-h V E, my license is in full orce and effect. M License Class - y+e >✓ I" •.� ' • PLUMBING FEES Planning Notes: Date - a Signature >�»�/. '�:J +�' �,�py ".N 'ORKERS'COMPENSATION DECLARATION Bar Sink s Showers • (10 9I 1t11 OHn11[Ogfg^,N11 HOLD F S._.C T • p� nereby affirm that I have a certificate of consent to self-insure or a certificate '- Backflow Preventer Service Sink S V of Workers' Compensation Insurance, or a certified copy thereof.(Section, -• • - . 3800, Lab. C.)"'II .{ t- npn�r�,l 11 Backf low Irrigation Sewer Cap • ELECTRICAL • FEES - '� Policy •No. 5C7138-$�• ComPahy ("TATE calf? /� _ .' ' - - ❑ Certified copy is hereby furnished. y p'LBathtubs Sewer Connection.. - y 11 Automatic Washer ' iTransformer 0 15 50.KW • ( � Certlfled�a py,.j' filetl with the city B %gJD" s�.n/1 � - - -Ni Date II-I H'-7 Applicant ' �tlIL��L- Clarifiers 1 . Solar Collectors .: . . ConstructionPole Sub, ❑ 50+;KW ' , EXEMPTION FROM WORKERS'COMPENSATION DECLAR ATI - •-' Dishwasher Solar?iping jf ' (This section need not be completed if the permit is for one hundred ($100)or. _ f' P ;pods OjtJL, S Cooking Unit "! 'MeterJup to 100 amps less). / • - - 1 certifythat in the performance of the work for which this ermit is issued,.1- Drinking Fountains Solar.-Tank y5. 1 p ,. ,�� Dishwasher-. , - Meter Dover 100 amps ha shall not employ any person In any manner so as to become subject to the • - Date Workers' Compensation Laws of California„ • . Floor Drains ( Swimming Pool W/Spa' ` I' Dryers pfGas ❑Electric / Sub Panel IG oL Date Signature '• NOTICE:If,'after making this declaration, you should become subject to the Floor Sinks ' Urinal Fan' / 5,0 Workers' Compensation provisions of the Labor Code, you must forthwith - - - �) - -- _ Motors❑0-1 HP ❑1X-6 comply with such provisions or this permit- shall be deemed revoked. ./ Gas Service ,6 outlets f , Water Closet . to OD I F,A,U:., (-Inc-Solar 09-15 HP ❑16.15+ I .C - CONSTRUCTION' LENDING AGENCY- - I hereby affirm that theie is a construction lending agency for the performance Interceptors / Water Heater 2 CO 'Fixtures' 1 q 'Microwave of the work for, 1 b n� y Is i iygearj�ect�'oy 3097 Civ, C,) - - _ f eJ - Z Lender's Name (4j bdtlh'L' ttVIKI Uft(x� (-0 Kitchen Sink • -, Water Service ' - ;-251-Device Boxes l I �}OD Pole Light Lender's Address 4719 LlA1C�LN1• VILLAGE �L.�,SF?, SDI •'D �•• - OWNER BUILDER DECLARATION a-. a -7 Lavatories • - -LAS _J I hereby affirm that I am exempt from Cdntracta r's�Jee Se Law for.tne ca. - ' ' / eery ���!//i/eI (0m _" Outlets Range • following reason (Section 7031.5'Business and Professional Code: Any city or • P-Trap , - - �1. Switches . Sign R iC county which requires a permit to construct,alter,improve,demolish or.repair _ — - _ - I : - . .any structure, prior to Its issuance, also requires the applicant.forsuch permit - Roo Drains ' ' -- ' 1 Garbage DisposalStanding'Sections 'to file a signed statement that he/she is licensed pursuant to the provisions of - — ` '� CV 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 , .therefrom and the basis for,the alleged exemption. Any.violation of Section - _ - l �r ��� �_ • 2 + 7031:5 by'any applicant for a. permit subjects-the-applicant 'to a civil -G� penalty of'not more than five hundred dollars($500). r' - , • - 1 Reinspection Fee '$25 , - Issue Fee $ 3 LJ I,'as owner of the property.or my employees with wages as their sole Reinspection Fee $25 Issue Fee $ 3 compensation will do the work, and the structure is not intended or offered 'MECHANICAL FEES for sale (Section 7044, Business and Professional Code: The Contractor's - - -- - - - ---' PUBLIC SERVICES REQUIREMENTS: ' License Law does not apply to an owner of a property who builds or Improves Boiler ' - • Hood or Type I ' 0 ,( thereon,'and who does such work himself/herself or through his or her own I - Zoning APpioved,By - On I'1Date `� 5 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- 1 Duct-Under Ground , - 1 _ Application Approved By i Date pletion, the owner will-have the burden of proving he/she did not build or im • - �ove for the purpose of sale). - Duct-Structural Refrigeration System - ' I Application Issued By 1 Oat Z LJ I, as owner of the property, am exclusively contracting with licensed con- • ❑0.100,000 BTU ❑100,000 BTU y ' - tractors to construct the project (Section 7044,Business and Professions Code: 2 Duct-Ventilating L f pp 'SUMMARY OF FEES ' The Contractor's-License Law does not apply town owner of property who - - - .