Loading...
HomeMy WebLinkAbout301 Newport Blvd Part 1:766 art Boren, CA t714) 644-?2 '8 A BUILDINU PERMIT APPLICATION K r r grrs.� 1 I 1 C/ f o- 'kvr OP4 LAPA'TIr9N DE, L ARAI10N !: fi2L111'F FM.4" V ^)P: !4N[ ONO... TOTAL 4/OAK EP$'rcao y f1'a41 irdte CfiCLAP%TiO 4e 7izt rP C Er -trifle -At E far t COMPF-1414 n p,f4¢P' /A{.OATIC)N PERMIT VALIDATION lete oq,-e_e...P; FOUNDAEINti RFHNFOhCIRii $IEEL PHFLAf... Stl€.ASli NI; DRY WALL SN$PENOEL) CEILING Scratch Orown INNOLAs'I£i`J FINAL CF 7T_ OF OCF.UPANCY INSPFNION 4 SINNATI.R I Nenr h r A 52V.M. P/31'> (714) 644 325« :s}d `i F .21 Ill. I, 141- Rl'LP.Y,PL APY;,,,„l Pi PH Iry 1H Y. fill 5 I-qF Si AR1FIJ!!i N CHECK VAI.IOATION BUILDING PERMIT APPLICATION 11U P p&MOL A PE 10/. VALIDATION Mt' r35f1)FlF x, APPROVALS DATE F OUNOAT!ON I REITWOHt;iuG s PIt`. St.AE SHEATHING itAMIN:d CEi(.ING TINA( Gr.fif. i!f ( Scratch frown UEPOSI I REI EA' JiGfiATU E 144!;,,iivirt Bekich, CA•92658-.BBIB BhoBa::47 14",:,..64*1288 /BO Gt./ling CH'k No. . . 4.1.•(.. -14 $ err, A la, 11 rtt, A /lova /4/ /74nai,ci cf•Ate Poly &VD il.L.th.,,eihreilikatitszaa 4-4 R /IA YA).,ef 100 • , einvi , nIJ GRADING PERMIT C41 fat Nettport Beacit Dtratimr., neptlititert PO Bot' 768 et 44 / 0 - APPLICATION 731 bit Ed& 41i SQJrr1oY ' '` —latizzan_zif _12243: Li 1P it? bin ktftl 2, zi (161511?) Ref/ hi t ticrtilt,t1tit) rtite,ltm4tioti r/t4ri vt rritt,4 044 „lull:tot/tit t411 411 /int/ I t ;ffl.4 '4414. 1.4..,/ ilui..r.s4,11.4 40,1r144.4 :111i it, I,/, !;(!lt,r/Iyjjfl t4}ri, 4,1 tht, ,f:ttt• . 4;ft,r `,1 ,flAn Ittittit; n. (OP) ti1.11 crpFj wjui r/It 919 9,9'9t,j 919 rt -19, f 1110 • VP)r,rtv-ri ud 11,fiplai Le / / TYP! OF PERMIT 4 Pitt 4.1.4 4 tit t fe;// Li (MANNA 11E1ltlii UEPATMitla 44 c. Om, ./111.4i PROC EBBE I) BY ZONING SLIRDIVII3ION GRADING APPROVAI 10 It:i4i111. UAL C01101110! ifS PI ittAl I t t, ) --v.- ' r C)t I1EH C1.1 r a .3 cAt !rp $ p Ar t4 /3. ,44 P.Cjf) •• DA1E•' /Pr Oh. 'CL Pr fitiol ;PA ; 41101 CHICK RV MANN Id ireg t»ipmrdttlenl .... t. £itx'777i6 rg5;pr1 Beach, CA 9265tl 891 )ne; (714) 644-3288 BUILDING PERMIT APPLICATION DEPACsis LICENSED CON:rOAC?cut ne. ARAflrjn 7RFt Wyfl', eL 4vA--Cn W.T, N f HECK VALIDATION t_/ Pn- w 2 NR UAYK(V SAL A' PERMIT KAT AI r. ..l d}•ri"1 DP!CL y pu LIA WpF!<rE ;biSUIITIStd 'iNA wpart 6 aAn GA 92 una: (714j'644 3293 N "` 01�, Nrewp' Sart[49 UILCING PERMIT APPLICATION 'r Parking eA k1 floapi tl ` 74.0-5908 ,gam 301 F.t�wpnrt }Hvd.. .__. Newport Ikon( „„ 92663 Inc. 77:1,A a.:.Af4. Tales 2 4-£r.f%,iIttefir.t I9,17Gfl.b5r1 1 I1 ,„ ,926.53 A F'V M16Y tit Ev 1 Taylor +, ooNess 4 Upper p L__ WRA WON' i t ! Hi i If VA� O'955-1317 `„ ., ?kir 92660 Am , F! /0 ncise8 sign - cast In place xtcrcre Ste 196 aq. ft. total G CON' 'A CrTCR1 DEG:APA7I{7,1 WNERn(IILi/AG DE''. LAftAT'COD } YS. AYt C1- FCK a 1 �2.. VI PIPIKCFS' C rj,4$ gAT,ON A-(g ( t' /tr./PIION DOM FF, 4+rvAI ION IN P. A.1 Scratch Brawn T rc I;; UPANCY DEPOSIT RELEASEDI City or Newport Beach Building Department P.O. Box 1768 Newport Beach, CA 92659-1768 Permit Counter Phone No. (714) 644-3288/3289 OWNER -BUILDER DECLARATION HEREBY AFFIRM THAT I AM EXEMPT FROM THE CONTRACTOR'S LICENSE LAW FOR THE FOL CO W LNG REASON ISEC.10'15. BUSINE55 AN° PNOFE55IONSCODE'. ANY 00ITV OR COUNTY REQUIRES A PERMIT TO CONSTRUCT. ALTER. IMPROVE, DEMOLISH. OR REPAIR ANY STRUCIu0E. PRIOR WITS ISSUANCE ALSO NEOUIRESTFIE APPLICANT FOR SUCH PERM'.! 00 FLLE A SIGNED STATEMENT THAT HE IS LICENSED PURSUANT TO THE PROVISIONS OF ME CONTRACTOR'S LICENSE LAW (CHAPTER 9;COMMENCING WITH SECTION 7000I0F DIVISION SOF iHEBUSINESS AYOPR0FE5510N5 CAN0EOR THAT HE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMPTION. WO. ATION OF SECTION 70315 ev ANY APFLI CANT FOR A PERMIT SUB.' •Ct5 THE APPLICANT TO A CIVIL PEFIALTV OF NOT MORE THAN FIVE Hu"DPED DOLLARS 11500. 001.1: AS OWNER OF THE PROPERTY. OR MY EMPLOYEES WITH WAGES AS THEIR'SBL COMPENSATION. WILL DO THE WORK. ANC THE STRUCTURE IS NOT INTENDED OR OFFERED OR SALE (SEC. 7044 ROSINESS AND PROFESSIONS CODE: THE CONTRACTOR'S LICENSE W DOES. NOT APPLY TO AN C.VNER OF PROPERTY WHO SCADS OR IMPROVES THEREON. AND WHO DOES SUCH WORK HIMSELF OR THROUGH HISOWN EMPLOYEES, PROVIDED THAT SUCH PRo - ENNTS INTENDED O ED O FEROR SALE IF. HOWEVER, THE BUILDING OR IMPROVEMENT IS SOLO WITHIN ONE YEAR OF COMPLETION. E OWNER BUILDER Ere BORDEN OF O - O EDo OTBULDOR MPHO E E poRpoSE SALE I S OWNER OF THEPROPERTY. EXCLUSIvELY ECCONTRACTING H CE SED CON TRACTORSIS) CONSTRUCT HEPROJECTI . 0 BUSINESS ESS AND PO -IO CODE TTIE CONTRACTOR'S LICENSE LAW DOES NOT AFPLV TO AN OWNER OF f!RoPERTV WHO O M DS OR IMPROVES THEREON. AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTHACTOIIISI T•1ENSED PURSUANT 1OTIf CONTRACTOR'S LICENSE LAW I. I AM EXEMPT UNDER SEC. . B. &P.C. FOR THIS REASON rote -- : -.— OWNER. -.._.. _. LICENSED CONTRACTORS DECLARATION I HT BV AFF WM THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER 91COMMENCING ▪ SEC ON 000E OF DIVISION 3Of THE BUSINESS AND PROFESSIONS CODE AND SE IS IN FULL FORCE ANOERECT.ocENSECL !!,, 00_NE, ' LA. _ LIE NOQ E_J9IL 1'.oN00AC rooh\.t ..K1$WEAauir DATE 1041M -- WORKERS' COMPENSATION DECLARATION 41ECIEBy AFFIRM THAT HAVE A CERTIFICATE OF CONSENT TO SELF INSURE, OP ACEHI IFL FF COWORKERS' COMPENSATION INSUBANCE.OR A CERTIFIED COPY THEREOF ISEC.71300. o POLICY NO 6'C7161"'6 221ECOMNY LIEERTY EIITOAL m1HODEOCOPYIS HERESY FOPWSNED. I al -HIRED copy15pj 15 TILED WITH IREm UmING DEppgTMENT DATT� 39.1 _ ._APPLICANT ' CERTIFICATE OF EXEMPTION FROSKMRKERS' COMPENSATION INSURANCE' 6iHls Seb11M NEEDNOT RE COMPLETED IF THE 'PERMIT N FOH ONE HUHDPm DOLLARS 10U1 OR LESS, .. - THAT IN THE F'4RPOHMANIC Or THE WORK FOR WHICH THIS PEPMH IS ISSUED.1 MPI Ov ANY PERSON IN ANI MANNER 50 PS TO BECOME SUFI:T TO THE 00NRFS!CHJ OMPENSATION LAWS OF CALIFORNIA OATS APPLICANT NOTOF PI (CANT IF AFTER MAKING IRIS CERTIFICATE OE EXEMPTION. vOU SHOULD NLCOME Stain!! TO THE WORKERSCOMPENSA DON PROVISIONS OF THE LL 00P CODE. TevartED FORTHWITH COMPLY WITH SUCH PNOV1510NSON THIS PERMITSHALL DE DEEMED CONSTRUCTION LENDING AGENCY HEREBY PERSIA' THAT MERE IS A 01MSTRUR1ON LEM01NG AGENCY FOR THE FORM FOWL OF TM1. WORK TOR WHICEI T05 PERMIT IS ISSUER {SEC. 3a91, CI. CI. tENDES... COIN,' ADDRESS READ Ras APPucnnON nx05IATE THAT THE- ABOVEINFORMATION S CORRECT 1 AGREE TO LOI7PLY WITH ALL CITY AND COONIV ORDINANCES AND STATE D Hi 1mws CONYRUCTON. AND HERETO AUTHORISE RIM 000TA NFIVES Or THIS COUNTY TO ENTERUPON ;HE ABOVE MENTIONED PROPERTY TOR INSPFC PuTIPOSES JOB ADDRESS BLDG OWNER ADDRESS. CONTRACTOR: ADDRESS. BUILDING PERMIT 3G' N6NP48r 96G0 FLOOR. SURE: ANAL AEn"R0AL ROSP?!A'.. ?REM 301 MEOW RLVD, ROM 610' NEWPORT 2BACC, CA 926S€-6100PHDNE' MILLIE nIN SEVERSON 1NCORPORAT 3601• AERPENT,IAE DR r1 ,1 LOS AOLANITOS CA 9072E PHONE, STATE 099031 CLASS, 9 A NEWPORT LIC. NO: BUS. LIC: ARCHITECT: 0AIA RORERT A 3270 LALANNN EMPIRE RLVN ONTARIO, CA 1176d 0CfOK57 TROPP0 01LLIA.i RONARA 5 C0RP0AITE PAEF. t1,1261 IRVINE, CA 92754 pHONe S 99',E66 - NNC 100^P (COY, MIC0AEL) 327E MAR EMPIRE RLVD ONTARIO, CA 91764 ADDRESS LIC. NO: ENGINEER: ADDRESS LIC. NO. APPLICANT. ADDRESS SIGNATURE OF APPLICANT ENTER)) Fioai Project Valuation Regular PLAN CHEER FEES FILOINC-PERMIT FEE - !1 a' CLEAN-UP CEPO90?•lcquirtd? (Y)' Is EYCISE TAM requited? (Y) HMP?R 50.E?. to compute efeise tan Suhti:.'ta! '(9 EEI411000 PERMIT FEES SAN. HISS. FEE A Last 2 Fos Au( Cd Is IIiCROFILRINC FEE required? - (Y) CAIPORN3A SEISMIC SAFETY FEE Is HINARLED REVIEW FEE needed? (Y) In I!AAARDOUS RAT. FEE needed? (Y) ?OPAL CIE 20112I00 2ERNI? FEES PLAN CHECK VALIDA eON PHONE PHONE. INSP AREA. 716/6 f 6-R96 DESCRIPTION OF WORK' ONST: cONSTRU0Tl0N. AS°O°FFrB OCW UO OF NITS: NEOD %JO SETBACKS t10/493 1611 LEGAL ' l cno D SCR( !ION Ego C. Yes Me 0p0- u71 SPECIAL GONOITLTNS Permit No. 89400687 Inspection Requests Phone No. (714) 644-3255 CIRCIIC MIT BCDC (04) MEN MEDICAL OFFICES RL00 AODT':OA: L570 SE I -SCR TR00 AHC ZONE PC FRONT REAR occ N2/A3 aOF W GRP 5 ADDED 1 SO FT. GAEWrR PARKING LEFT RIGHT Ir,, OE c(B ,nr 169 2LF. 2 B00 OF LOT ._'E. CN FINAL -SEE CENI.4A r j.seo BY OTHEfl . AL'�,% aEPARTMENT FIRE gnar09-9919 APPRov0L. i/1IL GRADING 4' APPROVAL, i 710 250-422: PR .21 5,990 1,217,99 CH. MO. CASH 416,€d V� 2,815.1E 2.815.10 OS 1Y.OG Y 200.0E Y 15.00 Y 12,06M1.38 PERMIT VALIDATION 725900 PLAN CHEC B tee APPRE AI edit _ t..n Tetal Cred 2a:nce Adjusteents Balance doe I, 76d.43 0.00 ,164.d; 10,299.21 0.0E 10, 299.95 are ARV 80 4 oFNRwpHRr8E4cH CK M.O. CASH ( 0 0 8 D } Z0 oL 00 r t— aU aW ) oZ 0 00 0 O 0 2 0 Lid 0 4 # ame 9•anAn $ 9.30• 94 p3 • 1344 'g:$ <MAD </a9 . 91 oS ri Z'.fr) � /Z• )4.9ff - sfe /FY f rave-s C / CPAf�/', �' a/s s''»',fl.9 Of !W.7 0/4fl a r yr 9,2/• Pi - S a -ar �/s .2 , .c W 31 /r7 /,vsiteweA. g/e Cod-4AT ea" 9.Jo• ice fir .ross�.s�es 4-e- .49et6tot.s„) nor Awe, .•r,y±s ✓,✓.,a- 9 �o •94 • ,(srztwo 4'; a"�/`� 1.,� J. 49• // Y/. 90 •• /M f%A66 hS9,c'e OKro eel/al I G f.Pifi/r�.Yo . er ate, , Y9 /NJwjis /f Urges a ,,e///cs am- 7, done: el" /2. 9 91. Ft7/FWO /''/Y 41070e .7 -ern. n_?2f fIgdiur, ec/ry ae/lil'e- eV1Z , `?4'l-,.eGbi/a gt,''/€/9s» - 9a Jr )» "y!$Ytcell /. ,Pen/ iteare,n1 /N$,,,re 'd 47,94/ ,tp Wert 4/•✓f• ',r ?ar4 C.f , /) / 2 4/ye. .9/ • 9, • / 7,1412�oi ..04O,4a - - traytr �r /2. 2/• AQ - / oC',r 6,eare 8 " (WV /Nita WvC19 of s .6 -. ,' aoefat WYW*G ,ot0.6 $Was .W 43/X? WSs netw/ar4z J' aster /2 Za 94 - !Ev ,e, �vw%- ae7D .sate awsfrs /a a/is gv Over, Cy) as we and War seer Seer ratio at, or To ,r/v 44/4•Aner of 09t7 Sbfiivs. /•S• AS• P/yGGd1� EX/L /.YJ'/- Nor- mrevar c r //Wlpr - r-emc- at Arac 1 sere. CEeLsw..r eel, on' a,r {,eAf s4J•.. — z•i�. Qs- Iffy bra Boa J£Ja/Y 4Sr5,2ss' town Stayawn' redrew ,te ,!l• Carrrircera'�/ c.432r ivcrst: h.: P. .alf/.✓G neori,1�3f/A•6, !12 ,Wl ilva -a /iY '- 4Ba j' /1/9 9f. 2•14%AC- alt/re:22 /W.me* . a.c.r °, ,OatibA�s. � e S 3•/%• 2S C y fee - / /`9•%S&reSe- , 6C / <6v' oFf 9 Z/• yr- ('!illy >e,#,, —art /tofu- ahr. 41ai?he Mir=hv ,Pf.74,02. - ~it 1rvv4 K*( R22- 9.30.94 ft on•Al •d8oley* 9•z2 9s-,P� 6.2Wa9/ o/c ya ?mac [o (37 /71_0-.41 wic'-P 1 5v 1 AicA-10a4 b(vS • UC 6•h[cra ,2(ae-8.co , r OWNEREUILDER DECLARATION City of Newport Beach Building Department P.O. Box 1766 Newport Beach, CA 92659-1768 Permit Counter Phone No. (714) 6443288/3299 HFREey AETEHMTHAT AM EXEMPT FROM THE CO Tfl NSE LAW FOR IRE SONISLC 7011.5. BusENESS A^ O SCO CITY O W' O 5 - TO ON T L E 0 F. DEMOLISH. IL -Niue. xPRIOR TOILSSSV CE.