HomeMy WebLinkAbout2330 VANGUARD WAY - Building Permits (N102) � n ' - CITY OF COSTA MESA
4 •
�. ►- BUILDING DIVISION
F �ai DEVELOPMENT SERVICES DEPARTMENT PER NUMBER
PERMIT
Npra
�4b P03-00076
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
PLUMBING PERMIT
Job Address: 2330 VANGUARD WY Status: ISSUED
Suite No N102 Applied: 02/1012003
Issued: 02/10/2003
Vicinity: /
Parcel Nunmber: 93865206 ISSUED BY:
Applicant: SZABO, KEVIN
•
Address:
Phone:
Zip:
•
Owner: LEDBETTER, JEFFREY
Address 2330 VANGUARD WAY#N-102
Phone:
COSTA MESA, CA Zip: 92626-6583
Contractor: COAST ROOTER PLUMBING HEATING & AIR CONDITIONING
Address: 2737 S CRODDY
STE D Phone: (714)241-1414
SANTAANA,CA Zip: 92704
License: 529127
Arch / Eng: - -'
Address:
Phone:
• Zip:
License:
SCOPE OF PERMIT
WATER HEATER CHANGE OUT.
•
FEE SUMMARY
AMT QTY AMT QTY AMT QTY
ISSUE FEE $23.50 . Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0
Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0
Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0
Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0
Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0
Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0
Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0
Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0
Drain, Floor $0.00 0 ,Sewer Connect $0.00 0 Waste and Vent System $0.00 0
Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0
Drain, Roof $0.00 0 Shower $0.00 0 Water Heater/vent $12.30 1
Drinking Fountain $0.00 0 -Sink, bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0
Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0
Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord.No.92-28, §1,12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2446-46(6/00)
DECLARATIONS i
I
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one 01 the following declarations:
'e and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
h
Irk 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 permit is issued.
My wo rs'compensa�t' oInsurance carder and policy number are:vN \
,� v3
Carrier. tPolicy Number h �23d • 2-0
(This section need not be completed if the permit is valued at one hundred dollars($100)or less.) .
O 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 workers'
compensation la s California, re that If I should become subject to the workers compensation provisions of Section 1 300 of t e Labor Code,I shall forthwith
comply with these ()visions'',
Applicant
Applicant Signature: Date: `
WARNING:FAILURE TO SECU E WORKERS' PENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES,
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am li apsed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is In full
force and effect.Lic.It % ZG 12 'I F Class N
Contractor's Signature: T�,(n.,t� Vv 'y Date: /�M�ANIef\
CONSTRUCTION LENDING AGENCY: 1'a4 VV
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
o I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). •
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to en owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date: •
Owner ID verified by drivers license. 0 Yes ❑No Drivers License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? ❑Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? II Yes II No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed Under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No
8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Signal Of eget Owners) A Qat
rid/ r orized Applicant Date
CODE• INSPECTION TYPE DATE IN➢TIAIS CODE r INSPECTION TYPE DAM 1NTIf1AL$
1616 FixedSystem 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 •
204 • Final Demolition - 250 Final Building/Occupancy •
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTAFCOS
PE MIT NO. _ TRACT NO. • LOT NO. BLDG.NO. 7/.4, I 'r.
CONSTRUCTION PERMIT -/d,3445 (�a11481 I N 1. D .
, Applicant's Mailing Address P n PnX 1 f1R4\ RFv Hi 11 C 90713 TYPE OF CONSTRUCTION 4:3 NEW U ADD U ALTERATION U REPAIR '
' Project Address 2'390 Vanguard Way £4102 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER
Owners Name Newport landing. Ltd. 274-0953 DESCRIPTION OF WORK
W g Phone �I CO 11UR D OLD
REGULATIONS
Address P Q Box 1OR49 RPVPYIy Hills, (�� 90213 TYPE OF PERMIT AJ GRADINGLai.FOUNDATION 1�1 STRUCTURAL A.P.9W L9)4 - 1,5)-y� Ott' ZONE (C.3
Arch/Eng. Clark & Hedrick.Tnc.. License No. C-2578 ❑ TENANT 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL PLNG.REF. 2--83--)10_, T-i �y rLD Nx Cit ST
11969 San Vicente Bl.#205 L.A. 90049 ❑ OTHERREARYARD (TO P/U
Address TO BUILDING / yJ,,
Contractor's Name Phone PROJECT DESCRIPTION SQ.FT. 1550 •
OCCUPANCY 1l-1 PROPERTY LINE (rt(�/LV /.L 50
CONSTRUCTION TY PF V- 1 hr. VALUATIONS 81,500 LEFT SIDE YARD -l^ I RIGHT SIDE YARD _ j-+•
Address(mailing) r,• a•F .5
ZONE R-9 GRADING CU.YDS. •alta ACRES PKG-SPACE REO. J PROVIDED id
License No. __ -
LICENSED CONTRACTOR DECLARATION Remarks: Building_ - Unit n2/Type D STREET WIDTH 53 I PARK FEE$ /91:3) ,5 /
m
I-hereby affirthat 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 License No. PLUMBING 17111.11111.11 !.Pr.'m , RFIKIIRF.NFNT^.
