HomeMy WebLinkAbout2330 VANGUARD WAY - Building Permits (87) 4DRESCCM11LOWG 2330 VANGUARD WY "T: Q-105 CITY OF COSTA MESA — BUILDING PERMIT ( O -nn/p`J
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OEIFIDAWN: ROSITSA LAWRENCE PERM NO: P 086.7801
"DDREss, 2330VANGUARD WY
COSTA MESA,CA 92626 PERMIT NO: P 086780 PLAN CHECK NO: N GOVT: N SUPP: N
APPL.MIIUND ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
ARCRITECT OREN2IEER: tit NO.: JOB DESCRIPTION ; INSTALL DISHWASHER SQ FT:
AWL OR ENO:S ADDRESS: UMT:
CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 /
C4N1BACTDR'SN'"tNOCK PLUMBING ( 714 ) 895-1246
CONIRACTOWSMMLDq 11612 KNOTT ST COMMENTS: NO OTHER WORK ASSOCIATED WITH THIS PERMIT
ADUREss: GARDEN GROVE CA UC.NO.; 707775 cit***ft*+t*RtiE*it*at*it*******ir•**"Eft•tE**tt*it*it**yt*itaasE*at*it****at*******iron"ESEit**it*****iE•*i(-*+E•+Eae
92841 DMT. 17 ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty el perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 d the Business end Professions Code.end my license is in lull force and effect.
cI7Y cJ°1:050 • 86 uc.cuss: C-36 UC.NO.: '7775 EXP: 02/98 MAIN BUILDING ACCESSORY BUILDING
Contractor. FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
WI UILDER DECLA TION:I hereby drum under penalty of perjury that I em exempt from the Contractors License Law for the
g
reason(Sedieq7031.5Busies*and Proieaeiore Code:Any city county With modres a Permit to eabbud,apt.internee. PARKING RE PROV: PARCEL: 93865217 INE: REF NO:
dish.or repel any structure.prior to itseqth
issuance,also require,the applicant for such permit to fib a signed statement that he or she
licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with section 7000)of Dwcion 3 of the PLANNING N TES>
Business and Professions Code)or that he or she S exempt therefrom and the basis for the alleged exemption.Any violation of Section > _
7001.5 by any applicant fix e perms eubeas the applicant loci evil penalty ofnot more than live hundred ddlare($5000. ************************************************i.******************************
0 I,as owner of the property or my employees with wages as thei sole compensation,will do the work.and the structure s not intended
or dieted for sale(Section 7044,Business and Professions Code:The Contractors License Law does notappy torn owner ofpropady DEVELOPMENT SERVICES ' REQUIREMENTSS
who builds or improves thereon,end Wg does such work himself or hereof of through his or her own employees,provided that such
•
improvements are not intended or offered for sale.ff.however.the building or improvement S sold within one year of completion,the
«
ow aud. wulhaethebudendprog .a.neddotbuildaimproel«Ihepurposedwe), ZONING APPROVED BY •
•
DATE:
❑ I,as owner of the properly.am excite's*contralktg with licensed oamuedn to construct the project(Section 7044,Business and
Prdeeseqs Code:The Centred= L.awdoss not appy to an owner dawem who unto or improves Denson and who BUILDING APPROVED BY : DATE:
contracts for wit projects with a contractor(,)licensed pursuant to the Cantreda.License Law). ,A� 7y
❑ l amexampl ander Seto *
Section: B. P.C..for this reason: APPLICATION ISSUED BY: �C DATE: �l
Date: Owner: x...##....s. .xx## x..#*#seri+.************** **.******************* . . . . suss . **
I doherebyceady that)an awned and undersand the requirementsd CaliforniaalHealth and Safety Code Sections 25505,25533. d LEbMi »A1'1'ijNkN F E E SUMMARY STRUCTUR'•L SEGMENT:N
25534.and that I or any Muss building aavpanl will/wil not(circle one)need to comply wth said alae codes and the reamemenb for
a permit for construction a modification from the Ai u anepement District.Residential construction eppfmtions ant exempt homilies* EILb} ?MT ilitiMgftig ELECTRIC_. MECHANIC FIRE BMIP/RES GRADING
provabns. PERMIT
Dale: Applicant: 5% SMI P/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one or the blowing dedatos:nPLAN
❑ Ihave and wwm.ioaiscenhim.dconsentoeea'iwefawkae•congerts/on.asprwldedfabySedicn37ooathe Labor ISSUE FEE 22 . 00
Coa.lathe pedornma performance work for whirlms Pampas®runt. BUILDING-DIV-> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
a rad a m.;„;, ansa carry insurance.®„c ed bsedon3700 dme cissa Code,fog.pa«macean TOTALS----> 8 . 75 22 . 00 0 . 00 30 . 75 30 . 75 • 00
1110 wok fa which thio permit s ssued.My waren compensation insurance curiae pft y number ere:
Canis: T01,DEN EAGLE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 30 . 75 OVER/SHORT: . 00
Policy Number: NW(' 479744{k) 09/01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need not be completed I the panne is for one hundred dollars 01001 or les..) 30 . 75
❑ I certify that in the..d. : of the work for which thisnotanyan
permit is issued,I shall employ any person in manner an as to
asubject . the wo compensation laws d Cdifanie.end agree that i l should become subjectto the wires' *******************************************************************************
• ne.a, 7.-'''
ns•?It 3700 d Labor�the LabCode.I.hall forthwith with Inose pmGv3 nit.