- EOOBES TO THAT HE is oF THE CON( GOR'S CENME LAW CNAProR, COMEDNONO a41. SEC 10 OOSUANT TO DIESL, JVSION Ier THE SASEs FOIE l 5AND THE HEESS AND A5EGED EXEMPTION coon VOLLATIoN,EISEAMON OF Secs-0N 7031p5 EFROM HYANYAPPL1 GANT Lail 4 PERMIT SUBJECTS THE APPLICANT TO Civil. PFNAI TY OF NOT MORE I HAN FIVE riuNDRE0 DOLLARS (S500.001J CONNYNSAT'.ON. WILL DO THE WORK. AND 1HE STRUCTURE IS NOT INTENDED ON OFFERED. rOfl EI,LF FC. 704.1. BUSINESS ANO PROFESSIONS CODE. THE CONTRACTOR'S LICENSE E NOT APPL'I TO 4N OWNER OE PROPERTY WHO BuILO%OR IMPROVES THEREON. 1 DOES SUCH WORK HIMSELF OH °BLEAGr1111S OWN EMPLOYEES. 0RVI O0FO THAT SuCo PROVFMVNTS ARE NOT TENDED OR ollrofl, rIAO FOR SALE IF DWEvE IIW P;!MANN OR P.OVEMENT ES ry SOLD WNH1N ONE YEAR 0 COMPLETION. Tor OWNFHI HHPOSE OF5ALL 509005 BU D[ r PROVING Ow114 DID NOT BUILOOR IMPROVE FOH THE J As WTIER OF THE PROPERTY. AM ExCLULIVL LE CONTRACTING WITH LILLNSLOcON C INS CONTRACTOR'S- DOES NOT APPLY f0 ANSOWNER Of RINP9TYCWHO xC PROVES THEREON. NO WHO CONTR Crs FOR SUCH NO l wine A " ISELICENSCO PURSUANT TO rex: ..N R4CCOB'S LICEN I AM ENT WO UNDER SEC . H & J. C. FOR THISREA00N.. . __. LICENSED CONTRACTORS DECLARATION MISERY V'FIHM 1N4T I AM LK LosEO UNOEN PROVISONS Of CH5P:ER O (COMMENCING WIT Ji SECTION 1000, 0I" DIVISION 30F II.L COSINESS AND PROFESSIONS COI* AND MY LICENSE IS IN F.H 1 MOLE AND EFFECT SON, c ASS. B A L NO 099021 U C'ENBF MtteStaitat✓ H4TE$ 3o-91 WORKERS' COMPENSATION DECLARATION NEAT I HAVE A CFR11RC4Tf OE CONSENT TO SELF INSURE OR A CE5T1F1 1 rr OELVONKERS' COMPENSATIONINSURANCE,ON ACER IIFIEOCOPY THEREOF !SEC. 1300. WC11619'6389'9 LIBERTY MUTUAL POLICY NO. - COEAP4NY. LEHTI0IE 000PY ISHERESYFUxNSNEO. �y LEH QHHLO caIs Ha1 Mmm IFOwE SING CEP4 / W 1F O-3w /3 CERTIFICATE OF EXEMPTION FROM RICERS' COMPENSATION INSURAN E Fos SECTION NEED Nor Or I:OMPLFIFO .F THE PERMIT IS FOR ONE HONORED DOLL ANS 51001 DR I ES51 J. N E PERT' CEu HE worm T oN wHOI THIS u60.1 BHA MA NNER SO AS 100FCOM TO THE wONKFRS COMPENSATION Aw50E C4L PORN AE DATE APPI!CANT NoriCE IANTH WREN -ELATE c: R11TILATE Or ESE MPTON. YOU SHOu1.0 III I oMESU W ULE TO nil WOHKER5COMPENSATON PROVISIONS OF ME LABOR COOL. ROLOS E 7 NnlwIno01.HIT w1nl SOCIIPHOvISIDN S OR THIS PERMIT SHALL BE DEEMED CONSTRUCTION LENDING AGENCY to NLBY AEH0M THAT I NENk IS A CONSTRUCTION 1F5OIN4 A0FNCY FOR INF PERFORM LF co T3k woo( FOE WH ANILN nits PEHM11 isISSHED (SEC 3091. CNv C,. LE4DL He4DDHE55 APPLICATIONi COOL ANU Srl.TE THAT THE ANODE INFORMATION IS LOAREGEAl rAGREE T n COUNTY ORDINANCES AND STATE -IN0 TO No1m,NO co5sFAucnory AN C 4W5 NE14( HERE Ely 4uTiONOF REPRESENT 4 ilvi S OF THIS COOLED r0 ENTER UPON THE n00VE MENHONFO PNOPFNTV FOR NSPCC naI TAMP/ICES JOB ADDRESS: OWNER ADDRESS CONTRACTOR: ADDRESS STATE ARCHITECT'. ADDR955. LTC. NG. ENGINEER ADDRESS LIc NO GEOT LC CAL ONTO_ !ANT ADDRESS APPLICANT. ADDRESS GRADING PERMIT ?k1 EEEEOEf E6PD INSP AREA HAG NENORIAL N05PITAL DRESSY 301 NEWPORT 9L79, POE 6100 NEYPONT PEEN, CA 92658-E 109PH0NE. NI [LIE AND SEVERSON ;HORROR/LT 3601 SERPENTINE CR LOS .LANITOS CA 90720 099031 CLASS' P A FAIN. ROEERT 410517) 3270-121LA90 EXPIRE 9LW0 ONTARIO;Ck:9116/, PHONE. .OESICNER PHONE. BUS LIC PHONE' SCOADE PAGE IC436709) 200 CITADEL DR LOS ANGELES', CA 90040 NNC CROUP 7270 INLAND EXPIRE DLVD ONTARIO, CA 91764 PHONE: SIGNATURE OF Q� APPLICANT yft 4PTD1N6/CSAI(ALE Pervf fees' 9 Valuation of isprovesents ----> GRADING PLAN CRECN FEE (Y) GRADING BERNIE FEE (Y) CLEAN-UP DEPOSIT SUBTOTAL OF GRADING/ORAIN.ACE FEES NICSOFILNINC PEE TOTAL 9PAPUi1/ORA.2EACE ^ERNIT FEES PLAN CHECK VALIDATION PHONE DESCRIPOON OF WORK: ioyA Permit No. G9400046 Inspection Requests Phone No. II14) 644-325 PEEEISE 6REE (b1uC-44) 6F.AB 150CY PILL/0 OUT/ROAGNTIIRROW19TS TYPE OF PERMIT'. 716/666-89rtre Precise Grading Permit NEARLST CROSS Sr DESCRIPTION ',IRONIC FOR PROJECT 9129/989-997 cOSO nONS 213/889-510 909/989-99. t•; YES Nc IRVINE SOB LOT 169 BLR 2 P7R OF LOT PILL IS) CUT. PROCESSED BY: ZON TRAFFIC JI SUBDIVISION GRADING APPROVAL TO ISSUE 295.00 Y 520.00 4 700:00 - 1,585.00 11,80 1,596.80 REVIEW DEPARTMENTS NaDate S 'f 19789 Payments: 185.00 Credit extznded: 0.00 Total Cro9its: 185.00 Balance Adastsents Dalasco doe 1,01.80 0.00 1,411.80 cgko 44900 OK. MO. CASH PERMIT VALIDATION 2) NSPECTOR S COPY uyS'FCTIUPIS Sift DAi E BY COMMENTS ,C 2'-'t na YN it iG— s v /2-M. ry > p ; Bw - 4 f r� 4 p, iz-an-FY ea 4if , A)°.h %t,e�s:i felt RI ckt,s pd- Mcc+d, N4i /a; o�av fi. ,a4,, R »4/3 e iz a 2-Z,-fl'S..( 74...f / a /2 fV. itaA,�, 2-13-YSa.asa4, CwIMc ses4seeat 2-/6-fseads:Is .wasJ an.IaceCA I7.19. 94 - .0217WifL,e' lrerreftNT ..-W fe, .fb.[/y 0 f s r �2�9CC �k> Aroc- F,n4wr 4#//s ,etfr,!?CW-1 d;(--Qs ek/$4 ''/ .2-.27 W am bare .. 0.. / ta., a —a 4_ iU mod" 2-/0•Fs' At /%j 3-9-Pf Q.cc i�-e.g+ a 301,4 /n ,Vdg ntri cornpaUtriv 3 * 9,, meAry ,a �I2 Cox+ A/7 -lco I' to-13-z.r. ktbyn W19m w:e-,.P So \ liat.uftn, gl�r . City of Newport Beach Building Department P.O. Box 1768 Nbwpbrt Beach, CA 92659-1768 Permit Counter Phone No. (714) 644-3288/3289 INSPECTION RECORDS-WoiJ/J 0/ au Fad Pe,40- , ) 94I19tta I Lf srwe Lill ,EA' rW mem 347 w, Pie ui46 u,e z.49. S4� OVALS GROUNDING ELECTRODE UNDERGROUND UNDERSLAB / FLOOR ROUGH CONDUIT WALLS ROUGH WIRING CEILI:.00 ROUGH SERVICE TEMP. POWER UTO.ITY CO. NOTIFIED FINAL INSPECTOR'S WORKERS' COMPENSATION DECLARATION HEREBY AFFIRM THAT I HAVE A CERTIECATE OF CONSENT TO SELFINSURE.ORACEPTIFI- CATE OF WORKERS COMPENSATION INSURANCE. OR A CERTIFIED COPY THEREOF (SEC. PODCYNO COMPANY. _... I CPRNFIEOCOPnS HERESY FURNISHED DI:; Tina) OPT IS TILED WIFR THE BUILDING DEPARTMENT. 93/ ' 71 APPLINANS'1 CERTIFICATE OF EXEM ION FROM WORKERS' COMPENSATION INSURANCE (r,IlsSEcrIONNEEONDr RECCMPLEIEDIF IHEPEHMIIISFORONEHUNDREDOOELAPS(Silwl (STITiFY HIATIN010PE PFORAIANCE OF THE WORK FOP WHICH THIS PERMIT IS ISSUED I LNOIE MANNER 50 f5 TO 9ECOME 6OBIEGi TO THE WORKERSECALIFORNIA DATE APFUCANT NOTICE TOAPPLICANT' ERMKNG THIS CERTIFICATE OFEXEMPTION YOU SHOULD E(.OUESIR rc5m rHEWORKFRS.COMPENSATIONPROMSIONSOFTHELSUORCOLM.YOU musr IIIICUKIYIY WITH SUCH PROVISIONS OR THIS PERMIT SHALL BE DEEMED REvuKFU` I herebyachnowletlae 1Natlbave read this applicalnnplrat the information given ISCorrect and that I am the owner, 01 the duly authorized agent O/ the owner. I agree to comply o to my and stale laws regulating construction. and In doing To work rtliorrted therebyno person wrll be employed in violation ol:he Labor Code of the Stale of Calilomra(sating to Workmen's Compensation Insurance SIGNATURE ol-PERmirrEE. IYN5ESS 59/I Ciaa y ffu....20'c/ rl 0ADD06 RESS: BLDG: NER. ESF. ELECTRICAL PERMIT FLOOR: EC rrcBp ERt 1 tm PPty T N NErrrITtp- J PHONE: CONTRACTOR:f n ^t P P rlL _,,..tol^aTT ADDRESS: I f P 7. . 11 CI C �r 1 STATE .C'!rn C�lA$$.�If. ROCESSED 6Y: b L —.M.GUPANDY'. PT. n2v11 151'1P7 n PLAN CHECK VALIDATION SUITE. CK. M.O. CASH • INSP AREA: Permit No. E9401113 DESGRIPCON OF WORN: PHONE.3)D/ 41a1-31O3 NEY:PORI.: fi115.LIC sep2 Clr, ? PERMIT VALIDATION , Inspection Requests Phone No. (714) 644-3255 A,4Ilrypbl! VTe , etl ADDITIONAL INSPECTION RECORDS h 0 SIP 0 0 goj ao- w 0 rU o CO 0O ° ° FW U C CO Z 0 00 0 WORN MUST BE STARTED City of Newport Beach Building Department P.O. Box 1768 Newport Beach, CA 92659-1768 Permit Counter Phone No. (714) 6443288/3289 ELECTRICAL PERMIT INSPECTION RECORDEPJ 0-0 69 3, ,ve.4409b ►meal APPROVALS GROUNDING ELECTRODE UNDERGROUND U NDERSLAB/FLOOR ROUGH CONDUIT WALLS RCIJGH WIRING CEILINGS ROUGH SERVICE TEMP. POWER UTILITY CO. NOTIFIED FINAL DATE INSPECTOR'S ✓ • ,/ WORKERS' COMPENSATION DECLARATION FREBYAFFIRM THATIHAVE A CERFIFCA FE OF CONSENT TO SELF.INSURE ORA CEFTIFI. CATE OF WORKERSCOMPENSATION INSURANCE. OR A CERTIFIED COPY THEREOF 15EL. wick) . LAB CI WC EXEMPT POLICING COMPANY CERTIFIED COPY IS HEREBY FURNISHED. CERTIFIED COPY IS FILED WTI THE BUILDING 0EPARTMENt. DATE APPLICANT..... CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE o0ISSEC110001 DNOT BE COMPLETED IF THE PERMITIS FOR ONE HUNBRED DOLLAR:VISIWI LESSI I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. I S HALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO Iv E .WORKERS' COMPENSATION LAWS OF CALIFORNIA NOTICE TO APPLICANT. IF. AFTER MAKING IHIS..ERIIFICAIE OF EXEMPTION. WW1 SHOULD BECOME SUBJECT TO THE WORKERS' COMPENSAIIONP.:: I:SIO:WC:THE LABOR. ORE.YOL, MUST FORTHWITH COMPLY WITH SUCH PROVISIONS OR THIS PERMIT SHAWL F,., HEN . REVOKED T hereby acknowledge !hat I hove read misapplicatior; hint We l:r= onen is cowed, , and B,y1 l am the owner, or the duly autNo;oed agent of lne ownyv owner l agree loLomfy with city an ^. d slate laws regulating c^.Nrlim., arV..r Join ^ aM authorized thereby, no person Will be employed In vlo.I.011 i the LW -05:e cr the Slate of California rolaiin9 to Workm&n'a CompensationlnsuranCe. NAMES5E p kA .O UJQ NaweirRpRl I`tE/ rtpnQ /IONATDRE 7ehAA�/1 (}�L - T lt OEPERMIITEF ���/ ArrinESS 1os ADDRESS: BLDG. OWNER: ADDRESS CONTRACTOR: ADDRESS'. 101 RIIP0141610 FLOOR: SUITE: HOAG HOSPITAL PRESBYTERIAN 301 NEWPORT BLVD NEWPORT BEACH CA 92658 PHONE: WATSON INVESTMENT DEVELOPMENT 18182 SERRANO AVENUE VILLA PARE CA 92667 PM. 436023 CLASS: B PROCESSED DY: j x Electrical Permit Pees e TOTAL N0. OP OUTLETS TOTAL NO. OP LIGHTING FIXTURES SUBTOTAL of electrical fees Is PLAN NISCH PEE required? (Y) PERMIT ISSUING FEE TOTAL ELECTRICAL PERMIT FEES PLAN CHECK VALIDATION INSP AREA: 1 114/646-8901 PHONE: 714/914-6621 NEWPORT 2-Z-cti!! OCCUPANCY: Each CK. MO. CASH 2 9 DESCHIPTIO OF WORK: Foe 1.50 6.75 8.25 2.06 Y 15.00 25.31 PERMIT VALIDA i ION Permit No. E9500637 Lion R -.uests Phone No. 710 6.10SCIPIIO UG0P110(10101161) EXTERIOR LANDSCAPE LIGHTING 6 OUTLETS ADDITIONAL INSPECTION RECORDS Payments: Credit cxtended: Total Credits: Balance Adjustments Balance due 2.06 0.00 2.06 21.25 9.00 23.25 a CL O o In z Q 55 `LP PAID JUL 191995 CITY OF NEWPORT BEACH CK. M.O. CASH IT BECOMES NULL AND VOID. p ob • a o E/) Z l x WORK MUST BE STARTED WITHIN A PERIOD City Of Newport Beach Building Department P.O. Box 1768 Newport Beach, CA 92658-8915 Permit Counter Phone No. (714) 644-3288/3289 INSPECTION RECORCVf,v 72_ 50/ .u,ewes,H- too APPROVALS DATE INSPECTOR SOIL PIPE GROUND SEWER WATER PIPE GROUND GAS PIPE GROUND PLUMBING ROUGH GAS PIPE ROUGH WATER HEATER GAS. PRES. TEST GAS CO. NOTIFIED PLUMBING FINAL y y y- __— NCENMTx DE PON I HERESY AMEN OF CHAPTER COMMEENNCIO PENALTY SECTION 70 OF 04 RION 3 0OTH THE PROVISIONS UNDER O FNOFESSIONS 'WOE AND MFILICENSE 0 IN FULL F�s AND EFFECT. IKENSE,CLne :'21 LICNO. A.''I�tI—I / DATE/ E.aa ' 9S CWIPACIOR,.!% /ha .'