Date Signature Bar Sink Sewer Cap ELECTRICAL
R KERS'COMPENSATION DECLARATION __
reby affirm that I have a certificate of consent to self-Insure or a certificate - - Automatic Washer Meter ❑over 100 amps
o. Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Sewer Connection -
3800, Lab. C.) I - - Construction Pole Sub Panel • .
, Backflow Irrigation. Solar Collectors I
Policy No. Company - - --- - - ' Cooking Unit Sub Pole • '
8 Certified-copy ii hereby furnished. . Bathtubs Solar Piping
Certified copy Is filed with the city.Building Division. Dishwasher 'Motors 00-1 HP 01%-t3
Date Applicant . Clarifiers _ _ Solar Tank
EXEMPTION.FROM WORKERS'COMPENSATION DECLARATION Dishwasher Swimming Pool w/Spa ✓1 Dryers ❑Ges ❑Electric Inc.SOlar 09-15 HP 016-15+
(This section need not be completed if the permit is forgone hundred($100) or '
less). - Fan (Microwave ••
I certify that in the performance of the work for which this permit is issued I ' Drinking Fountains Urinal .
- shall'not employ any person in any manner so as to become subject.to the F.A.U. Pole Light •
I
Workers' Compensation Laws of California.' , Floor Drains Water Clo • •I
Date Signature Range
'NOTICE:If,after making this declaration,you-should become subject to-the '. Floor Sinks - W ater �•� Fixtures g
Workers'. Compensation provisions of the Labor'Code, you must forthwith. Device Boxes
comply withi such provisions-.or this permit shall be deemed revoked.. Gas Service Outlets W Se ¢e Sign
CONSTRUCTION;LENDING AGENCY ����"7777 Outlets •
I hereby affirm that there is a construction lending agency for the performance Interceptors 1 Standing Sections
of the work for which this permit Is issued (Section 3097. Civ. C.) ' r{ry}��q Switches
Lender's Name - - pyo. Trash Compactor
Kitchen Sink {{{RRk 000 P
Lender'sR Address Garbage Disposal
OWNER BUILDER DECLARATION ' ' ' ' - Lavatories . (� 9
I hereby affirm that I am-exempt from the Contractor's License Law for theC �`` \V' Generator ❑0-5 KW ❑5-15 KW
following reason (Section-7031.5 Business and Professional Code:'Any city or - - - P-Trap. _ q~
• county which requires a permit-to construct,alter,Improve,demolish or repair Transformer 015.50 KW
any structure, prior to its issuance, also requires te applicant for such permit - Roof Drains - - L
M.