/� 7 5 Abanl: INDIVIDUAL F E E BREAKDOWN
np:Failure to secure workers'conymnaadon coverage I a unlawful,end stall subject an employer to criminal portables and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
lines up to one hundred thousand dollar.($104000A In addition to the cast of compensation.damages es provided for In
S«gon3706ortheLaborCode,Inteest,,endarrorney'atee prPLU 1 DISHWASHER 8 . 75 8 . 75
CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that there is a construction lending agency for the END OF FEES
performance of the work la which the permit is issued(Section 3097,Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS: • '
I certify that I have reed this application and dab that the above infomalion is correct.I agree to comply with all city and
county ordinances
end state laws relating to building construction end hereby authorize representatives of this city to enter upon the above.mentsned property 9.4
'fa in.pedon purpeses. ` 82-82-1998/89:16 RM/$38.75
RON NOCK_ \\ i 6° RCPTM:81-8819874
I, � C `j� 1I � � PERMIT:086780
Dae: ( l
Signature d Over r/7Appiran r
(5151-45.WP) White-Building&Safety;Green-Ab:Canary-APpicanl:Pink-Revenue:Goldenrod-Assessor
r ,
CONSTRUCTION AND PLANNING ' pot SPA
APPROVALS 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, O Undrgrnd.,Test
r
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 0 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 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: -
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
'i-2J-J^ by (Si-r •
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 _ - •, %n
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING - - -
48. FINAL PLANNING •
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
PROJECT ADDRESS: 2330 VANGUARD WY UNIT: Q105 • CITY OF COSTA MESA '-,. BUILDJNG PERMIT , ..
' PERM N-D;._.B ',- 046659
OWNER'S NAME: TIM BANFIELD � .
ADDRESS: 2330 VANGUARDWY PERMIT NO: B 046659 PLAN NO: N CHECKOVT: 'N SUPP :.. N
•
• COSTA MESA . •
• CA 92626 CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: REP
( 714) 545-9683
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : REPAIR GARAGE DOORS & WALL (HIT BY CAR ) SQ FT: 850
ADDRESS: UNIT:
CLAIM VALUE:- 850 . 00 • CALL—VALUE: 850 . 00 . GROUP OCC: M-1 /
PERMITTEE: CALIF- WESTERN INS . REP . ( 714 ) 581-0120 • -
ADDRESS: 23372 SOUTH POINTE E COMMENTS : DRIVE SAFELY!
LAGUNA HILLS CA 92635 **>Fxae*********************** E***+Lisr*N****ick***+r* >E*x•**** *>E e<** **x**********:4*N
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code,and m se is in full and effect. SETBACKS
CITY UC.: 0 2 75 8 4 STATE UC.:4 2 6 4 2 4 C
Date: 4 — 2-3— 7v Signature: ------------ MAIN BUILDING ----- • --- ACCESSORY BUILDING ---------
•
WORKERS'COMPENSATION DECLARATION: Ihereby affirm that Ihave acertificate 01consent toself-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance,or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT INRGHT: FT IN
• POUCYND.: 1137124' 89 EXP.DATE: 05/01 /90
COMPANY: STATE FUND PARKING REQ: PROV: PARCEL : 41915111 ZNE: REF NO:
❑ Certified copy is hereby furnished. DLJ Certified copyi e with the y�tt➢➢��Building g�'vision. PLANNING NOTES>
\ J (/ >
Date:{ '� a.3—�O Applicant: [}G..-l/��- .. *******************;ik*******************************************it***>E*********** .