.RICERS' COMPENSATION OECLARA I HEREOF AFFIRM UNDER PENALTY OF PERIIIRV OPWOPT U FOLLOWING OECUMTICNS: __ I HAVE AND WILL MAINTAIN A CET :ATE OF CONSF.I:T TO SELF -INSURE POP WORK. EMT CCMPEPERF1�NCE1 43 POCK1E FOR .FORK SY S CTOR THIS PEWPM OF THIS E CCCE. FOR HAVE AND WILL MAINTAIN • NIKE0S' COVPENSATIOI INSURANCE. AS REWIRED BY SECTION MOO CF THE 4COR CODE FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSOEO. MY WORKERS' Cp.ENSATION INSURANCE CARRIER ANDPIXICY NUMBER ARE'. CARRIER PPEROLT POMP TIID POLICY NUMBER NN9S620A.,= CMMS SSECTION NEED NOT BE COMPLETED IF THE PE{W^ IS FCR ONE HUNDRED DOE J CERTIFY THAT IN THE PERph1MANCE OF THE WORN FOR WHICH THIS PERMIT IS ISSUEa I SNAtl MOT EMPLOY ANY PERSON IN ANY MACTEN SO AS TO BECOME SUB. ECF TO THE WORKERS COMPENSATION LAWS OF C.WFO1100, ANO AGREE THAT IF I SHOULD BECOME SUBJECT TO THE WORKERS COMP ION P"IV ION 0 SONS 0011140LABOR C0.CC£.I SIWLF(M /I % �/�x �1.E' DATE- _ - 28•75 APPHCA01; 1 1,. / n. WARN /ARNMiG. it TO SECURE WORKERS'' COMPENSATION COVERAGE IS UNLAWFUL AND JM1L V MCT AN EMPLOYER TO CRMINAL PEN.LLTES NA CIVIL FINES UP TO ONE HUNDRED THOUSAND IXV I ADS If HOST IN AMIDO1 TO ME COST OF CCEWENSATON. DAMAGES AS PROVIDED: '9 M SECTIONS NCF THE LABOR CCCE, ?MEREST. ANOAT0000IYS FEES. I HEREBY ACVNOW DOGE THAT I HAVE READ TINS APPLICATION: THAT THE INFCNMAI wu GIVEN IS CORRECT N0T1ATI AM THE OWNER. M WAY AUllCNZD AGENT OF THE OWNER I AGREE TO COM;v WM1 CITY AND STATE LAWS FEMAJMNG CONSTRUCTOR: AND? 00IN5 THE WORK ALTMORfEG THEREBY, ROPERS/ON WM BE EMPLOYED W VOATKKI OF THE LABOR CODE CFTHESTATE OF CAUFORMA FEY TING TOVC8WENERCN INSURANCE. PERMTEE NAME 'PRINT) re SIGNATURE OF PER(MMITTEE,..._'�_p.([.�/ b(J �(' 1 DAT,,I ��'�///�))).��1 ADDRE55l0. ELYS1P i r._ Gas rtesAt_o.9Z�Z.7 JADDOB RESS: BLDG: OWNER: ADDRESS: ONTRACTOR: DDRESS: PLUMBING F ERMIT 301 BEkP9EP MEMO FLOOR: SUITE: 10OAG-MEMOEIAL HOSPITAL - 301_NEEPAEr. ETD NENPORT BEACH, CA 9265E PHONE EAGLE PACIFIC LANDSCAPE CONSTR 2804 CLIFF DRI9E sTAi€1ENPOCpp' qq��s��A�co CA 92E62 - PN°RE' ....... -. t�B5: NO.: E BUS PoUCF 611666 aY: , E 2F PROCESSED BY: Aka) COLA e-- OCCUPANCY: RISP AREA: * Plumbing Permit Fees e Lawn sprinkler systems (per meter) SUBTOTAL of plumbing fees is PLAN CRECM FEE required! (Y) PERMIT ISSUING FEE TOTAL PL1NB!N0 PERMIT PEES Each No. 9.00 1 DESCRIPTION OF WORK: Pee 9.00 9.00 2.25 Y IE 00 26.25 Permit No. P95Q 672 Inspection Requests Phone No. (714) 644-'+MR5 PEER S7EE(90S0110) LANK SPRINKLER SYSTEM ADDITIONAL INSPECTION RECORDS PaYmeuts: Credit extended: Tetal Credits: Balance Adjustments Salacre dne 0.00 0.90 0.00 25.25 8.90 26.2E 4.za7? PAID JUL• 2 81995 CITY OF NE r7F1i,, 0 i • a • 0 0 €0 O I. o V 6 tD a oCL M m z 0 Lj ZQ 3 O 8 0 O 6 s City of Newport Beach Building Department P.O. Box 1768 Newp9rl Beach, CA 92659-1768 Permit Counter Phone No. (714) 644-3288/3289 INSPECTION RECORD 44/$6076 Z 30/ Ata,rLb rr 8� r/Ll1fr GIB' a.tAIE APPROVALS UNDERSLAB / FLOOR HVAC/HOOD ROUGH FIREPLACE ROUGH GAS TEST FIREPLACE FINAL HVAC/HOCD FINAL WORKERS' COMPENSATION DECLARATION HEREBY AFFIRM LHA(I HAVE A CERTIFCATE OF CONSENT TO SELF -INSURE. OB A CORNS!. CATE OF WORKERS' COMPENSATION INSURANCE, OR A CERTIFIED COPY THEREOF (SEC. NON LAD D I POLCYNO COMPANY .EPIFEU COPY IS HEREBY FURNISHED. 1 CEnne0D COPY IS PILED WITH THE BUILDINGD DATE id iO N APPLI CERTIFICATE OF EXEMPTION FROM WORKE COMPENSATION INSURANCE ahrtS SCCTIONNFMNOT BE COMP. THE PERMIT*. FOR ONE HUNDRED OO LPASIE1J91 OA LESS, CFRINY isiAT IN THE plinFORMANSEn THE vV0pis FOR wHICHT EF TS ISSUED.I SHALL NOT ElUtion Arn NT FisoN IN ANY MANNER SO AS TO BECOME SUBJECT TO THE WORKERS COMIONDATiON LAWS oF CALIFORNIA DATE APPLICANT NOTICF TO NT if AFTERTHIS CE-L E OF FUEMPTEON YOU SHOULD Fit COME SUBJECT TO IHEWORNEPS COmpENSATIONPROVISIONSOf1 MEZZO) CODE, YOU MUS YIIH COMPLY WITH SUCH PHOV51ONS OR THIS PFRWT SHALL BE DEEMED REVOKED I hereby acknowledgethat have read fnis application: that the imormation given liscorrect: and that I am me owner. or me duly authorized agent of owner. l agree ocomply Vy with city and state laws regulating construCLlon: and In doing the work authorized thereby. no per violation Will be employed in viola.n of Labor Code of the Slate of Oalilorm3(elating to Workmen's Compensation Insurance. NAMP'A0 Er1'Cizv1 ttt+F's44I TIT O1k Soil TEE ACCRISS HEATING, VENTILATING, REFRIGERNTION & AIR CONDITIONING PERMIT JOB ADDRESS: BLDG: OWNER; ADDRESS: COIRRACTOfl ADDRESS: 510. 0o. w*. PROCESSED BY: III) k 4Y1 �.. FLOOR: SUITE: piy(vnn .L_v F� PHONE: CVn ^pr r. l ilA•l .l, INSP AREA: PHONE: BUG. LICT OCCUPANCY: • DESCRIPTION OF WORK: • Permit No. 119400762 Inspection Requests Phone No. (714) 644-3255 'NM 14E t I NIall I II g ; e: 2n". ADDITIONAL INSPECTION RECORDS P A3 NOV 161994 CITY OF NEWPORT BEACH PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION O 2 0 z 12 0 V U z to O (L O O c o oa r WORK MUST BE STARTED WI 0City of Newport Beach 3 . Building Department c P.O. Box 176E u o 'Newpoil Beach, CA 92659-1768 Permit Counter Phone No. (714) 644-3288/3289 INSPECTION RECORDM(907/a 30/ •kN/T/G 4.`5Set o% t/ccQ 1r�Q •S^t 9/ lfr me rat" D s441&&cr ////j5y •QLr- Or APPROVALS SOIL PIPE GROUND Cr SEWER WATER PIPE GROUND GAS PIPE GROUND ///Q�. PLUMBING ROUGH //// /7 GAS PIPE ROUGH WATER HEATER GAS. PRES. TEST GAS CO. NOTIFIED PLUMBING FINAL (T WORKERS' COMPENSATION DECLARATION E000YAFFIRM THATIHAVEACEPTIFCATEOFCONSENTTO SELE INSURE.ORACEHTIFI CATE OF WORKERSCOMPENSATION INSURANCE. OR A CERTIFIED COP? THEREOF (SEG. 100 LAB C1 N0 103072TP YILL.', FORCE POLICYNO CERTIFIED COPY IS HEREBY FURNISHED i FOFIEOCOPY ISF FEED WIIENERE DUILOING OEPAARTTMEOr CATER n2/ ` Y. APPLICANT r✓<n-Ade -....y,_y_ CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Iws SECTION NEEONOT se COMPLETEO IF THE PERMIT': FOR ONEHONOREO DOLLAH5WWI OR LESS: I CE0OFY THAT IN THE PERFORMANCE OF WORN FOP WHICH THIS PERMIT IS I.s0UF01 ALL NOT EMPLOY ANY PERSON IN ANY MANNER 0. 15 TO BECOME SUBJECT TO THE WORKERS COMPENSATION LAWS OF CALIFORNIA. 1.ME APPLIGANI NOTICE TO APPLICANT. IF AFTER MAKING THIS CERIPICATE OF EXEMPTION, YOU SHOULD BECOME SUBJECITO THE WORKERS' COMPENSATION PROVISIONS OE THE LAPODOODE YOU MUST TORT/10ITH COMPLY MTH SUCH PROVISIONS OR THIS PERMIT SHALL ec DEEMED RI YOKED I herebyacknowiecc# I Hal l baveread thisapplicalion'That the inlomiationgoon 1c correct', and that I am the owner. or Ole duly authonied agent of the owner. I agree to comply wile Illy and state laws regulating construction; and In doing the work authorized elereby, n0 person will Le employed in violation of the Labor Code cl the Slate al Calnomla relating to Workmen's Compensation Insurance. NAMO# JN ,J /�— . NAME(PwNO A//�/ _ of _M b $IGNANRE / , nF PeammEE C,-( JOB A0CRESS: BLDG: ER: ADDRESS: CONTRACTOR: ADDRESS: ATE 0'. PROCESSED BY d 'er21;. tot Water closet trailer)) Lavatory fish basin) Kit(t,ea oink Floor sink Water heater (so. 11 size) ackflae dev_ca - over 2" En. ."Roof drains Drinking foaat.i.i SUBTOTAL of pluabinz fees As PLAN 11110 FED required? (Y) PERMIT ASSUIN1 ?EE ?OTAL PLUNDINC PERMIT PEES PLAN CHECK VALIDATION SUITE PLUMBING PERMIT 10 A RN! HT: FLOOR: NOAC HOSPITAL 1101 NEWPORT DUD NEWPORT DEAC0, CA PHONE PLOMRINO MINN € CONSTRUCTION S910 LARESHORE DR CYPRESS CA 90620 PHONe 714/952-200' 291710 CLASS: 9 C-4C16020C36NEwp0RT 1A69d st_ OCCUPANCY; Ear. 6.00 6.00 6 NC 66.00 P.'.i !AAA! 6.00 6.00 INSP AREA: DESCRIPTION OF WORK: ! Tr ciS Peril No. P9400710 Inspection Requests Phone No. 714 844-3255 9/(0RIt'3 R69e (1944f1C0' PLUM/CARDIAC SERVICES PLUG/5590 SF ADDITIONAL INSPECTION RECORDS PERMIT VALIDATION r rd6t eatenio Trtai ,.ad Palanse Ad rstaents Pal ante ice. '115.6P n AA. SEP i 31994 O. CASH INSPECTOR'S COPY City of Newport Beach Building Department P.O. Box 1768 Newport Beach, CA 92658-8015 Permit Counter Phone No. (714) 844-3288/3289 OWNER-BUKDERDECWLATton JOB I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT 1 AM EXEMPT FROM THE ADDRESS: CONTRACTORS LICENSE LAW FOR THE FOLLOMNO REASOI (SEC p515. ROSINESS µ0 PROFESSIONS CODE ANY DTP/ OR COUNTY 1., REQURES A PE -MIT TO CONSTRUCT. - ALTER, WPROVE CEM'-TISH, OR REPAIR ANY bTMICOIRE. PRIOR TO RTS ISSUANCE. AL50 BLDG: REQUIRESTHE APPIICAVT FOR SUCH PERMIT TOME SIGNED 914150 ENTTHAT HEW SHE 1 LICENSED 00500ANT TO THE PROVISIONS OF THE CONMACIONS LICENSE pW(CHAPTER OWNER: SCIMHMFNCINE WITH SEOIgx moo OF ONISI N 3 OF THE DIISN[SS ANC ROFE55ILNS C DEI OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEM1IKKi ANY VKYATICN OF 3EL1IXN 70315BY Aw APILCAHT FOR A PEPMR armors ADDRESS: RHEA I.ASOWER OF THE EMPLOYEES WITH ORESACUARSCSW]LI IJ LASOWNER O THEPROPERTY, 05 MY EUM-LIREE9 WITH WAGES A5 THEW ER E FOP ENSAI1O. 7044.03 NEwgN AlpTHE STRUM -LIRE IS NOrINIEMEOOR<LFENSE FOP SALE SEC. 7DN, TO AN OWNER PROFESSIONS CODE THE CONTRACTORS LICENSE HAW WE5`pS APPLY TO AN OWNER W. YRWHO OUGHBUILDS WIMP HER OWN THEREON. µO WHO DOES HAT UCH II( HIMSELF OR HERSELF INTENDED PROVIDED WM-IIND OP OFFERED FOP COMPLETION, HOW- EVER. THE 91NLOI IL W HAVE TEMENTBURDEN IS 500 PROVING T WE YEAR W DID NOTTW, OR OWNER —BUILDER PILL HAVE THE WRUEx OF PHONM3 THAT HE OP SHE a0 NOT BUILD W IMPROVE FOR THE PURPOSEPROPERTY. W SANE1. AS OWNSRCTROCTTEOJEC EXCLUSIVELY OMIRM RING WITH PROFESSIONS CODE HOTO COISLICENSMEPROESF1SEC.IOU,BUSINESS ER FAPRsl05s CODE' THE COMPACTORS LICENSE LAW DOES NOT CAPPLY ONTRACTS µ OWNER W E TS WITH / WHO TRACTORS) W IWROVEs THEREON.PURSUANT AND HWHOEC LOMPAC R FOR SUCHLAW.). WITH A 00* TTMCTORISI LICENSED PWSUMT TOTIE CpPRACTOR5LICENSE UW I. ] I AM EXEMPT UNDER SEC. R5P C. FOR THIS REASON DATE 07505 LICENSED CONTBACTOSS UECLAIUTIML I HEREBY AFFIRM UNDER PENALTY W FERTJRY THAT I µ LKENSEB UNDER 0NOVISIWS OF CHAPTER 510pIIMENWNG WITH SECTION 7000 OF DIVISION 3 OF 1HE OUCHES:, D PROFESSIONS CODE. µD MY LICEIIBF IS IN FULL FORAND AND EFFECT. ucENSEcus --e C,SC27C360G NO •y0987— ITC. No.: DATE _IA - 2 . qs COMrRAcro ' —Z . (may APPLICANT: WORKERS' COMPENSAI1OILIECLARATION \•ADDRESS: TAYLOR 6 ASSOC ARC 1.Y I HEREBY AFFIRM'AMEP PENALTY OP PERJURY WEEF THE FOLLOWING DECLARATIONS . 2220 UNIVERSITY O.l _I HAVE AM3 BALL MAINTAIN ACERIIFI•-.AT9 OF A`KFM TO SEs.NSNE FOR Wd5- NEWPORT BEACH, CA 92E01 PS' EEOM NSATCM,A5 PROVCCD FOR BY BY SECT3700 OF ME LABOR CODE. FOR SGNANRE QF__ THE RMµCE UNTIE MORN FOR WHICH THIS PERM7I51SSUED. HAVE AND WLL MAIMAM WORKERS' COMPENSATION INSURANCE. AS REQUIRED BY SECTION 3700 W THE LABOR CODE. FOR THE PERFORMANCE OF THE WORK FOR MID POLICY THIS NUM EB ISISSUED. MY WORKERS' GMMENWTW INSURANCE CARRIER CARRIER CONTRACTOR: ADDRESS: ARCHITECT ADDRESS: FIRE PERMIT EF OUR: IE9EORr BOAC NENOR!AL-HOSP[TA6 301 NEWPORT BLVD' NEWPORT REACH CA 92660 LA HAERA FIRRE PROTECTION 941 B NO STREET LA MCA 90631 322°87 - N C16C27C35 TAYLOR N ASSOC ARCHITECTS 2220 UNIVERSITY DR d200 NEWPORT BEAU CA 92660 DESIGNER POLICY NUMBER_ STATE FUND THIS EEMRIO 55ssNOT0E EallIR Eoo59NNGRTMITISFORONEHUNDREDDEL- - I CEMIF! THAT W THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS 15SUED, I STALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECAME SUB - JEEP' TO TM WORKERS' COMPS EATON LAWS OF CAMEORNIA. AND AGREE THAT IFSHOULD H SECTION 37MOCIF MA SUBJECT CONE"ESIALLPROVISO,WORKERS' COMPENSATMN FORTHWITH O HAPLY WITH THOSEE FWF SITS DATE Al .'3 •�1 APPLICANT1�.