� � C / builds or improves thereon, and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration T. "BUILDING PERMIT : $ -___NA SMIP ' $ J' `5 tractor(s) license pursuant to the Contractor.'s License Law): 14 .-PLAN CHECK $ 2 PERMIT 0 lam exempt under Section B.& P.C.for this reason / Firepl/Fact.Bit. ICBG#23G I PLUMBING . $ 30,00 ISSUANCE $ • Date Owner. Heating System& Ducting PLAN CHECK $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above / X14100,000 BTU ❑100,000 BTL - GRADING $ --information'is correct. I agree to comply with all city and county ordinances W ELECTRICAL $ • and state laws re ing to building construction,and,hereby authorize repre- MICROFILM $ sentatives o/t city to yyyRRRte! fflyyy the y{leve-mentioned property for • PLAN CHECK • $ inspection s. Signature ll Uhl Date///7: • MECHANICAL $ ' /�CXI TOTAL FEE $ Drivers' License or SS TA t. Reinspection Fee • $25' Issue Fee l $ 3 PLAN CHECK ' $ 3-ef . . 7/c.4"/ _., ass CMF 0865-46 rev. 7/83 White-Building:Canary-Applicant;Pink-Accounting;Goldenrod 'Assessor - - - - - + - .. - -. • I , I f � POOL&SPA - CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector • 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. .../.7165- � L 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrrid.' 54. Forms • 4. Electrical Conduit-Undrgrnd. • �c% 55. Electrical Bonding - • 5. Steel Reinforcement K x/eZ'� 1k 6,1-- - 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. • "'(% 57. .APPROVAL.TO COVER-GUNITE • 1 7. Footings • 0 br- Av 58. Electrical Conduit-Undrgrnd. 8..•FoundationL' , " 59.' Gas Ppe, Undrgrnd.,Test i 0 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 //�//eN' p,!/�£ 62. Backwash & Receptor-Final 12. Sewer Cap / . N /. /J . 63. Heater & Vent-Final 13. Roof Drains •_ . - ', 64. Plumbing System - Final 14. Rough Plumbing allf//ir 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16: Rough Electric Wiring play ,'LU 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. RoofSheathing • 4(ii'/ de, 74. Overhead Hydro 26. T-Bar Ceiling-(Structural) & Monocoat / 75. Dry Chemical J► � . •-c.; '( ;r 27. Frame and Flashing 'type i'/e.,./ 76. Dry Standpipe ,28. Lathing &'Siding /// 77. FIXED SYSTEM FINAL . . 29. Insulation /// ii /L., 78. FIRE PREV. FINAL 30. Drywall Nailing g ' 1 HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat t 79. FINAL INSPECTION 32. Electrical Power Meter-Finalp /�J 80. FOOD CERTIFICATE ISSUED , 33. Final Electric f�'(J`� Notes: &o&)cie C/Liffitt. 4,4747601:1•- d«!/T5 34. Final•Heating & Air Conditioning Y174 1 ,t/i /y ,eC. - 10 -l a z_ so?, •/O}/' 1/4 i 1, '<---57-c---- 35. Final Gas Pipe-Test April--Me ...2A 1gc 0 g) g ,lam resit c 36. Hood or Canopy. ✓L,2 C i 1� C 7(`ryn - ,/r �7 � 37. Final Factory Fireplace /.74.111- 2/per-�/G 'S( iF/y..A24.14-44.-/ -a LL VVy-s J 38. Final Plumbing _ 0--i9_,'Ile- ... �fl - 7 �• 17 39. Water Service-Final ' 40. Gas Service-Final 41. Solar Domestic-Final ` ' i 42. Backflow Preventer iy .:.' . 43. Backflow Irrigation 44. ,Landscape Irrigation System ' 45. Sound Attenuation - 46. Handicap Regulations • 47. FINAL STRUCTURE & BUILDING • 1/J9,/y/ 1/c-48. /�/ 48. Special Requirements Completed 6 49. Electric Release to Edison =,/ 50. Gas Release to Southern California Gas Co " 51. CERTIFICAITAg OF OCCUP Vk/ y Ory7 ,Yic (�/� �No. /.5 q7 Date 'G