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (this section need not be completed Utile perm)is for one hundred($100)or less). DEVELORMENT SERVICES REQUIREMENTS
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 Laws of California. ZONING APPROVED BY __-- DATE: •
Date: Signature: BUILDING APPROVED BY : DATE: '
NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. • ' • _ ' /
r.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y : - ii DATE: /�/�..___ )
which this permit is issued(Section 3097,CN.C). *******************it**3F3FiF lr " )Fy✓—s ********** 3t•**
UNDER: *******************1L******************* *'J. **********************************
ADDRESS: LEGALIZATION: N F E E SUMMARY STRUCTURAL' SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC : MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 23 . 00 . 50
repair any structure,prior to its Issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SM I P/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business _ ,
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN . '
any applicant for a permit subjects the applicant to a civil penalty o1 not more than five hundred dollars(3500). ISSUE FEE
I, as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV--> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ tructure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS--——> 23 . 50 • 0 . 00 0. 00 23 . 50 23 . 50 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
Ns or her own employees.provided Mat such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED': 23 . 50 OVER/SHORT: . 00
impe purpose ofsale).
one year of completion,the owner will have the burden of proving he/she did not build or improve
forthe DLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK r
l 4I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 23 . 0 0 5 0 k. t
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereonoreon
State
and who contracts for such projects with acontractor(s)license pursuant to the Contractors' tate License Law).l am aware ************************************.*.******************************************
that proof of their Worker's Compensation insurance should be prodded to me. INDIVIDUAL. ;F E E BREAKDOWN
❑ I am exempt under Section: B.&P.C.
for this reason: TYPE QTY DESCRIPTIO N ' • UNIT COST TOTAL COST
Date: Owner SFR 850 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 850 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END -O F FEES
25534 and that I or any future building occupant wilt/wit not(drde one)need to comply with said state codes and the requirements for a '
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions. ,
•
Date: Applicant: • .
I hereby certify that I have read this application and state that the above information is correct.I agree to compy with all city and county
ordinances and state laws relating to building Instruction and he mhodM re awes of this city to enter upon the above-mentioned ,r.
property for inspection purposes. .'
Date: 3-23 ee, Signature: 1-1 01 00056857-00056858 TOT 23.50
DATE: 03/23/90 TIME: 13:23
Driver's License or Soda!Security A: -
1641-46 White-Building;Green—Cote Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS 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 ir
4. Electrical Conduit-Undrgrndi.,1 .1.:7:- 55. Electrical Bonding ey
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 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) &Monocoat • -• 75. Dry Chemical
27: Frame and Flashing Y-4-40 4,LL 76. Dry Standpipe '
28. Lathing .& Siding 77.- FIXED SYSTEM FINAL -
29. Insulation - 78.•FIRE PREY. FINAL
30. Drywall,Nailing 1 , - HEALTH DEPT. REQUIREMENT '
31. Plaster Brown Coat - 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80.. FOOD CERTIFICATE ISSUED
IN
33. Final Electric .�-:_ Notes: qi '1•^ e
•34'. Final Heating & Air,Conditioning .. r f +z S 4 frv � `
A 6 i Ac 1. /-'.Ik. oto .-c.e
35. Final Gas Pipe-Test \'....
k.n-t '-la ""mer koo�(c.- 1- C-
36. Hood or-Canopy - di ei - 4 W 61-
37. Final Factory Fireplace • - - ;J. • ..
•
38. Final Plumbing .
39. Water Service-Final - s - .
' 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 & BUILDING61,49 "`,
48. FINAL PLANNING s
RI • , .
49. Electric Release to•Edison ./''
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY -
No. Date•
•
City of Costa Mesa
Development Services Department CERTIFICATE OF OCCUPANCY No. 00165 S
Building Safety Division
P.0.Box 1200
Costa Mesa,California
The Building located at 2330 Vanauard Wav 0-105
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
fora Group R-1 Occupancy.