-
tz-elle a signed statement that he/she is licensed pursuant to the provisions of
r4-ontractor's License Law(Chapter 9(commencing with Section 7000)ofs f • ❑5U+KW Reinspection Fee $15
<s:
,;-7:24-contractor's
,3 of the'Business and Professions Code) or that he/she is exempt - . Showers - O� Reinspection Fee $15 —
:-�efrom and the-basis for the alleged exemption. Any.violation'of Section - Meter ❑up to 100 amps I Issue Fee '$ 3
7031.5 by-any applicant for a.permit subjects the applicant to a civil . . ' . ' r� _ _ T75 _ 1
eenalty of not more than five hundred dollars($500). Service Sink Issue Fee $ 3 Zoning Approved By Date • J
U I, as owner of the property or my employees with wages as their sole / s
dirr
compensation will do the work,and the structure is not intended or offered • - _ , MECHANICAL Application Approved By �4J'9 Date /4.-...to'S7
J/ ry
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 Application Issued
thereon, and who does such work himself/herself or through his or her own A pP 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 one year of com- Duct-Under Ground SUMMARY OF FEES
pie on, the owner will have the burden of proving he/she did not build or im- - - act '7 7
r ve for the purpose of sale). Duct-Structural I System Repair/Alteration ,BUILDING PERMIT $ �79— SMTP $ S
I,as owner of the property,an exclusively contracting with licensed con-
r tors to construct-the project (Section 7044,Business and Professions Code:- Duct-Ventilating_ I •PLAN CHECK $ PERMIT
The Contractor's License Law does not apply to an owner of property who - ISSUANCE $
builds or improves thereon,and who contracts for such projects with a con- Exhaust System El Multiple 0 • PLUMBING $
tractor(s) license pursuant to the Contractor's License Law): r - PLAN CHECK I $ GRADING $
I
❑ I-am exempt under Section - I B.&P.C.f-•r t Is reason Firepl/Fact.Bit. ICBG# $
• •
Date ��CTt�• Owner; - finaWrf�L. . ' Heating System&Ducting ' 'ELECTRICAL $ MICROFILM $ a
I hereby- ertify that'I.have read his application and-state t :t the above - -- ' 00-100,000 BTU 0100,000B • - -
PLAN CHECK $
' Information Is correct. I agree to comply with all city and coun y ordinances TOTAL.FEE $ ' '
and state laws relating to building construction,,and hereby authorize repro- MECHANICAL $ , - ,
sentatives of thl cityto enter upon t . a•ove-mentioned ,pr.•art for , Hood or Type I ❑
l p 1 y CanopyReinspection Fee $15 PLAN CHECK $ f ADVANCED PC • $
SignatureLESS
D rP • / , 1 i Type I1 0
•
i Signature , •� Dat .3• •.3 I • , I
Drivers' LI nse or 53 « - • Registers Issue Fee $ 3 1 • FINAL FEE. $ '4''¢'•�•
CMF 0865-46 rev.12/82 White-Building; Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
(CONSTRUCTION-AND PLANNINGI °-3 9. r- i-y', ' .. n •' ''- POO SPA :. , • L _
` 0 • c - 1 t c ' Date o Inspector Date - -Inspector.
>- APP.ROVALS „-, Permit'# c I -AP.PROVALS - -'Permit#