--�,1G�.iS� MPENSI.TIW COVERAGE IS UNLAWFUL. AN FAILURE TO SLURS WORKERS' N EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE BUN. BRED THOUSAND DOLLARS I0100W31 IN ADOPTION TO THE COST OF COMPENSATION, CAM. FAES EES AS PROVIDED FOR IN SECTION3TM OFTHE LABORE, MEREST. LABOR CODE AND ATTOHNEYS CONSTRUCTION LENDING AGENCY I:aG LEND- AEENCVREBY A'0,9 THENDER PERFORMANCE OF THE WORKRY AFOR WIFICH TIS A HIS IS ISSUED LENDERS:OMMEC1 LENDERS AOCAE+S CERTIFY THAT I HAVE REPO THIS APPLICATION AND ,TATE THAT THE ABOVE INFORMA- TION AGREE TO COMPLY WITH AI LWV AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTR UEPIIONAND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER CRT THE ABOVE -MENTIONED PROPERTY FOR INSPECTION PUP POSES Jfnct].v J<ttant j PERMTREE NAME IPRINn' NSIG NRE(FP MI E SOME LIC. NO.: ENGINEER: ADDRESS: APPLICANT A FIRE SUPPRESSION Permit Fees ENTER» Project Valuation » PIPE PLAN CHECK FEE i13E PERMIT/INSPECTION FEE INSP 1_ 12� - OESCRIPTI AREA: OF WORK: CONS! FINE SERVICE (21111. i) TYFEW -, ON `-ONDERORBD RUH SVC TO EXIST DRTNSTBWPIPE GROUP STORIES PHONE: / PHONE: (pi - a%4 p IEGAL L OESLRIPTIW xEWPOIK 344 4 l: .: aus uc A OI-J{O)G{J BUS. LIC. LIT Yes Na SPECIAL T14/ CONOITANS'. . 1574-132 S PHONE: PHONE: PHONE: 114/574 1;25 PROCESSED BY'. ZONING APPROVAL IRVINE SOB LOT 169 ELK 2 P0R OF LOT r'O-'15-fl G_?9�• OTHER DEPARTMENT FIRE APPROVAL PL BY CHECK GRADING APPROVAL VAL UE TOTAL EIRE/ SUILD?NO PERMIT FEES 227.18 349.50 ova 576.68 40000 Payment' Credit ezte:ied: Total Credits: Balance Adjostsents Balance due 269.43 CAE 269.43 307.25 D.00 307.25 Kiv 0 31995 C1iY of NelVja 8Er1C' Permit No. Inepe040n Re0DeSte PFOnaTbo ( 141-3266 RR MUST BE STARTED WI APPROVALS DATE BY COMMENTS FIRE PROTECTION _ THRUST BLOCKS EXCAVATION (f UNDERGROUND HYDRO TEST J/ UNDERGROUND PIPING FLUSH _ JJ 3 UNDERGROUND ROUGH PIPE SPRINKLER HYDRO TEST SPRINKLER FLOW TEST SPRINKLER ROUGH PIPE STANDPIPE HYDRO TEST STANDPIPE FLOW TEST STANDPIPE ROUGH PIPE CHEM SYSTEM FUNCTION TEST CHEM SYSTEM APPROVAL FIRE ALARM SYSTEM ROUGH WIRING SYSTEM FUNCTION TEST CENTRAL STATION MONITOR L FIRE MISC. TANK REMOVAL F T TANK INBTALLATION / TEST PIPING PRESSURE TEST MISC. INSPECTIONS FINAL " CERTIFICATE OF OCCUFIANOY TENANT NAME-. C` TYPE OF BUSINESS USA_ S DEPOSIT RELEASED FOR REFUND ON TO City of Newport Beach Building Department P.O. Box 1768 Newport Beach, CA 92659-1768 Permit Counter Phone No. (714) 644-328813289 BUILDING PERMIT PTI D0114 Inspection Requests Phone No. 714) 644-3255 OWNERSUILDER DECLARATION I HEREBY AFFIRM THAT 1 AM EXEMPT FROM THE CONTRACTOR'S LICENSE LAW FOR THE FOLLOWING REA50NISEC.1031.5. BUSINE85ANGPROFESSIONS CODE: ANVGITV OR COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT, ALTER, IMPROVE. DEMOLISH, OR REPAIR ANY TRUCTURE, PRIOR TOITSISSVANCE,ALSOREQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE IS UCENSE0 PURSUANT TO THE PR0VI510N50F THE CONTRACTOR'S LICENSE LAW CHAPTER 9(COMMENCING WITH SECTION 70001 OF DIVISION 13f THE BUSINESS AND PROFESSIONS CODE( OR THAT HE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMPTION. ANY VIOLATION OF SECTION 7031.5 BY ANY APPLI. CANT FOR 4 PERMIT SUBJECTS THE APPLICANT TO A CIVIL PENALTY OF NOT NOBE THAN FIVE HUNDRED DOLLARS 430401E. IT I. A5 OWNER DF THE PROPERTIL OR MY EMPLOYEES WITH wAGEs AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE INEEC. 7P044, BUSINESS AND PROFESSIONS CODE: THE CONTRACTOR'S LICENSE ANDWHODOES SUCH WOK HIMSELF OR THROUGH HIS OWN EMPLOYEES, PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE. 3, HOWEVER, THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLETION. THE OWNER- PURPOSE ILLCALF AE THE BURDEN OF PROVING THAT HE D 0 NOTRUIOOR I9PHOVE FOR THE [fIV 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CON TRACTORS CTORS TO CONSTRUCT THE ;ROJEC115EC. 7044. BUSINESS AND PROFESSIONS CODE: CONTRACTORS uN CENSE LAW DOES NOT APPLY TO AOWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO COMPACTS FOR SUCH PROJECTS WITH A CONTRACIORISI LICENSED PURSUANT TO THE CONTRACTORS LICENSE IAW.1. 0 I AM EXEMPT UNDER SEC B & PC. FOP, THIS REASON__... ____ JOB CY f� INSP ADDRESS'. �� IYA���� ���� AREA l BLDG: R����( pNry ,1 SUITE: DAG WILL AL PRESBYTERI!N OWNER: IRO NERPCRT BLFB ADDRESS: p NEWPORT- NEACN CA 9465E PHONE' ACTION FIRE PROTECTION CONTRACTOR: p p 11120 WESTERN AVENUE 4 G 9 [ 0 • ADDRESS, STANTON CA 90680 714-894-I365 PHONE: 0E I1S 6 OTATE 368459 cuss: C16 NEWP0R1 003186 C Np_ RNC CROUP BUS LIC ENS. L:C. LIST ARCHITECT: IE70 INLAND ENTIRE BLVD Yes No ADDRESS: ONTARIO CA 91764 909/989-9979 PHONE: DESIGNER LTC. NO.: Y 4 ENGINEER. ADDRESS: PHONE: DESCRIPTION P y0 STEM OFWORK: Llili Lll R'M NEW INSTALL FIRE CONST.: CONSTRUC HON. TYRE op CON110 NEW ADDE• 50. FT BLNE. NO. OF USE 0NITS ZONE RE0000G FRONT SETBACKS LEGAL 1RVIN0 u09 090091PT10N. SPN:AL CONDITIONS. IJ� PROCESSED BY: � OL.Ow 1 i� 1' SPRINKLER o GOUT. REAR LOT :69 I! 1. �Q• �i) SYS (CARDIAC APR) ADO) I NO OF STORIES'. SpO0E0 NEW .. GAR - PARKING SPADES. LEFT RIGHT CLA L CCP. GP.,'..1 DATE CwNER LICENSED CONTRACTORS DECLARATION I HEREBY AFFIRM THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER 0 COMMENCING WITI4 SECTION 300010F DIVISION 3 OF THE BUSINESS AND PRO9E55I0NS CODE, AND MY CENSEIS IN TILL FORCE {AND EFFECT LICENSE CLASS C10 lIC 363459 - CONTRALTO DATE tV � a1' LTC. Na. ACTION FIRE PROTECTION (ALAI) APPLICANT: ZONING APPROVAL J / / Y OTHER DEPARTMENT 11120 WESTERN AVE ADDRESS: STANTON CA 90680 • '4/N94-'I16 FIAPPROVALRE P CHECK ORKERS' COMPENSATION DECLARATION HEREBY IRM THAT I HAVE A CERTIFICATE OF CONSENT TO SELF SRE ORA CET( CATE OF WORKERS' COMPENSATION INSURANCE,09 A CERTIFIED COPY THEREOF MEC. 800 "'ACC AP946639ES-01 PRENONT 06NP POULY NO.__ SIGNATMEOF APPLICANT �� GRADING APPROVAL 'LVAL UE ' • - • - _ 1 "" : - EN)i Project Vaina_Ior, )) 9700 Pay ont 7i,E: _COMPANY IT MIMED COPY IS HEREBY FURNISHED. ❑CERTIFIED COPY IS FILED WITH THE BUILDING DEPARTMENT. 1 R I Jl R� F 1 y'1 APRICAH DATE` .L LAN CHECK FEE 76.0! PIKE PERMIT./LNEPECTISE FEE 1i7.N0 TOTAL ERE/ EUILBINS PERMIT FEES '9'.,E; PAID ,1O`I 1, CITY OF !, Cdit fntf.led: Cr1 Tcial Credits: 76'0I Balance 117.00 1 y, J., yer, _ , 0.0E .440. E: 117.00 f 0 8 1994 NEYWPORT BEACH CERTIFICATE OF EXEM FROM WORKERS' COMPE NINSURANCE SIDol SECTIONNEE p NOr RE c0MPLEIEO IF THE FERMI! IS FOR ONE HUNDRED DOLLARS Ian -HET THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMITIS ISSUED,1 SHALL NOT EMPLOY 4NV PERSON IN ANY MANNER 50 A5 TO BECOME suBJECT TO THE WORKERS' COMPENSATION LAWS OF CALIFORNIADATE ApRucANT NOTICE TO APPLICANT: Ff. AFTER MAKING THIS CERTIFICATE OF EXENI ITT ON. VOU SHOULD BECOME SUBJECT TO THE WORKERS' COMPENSATION PROVISIONS OF THE LABOR COOS. VOU MUST FORTHWITH COMPLY WITHSUCH PROVISIONS OR THIS PERMIT SHALL BE DEEMED PE'JCKEO. CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORM 4NCE OF THE WORK TOR WHICH THIS PERMIT 1S ISSUED (SEC. 3097. CIV C.I. LENOER'SNAME CADER'S ADDRESS ICERTIFY1MAT I HAVE REIN TF115 APPLICATION AND STATE THAT THE ABOVE INFORMATION SCORBEC1. 14GREE TOCOMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTHO REPREsENTA T VES OF THIS COUNT': TO ENTER UPON nu ABOVE MENTIONS Ty FOR INSPEG TION PURPOSES al rp aq IGNATUR DF FBRMmEE DATE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK MO. CASH O C3 a 0 0 5 } 0 e- t' 0 n O � 0 F �W a 0z 0 0 00 0 O 0 iC 0 0 Q x 3 7/4'440- %fsdend �nvs/eorse.v ern • di,_ ° r e,,ow vorOn .tiedtai / - F-7 ,�9-/¥s City of Newport Beach Building Department P.O. Box 1768 Newport Beach, CA 92659-1768 Permit Counter Phone No. (714( 644-3288/3289 BUILDING PERMIT Pemllt B9402015 Ins saes Re oasts Phone No. 714) 6443255 OWNERUUILDER DECLARATION HEREBY AFFIRM THAT I AM EXEMPT FROM THE CONTRACTOR'S LICENSE LAW FOR THE FOLLOVANG REASON ISEC.7031.5 BUSINESSANDPROFESSIONS CODE:ANY CITY OR COUNTY WHICH REQUIRES a PERMIT TO CONSTRUCT.ALTER. IMPROVE. DEMOLISH, On REPAIR ANY STRUCTURE,PRIOR TOGS ISSUANCE,ALSO REQUIRES THEAPPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTOR'S LICENSE LAW (CHARIER9(COMMENCING WITH SECTION 70WI OFDIVISION 3 OF THE BUSINESS ANO PROFESSIONS CODE) OR THAT HE ISEXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMPTION. ANY VIOLATION OF SECTION 70315 0V ANY APPLI- CANT FOR A PERMIT SUBJECTS1HE APPLICANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS ISE00.001.1: ❑ 1, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEW SOLE OFFERED COMPENSATION, WILL WINE WORK, ANOTHEFES STRUCTURE IS THE CONTRACTOR'S FAR SALE SEC. 704. BUSINESS AND PROFESSIONS CODE: THE CONTRACTOR'S LICENSE xDDOES 0055 OUCH WOORKHIMSiFOOR TH°RO1R H HISSOOBUILDS N EMv ovisPPROVIDEDTlHAT IMPROVEMENTSSUCH ARE NOT INTENDED OR OFFERED FOR SALE E HOWEVER, THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLETION, THE OWNER- OUUILOERWILLHAVE THE BURDEN Of PRO`/INGTHATHE ow Nor BUII➢ORIMPROVE 0ORTNE PROSE OF SALE.). I. 0I.AS OWNER OF ME PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CON- TRACTORS TO CONSTRUCT THE PROJECT MEC. 70. BUSINESS AND PROFESSIONS CODE: NE CONTRACTOR'S LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, MID WHO CONTRACTS FOP SUCH PROJECTS WITH A CONTRACFORISI UCENSED PURSUANT TOME CONTRACTOR'S LICENSE LAW.). I AM ExEMPT UNDER SECB.&P.C.FOR THIS REASON_ JOB 1 o' ^1 rI�pI1 INSP ADORE55. 1OI I��I jll IYIY AREA. BLDG: FLOOR: SUITE. ROBS MEMORIAL OOP PRESS? OWNER: 301 NEWPORT BLVD ADDRESS: NEWPORT HACK CA 92658 III/@45-061 PH N CONTRACTOR: UNIT CONSTRUCTION a MAIAr H C I7000 MARQUARDT STREET ADDRESS: CERRITOS CA 90701 PHONE: 275506 A 01680t STATE CLASS: N NEILNEWPORT LIC. NO'. S.I: BUS. LIC. ARCHITECT: , Yes N ADDRESS' - PHONE: ENGINEER. ADDRESS- PHONE. DESCRIPTION 1 A OF K'ORK-. StRA91 iNPfI�oENENP (1.dorYY7 TI PI/SULFUR TREATMENT SYSTEM CONST.: TYPE OF MI SA GRO. ADDEO/UNEWN: GROUP STORIES i NEW WEO / NEW so FT GAR va. O.DLOG LSE SE DARNING SPACES SETBACKS FRONT Z E REAR LEFT RIGHT SETBACKS LEGAL IRViN£ SUB LOT 169 ELP, 2 PDR OF LC'. DESCRIPTION 1ST SPECI1L CONDITIONS'. ESSEO eY: 5‘....ryYls �JA DATE OwHER IECENIIFDCONTRACTOIIIIDECLARATION I HEREBY AFFIRM THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER 9 (COMMENCING H SECTION 70W)O0 DIVISION 3 OF THE 0u5INES5 AND PROFESSIONS CODE, AND MY LICENSE IS IN NLL FORCE AND EFFECT. /1 LICENSE CLASS �i LIC NO Z�S IC. NO.: CEOREM£DIATION INC (O¢RY) APPLICANT: ZV ; VA 1 ' �/ _ / ` •, •THER FEPARTMENT IDD2 DOA ATE 6d1V ADDRESS: TO IN CA 9268 714/S7I-04JPPPROVAL PHONE'. IRE PLAN CHECK BY R ''// CONTRACTOR�/IPer ONJ-R_ ene'd WOIIILERS' COMIENEAl10N DECLA ON I HEREBY AFFIRM THAT I HAVE A CERTIFICATE OF CONSENT TO SELF -INSURE, OR A CERTIIFL. CATE OF WORKERS' COMPENSATION INSURANCE. OR A CERTIFIED COPY THEREOF(SEC 1000, 'ARG` 4 3907'52 , REPUBLIC INDEMNITY 9l135sPo OYNO.e.coMPANY_L£D4ill4, LfCERTIFIED COPY IS HEREBY FURNISHED. I CERTIFIED CO IS FI O'A'I7H THE BUILDING DEP MENT, DATE // (SE 4_APPLICAN7 SIGNATURE OF APPLICANT a up . e/ GRADING APPROVAL ��,�FIII APPROVA TO ISSU // i0 ENTER Final Protect Ina or 150090 Regular PLAN CBECK FEES 529.43 C BUILDING PERMIT FEE 81G.'