Use of Building tnnt1rminilim
Legal Description 419-151-06
ISee reverse side for Metes and Bounds)
Building Permit No f_1FR97 Electrical Permit No. f:1:; 97 Plumbing Permit No. (116892
Mechanical Permit No. G16892 Number of apartments ))��• and/or guest,rooms •
ISSUED TO: Building Official 'I<( tt, 72%.L? .1
Newport larding Limited / /
P 0 Box 10843 by Ci ?Jttf/C/ );:<.4-5C-f/
Beverly Hills, CA 90213 Date fJ rJ")// //tel,
\ fo
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 101546 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 PERM NO. 8�2— TRACT j LOT NO. BIDG.Ng,S. - 5537 I /14/05 •' 769. 13 }•L
' C;NSTRUCTION PERMIT L i p��L� /Y/ U .
• Project Address c.•) 12,0 AMS*0 TYPE OF CONSTRUCTION Y-� NEW U ADD LI ALTERATION U REPAIR
a ❑ CONVERSION ❑ DEMOLISH ❑ OTHER L// ? /L' --
Owner's
Mailin• Address �i.li . - • • ^ ^^ A A.P.vW /— J -Q s Zone �-3
• DESCRIPTION OF WORK GO t•-117:30 SF r-�+ra1C.HG� '[ •VtC-.a•-
!/� Owner's Na e - �'�Ca I Ph•`� a R _ • S Main Building: Accessory Building: Z
OD Address l�0. P10x IOicy 3. Bev 14 las eA 990.213_ E0
�� 584
OF PERMIT'�/ GRADING �1 FOUNDATION �� STRUCTURAL T Front/9/7....19C611 ' N
ITR
1 Arch/Eng. CI I<^ HEDRIC�K ' License No. C-S$L+ ❑ TENANT IN ELECTRICAL X PLUMBING ® MECHANICAL B Rear
�' Address e� - s l G L. �/� a ❑OTHER - A 77:04
-�q /� �,y� / e N
I Contractor's NamP 'PAUL TETRtCK_ Pho'et r O-67311 PROJECT DESCRIPTION SO. FT. \ Z�'1',rI�CCUPANCYY hl'?r�F{'Q� C Right U 7:0.71:7;94:-`77111
�PA�•�r *7 )€J G
MCONSTRUCTION TYPE -N VALUATION $ 85.19 K Left - R
Address(mailing) .�'}It�Slr�rs LA Ave., L.A. 9pDa5 $ / 7 o ��� E
City License No. Y!- 33,41a ZONE GRADING CU.YDS. ACRES g, .' C / �' 1 Park.Fees $ Q O
C', / Ping. Ref.# — �7 - l�a
LICENSED CONTRACTOR DECLARATION Remarks: ' `r �/ p 7 Parking Req./Provided Z.- Z I�
1 hereby affirm that I am licensed under provisions of Charter 9 (commencing !, R
with section 7000) of Division 3 of the Business and Professions Code, and Use Of Building: Rot, ,E
my license is In full f•rce and effect. - ••E
Ucen Clas a i c�/E� ;% � PLUMBING • , FEES �Plarining Notes: E
Jate ii Signature �--
WORKERS'COMPENSATION DECLARATION / Bar Sink Showers 2-"T) HOLD FOR SPECIAL RC--iUiREP,IENTS N
I 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 4 p to Packflow Irrigation Sewer Cap ' ' ' ELECTRICAL FEES
Policy No. .$A1 I.1p�8i Company E.L TE rorIP ,NS,Fl� - . =Cij ertified copy copy is hereby furn ash tl. Bathtubs •- � Sewer.Connection ' --'- . (p % / Automatic Washer - Transformer 0 15.50 KW
Certified copy, filed with the city Bir',,' �� `
Date 11'19'Ya�' Applicant / . Clarifiers Solar Collectors �'- Construction'Pole Sub. ❑ 50+KW ( ��
EXEMPTION FROM WORKERS'COMPENSATION OECLARATI - - -
(This section need not be completed if the permit Is for one hundr ($100) or Dishwasher Solar Piping ')
yU� Qi(!/.J S-.100 'Cooking Unit, Meterup to 100 amps 500 ,
less). ••
I certify that tri the performance of the worK for which this permit is Issued ISolar TankDishwasherMeterDover amps I 100 f DD
shall not employ any person In any manner so as to become subject to theDrinking Fountins •
Workers' Compensation Laws of California. l' Floor Drains Swimming Pool w/Spa / , Dryers gGes DElectric ( Sub Panel • ( .