rr 1c Temporary Electrical Service�orLPole I rl:.y '' . _ s; ,;i , ..52^Pool &_Equipment Location,' - ' -
c a c . - - :„ -•''',S 2?2' Soil Pipe-Undrgrnd _ r -o; - ` r13 53,1Steel Reinforcement - _
3. ElFctrical Conduit Utility-Uddrgrn"d.i I ` 9-", '54. Forms -- • ,
4: Electrical Conduit-Undrgrnd. " '-S : 55._Electri'caliBoniiing - z - - - - - _
• 5: Steel Reinforcement ' ' i _.;_ : Hi! r _ ` 56.1 Rough Plumbing,& Pressure`Test - ' _ - •
6: Electrical UFER Grnd., ; _� ' I n.': :.. _ ; 57:'APPROVACTO COVER-GUNITE,. c - Li
7. Footings' , I I 1 - ' a 2 'Y _ 58. Electrical-Conduitror
=Undnrl- -
8. Foundation , I _ ' 1 '' it F a • ' '-59. Gas Pipe,0 Undrgrnd:,Test " -
9. Water:Pipe-Undrgrnd. , ., - .4 I -nit, 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor Systemo S l, t_ • 4 i 61. APPROVAL TO DECK - r -
T -,
11. Property Sewer Line& House Connection �:E. l- 1 62. Backwash-& Receptor-Final :: - _ • _
12. Sewer Cap ; I , c' I ' F
- - `o '63. Heater& Vent- inal - '
13. Roof Drains � ; I ' : .+^ i : ' e: i ' , 64. Plumbing System - Final : -
f. 14. hough Plumbing �:n ' _ - ' 65. Elec'tricalTFinal • - - - -- e - . '
,?15. Rou h Elect-rrical=Condiiit't--1{= 'Cr' 1 ' I'--t---- 66.•Solar System-Final " -- , - -. - - -""
c16. 'R'ough-Eleciric WiringsI c I 11 „i'71.,-e j=„T.'t';,1-c, j'_'_; 67.i,Fencing&Access Approval ET:".. 'T.,- . -- : C . c `
- •17. Rough Wiring'Sigitr i Fri I ; I I (•_ i I '; ' 1 I I ' 68.1 APPROVED FORPLASTERING z ' ,
18. Rough.Electrical-T`BaiS eilingl it ! :.1-;-, ' � i '- 69.' POOL/SPA SYSTEMS FINAL ' ' -
' 19. Rough Heating &!Air Conditioning ' ! 1 1 I 1 i , 1 , 1 FIRE DEPT- REQUIREMENT.. , _ -
,
'; 20. ,Rough,Factory Fireplace' : I Ii ; I : I ! I APPROVALS! Permit# •
_
21- Ducts;in StructureN ° ' I ' I 1 'v '
I 1 -. 4 , _ I I I t 70.' ljnderground�ydro
`22. Ducts, Ventilating r 1 ' 1 ' '
-, - 9 I , 1 I , I I 71 Pi duct ping O G!7 0 Oil ,
- 123. Gas Pipe-Rough& Test •` ; I i7,:: I i - I 7�.rURdeiground Flus i
i ':24. Roof Framing' r 1 :�n 1, I ; I•?' , •' r 1 73. Undeigrnd.Stora%�a7Tank-0 Gas 0 0 Oil 1
- 'Roof Sheathiin - - I : i ' - t 4" ' • -
�1 25---=1 g i 1 1! , , ' i ' - I � 74� Overhead HYd�f
26- T-Bar Ceiling (Structural) & MonocoaY' I 1 " I ' 12'. 1 75. Day Chemical - -
27.-Frame and Flashing' .. , I ,. I " ( ' -- I ;.l (; 76:y.Dry Standpipe . • , I -
j 28. Lathing & Siding, -, - ; I , ' I 1 I ; ; - ; �'h'ri. 77..�FIXED SYSTEM-FINAL ,
'29._ Insulation •, I { ' I l ; ! • ,f t ¢' ;78. FIRE r#EV. FINAL ' ' . ,
f. 30. Drywall Nailing , ` 1 ', II II ,I I ' ,_ 7 //Notes: '
✓ ,�31. Plaster Brown Coat ( ,i II I i I hI ' �/I , '
' 32.-Electrical Power Meter-Final ' ': Il 1 , ' I ' 1 7i ' 4 j
33. 'Final Electric ' _', I-Ta I I, _ I 1: -
34. Final Heating & Air Conditioning I ` '1 � I i I I 1 - '
35. Final Gas -
Pipe=Test , 1 1 ^_1 rl I- 1'- "1' 'u i . r ' ; - , _ - '