.0 I6 d CLEAR -UP DEPOSIT required? (Y) 11D00.'C0 Y - Subtotal 1,IP ERILOIHC PERM(? FEES 2,343.93 1 Is MICROFILMING FEE required? (Y) 10.Y0 } CALIFORNIA SEISMIC SAFETY FEE > :LSO 15 DISABLED RE0IEN PEE needed? (Y) 120.00 Y HAZARDOUS KAT. tors F10(essindl (0) 15.00 Y FIRE DEPT:PLAN REVIEW FEE 7 If) !Si. R9 FIRE DEPT:INSPECTION FEE . (Y,` 162.90 P' PLANNING:ZONI90 PLAN CRECK FEE 1(7) 56.12 Y - TOTAL 019 BUILDING FERMI? PEES 213E5.74 / r�' y-�J Paysents:IF 691.44 Credit extended: 0.00 rota: Credits: Witt Ea23nCe 2,173.90 Auj n$ICe Ja.d J."D Edlaa'.L'J'ss 2,171.90 PAID N NOV 799 CITY OF NEWPORT C RTIFICATE OF EKE 0 ROM KERS' COMRENSA NI U (THIS 50I OPTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.I SHALL NOT EMPLOY ANY PERSON IN ANV MANNER 50 AS TD BECOME SUBJECT TO THE WORKERS' COMPENSATION IAWG OF CALIFORNIA. DATE APPLICANT NODCE TO APPLICANT: IF, AFTER MAKING THIS CERTIFICATE OF EXEMPTION, 'Mu SHOULD BECOME SUBJECT r0 ME WORKERS' COMPENSATION PROVISIONS OF THE LABOR CODE. IOU MUST FORTHWITH COMPLY WITH SUCH PROVI510NS OR THIS PERMIT SHALL REDEEMED REVOKED. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORM ANSE OF THE WORK FOR wHICH THIS PERMIT IS ISSUED ISEC.309T CIV C.). LENDER'S NAME LENDER'040008SS I CERTIFY THAT I HAVE READTHIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT ) AGREE TO COMPLY WIT ALL CRY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING Carel UCTION, AND HEREBY AUTHORIZE REPRESENTA. TIVESOFTHIS couNTV TO ENTAR UP N 190 aBovEMENTIONED PROPERTY FOR I85000 DN v11RWFses L // // Ili /TE SIGN/RE OF PERMIIOEE v Y PLAN CHECK VALIDATION OK. M.0. CASH PERMIT VALIDATION Cr. M O. CASH O 0 2 7 5 m 10 clE Oy^N -72 oU 6- 1-0oZ r 0 LL O 0 Z w gACH /18.91 /1 •? • 9'j'astas< ens , of a ePMr O 00 inw- EX , TJAN� O t ,n /aArr e,A'r,1 ; aft ?• 9S� "Ae y IALnorovr a rf�,,4vs. /44,2 coP,eng.ared, o eirsa,g �' a aY SA ,PE•aaQ•w/ne - Aar! )Else ems. e d.,xt,ap_ , &os / z ,roar A e sp 9s . Cl'l7O ."0 C f.91:nr r !PA Eoe-s«x a.- 01 1, oyd ,17l `3'9I AJOc*fvd f3 W J City of Newport Beach Budding Department P.O. Box 1768 Newport Beach. CA 92658-8915 Permit Counter Phone No. (714) 644-3288/3289 owxER-Blr3BA DECLARATION 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LICENSE LAW FOR THE FOLLOWING REASON SEC ?COLS. BURNERS µ0 PROFESSORS CANE ANY CRV OR COUNTY WHICH REWIRES A PERMIT TO CONSTRUCT, .LLTET, IMPROVE. OEMOUSH, OR REPAIR ANY STRUCTURE. PRIOR TO R5 ISSUANCE. ALSO REWIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE 08 SHE IS1COMMENCYLC SSIONS pUpC0NSEOFURSWR N1TO THE PNh51GV5 OF THE CCNTRUCTOPS LCENSE LAW (CHAPTER OXSWOgriTHA V10ARTISH5SECRCN�W15BY AM'ROM AND TANFFOTHE RAPERMNANORTHE ALLEG S ro*CIVILPFNALTYOF NOT MORE TAW FNEM.W0REODSIJARS(55W11' I.µg8LL OFTL1E WORK. THE STRUCTURE IS WTTI BREWED5 OR SALE (SEC. WILL CO TIE WORN, PR. THE STWC111RE IS NOT BREWED RS OFFERED LFOR AW SALE 15EC TOM, BUSINESS µO PRJFE551RTY CODE THE CONTRACTORS LICENSE LAW DOESOES SUCH WORK TO NI OWNER OF EIF OR HERSELF WHO BOUGHSOR IMPROVES THEREON. AND PHO ROVIDE THAT SUCH PALL LAY ARE NOT `POUGHHIS OR ERONRIEE IF, HMS, EIOVIDEDTIMTMCH OR MEm5ARE SOLD 00/LOWERED OFCOM LE ON.TH. EVER THE &JILOING OR HAVE THE BURDEN IS SONGLANG T AT R YEAR OF COMPLETION, THE IMPROVE THE PU RAVE THE &ORDER OF PRONNG THAT HE W 511E O0 NOT BUILD M IMPROVEFOR WNER OFHEEOF5NE). ❑ I. AS GWNERCTAUD THEPRVECTASEWSIVELVCCIRMCTNG WON PROFESSIONS COW. THECFO T TO OR SLICES THE PROTECT SEC TOM, BUSINESS µ0 W AL PR $XN15 COOS' THE CONTRACTORS LAW DOES NOT APPLY TO AR OWNER CPA wr TV WHO BUILDS CR IMPROVES PUTHEREON. µ0 THE CONTRACTORS NTRACTCONTRACTSR FOR SUCHW.).PROJECTS WRH A 00* TFNCT0R(SULCENSEDPURSUAHTTOTIECONIMCTWSUCENSE LAW.). ❑ I AM EXEMPT UNDER SEC. B.SP.C. FOR THIS REASON D LICENSED CONTRACTORS DECLARATION I HEREBIAFRRIA IAOER F£WLTV TF FER1(RY THAT I µ LLGEN5E0 UN0EH PROVI51TM5 OF GRAPIER 5 (COMMENCING WRH SECTION TW51 DF DIVISION5 OFTHE BUSINESSAND ROFESSONS CCCE. µ0 MI LICENSEI5 M HULLFORCE µD EFFECF C76C76C10 .._._ 599761 ADB DRESS: FIRE PERMIT 30i B R1416Y1 BLDG: FLOOR: OWNER: HOAR KEHORIAL HOSPITAL ADDRESS: 5O1 REPORT BL/O IMPORT MICR, CA CONTRACTOR: PIKE SAFETY FIRST ADDRESS: 1015 I LOGAN SAID AEA Ed 92701 SLATE.. 599761 OLA1 l6C16C10 LIC. M ARCHITECT: ADDRESS: LIC. NO.: ENGINEER'. ADDRESS: DATE .11-2L-It-tietQ COHMACTORFAF[l ServrratHer WORKERS' CO6WR114TI0N DECLARA11ON HERESMAFFIRM UNDER PENALTYOF IFMJRY 0)1E 0FTlE FIXIOLNN30E41ARATKWS: HAyFOR ENS' LCENSATIXI. µ AND wt.MAATAINPROVCED FOR BY SECTION THEA CO:Mlle:OE OF CONSENT TONsuRE LABOR CODE.O WFOR THEPERFgMMEEOFT5E WOR�/�NFOR WWCT IS PERMIT ERMn5ISSUED. L.I5MVTE1DWLLOMTISUMOI,OOMNAOOLS98FAT RNCEW°80EV WHOI IS ISSUED. MY W(1YFR5' CCMFENSATIOL������°�C PER ANOPOuCYWMBERµ CANNER PDLIDVNUNBERL 4Stittr N5l%wC.r 3045'1t3 CISECTION NEED NOT BE COMPLETED IF MW E PERMIT IS FOE ONE HUNDRED L OS LESS). 1 CERTIFY THAT IN THE PERFORMANCE OE THE WORK FOR WHICH THIS PERMIT IS SSUEO, I SHNL NOT EMPLOY ANY PERSON IN ANY MANNER 50 A5 TO BECOME SUB - TENT TO THE W0PKEPS' CCMPENSATKN LAWS OF CALIFORNIA. AND AGREE THAT IF I SHOULD BECOME SUBJECT To THE WORKERS CO ENSARON PROVISIONS OF SECTION 3700 OF THE LABOR COOS I SHALL FO C/.w1LY BOTH THOSE PROM - SONS. .sue DATE- t-I�V APPUCMI. WARNING- FAILURE TO SECURE' WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND $HELL SUBSET µ E1.11 DYER TO CP1MINAL PENALTIES µ0 CIVIL FINES DP TO CNE HW. AGES THOUSµD D F I µ0 SECTION). IN AERATION TO THE COST OF COMPENSATOR OPM AGESASPROVIDED FOR IN 550710J SIOfi Of THE )NOR CODE. INTEREST, MO ARORNEY$ FEES CONSTRUCTION LENENG AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE 15 A CONSTRUCTION LEND- NG AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED )SEC E GV CJ. LENDERS NAME LENDERS ADDRESS I CERTIFY TIAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORM... TON IS C01IRECT. I AGREE TO COMELY W RTH ALL CITY AND GOWN ORDINANCES ARO STATE TOBOERTEa05EIOPRNGTOPFOF LAWS TEMU�HARMNTONEPROPERTY FOR INSPECTIONREPRESENTATIVES J POSES. OP E LIC. NO.: APPLICANT: ADDRESS: SIGNATURE GF APPLICANT IMRE EOPPRISS10I fount Pee IR.iiWALD0R REMAND 101S I LOGAN SINT/r'$Nis CA 92701 SUITE'. PHONE: PHONE: NEWPORT PHONE: PHONE: INSP AREA: PII6 714/816.4300 009906 10S. LIC. LIST Yes No PHONE: 714/816-E00 Permit No. F9500059 79 31G ' IY�nspectian fleglLests Phone No. (714) 644-3255 D $CRIPTIDN 16Y CIIIIC111 SIS461(310-if) DE WORM COAST: ALT NET CBE SYS 0/C00111C EQPT IN KITCREI TYPE OF 0LC NO CONSTRUCTOR'. aRWP: STORES GAL HESCRIPTIW SPECIAL CONMTONS. PROCESSED BY'. ZONING APrROYAL IRFINR 501 LOT 169 ILK 2 P0R OF LOT cr.,. 9 F' OTHER DEPARTMENT FIRE APPROV GRADING APPROVAL. PLAN CHECK BY IJ APPROVAL TO ISSUE ENTER» Project Valuation » FIRE PLAT CRECR PER FIRE PERMIT/INSPECTION PEE TOTAL FIRE/ BUILDING PEeAIT FEES 40.00 54.00 94.00 2600 Payouts: 40.00 Credit extended: 0.00 Total Credits. 40.00 Balance 34.00 Adjustuents 0.00 6a!ance doe 54.00 PAID AUG 2 81995 CITY OF NEWPORT C>:_ ::Tri O 0 15 z O U Y sr O a..Sn w EC X O OW Lan' w w 15 0 1 5 APPROVALS DATE BY COMMENTS FIRE PROTECTION THRUSTBLOCKSEXCAVATION. - -. UNDERGROUND HYDRO TEST UNDERGROUND PIPING FLUSH -. UNDERGROUND ROUGH PIPE -_- SPRINKLER HYDRO TEST SPRINKLER FLOW TEST SPRINKLER ROUGH PIPE STANDPIPE HYDRO TEST STANDPIPE FLOW TEST STANDPIPE ROUGH PIPE e CHEM SYSTEM FUNCTION TEST �1--,6� ii CHF.M SYSTEM APPROVAL ,_J,1_74 �/�L; CJJ ntr' te-e uCJ� I FIRE ALARM SYSTEM 6) 1ft rage Ct 0 SC /E/r S ROUGH WIRING V // SYSTEM FUNCTION TEST CENTRAL STA PION MONITOR FIRE MISC. TANK REMOVAL TANKINSTALLATION/TEST PIPING PRESSURE TEST MISC. INSPECTIONS', FINAL OZ-df 1' £e,444 CERTIFICATE OF OCCUPANCY ,„ TENANT NAME TYPE OF BUSINESS USE,.. S DEPOSIT RELEASED FOR REFUND ON TO. City of Newport Beach Building Department P.O. Box 1768 Newport Beach, CA 92659-1768 Permit Counter Phone No. (714) 644-3288/3289 INSPECTION RECORD37,j'0/2L /,, '�'At& L�.vlc+G A,o oa 44—ertir APPROVALS GROUNDING ELECTRODE UNDERGROUND UNDERSLAB / FLOOR ROUGH CONDUIT WALLS ROUGH WIRING CEILINGS ROUGH SERVICE TEMP. POWER UTILITY CO. NOTIFIED FINAL INSPECTOR'S WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM THAT I HAVE A CERrIFCPTE OF CONSENTTOSELF-INSURE. OR CERTIFI- CATE OF WEISSERS' COMPENSATION INSURANCE, OR A CERTIFIED COPY THEREOF ISEC. POLICY NO COMPANY I_i Ck5TIREU COPY IS HEREBY FURNISHED. tat CERTIFIED COPY IS FILED WRH THE BUILDING r PARTMENT DA,E�O-[/-4f aPPUCANT �'t CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE oniE O o a O - PERDU- iSFOR ONE - NO Isms DER tlEY THAT IN Tile DEHLORMANCE OFT E WORK FOR WHICH THIS PERMIT 1S ISSUED 1 SHALL NOT EMPLOY ANY REASON IN ANY N SO AS TO BECOME SUBJECT TO THE w0R E 5' COMPENSATIONLAWS0 CALIFORNIA OATS APPLICANT NONCE P ONYOU SHOULD BECOME5UWECTTeIIIE WOIIHEPS'COMPENSATIONPPOVISIONSOF THELABOPCO0E YOU MUST EOHIHWITH COMPL' WITH SUCH PROVISIONS OP THIS PERMIT SHALL BE OELMED REVOKED l hereby acknowledge that I here read this application; that given tS correct: and matt am the Owner, or the duly amnariaed agent Or the owner. I agree 10 comply with ally and state laws regulating construction: and in doing the week thonxed Hereby, no person will be employed in violation of the tabor Cede of the Stale at California relating to Workmen's Cnmpensahon Insurance. PNEAMEIPnMITTEEPrN L SIGNATURE OFPERMIREE ELECTRICAL PERMIT a6 ADDRESS: BLDG. OWNER: ADDRESS: CONTRACTOR: ADDRESS: t'ATE IC. NO: PROCESSED BY: ADDREssite ,4L L 0CA.°,EGe !I INSP AREA: FLOOR: SUITE 4. PHONE: PHONE'. BUS 11 OCCUPANCY'. DESCRIPTION OF WORK. Permit No. E9501262 Inspection Requests Phone No. (714( 644-325 x nnr{x liJ • ADDITIONAL INSPECTION RECORDS PAID INTO 41905 (ICY OF iycWPC T BELACE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK 3. CASH 0 0 z 3 E 0 U O- M 0z 4) � 0 0 U W o N or- Z 0 O WORK MUST City of Newport Beach Building Department P.O. Box 1768 Newport Beach, CA 92658-8915 Pemlit Counter Phone No. (714) 644-3288/3289 PLUMBING PERMIT Permit No. P9500912 ection Requests Phone No. (714) 644-3255 INSPECTION RECORC4`f flat,/ JO/ A A �� D ADDRESS:.' BLDG: OWNER: ADDRESS: CONTRACTOR: ADDRESS: II Y. I ".' h FLOOR. wp V.. ^:.1 .• - •••_ CLASS `ok„10.4.--ea_6k INSP $II SUITE: . ., PHONE: •c^,.'.