Date Signature ` -
NOTICE: If,after making this declaration,you should become subject to the ' Floor Sinks • _ Urinal '
Workers' Compensation provisions of the Labor Code, you must forthwith - Fan _ - . _ Motors❑O-1 HP 01%. -8 - •SCV
comply ,with such provisions or this-permit'shall be deemed revoked. / Gas Service �Gutlets Water,Closet' • •E)OC) F.A.U. Inc.$Ola! ❑9-15 HP ❑16-15+
CONSTRUCTION LENDING AGENCY I CO
I hereby affirm that there is a construction lending agency for the performance Interceptors / Water Heater Z Fixtures Microwave
of the work fo •• r ,1,0js pegiit sued, (Mplo p9Z Cl ...C.2 �� 3 DO
Lender's Name EK F{/t Ci 1. - ' t"1C7K\T lot Kitchen Sink Water Service
_ s ,a LL' E 10: 1IS�•) Device Boxes Pole Light #t{-
Lender's Address, „•Y-
OWNER BUILDER DECLARATION r '� • ' NE' 4 • Lavatories
8�7 3 lU9Sf� AJR�/NC R n �j7 Outlets Range ( µCO
I following
a rearm that I amon exempt31.5from the Contractor's Professional Cense Law for or P-Tre
following reason uiresian a mit t Bonstru and ter, C demolish
city p - _ _ �'f Switches Sign S
county which requires a permit to, also alter,improve,dem Olish Or repair / - 40
my structure, prior to its issuance, also requires the applicant for such permit . • Roof DrainsGarbage DisposalStanding Sections
O file a signed statement that he/she is licensed pursuant to the provisions of • _
(he 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❑545 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. civilCO
penalty of not more than five hundred dollars-($500). Reinspection-Fee $25 Issue Fee - $ 3 2– et. _ Z
•L I 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 - -,, •
,
License Law does not apply to an owner of a property who builds or Improves Boiler Hood or Type I 0 PUBLIC SERVICES REQUIREMENTS:
thereon, and who does such work himself/herself Or through his or her own '
employees, provided that such Improvements are not intended or offered for Canopy Type II 0 Zoning Approved By Date—
sale, If, however, the building or Improvement is sold within one year of com- Duct- Under Ground ��-
pletion, the owner will have the burden of proving he/she did not build or im- Application Approved By Oate
prove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By q�� Dat 1S
0 I, as owner of the property, am exclusively contracting with licensed con- ❑0-100,0008TU ❑100,000 BTU /
tractors to construct the project (Section 7044,Business and Professions Code: 7 Duct-Ventilating SUMMARY OF FEES b. l�
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 $ Lf•`JCe� (�{ 7� SMIP $
tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ �LPk//� PERMIT
❑ I am exempt under Section B.& P.C.fog2 •
this reason 1 Firepl/Fact.Bit. ICBG# p1 PLUMBING $ OD' ISSUANCE $
Date Owner • - Heating System& Ducting 4 PLAN CHECK $ ... ENERGY P.C. $ '
I hereby certify that I have read this application and state that the above / ®0:100,000 BTU 0100,000BT
Lk
� GRADING $
information is correct. I agree to comply with all city and county ordinances - ' - ELECTRICAL31 Q� -2C�_
and state laws rel._,• g to building construction,and hereby authorize repro- n �.e MICROFILM $
sentatives of ,;,:or to -• er up•' the above-mentioned property for , • PLAN CHECK 19'LI® ;:=y
inspection our-•• -s, l 91/3 t/�
Signature / �' MECHANICAL IS•LD 5' .O TOTAL FEE $—rr� 1•u i
/L_//!/��� . Date �/4/�'S9y I ,
Drivers' License or SS* ✓. ' Reinspection Fee $25 Issue Fee $ 3 PLAN CHECK 3-010 -A—Ger 7eci, I Z
CMF 0865-46 rev. 7/83 White-Building;Canary-Applicant;Pink"-Accounting;Goldenrod -Assessor III _ I