36. Hood or Can1oPYt'-i .• •1 v ` I c 1 ` 1 1 I - I 1, ' . _ ' c
37. Final Factory Fireplace. , '_ I S ISI 1 ^ . I I l - 4 •'
38. Final Plumbing , 1 i I ' �, „' ' ' ( 1 I I l
39. Water Service-Final' ' ' •"I ' ' 1 I i - ' ' : I II1 • .
40. Gas Service-Final I I 11 , I '
41. Solar Domestic-Final I I I__, 1---r II _ -� __. _ _ ,
42. Backflow.Preventer I I I dsr _ --- - •- - - --- - .
43. Backflow Irrigation ,- I . I n' ! ;; Irl - 7; 1 1 - • • , '
44. Landscape Irrigation Sy tem I . ,•i 1 - I ` 1 , ' ;1 , • � r-I ' ; ' . ' -
45. Sound) Attenuation - ;d, I I I 1 I q I 1 1 - 1 •-I - 1 - - - ' -
46. Handicap Regulations i , i I i- i I I z I 1
47. FINAL SITRUCTURE& BUILDING H ISI I Iy' ,� ' 1
48- Special Requirements Completed d i 1 I LII I {
49. Electric Releaseto.Edison( i n l.„ .-" t___.!...... r J__i__' 1_1 ___f _ _ , -
50. Gas Release to Southern California Gas Co i I i ,
I 1
51. CERTIFICATE OF1 OCCUPANCY y ( . J_ ,__; _ . : + i_ ' ' _ .' . _ - ' '
No • N t , I Date i I ' ' I t 1 ; I i 1
1 - - -'r 'r ri-t*--ru's't-+r,-;c- -_- - -1-.. J•-1-- • . I _.�. ._ _ __ -
•
ism
• •City of Costa Mesa
Development Services Department CERTIFICATE OF OCCUPANCY No. 001607
Building Safety Division
P.O. Box 1200
Costa Mesa,California
The Building located at 99111 panrnmrrl War rt_ln7
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group to-.1 Occupancy.
Use of Building or+.+'a.-r..in,.,r.,
Legal Description Al o_1c1_nc
(See reverse side for Metes and Bounds)
( duilding Permit No G167S1 Electrical Permit No. en A7c1 Plumbing Permit Nor'tc1g1
Mechanical Permit No. Mc?" Number of apartments and/or guest rooms
ISSUED TO: Building Official /i :,
Newoart Iandina Limited
P O Box 10843 by
Beverly Hillq, CA 90213 y
Date tri ' t•
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
Pr f • 4 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 4873 I /03/35 "_ _
-CITY OF COSTA MESA- PER IT NO TRACT_,,,(17. LOT NO. BL G N0. . I.
CONSiUCTION PERMIT , I (E1 S 1 y / - Q� -
Project Address I+tial:1gIlYtL•SCL1nI:gallEi ►eilI}. TYPE OF CONSTRUCTION t:41 NEW 111 ADD MI ALTERATION . REPAIR
Applicant's Mailing Address r D Pa I0AL '( E3� IaS ❑ CONVERSION ❑ DEMQkISH S OTHER - E A.P.# y Zone 4
Owner's Name MELi1FCRT-LAfJDIA1r Lit Phooe3� DESCRIPTION OF WORK CQC) •
c f //�— /Sl —d /K 3
'-4� , l/ggg5 23“ (gyp S Main Building: •
1 Accessory Building: Z
Address PD. Pa IOR43- f'?JEUE(iL HILLS 4r�1.3 TYPE OF PERMIT ❑ GRADING 61 FOUNDATION M STRUCTURAL T Front/2423r_ ,oxa/ N
Arch/Eng. CLARK- HEDRIC'K License No. C- SSµ FS]
Cg Rear h `t�0 N,
.Z ' 0
9 ❑ TENANT ly ELECTRICAL PLUMBING WI MECHANICAL B I
Address 119 9 SAM 111CFtJTe f'LVID-) L•A 96019 ❑ OTHER A
1 Contractor's Name PAUI -Ten-41:OK Phoiltu O-67D�1 PROJECT DESCRIPTION Sq FT. IIR" OCCUPANCY R- /M-' C Right 3�' 10 nP$-fwsrSr/7*tT _G
CON ST RUCTION TYPE -N VALUATION$ E,S 640 Left
Address�lmailing) IiRS� LA GRA tJGE Rua.,,L• . 4QQ�5 f s a6 �o �,Ptq�esTsTr>rT - e
q ZONE GRADI NG CU.YDS- ACRES GJ R o Q
^^ City License No. IP 3 1a7R Ping. Ref. # Z�_ g 6 Park.Fees $ �a�G/ 3n U
\,I LICENSED CONTRACTOR DECLARATION Remarks: r G •> 5D/ - Qv/ Parking Req,/Provided �7.
I hereby affirm that I am licensed under provisions of Charter 9 (commencing rl L lac
, R
with section 7000) of Division 3 of the Business and Professions Code, and • Use of Building: • t E
•
my license is in full force -nd effect.