^.,�. .. '... PHONE: NEWPORT U5 UC OCCUPANCY: ('( -':. _ DEWCRIPTIDN OF WORK: ..i, itiry,i. ... ...,I ..:............:...:..._.. AOOmONAL INSPECTION RECORDS ....n -"-,.. APPROVALS - DATE INSPECTOR K o: PROCESSED BY: SOIL PIPE GROUND SEWER WATER PIPE GROUND GAS PIPE GROUND ._ PLUMBING ROUGH GAS PIPE ROUGH WATERHEATER GAS. PRES. TEST GAS CO. NOTIFIED PLUMBING FINAI=f 4.. '17.. -. 9j� ... , ,... .. ,.-, 9.. ---- &n ... ... - '-'- . .. ..... - ..... ...... - _ ,.--.. ., PAID OCT 0 1995 CITY OF fVE6�PG T "= f-v. .... ... ..... IJCFNIIFD CEpdRAIpN I HEREBY AFMUNDER PENALTY OF PERJURY THAT I AM LICENSED WIDER PROVISIONS OF [RAPTOR 9 (COMMENCING WITH BECIICN ]per) Of DIVISION 9 OF THE BURNERS AND PROESSOMB DDE AND MY LICENSEIS N FULL fO(i[E AND EFFECT. UCENSE CL% LIC NO /"•. GATE 6Y7—'iI�, "S�. CONTRACTOR/kr(f%:E WOIICERS• COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PRl1LTYOF PFARIRV CEEOf TNEFOLLWNK DECLARATONS'. __I HAVE AW'MLL MAINTAIN A CERTIFICATE OF CMISEM TO SELF -INSURE FOR WOAD ERS'OCOAPENSMTKK1, AS PROVIDED FOR RY SECTION 3703 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK *00 WHICH THIS PERMIT IS ISSUED. I HAVE AND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE. AS REWIRED BY SECTION 3700 OF THE LABOR oDP. FOR THE PERFORMANCE OF THE WORK FOR NCH TIM PERMIT IS ISSUED. MY WORKERS' COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE: - . CARRIER -.. ........ POLICY HIXA9ER_ CIHIS LWS SECTO111ESSICTION EDDOT BE COMPETED If THE PERM* IS FOR ONE HUNDRED DOL. NE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.ISHALL THAT IN EMPLOY MN PERSON RSON M ANY MANNER SO AS TO BECOME SUB JECT TOME WORKERS' SHOULD BECOME SUBJECT TO THE WORKERS' LAWS C EC0NSATIONOP ORTHAT IF I V IONS OF SECTION 3700 OF THE LABOR COOE.I S PROW. WLLI PLY W E PRO CITE 76—q '— APPLICANT WARNING'. FAILURE TO RECAP£ MOANERS' 004*84SATKN COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND COLLARS 61O 403). IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTCM3706 OF THE LABORCODE.MEREST, AND ATTORNEY'SFEES HEREBY ACKNOWLEDGEHAVE REAO THIS APPLICATOR GWESOPHSCI; AND T I AM THEOWER. OR DNY AUTHORIZED AGREE TO COMPLY V0RI CT' AND STATE LAWS PEGOATING ••E WORK AL IHORMO THEREBY NO PERSCE Intl BE EMPLOYED ICE OF THE STATEOFCAU RELATING TO PERMNTTEENAME (PRNT) Q SIGNATURE OF PERMTE- THATTHE INF AGENT C1F1HE QN£R.I CONSTRUCTOR AND IN HONG M V IO ATIO1 OF T NE LABOR SCgKENSAIICM INSURANCE. DATED— Y "S( AND Eu Q � v�th . f�I 'OIL City of Newport Beach Bulkling Department P.O. Box 1768 Newport ch, CA 92659-17 Permit Counter Phone No. (714) 644-3288/3289 ,F� INSPECTION RECORD A�(pgii n '30/ KdPF.AIbM Pr APPROVALS GROUNDING ELECTRODE UNDERGROUND UNDERSLAIA/ FLOOR ROUGH CONDUIT WALLS ROUGH WIRING CEILINGS ROUGH SERVICE TEMP. POWER GO. NOTIFIED FINAL INSPECTOR'S WORKERS' COMPENSATION OFCLARATION I HEREBY AFFIRM THAT I HAVE A CERTIFCATeiFCONSENT' TOSELFANSURE.ORACERTIFI- CATE OF WORKERS' COMPENSATION INSURANCE. OR A CERTIFIED COPY THEREOF (SEC. Heaa, uB.F4 PDLIDYND +CoFE 11S26fi COMPMLY CALIFOEUIf. ?CEP CC �I 'CERTIF IED COPV IS HEREBY FURNISHED. f❑� CERTIFIED COPY IS FILED WITH THE HUIlINNG CEP DAT L/ ( _46 APPLICAM /i 7 CERTIFICSTE OF EXEM • 11i 'OM WORKERS' COMPENSATI• 'URANCE (THIS SECTION NEED NOT SE COMPLETED I F THE PERMIT IS FOR ONE HUNDRED W LIARS ($ I PoI OR L'SS: I CEPIIFl THAT IN THE PEP PERSON OF THENWORK PoR WHICH T115 PERMIT 1E ISSUED. I SHALL NOT EMPLOY ANY PEREON IN ANY MANNER 50 AS i0 ENCODE SUBJECT TO THE WORKERS' COMPENSATION LAWS OF CALIFORNIA. DATE _APPLICANT NOTICE TO APPLICANT' IF, ARER MAKING THIS CERTIFICATE OF SCFMPTION, YOU SHOULD BECOME SUBJECT TO THEWORKERS' COMPENSATION PROVISIONS OF 111E LABOR COOE,YIX1 MUST FORTHWRH COMPLY wail SUCH PROVISIONS OR THIS PERMIT SWLLL SE DEEMED REVOKED therebyacknowledgethat l have read his application: that theinformationgiven is correct; and that t am the owner, or the duly authorized agent of owner.I agree to comply with city and state laws regulating construction; and in doing the work Stthorized thereby, no person will be employed in violation at the Labor Code of the ate of California relayng to Workmen's Compensation Insurance. PERM-MEE iWMEIPPIMI SIGNATURE OF PFRMTTEE_. spAwrr Neeil JOB ADDRESS BLDG: OWNER AGGRESS: CONTRACTOR ADDRESS: ELECTRICAL PERMIT FLOOR: SUITE: KOAH.HHNOEIAL.EOSPITAL ICI NEVPOET. ELVC MEVPOET BELCH, CA E P, I. n142. ALCALOE CRICK STE T LAHEA'A ELLS CA CEE52 PHONE; ]'.S/97S-nE7r STATE C IIEp SQ CLass. N r'I ]., r_1r $LIC' PROCESSED BY: _ OCCUPANCY: Electrical Permit Fes REPOSE CIRCUIT Permit No. E9600556 Inspection Requesla Phone No. (714) 8443255 INSP d DESCRIPTION ` AREA: OFWORK:r R r In PA AOFoci 9p 4V IA h'iZ'Y�t ELEC(SEEAEATE CIRCUIT ADDmONAL INSPECTION RECORDS En*NI*)L of electrical fees la PLAIT CHECK FEE required? ("; REMIT ISSUIHO FEE TD MAL ELECTRIC!' REMIT PEES Pach Per 22.9 PBSare A'jl EtaerLE Eatacce Cue PAID APR 161996 CITY OF NEWPORT PEACH PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK, M.O. CASH WORK MUST BE STARTED Ci of Newport Beach I P.O. BUN t 88 • Newport Beach, CA •.: P&mlt Conner Phone No. (714� 644-32883289 INSPECTION RECORaAID.4/t, APPROVALS INSPECTOR PIPE GHQLN �• �� � SOIL SEWER WATER P' E GRC GAS PIfmG CRC!. PLU WA GA PL AND LICENSE DUE LLB ' ask coN+BM.TM )47 DECLARATIONS: A fFRAN F(i*'QOEENITOSFiP.u5iucFORWgX- TIDN.CS PROMOS Ppi Dv BECSCl.3pt CF1NE LABOR CODE, FOR 5aoFIHEWON( FOR NHNSI THIS HAVE AND WILL WMAN WORKERS' CWPRBAIOI ISURANCE, AS REQUIRED BY SECTION 3750 OF THE LABOR COOL FOR THE PE EONSANCE OF THE WOR( FOR WHICH' IS PERMS IS ISSUED. MY WORKERS COMPEN8AT ON POIMAN"^ CNER APO POKY SUMER ARE: Ir Ii RIPRRR CALIF02NIA COMP CI F952115266 LASS55 W I OP LF-CTION NBE CGgEYED 1F THE PERMIT IS FOR ONE HUNDRED OL D O- ISI _I CERTIFY NMT W THE PERFORMANCE OF TIE WON( FOR WHICH THIS PERMIT IS ISSUED.I SHALL MT EMPLOY ANY PRISON W ANT MANNER SO AS TO BECOME &6 .EDT TO THE 5CN(RS' fpAPENSMION LAVES OF CMIFO 8AAND AGREE THAT IF I SHOULD BECOME SUBJECT TO THE WORKERS' COMPENSATION PROVISIONS OF SECTION IN SAM LA BOR COBS. I SHALL FORTHWITH YWITH THOSE PROW. SIONS DATE' ef--96—fG APPLICANT: ' WMNSC: FASURE TO SECURE WORKERS cOMPERBAT IS ATIR. MY1 SHALL 551 AN BAPLOTER TO CRMWM PENALTIES FEES NIP TOOHENMRED TYyBMO DOLLARS I11001551. W NXTon TO THE COST OF COMPOSATEW, BMAY.Es AS PROVIDED FOR S SELTLW=BOP THE LABOR COOL MEREST, µOATTORVEYS FEES. I HEREBY AOQ%YMiOOE THAT I HAVE READ THIS ADVOCATE. THAT THE YSOWTMN MEN /S AGREE TO COMPLY WITH CRY MO STATEAPO THAT I AM TM OWNS; SFFSMMNIO CO (74,10IIO5 MO IN SIN]I THE WORK AUTHORIZED THEREBY, NOPERSON BILL BE EMPLOYED w VISATEM CFTE LABOR OO E CFTE RATE OF CNEORryi pFIAI W [a TO µCY0MEHSB CCI40ImTNN INSURANCE. E S NAT REOOF� SUpEFfS i� ACgq[98 LS^ iisolp P='s`5-'7 PLUMBING PERMIT AOCRE99. _:. )• I BLDD: FLOOR:..._. SURE: OWNER: HOPGNE@O.B,?AL HOSPITAL Ao0REss: 31 NEWPORT PLED NEWPORT PEACS, Ck PHONE: _.. _. CDNTMCIUR: g.R i ADDRESS: 23042ALCAL1s DRIP?, STF p LAC" /RILLS CA B26S3 +E• 7 ?'5-777 u'a NO: b y4 _ `LASS` P r ^.C9EC!G "E""Ix ` ^Ob99"- PROCE&RED BY Plotting Per, it ?ees e Floor sink Gaterpiping laekfloe device - op to 2" diam. SMOTE of plumbing fees lc o;AN C@SCE SEE required? (E) PERMIT 1SSUIRG FEE TOIL PLUME PERBIT PEES OCCUPANCY: W DESCRIPTION OF WORN: 5.77 7.77 7.57 16.5U C.13 E iS "0 35.63 IRSPOO OO Regoeels Phone No. (714) DN-3255. Permit No. P9600346 PI OnM CR SITEAc3TLCG[AP ADDITIONAL INSPECTION RECORDS : Eredlt n:ranled: Palance Adjustments 0alance doe PAID APR 161996 CITY OF NEWPORT BEJhC4. O 8 2 3 0City On Newport Beach 3" P ) 's Building Department c c P.O. Box 1768 Newport Beach, CA 92659-1768 Permit Counter Phone No. (714) 644-3288H3289 INSPECTION RECORD/j'(.00 961/ 3Ci /.Jfw/4/sir SO ELECTRICAL PERMIT APPROVALS DATE INSPECTOR GROUNDING ELECTRODE I UNDERGROUND / UNDERSLAB / FLOOR ROUGH CONDUIT WALLS ROUGH WIRING CEILINGS ROUGH SERVICE TEMP. POWER UTILITY CO. NOTIFIED FINAL LICENSED CONTRACTORS DECLARATION I HERESY AFFIRM UNDER FFN0Iry OF PENURY THAT PM LICENSED UNDER PROVISIONS OF CHAPTER BICOMYENGNO WITH secnON 7000; OF DIVISION 3 OF THE BUSINESS AND PROW-900GS COD ANOMY UCBISE IS IN FULL FWSEANOEFFEQ. IY:ENBE CLASS �/ fI' / DATE V- CONTRACT WORKERSCOMPENSATION RATION I HEREBY AFFIRMCE.OER PENALTY OF PEPOOBYONEOF WE FOLLOWING DECLARATIONS) HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF INSURE FOR WORKERS' COMPENSATION, AS PROVIDED FOR BY SECTION 3700 OF THE LABOR CODE FOR THEPERFORMANCE OF THE WORK NOR WHICH THIS PERMIT IS ISSUED. I HAVE ANDWILL WILLMAN WORKERS' COMPENSATION INSURANCE. AS REQUIRED BY SECTION 3700 OF THE LABOR CODE. FOR THE PERFORMANCE OF THE WORK FOR YANG POLICY HICH THIS NM MIT BERIS ARFUm MY WORKERS' COMPENSATION INSURANCE CARRIER CARRIER TILDIBEMI I agC /-C'(—KT� �C DATE A➢PLI FOGGY NUMBER XioTTLISLIARS (VOW SECTION N EED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED OI CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. I SHALL NOT EMPLOY ANY PERSON IN ANY MANNER 30 AS TQ.EFyME SUBJECT TO THE WORKERS COAMEN TiJA) "AS OF CAIFOP10A AND IF 13FOOL0 BECAME SUBJECT TjXE N0H FAR' OD0PENpATION P OSE PRO WARNING FAILURE TO SECURE YORKERS' MPENSATIUN COVERAGE IS UNIOWFUL AND THOUSAND DOLLLT ARS 3100,00RTO CRIMINAL ADDITIONTOPENALTIES OPPC0MPENSAHONT NTljyy s AS PROVIDED FOR IN SECTION 370B IN ELABOR 000E. INTEREST. AND ATTOPNEYSFEE3. I HEREBY ACKNOWLEDGE THAT I HAVE READ THLS APPLICATOR. THAT ME INFORMATION OMEN IS CORRECT, AND THAT JAM THE OWNER. OR DULY AUTHORIZED AGENT CA THE OWNER I AGREE TO COMPLY MTh CITY AND STATE LAWS REGULATING CON0T0UCTON AND IN GCMG THE WORK AUTHORIZED THEREBY, NO PERSON WILL OE EMPLOYED IN VIOATICW OF PIE LIBOR RICE OFTHES10IEOFCNJFOWIAOEUTNO TO WORKMEN'S COMPjMAMMJ INSURANCE. fUME1100IT/%/�/ �Z(� /OPFRMRJFI�DATE • 'L ABCRESS — JOB ADDRESS: BLDGI OWNER. ADDRESS: CONTRA(;TOR ADDRESS,. 59] ftjyti INSP AREA. FLOOR: SUITE: "BOAC )ENO2IAL 90SP'.TOL 171 NEWBORN 0071 NEWPOO? BEES Ck 92111 TONECEEE, DONALD 2 F0 BOR 1212 NEWPORT PEACH CA 92612 STATE CLASS: P302212 :10 PROCESSED SSED BY: Pee Electrical Parch Fees' TOTAL NO. OF O MLENS SGBTOTAL xf electrical fees is PLAN CHECK FEE required? (4J PHUT 122020G FEE TOTAL ELECTRICAL 'P1N1T FEES PHONE: PHONE, NEWPORT 0Ms. 0C.. OCCUPANCY: 1144146-110 1144617-1RD /6000041 Sari. Ea, 14 PLAN CHECK VALIDATION CK. MO. CASH INSPECTORS COPY DESCRIPTION OF WORK: Pee 12.10 12.00 3.00 Y 11.10 10.00 Permit No. E9600964 ection R-.