'' CONSTRUCTION AND PLANNING `z f•wL&SPA
Date Inspector Date Inspector
APPFkOVALS Permit# APPROVALS Permit# _
+ •
' 1y/Temporary Electrical Service or Pole- - 52. Pool & Equipment Location
2. Soil Pipe-ljndrgrnd. - - • Ci/n/f5-, 53. Steel Reinforcement
• 3.•Electrical.Conduit Utility,Undrgrnd. 54. Forms
4. Electrical Conduit-Uridrgrnd. 55. Electrical Bonding i'
' 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test ,
6. Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE
7. Footings _ ,, _ • 2' _ 58. •Electrical Conduit-Undrgrnd.
8. Foundation ,- 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undi-grnd. P 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer,Line & House Connection in
�'1 i4y/t4� n 62. Backwash & Receptor-Final
12. Sewer.Cap , r -- - ' ' - .• 63. Beater & Vent-Final ••
13. Roof Drains. - • . 64. Plumbing System - Final '
1.4. ,Rough Plumbing • /,,01- /,L,f£ 65. Electrical-Final
15. Rough Electrical-Conduit �/„ 66. Solar System-Final •
16. Rough Electric Wiring . /"48 EC. 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 n/arts' CV) FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace I APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating i•; 71. Product Piping 0 Gas 0 Oil •
23. Gas Pipe-Rough &Test 72. Underground Flush
24. Roof Framing 73. Undergrnd:Storage Tank 0 Gas 0 Oil
25. Roof Sheathing I 9'/4/ke VC' 74. Overhead Hydro
26. T-Bar Ceiling (Stiuctural) & Monocoat ` 75. Dry Chemical
27. Frame and Flashing 0 iihe /C.... 76. Dry Standpipe
28. Lathing & Siding` (, 77. FIXED SYSTEM FINAL
29. Insulationr/„// j/c 78. FIRE PREV. FINAL
30. Drywall Nailing ' ' i �/ HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION .
32. Electrical Power Meter-Final 3�4 ,�i 80. FOOD CERTIFICATE I, /�SSUED°,
33. Final Electric J Notes ✓i- "Vier
34. Final Heating & Air Conditioning 3-4_ re. ter
35. Final Gas Pipe-Test %/ y! •// , '71M
36. Hood or Canopy
37. Final Factory Fireplace f-e-SI +(ccs,
38.-Final Plumbing 1_`•-,‘
Afe
39. Water Service-Final ,.,
40. Gas Service-Final ,
41. Solar Domestic-Final •
. 42. Backflow Preventer , 1j
43. Backflow Irrigation -
44. ,Landscape Irrigation System -• -
45. Sound Attenuation + - i
46. Handicap Regulations )
47. FINAL STRUCTURE & BUILDING, i l(o//. JL/
48. Special Requirements Completed a``04/{ &
49. Electric Release to Edison
50. Gas Release ttoo Southern CaliforniaGasCo /� /� C,
,51. CERTIFICATE OFODaePA,'�J / ✓lt.
No. «<
•
fits 11 to LINT ICC MCAT INSUSATIDII RAt iia INSTALLLO a cONTOru.Ntt VITN TNI CDIININT limy Nt41*ATTINI3,
dt1TONNu Ap11NlSTMnVE Cox, 11111 II, STAlt Of umiak A, 111 T OUTI.D1110 LOCATED AT,
2330 VANGUARD WAY, COSTA MESA Q ( i. o c)
Street tot r — Tfat N.,
OMR* WALLS
New MANVTI I F not/Type RI l'?" N Volvo P11
CEILINGS
Manufacturer MANV11 1 F Thlctn.ee R19 6W" N T.l.t R19
new: Nenufacturer No. Sap VI.p.t
Sq. ft. Covered N
!LOONS
Manufacturer MANVILLE TMctneeeny.. R11 3W" N Tahoe R11
sue ON GOO(
N.wtacturer Thi /Tne N Delve
WHO of Paulette* trochee
FOUNDATION .airs
manufacturer TM /Type N Value
GENERAL CONDUCTOR LICINSI Welt*
IT TITLE DATI
INSOLATION comTMCTON L.A. INSULATION CO. INC.tictjst Nu1nn430486
n ' ! TITLE RRFSIDENI D"n 1/2A/86