Ucense Class G— _• I 1- PLUMBING - I FEES Planning Notes: • 'M
Date II- I'3-R14_ Signature '..,e de-//11�:`�•_ - - N
• Bar Sink Showers 1 t• I nC• �,,,�,•„C
”-Itj!ORKERS'COMPENSATION DECLARATION ' / - II^LD PVD SrEC _sL R nt•
,Tt ereby affirm that I have a certificate of consent to self-insure or a indicate v as a n.�±uaa.ua.`1,. .T
Backflow Preventer - • Service Sink 4 S
'%3Workers' Compensation Insurance, or a certified copy thereof (Section. -
3800, Lab. C.) 2 f-t-X T-� '4' d• Backflow Irrigation Sewer Cap r ELECTRICAL ',.• " FEES-
Policy No. 5 61138- Alt Company •�U 1 CDNRTM5s FJtAlfl q
h �J G
® Certified copy is hereby furnis ed. 2 a, _• G� Bathtubs Sewer Connection_ GC Automatic Washer Transformer 0 15-50 KW' I O
Certified copy Vied with the city B(f/gn9 D % 0 50 4.15W _
Date I I -I rj-R Applicant .FlFf2!// Clarifiers Solar Collectors„ • J. '1 Construction_Pole Sub.
EXEMPTION FROM WORKERS'COMPENSATION-DECLARATIO - - I •
( completedpermit ( 00) , Dishwasher / Solar Pi in POU ONW .SCoCookingp 100-amps J�--6�
This section need not be If the is for one hundred or: P 9 $.V Unit Meter u to,100-am s
less).
I certify that in the performance of the Work for which this me Is issuetl I' Drinking Fountains Solar Tank - i I Dishwasher Meter Dover 100 amps ' I O°
shall not employ any person In any manner so as to become subject to the' •
workers' Compensation Laws of Califorma:' Iii Floor Drains Swimming PPOIW/Spa it '1 Dryers c1Gas ❑Electric I Sub Panel 400:
Date Signature - •—
NOTICE:If,'after making this declaration,you should become subject to the Floor Sinks . Urinal 3 Fan Motors 00-1 HP 011/4-8 y-O(&. -
Workers' Compensation provisions of the Labor Code, you must forthwith ^
comply with such provisions or this' permit' shall be deemed revoked. / Gas Service Outlets W Water Closet COF.A.U. Inc.3olar 09-15 HP ❑15-15+
CONSTRUCTION LENDING AGENCY t-V .II
I hereby affirm that there is a construction lending agency for the performance Interceptors ./ Water Heater . cc) Fixtures •
Microwave
of the work for vhf h_this permit is issued ction 3els Civ- C.) 1� Z...•4:0
Lender's Name WE- -R17P IJpg PNORI A&E C:o. / Kitchen Sink
L�, Water Serviceevice Boxes
47 t9 UtJ CDLN 111SLRrE •nR• CIY.SOI - _ q OO f�D- Pole Light *eel
Ofter maOWNER DECLARATION �(„'.II CA. 9fj art pci • / /�/ials# Msteldm,aE b co ^f S Outlets Range C�
I hereby affirm that I amon exempt1.5from the Contractor's lLicense Law for the P-Trap
l'
following reason (Section 7031.5 Business and Professional Code: Any city or P - • 9 Switches Sign I PS-,
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 l
to file a signed statement that he/she is licensed pursuant to the provisions of - ' - _CeZ
Contractor's License Law(Chapter 9(commencing with'Section 7000)of - -
rision 3 of the Business and Professions Code) or that he/she Is exempt Generator 00-5 KW 05.15 KW Trash Compactor
Lt
arefrom 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 -
enalty of not more than five hundred dollars($500). Reinspection Fee I $25 Issue Fee $ 3 Z sa`f•rt-I H--1-2_ 2
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 tloes 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 •• • Date 36
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 C` Date
pletion, the owner will havetheburden of proving he/she did not build or im- Orr-
rrove for the purpose of sale). Duct-Structural Refrigeration System Appliiztion Issued By �'1i Dat:
U I, as owner of the property, am exclusively contracting with licensed con- - ❑0-100,000 BTU ❑100,000 BTU p
tractors to construct the project (Section 7044,Business and Professions Code: .-Duct-Ventilating BTU' •- SUMMARY OF FEES ' S/
The-Contractor's License Law does not apply to an owner of property who
builds or improves thereon,and who contracts for such - 33 I.OU
aprojects with acon- Exhaust System 0 Multiple 0 System Repair/Alteration • 'BUILDING PERMIT $ SMIP $ •�
tractor(s) license pursuant to the Contractor's License Law).