• vests Phone No. (714) 644-3255 IeINJ'�;yQj lV^L•al'I EEL€C O RI CL/OOTLETS, FI£TO2ES ADDITIONAL INSPECTION RECORDS DO 0;33 PERMIT VALIDATION Pay cants: ;Credit extender: D.00 Total Credits: 6.00 Balance 24.00 Adjustments 0.01 Balance due 24.00 pt. 241996 Gil? OF NEWPORT BEACH CK. 0 City of Newport Eeach Building Department P.O. Box 1768 Newport Beach, CA 92658-6915 Permit Counter Phone No. (714} 644-328613289 • BUILDING PERMIT Permit No. B4601493 OWNER -BUILDER DECLARATION HEREBY AFi flM UNDER PENALTY OF PERJURY THAT AMEXEMPTFROM THE CONTRACTORS LICENSE LOW FOR TI.c FOLLOWING REASON NEC. 537 0.BUSINESS MD PROFESSIONS CODE' ANY (my CR COUNTY WX CN REQUIRES A PERMIT TO CONSTRUCT FLOTP�SCHnomsETT ALSO EOUIRES-H APLr WflUPEwTEA cNEDSTTAISMNS THAT IS LCENSEO PURSUANT TOTH% PROvsONS OF THE CONTRACTORS UCENSE LAW (CHARTER ECWG WITH SECDON 1WS OF DIVISION S OF THE 9LISNESS AND PR0FE5510N5 CODLI OR THAT FOR SHE is Exc11PT TIEREFHdS AND THE BASIS FOR THE ALLEGED EXEMPTION. ANY VIOL0I!CPI OF SECrON 7O515 BY MN APPLICANT FOR A PEPMR SUPJECTs THE AP'JCMTO A CIVIL PENALTY OF NOT MOPETWN Fv%HUNDRED 0LLAR5155WI)-. 1- AS OWNER!). TIN PROPERTY OR MY ENALOYEESWITI WAGES A5 TER SOECpA PENSATCN, 1100 THE WORK AND T¢STRUCTURE S NOT INTENDED OR OFFERED FOR SALE (SEC. 7944. BU51NES5 AND PROFESSIONS 000E. THE COMPACTORS LICENSE LAW DOES NOT APPLY TO ANOWN'ER cm PROPERTY WHO BUILDS OR IMPROVES THEREON AND V(HO NOES SUCH WORK HIMSELF OP HERSELF OR MRWGH HIS OR HER OWN EMPLOYEES, FRONDED THAT SUCH IMPROVEMENTS ARE NOT WTEI ED 05 OFFERED FOR SALE. IF. HOW. EVER. IRE BUILDING OR IMPROVEMENT 15 SOLD DAWN ONE YEAR OF COMPLETION. TYE OWNER -MILDER HAVE TPUNISH OP PROVING. THAT HE OR SHE DID NOT BUTS OP . PROVE FOR THE PURPOSECF SALE) As OVFIER O.'HE PROPERTY AM EXCLUSIVELY CONTRACTING WrIH LICENSED CON- TRACTORS TO CONSTRUCT THE PPNEC(SEC.:944. BUSINESS ANO PROFESSIONS CODE ME CONTRACTORS LICENSE LAW DOES NOT APPLY TO M' OWNER OF A PROPERTY WHO WILDS OR IMPROVES THEREON, A1O Vnq CONTPACTs FOR SUCH PROJECTS WTH A COR TIACTORISI LICENSED PURSUANT TO T E CONTRACTORS LCFNSE LAW). _ I AM ExEMPT UNDER SEC. BxP C. FOR THIS REASON JOB ADDRESS: 9 [Uni�M1}II�I IO fiiiiUk I)� BL°G: FLOOR: SUITE, owNER: YGAP BBSPITAG !, 1I ADDRESS. 1BI RER0O0T BLYD 11 / '164PCRT BEACH,CA 92856 PHONE: C SIG CV T e " R CONTRACTOR: 200 SIGN SYOT1 .E IRCGnP0RA1ED ADDRESS: S CBCETE IRVINE CA 9272D PHONE: STATE 06 CLASS: NEWPORT TIC. NO' 45- DB C4J BU5. RIG: ARCHITECT: ADDRESS: PHONE. LIC. NO.: ENGINEER: ADAMS BERNARD 0 ADDRESS: 11022 ACACIA RAMPART STE E CARDER GROVE CA 926401 PHONE' LIC. NO.: G 010107 ZEE SIRS SYSTEMS ye( ADDRESS: ECBBA`E ! INE, CA 92720714/552-4060 IRVPHONE: INSP AflEA'. 714/645-8600 714-552-4060 020619 ' / BOB. LIC. DESCRIPTION OF WORM CONST.: ADD TYPE OF [DNS:RUCTION ADDED I NEW SO FT. SLOG NOOV UNITS'. REDO BLDG SETBACKS LEGAL MIICN. L R RGt� ti�B �J1hn4 (,C Bi 8 SICK 017.4V I ILLI@iRdPEU UNMET SICB"ROA6 HOSPITAL" `BR xc ND NO ND(x. GROum N'loRlEs: 0' MDEOINEW u 50 FF GAR: USES. PC SPACES FRONT REAR LEFT RIGHT / ( / IRV1NE SOS LOT 169 ILA 2 FOR OF LOT - n R (1) 92 SO FT 800/I 4]CB'JD SIBB-(RPT BIND FRONTAGE) -0E-FBA PC TEXT - - �� II II - YES ,\ 714-616-Cr14 SPECIAL CONDITIONS. PROCESSED DATE OWNER LICENSED CONTRACTORS DECLARATION I HERESYAFFIPM UNDER PENATY OF PERJURY THAT I AM UCFNSE0 UNDER PPOVI51PN5 CF CHAPTER 9(�CMAMBNOINDWOH SECTION]roo1 OFa0I51N 5 OF THE BUSINESS AHD PROFESSIONS11YK.Two MY LICENSE. le INFR). FORCE AND EFFECT.. 450600 LICENSE cu55 GAS La xO AP/ OTHER DEPARTMENT O.\iE 0. CCNRUCOR WORKERS COMPENSATION DECLARAnON I HERBY&FARM TAMER PENALTYOF PERJURY ONEOF EFg10 NU DECLARATIONS': Ay., FIRE ,PUN APPROVAL CHECK BY 1 HAVEM.OL.MUMAW2NN A CERRFICATE0.EU0NSEHT TOsflf SURE F:N WGRS ERACOM➢ENSATCN, AS PROVIDED FOR BY SECT-NSNS OF THE LABOR CODE, FOR THE PERFORMANCE OF TREND% FOR VMOITHIS FEPMrt I5 ISSUED. X I HAVE ALM WILL MAINTAIN WORMERS COMPENSATION INSURANCE AS REWIRED eV SECTION]IW OF THE LABOR CODE. FOR THE PERFORMANCE OF THE WORK FOR 1VMCH THIS PRIM IS I55UFD. MY WORMERS' COMPENSATIONIIISJMNCE CARRIER M:OPODCY NUMBERAHE. GARNER SIGNATURE OF APPLICANT / fA / GRADING APPROVAL APPROVAL Si TO ISSUE Cll rug ,eemr ees ENTER» Final Arnie, yrm oa Regina; PLO CHECK PEES BUILDING PERMIT PER a CLEAN-UP DEPOSIT required? (T) 1116tctal CIP/021/700 0ERMIT PEEN Is MICROFILMING FEE SAFETY PEE (Y) CALIFORBIA SEISMIC SAFETY PEE I PLA!Y,0IOG:20RIRG PLAN CRECE FEE 11(Y) TOTAL CIP ECILDIRC PERMIT FEES 58.50 90.00 200.00 q /, J40.50 1.41 1.4) 6.20 157.57 8"3 Y 4 P Y 7000 CITY OF Payments: A4.70 Credit emtended: 0.00 Total Credits: 64.70 Balance 292.87 Adjustments 0.01 0? Balance due 292._ JUN 1 21/\/Sp 996 NEWPOfiT &EticH STATE —FIND— F«)CYNO 1746117-95. __ As SECTION IOR MUDLESNOT BE COMPLETED IF THE REAR MS FOR ONE HUNDRED DOL.Is _- ICERTIFY THAT INTHE PERFORMANCE OFTHEWORK FOR WHI0Hlips PEmiff la ISSUED I SHALL NOT EMPLOY ANY PERSON IN MW MMMER SO AS TOBECOME Sum JECT TO THE WORKERS' COLMENSATI0IUWS CIFCAUFORMA. AND AGREE THAT IFI SECTISHOULD BECOME SUBJECT TO THE WORKERS COMPENSATION PROVISIONS OF ON 9W CIF E. COT% I SHALL FOMM41T1 `Y WRNI TO EPPOVF ons DATE_ ,RPLI�� SHALL SUBJECT TO R ORKERSW PENALTIES DCotF uwNLND SNN15U61ECTADO YETI TOCRIIN ADDITION OTHEC0101LR PTOCNEDAM- AGESTHWNJIODFORISECTIM)IN OF ADDITION LTOTIECOSTCF ,NDATTORD/JA- FEESS AS PROVIDED FOR INSECTON PW OF THE LABOR CODE TAMEST. AND ATTORNEYS CONSTRUCNON LENDING AGENCY INan0F`NNccvwRTHE PERFowuliE OF�°WORKKAwa WHCHAT IS PERMIT IS WSu� NEC 3097. 0'NIME LENDER, NAME Cm NaPAID LENDERS ADDRESS I GEPTIFY THAT I HAVE REP➢MIS APPOGTQY AND STATE THAT THE ABOVE INFMMA. TICN LSCCRRECT I AGREE TOCpJ0.YWIIH ALL CRY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRULTq!, AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER DMA TIE A0OVEMEHfg5ED PROPERTY FOR INSP EC110N PUP PG5E5. PPNJAT{h11E�EL/k/\_ME 4ERI _„7/ b SIGtAED0;2215/E R-MNT�E'E RTED WITHIN A PERIOD OF 180 DAYS FRO APPROVALS DATE BY COMMENTS FOUNDATION: ROUGH GRADE SETBACKS FOOTINGS SLAB ON GRADE DECK SLAB FRAMING: SUBFLOOR ROOF & BUILDING HT EXT. SHEAR HOLD DOWNS GENERAL FRAMING INSULATION DRYWALL SUSPENDED CEILING PLASTERING INTERIOR LATH EXTERIOR LATH SCRATCH BROWN MASONRY FOOTING PRE -GROUT REPLACE MISC. INSPECTIONS: INAL CERTIFICATE OF OCCUPANCY TENANT NAME: TYPE OF BUSINESS USE: s GO (i DEPOS T RELEASED FOR REFUND ON TO: �00 City of Newport Beach Building Department P.O. Box 1768 Newport Beach, CA 92658-8915 Permit Counter Phone No. (714) 644-3288/5289 OWNER -BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LICENSE REASON (, PROFESSIONS CODE ANY CITY OR COR THEDNOWIIYL HICK REQUIRESSEC A PE MITETOUSINESS CONSTRUCTT. ALTER, IMPROVE OEMOUSN OR REPAIR ANY STRUCTURE PRIOR TO ITS ISSUANCE ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE ORSHE IS CHAPTER 5 ICOMA E.N0 WG WITH SECTIONPURSUANT TO THE PROVISIONS7000 OF DIVISION THE CON 3OFFTTHHE BUSINESS AND PRRACTORSLICENSE OFESINS CODEI OR THAT HE CR SHE IS EEVART THEREFROM AND THE BASIS FOR THE ALLEGED EXEMPTION FJJY VIIXATIHYI OF SECRON 70315 BY ANY APPLICANT FOR A PERMIT SUBJECTS TH E MFLIGV n TO A CIVIL PENALTY OF NOT MORE THAN FIVE HONORED DOLLARS (S3D31 )' NAS IRENEMSRCNPFENDoRen RCOM- PESATION WL00TWOR(� E STRUCTURE S OT INTENDED OOFFERED FOR SALE {SEC. 76E3 BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO 4N OWNER OF PROPERTY W110 autos OR IMPROVES THEREON. AND WYq DOES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES. PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED CR OFFERED FOR SALE IFHOW- EVER. THE BUILDING CR IS SOLOONE OF ON. THE EMENT ITHIN OO414ER6'JIL➢ea WILHAVE HEVBURDEN OF PROVVIING TORT I E ORRSHE DID NOT&1LL➢OR !%PROVE FOR THE PURPOSE OF SALE.). 01 AS OWNER OF THE PROPERTY AM EXCLUSIVELY CONTRACTING ATM LICENSED CON. TRACTORS TO CONSTRUCT THE PROJECT (SEC. ]M4. OUSWES AND PROFESSIONS CODE BUEILDS OF IMPROVES THEREON LAW WHO001053CTS AN SSUGIC PROJEPROPERTY SOW WITH A CON MOTORIS( LICENSED PURSUANT TO THE CONIRACTORSOO;NSE LAW.). 0 I AM EXEMPT UNDER SEC DATE OWNER B &EC. FOR THIS REASON JOB ADDRESS: BLDG: OWNER: ADDRESS: CONTRACTOR: ADDRESS'. BUILDING PERMIT 101 15408i 8840 INSP AREA FLOOR: SUITE: BOAC HOSPITAL PO 901 6100 RE0PORT REACH CA 92658 PHONE: ZEE SIGH SYSTEMS INCORPORATED 8 CROATE INURE CA 92720 intia: 459600 CLASS: C45 ARCHITECT: ADDRESS, LICENSED CONTRACTORS DECLARATION LIC. No.: ENGINEER: I HEREBY AFFIRM UNDER PENALTY OF PENURY THAT I AMANS 00E011NDER PROMS! N S ADDRESS: OF CRAP TER 9 (COMMENCING WITH SECTION 7000) OF DIVISCN 30F THE BUSINESS NYD PROFESSIONS. CODE. AND MY LICENSE IS IN FIML FORCE AUTO EFFECT. LCENSE CLASS 4$ NO 450600 LTC. DATE ]p_ CONTRACTOR / BS' COMPENSATION DECLARATION / I HEREBYAFFIM UNDER PENALTY OF PENURY ONE OFTHE FOLLOWING DECLARATIONS. I HAVE AND NAL MAINTAIN A CERTIFICATE OF CONSENT TO SELF.INSURE FOR WORK SIGNATURE OF ENS-'wscNSATION PS PROVIDED FOR BY BE0TGN 3]N0FTHE (MOP CCO"c, FOR APPLICANT L THE PERFORMANCE (WERE WORK FOR WHIN 11PS PDdR I5550EC. RA CCANOLLIAM41N 9OR 9ERG VJMEPTFHlE45PATER0ENOUWNCMEO£FATUEVVWD WINCH THIS PERMIT IS ISSUED MYWORKERS' GWPENSOTON INSURANCE CARRIER ATA POLICY NUM BEAARF-.� � /1 CARREA __Gl}1iS�. -rl/_f Sr�L���L b-Ptw I(/P9.te FO.1L NIIIo1Fy ; ME M ? (THIS SECTION NEED NOT BE COMPLETED IF IRE PERMIT IS FOR ONE HUNDRED COL. LARS(0(ml OR EESS3 I CERTIFY TWAT IN THE PEAO4'JNCE OF THE WON( FOR WHICH THIS PERMIT IS ISSUED.I SHLL NOT EMPLOY ReN PERSON IN ANY MANNER 00 55 TO BECOME SUB. SHOULD B COMMEE (SUBJ01iPENSATON TO THE WOR ERtAWSS'C005094SATICALIFORNIAIOONN PROVISIONS OF sECTYA93]m OF 1X • CCIIc.Must 1 FCPMWIRI�i SAS. O E S IP090980 WARNING: SUBJECT AN SJ EEL EWORHEPS'CONFENSATNCOVERAGE IS AN /U ERTOCRIMNALPENATTHE CST Of ORES THOUSAND DOOMS ISIW ON 3I0 OF 1HEL 0 THE COST OF AGES A5 PROLIDED OR IN SECTN 3]L60F IXE LABOR CODE. INTEREST, PMARO CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALLY OF PENURY TUT THERE IS A CONSTRUCTION LEND - IRO AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERM0IS ISSUED LENDERS NAME LENDER'S ADORES I CERTIFY THAT I HAVE READ THIS APFLICAT(N AND SEAM THAT THE ABOVE INORMA. TKKI IS CORRECT I AGREE TO COMPLY WITH ALL CRY AND COUNTY ORDINANCES AND STATE LAWS RELATING TOCURSING CONSTRUCTOR AND HFREPY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTA UPON THE ABLWEMENTONED PROPERTY FOR INSPECTION PUTS POSES 'ruTUR OF PERMIT -TEE ANT: ADDRESS' ZEE SIOM SYSTEMS R CROATS IRVINE CA 92720 CIP Bu51dong Permit Pees ENTER» Pinal Project i cation Regular PLATS CHECK PEES HULLOING PERMIT PEE Is a CLEAR -UP DEPOSIT required? (Y) Subtotal C1P ROILOIRC PERMIT PEES is RICROPILEIRC PEE required? (Y) CALIP0R8tA SEISMIC SAFETY PER > PLA991MC:000RTER REVIEW PEE $5 1(7) TOTAL CIP BUILDING PERMIT PEES PHONE: NEWPORT BUS LTC PHONE PHONE: PHONE: 2s 714/645-8600 DESCRIPTION OF WORK: Permit No. B9502894 Inspection Requests Phone No. (714) 644-3255 (I) !UP SI09S (1il1.91) 0DNST.: 9ER (2) PEW ILEUM MO90M897 S1S9S "HOAG ROSP' TYPEOF GOO. H}Cy COrySTWCi AI GROUP: STORIES. RODEO I]IEW ADDED / NEW . SD. FT. SLOG UNi1S ZONE: Pc 000001DG FRONT REAR SETBACKS 714-552-4060 LDEFs00`r8IP11N. 020839 BUS. LIC. LI t Ye5 Ro 714/552-4060 MIRE SUB LOT PARKING SPACES: LEFT RIGHT / f 69 ELK 2 PO0 OP LOT PEL'AL GNOMONS (2) HOOD MQMQMEOP SECO 5-OR PEN PC TEXT/AT 2S ARD 53 SQ PT RESPECTER PROCESSED BY: A V& Lawn - ZONING ZONING ` - OTHER APPROV 4Aw-ae_ DEPARTMENT FIRE APPROVAL GRADING APPROVAL 46.80 72.00 100.00 Y 218.00 1.00 Y 1.05 5.00 Y 225.85 6,,g761) 2. 