PLAN CHECK $ qXp,15. IJ PERMIT
❑ I am exempt under Section B.& P.C.for this reason 1 Firepl/Fact.Bit. ICBG#$3[j( - PLUMBING _$ •aS no ISSUANCE $
Date Owner Heating System& Ducting 7 DO "PLAN CHECK �• 7S$ ENERGY P.C. $
I hereby certify that I have read this application and state that the above / ®0-100,000 BTU 01,00,000 BT ' "
q GRADING $
information is corre . I agree to comply with all city and county ordinances -- ■OO • ELECTRICAL 33.E
and state laws rel,.# g'to building construction,and hereby authorize repre- - MICROFILM $
sentatives o t,'✓Wcity to ter u•-n the abo e-mentioned property for • PLAN CHECK 16.19 161. It.O '
Inspection p '-es. r
Signature �- / / ///_altar Date 4%'9> MECHANICAL �gS� 13-on TOTAL FEE , $ 6
Drivers' License or 55# - _ . ! - Reinspection Fee $25 Issue Fee $ 3 PLAN CHECK ,7• •� 53, 7 r
CMF 0865-46 rev. 7/83 White- - -Bulltlin9:Canary-Applicant;Pink-Accounting;Goldenrod -Assessor _
I_ ,--
'4 ,CONSTRUCTION AND PLANNING t POl SPA
APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector
. Temporary Electrical Service or Pole - _, 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. ', 2/I/41:: r 53. Steel Reinforcement
.3. Electrical Conduit Utility-Undrgrnd. - • 54. Forms i
4. Electrical Conduit-Undrgrnd. -• • - 55. Electrical Bonding ✓ ,
.5. SteeI Reinforcement. it/®r
i�_31�r (/cam 56. Rough Plumbing & Pressure Test -
6. Electrical UFER Gond. 1 57. APPROVAL TO COVER-GUNITE . '
t.
• 7. Footings • " .. ;i ' i/23/ 44. VC_ 58. Electrical Conduit-Undrgrnd.
8. Foundation . ` ,r ' 59. Gas Pipe, 0 Undrgrnd., Test / /
9. Water.Pipe-Undrgrnd. % l.' A 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System . 61. APPROVAL TO DECK .
11. Property Sewer-Line & House Connection "fi62. Backwash & Receptor-Final
12. Sewer Cap . • t . . 63. Heater & Vent-Final
13..Roof Drains. - / 64. Plumbing System - Final
14. Rough Plumbing - thilif £ 65. Electrical-Final
15. Rough Electrical-Conduit I� 66. Solar System-Final
16. Rough Electric Wiring 4/icb /Qv 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'Fr9ming 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 51q/9r (/C- 74. Overhead Hydro
26. T-Bar.Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame*d Flashing G ✓u 76. Dry Standpipe
28. Lathing:&Siding 77. FIXED SYSTEM FINAL
29. Insulation / li 10 Sr (.4-- 78. FIRE PREY. FINAL
30. Drywall Nailing •7//6 / • vv HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 1 79. FINAL INSPECTION
32. Elecir'ical Power Meter-Final I , 80. FOOD CERTIFICATE ISSUED 'j.
33. Final Electric • Notes: (Nil- -4' /O/l / D ti / D3y ict/
34. Final Heating & Air Conditioning ii/jp�,r49C r/7/f 4,6.a- 't Dx - /f -
35.
/f-35. Final Gas Pipe-Test 74-17-Fr-1,C . 4c- _b0 a tile-a7 .-9/6/&
naQi
36. Hood or Canopy
37. Final Factory Fireplace if/o.4 1 iia
38. Final•Plumbing VJI/v , " ' '-
39. Water Service-Final f cf.
40. Gas Service-Final •
41. Solar Domestic-Final
.: .
42. Backflow Preventer - ,r
43. Backflow Irrigation
44. ,Landscape Irrigation System •
45. Sound Attenuation
46. Handicap Regulations .
47. FINAL STRUCTURE & BUILDING /2f/'3/_ c/(,
48. Special Requirements Completed Lh/ C_ItP&
alio •
49. Electric Release to Edison . ,
' 50. Gas Release to Southern California Gas Co
Not CERTIFICA /6O7 Date a4- /9(6 ,' C' )77-adel"-