5000 PLAN CHECK BY APPROVAL TO ISSUE Paynents: Credit extended: Total Credits: Balance Adjustments Balance due PAID NOv081995 CITY OF NEWPORT IiEACN 51.80 0.00 51.80 174.0S 0.00 174.05 APPROVALS DATE BY COMMENTS FOUNDATION: ROUGH GRADE SETBACKS FOOTINGS SLAB ON GRADE DECK SLAB FRAMING: SUBFLOOR ROOF & BUILDING HT EXT. SHEAR i HOLD DOWNS GENERAL FRAMING NSULAT'ON DRYWALL SUSPENDED CEILING PLASTERING: INTERIOR LATH EXTERIOR LATH SCRATCH BROWN MASONRY: FOOTING PRE -GROUT FIREPLACE ISO. INSPECTIONS FINAL CERTIFICATE OF OCCUPANCY TENANT NAME: TYPE OF BUSINESS USE: I$ D OS!T RELEASED FOOR REFUNON 2'/�da/l -6 City Ol Newport Beach Building Department P.O. Box 1768 Newport Beach, CA 92659-1768 Permit Counter Phone No. (714) 644-3288/3289 INSPECTION RECORD eiveypy Sri! AftafrberieD -91thr Joe Ar7,9anoni,2- APPROVALS GROUNDING ELECTRODE UNDERGROUND UNDERSLAB / FLOOR ROUGH CONDUIT WALLS ROUGH WIRING CEILINGS ROUGH SERVICE TEMP. POWER UTILITY CO. NOTIFIED FI NAl. DATE INSPECTOR'S WORKERS' COMPENSATION DECLARATION HEREBY AMEN THAN I HAVE ACEPiFCATE OF CONSENT TOSELFH05UREORACE0TIF1- CA E OF WORKERS' COMPENSATION INSURANCE OR A CERTIFIED COPY THEREOF (SEC. 0100 `AE" PC1902910 REPUBLIC IMOER CO POLICY NO. COMPANY CERTIFIED COPY IS HEREBY FURNISHED ❑ GERREE i P),IS HIED WTHT:ISHILEY / DATE/Z -.229 APP CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE FRCS SEC'IONt1EEDNOT OEC0MPLETEDIF 1HEPEHMITISECA ONE HUNDRE000LLAH OR LESS) I COFFEY THAT IN THE PERFORMANCE OF P1E WORK FOB WHICH THIS PERM SHALL NOT EMPLOY ANY PERSON M ANY MANNER NO AS TO BECAME WORKERS' COMPENSATION LAWS Of CAL2FORW0. DAIS_APPLICANT NOTICE TO APPUCANF' IF. AeTER MAKING MIS CERTIFICATE IXEMPTION, YCU SHOULD OECOMES0DJECI TORIEWORKE0.5' COMPENSATION PRO7ONS OFTHE LACORCOOF.YOU THIS MUST FORTHWITH 00 OPLY WITH MICH PROVISIONS S PERMIT SHALL BE DEEMED REVOKED. ISSUED.1 CT TO THE thereby acknawlMge Nall balere apolicatiON (nal Ike intimation given IS correct; and that l cm the Owner. or duty authorised agent of the owner. I agree to cemply with city and stale law egulaeng canshutlion; and In doing the work authorizer] lhaeby, no person w be employed in violation otthe Labor Code al the State of CB1lorma relating to Workmen's f/ m,ensatiun Inylmnce. PEWS-HEE NAaem:1ND_ SIGNATURE OFPERMITTE 7,50 11.00 NSF AREA: JOB ABORESS: ELECTRICAL PERMIT IN HMI BIA BLDG: FLOOR: SUITE. OWNER: HOAG NBMORIAL r..'PIPAL PRESBT ADDRESS: 101 NENPORT BL97 I3!PORT REAC1 CP. iM PHONE 714/645-8600 CONTHACTOD HI NES `Ii0 IRI '.ul`"ICEB ADDRESS: P 0 HOT 596 HARBOR CITY CA 90710 PHONE: 310/539-7827 00008-04-111.1002erC10 NEwwoo 018044 uc.ND: PROCESSED BY: 44 et ! n.IT t— aus Dc OCCUPANCY: B * Electrical Permit Pees * Each go 6otors / Transformers (HP / KVA) over 1 op to 10 Sub panels SUBTOTAL of electrical fees Is PLAN CHECK PEE rcgoired? (4) PERMIT ISSUING PEE TOTAL ELECTRICAL PLAN CHECK VALIDATION OK. M0. CASH 1 11.00 Permit No. 89401488 In Re'Desis Phone No. 714 3255 OFWGRK.ION IW1C111YiLf11 (Il%JL4I5) CLSCTRICAL/TI ADDITONAILINSPECTION RECORDS Pee 7.50 18.50 4.61 H 15.00 18.13 PERMIT VALIDATION Pagmeetd: 0.00 Credit extended: 0.00 Total Credits: 0.00 Balaece 18.11 Adjcstouts 0.00 Palace due 18.11 Op-7. ..14 0 O 09TEpa47 V City Of Newport Beach Building Departrnent P,O. Box 1768 Newport Beach, CA 92659.1768 Permit Counter Phone No. (714) 644-328813289 INSPECTION RECORDan,,zh APPROVALS GROUNDING ELECTRODE UNDERGROUND UNDERSLAB / FLOOR ROUGH CONDUIT WALLS ROUGH WIRING CEILINGS ROUGH SERVICE TEMP. POWER UTILITY CO. NOTIFIED FINAL. DATE NSPECTOR'S WORKERS' COMPENSATION DECLARATION I HEREBY/FFi FM THAT, HAVE ABERrwFCATE OF CONSENT TOSELHNSURE, OHA CERTIFS CATE OF WORKERS COMPENSArON INs}!RAHCE OR A CERTFWD COPY THEREOF {SEC. xx, uac.l. Oia, t(`�Y L t ` ;WHOM°. 110hrEMff COMPANY `LWVAI CETIFIEO COPY 1511ERCES FURNISHED. CEATIREDCOFY IS THE BJILGMG GERARD/ENT,y _ APPIICANT FICATE OF EXEMPTION FROM WO yr.'il S COMPENSATION INSURANCE ISSECTIQYNEEO NOTSECOMPLETEOIF THEFEHA9TISFOR ONE HNNOREDNLLARSIS1001 OR LESS) I CEROFV'THAT IN THE PERFORMANCE OF THE YJCPH FOR WHICH THIS PERMIT I5 i55OEO, I SHALL NOT EMPLOY A Y PE$SON IN ANS MANNER SO AS TO BECOME SLIWECT TO THE WORKERS' COMPENSfA Or✓9W` 000ALIFORNIp, DATE NOTIC 0FCOM IMST FORTE REVOKED. FPPUGNT N MACMG 00 Tw5WiATE0 F.FJAP 0ROULD TT ELYORNERSCOMPENSAIION31ONPROVISIONSOF THE 14LAR000E.YOU COMPLY WITH SUCH PROVISIONS OR THIS PERMIT SHALL BE OPENED 1heretwacknowlmige that l have read this pp. t Mar the ' Pen is Correct; rdthat l am the owner, or Me duly IM1 'ed agent of Ih .I agree to Oprnply will City and state lawS regulating construCtion and in doing the wort authoHzed iby tie pencil employed ot'of the Labor Code of the I CaliforniarelatingIn Wartimens Compensation Insurance. PERNITTR£ 'HANKE CFREPMfiltEada SIGNATURE ADDRESS -graar 611 e‘_Y Za2 .IGB ADDRESS BLDG. OWNER: ADDRESS: CONTRACTOR: ADDRESS: ELECTRICAL PERMIT 301 ROM FLOOR: B0A0 HOSPITAL PO ROE 6100 SEAPORT PEACE CA 92E EEE SIGB S0STLY1 INCORPORATED O COOATP STATE IEEt etd, 92720 PHONE NEWPORT no.: 714-SS2-4060 uc. 450600 A 1 p839 �'YG{! L BLS Lc.: P, PROCESSED BY. KA-(yl� OCCUPANCY: Each SUITE: INSP AREA. ° Electrical Permit Pees * TOTAL 00, OP OUTLETS TOTAL B0. OF LIOEr1B0 PUNOP.P.` - mith one branch circ:R. - each add'1 branch ciresit SUBTOTAL ai electrical fees is PLAY NECK PEE repaired? (7) PERMIT 175011C PEE TOTAL ELECTRICAL PERMIT PEES PHONE: 15.00 3.00 PLAN CHECK VALIDATION OK. M.O. CASH 714/645-8600 Be. 2 DESCRIPTION OF WORK Pee 1.50 1.50 15.00 3.00 21.10 5.25 7 15.00 41.25 G PERMIT VALIDATION Remit No. • E9501326 Inspection ROC/HOSES Phone No. (714) 644-3255 E6BCtSICl]SI&@01894419?i' AJOLDINLAWien 0000lroo? Payments: Credit extended: fatal Credits: Balance Adjustments Balance due 8.25 0.00 8.25 33.00 0.00 33.00 PAID NOY 0 81995 CITY OF NEWPORT BEACH CIE M.O. CASH City of Newport Leach 4dj Building Department P.O. Box 1768 ?c Newport Beach, CA 92659-1768 Permit Counter Phone No. (714) 644-3288/3289 INSPECTION RECUR py 9O 7 APPROVALS DATE GROUNDING ELECTRODE UNDERGROUND HNDERSLAB/FLOOR ROUGH CONDUIT WALLS ROUGH WIRING CELINGS ROUGH SERVICE TEMP. POWER UTILITY CO. NOTIFIED FINAL diSic INSPECTOR UCENSED CONTRACTORS DECLARATION I HEREBY AFFIRM 'NoFR PENALTY OE PERJURY-MATI AM UCFNSEO UNDER Ri0NSIONS P5LE ss IMEPCCOE. Oi.1Yl01CWENSEIS INNFLLTFORCE N EFFECT.] OF THE BUSINESS AND UCENSEGIASS - L'C. NO 41GS01 DATE a,A,O CONTACTOR '�J W KERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENN1rvOF PERJURY NE a THE FCLLOMNG DECLARATIONS. _I HAVE ANO WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF.INSURE FOR WORKERS' COMPENSATION, AS PROVIDED FOR BY SECTION STDD OF THE LABOR CODE FORME PEMOHMANCEOF THE WORK FOR WHICH THIS ERMrtI510SI0ED. _ I HAVE AND WILL MAINTAIN WORKERS' CGIPENSATN INSURANCE. IS REWIRED BY SECTION 3700 OF T+.E LABOR OWE. FuR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSIIf0 GORIFENSARON INSURANCE CARRIER AI OPOLICY NUMBER ARE. oTAAT CARRIER .7I,1796- POEOY NIIMSFT OHIS &FI ITION NEED OR LESSNOT SC COMPLETED IF THE PE:nAIT IS FOR ONE i•UNOREO I CERTIFY THAT IN THI PERFORMANCE OF THE WOW( FOR WHICH THIS PERMIT IS ISSUED. SHALTAS TO BECOME SUBJECT TO THE qWMOORKER:. COMPENSATION LAWS OF CwINHNEMPLOY ANY PERSON IN ANY MANNERSOT..M1NO AGREE THAT BfFTIVyIfpa EC ESUBJECT D ljWfiOR CODE '.V/OP.KERSCOIA„EI:SAii'IONS OF ATE (F ALLSU:`FAII ECI ANEMPOVSF.LEREWORKERS' CAMINAL PENAPENSAND 4EISUNLAWFUL AND ED US'NDIDOLLARSFISIN,fW)N ADDITION TO THEE COST OF COMPENSATION. S UP DAMAGENE S ONCED FOR IN SECTION 370G OF THE LABOR GOOF. INTEREST,0M) ATTORNE,S FEES ES AS GNEN 8 CORRECTANDLEOCE THAT I AMTIIEOWNER N WLY MITHOFIMFOAGEMOE THE iNFaNmArnnin OWNER I AGREE TO COMPLY WON }IY AND STATE LAWS REGULATING GWISIRUCTION AND IN GONG THEKV5K AUTHORIZED THEREBY. NOPERSON W11DE EMPLOYED IN VKKAIION OF111E LAGOA CODE OF THE STATE OF CALIFORNIA RELATING TO N•ORKM EN'S CAMPENSCIYJN INSURANCE. JPoARIof. R9L0E PERMiTTE>. 6/�/o AOOREBS//C MHH.., //lc ELECTRICAL PERMIT - 7; doe ADDRESS: t4 nI BLDG: OWNER: ADDRESS: SUITE. PHONE: CONTRACTOP. ZEE SIGH SYSTEMS INCORPORATED ADDRESS: E COATE 1R7:0E CA 92720 PHONE: iIGNO: 49800 CLAss. C45 NEWPORT I`BUS.LI0.: PROCESSED BY: 8+^^ PANCY: INSP AREA: FLOOR: EOAG HOSPITAL 301 NEVEMMT £LVU NEWPORT BEACH CA 92658 lectrical Perait Pee.F' Na. cf SIGNS - with one branch circuit SUBTOTAL of electrical fees Is PLAN CHECK PEE segairedl (Y) PERAIT ISSUING PEE 201A ELECTRICAL MET FEES PLAN CHECK VALIDATION INSPECTOR'S COPY JCL 15.00 CO. M.O. CASH 714/665- 8508 714-552-41SC 120819 No. 1 DESCRIPTION OF WORK: Pee 1 15.06 15.9D 1.7E Y 15.00 11.7S Permit No. E9600907 Inspection Requests Pnone No (714) 644-3255 CCCC1 ICii;94 Sh4 (39OF)) ELEC/ILLL7X MON SIGN "BDAG 50371TL2 ADDITIONAL INSPECTION RECORDS PERMIT VALIti TION Repents: Credit eztented: Total Credits: Parana` Adjaetnents Nalasce doe D.00 0.00 0.00 13.75 0.00 13,75 PAID JUN 121996 CITY OFNEWPORTBEACH OK. M.O. GASH 10 City ot Newport Beach Building Department P.O. Box 1768 Newport Beach, CA 92658-8915 Permit Counter Phone No. (714) 644-3288/328S . BUILDING PERMIT 0M15flU&DER OECLARATION JOB INSP I HEREBY AFFIRM DNVER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE ADDRESS: .10I ;; ith igID•;; ! AREA: COMPACTORS LICENSE LAW FOR ME FOLLOWING REASON (SEC. 7031.5. BUSINESS ARO PROFESSIONS CODE. ANY CITY OR COUNTY WHICH REQUITES A PERMR TO CONSTRUCT, ALTER, IMPROVE, DEMOLISH. OR REPAIR ANY STRUCTURE PRIOR TO RS ISSUANCE, ALSO BLDG: FLOOR: PEOLwEs THE AppLicANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT TNATHE OR SHE WHTE: IS UCENEED PURSUANT TO THE PROVISIONS OF ME CONDUCTORS UCENSE LAWACHAPTER P.0own,EI11:0001 COMMENCING 'MTH SECTION Hwy IVI y Of OSION 3 OF THE BUSINESS AND PFISSIONS EXEM4ION. ANY VIOIRTON OF SECTION 7331.3 BY ANY APPLIC.ANT FOR A PERMIT SUMEC IS ADDRESS: ?? 52:/r.7 77. THEAPPOCANT TO A CIVIL PENALTV OF NOT WORE 'MAN FNE HUNDRED DOLLCRS ISS00).), LT I. AS OWNER Of ME PROPELITY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COM- PENSATON. WILL DO THE WORK. MD THE STRUCTURE IS NOT INTENDED OR OFFEREO I OR !17::C37 7'5., 1. ?::::: PHONE: SALE (sEc. 7044, BUSINESS ANO PROCESSIONS CODE: THE CONTRACTORS UCENSE LAW ...,,,,. OWNERBUILDER WILL HAVE THE BURUEN OF PROVING THAT HE OR SHE DID NOT BUILD OR DOES NOT APPLY TO AN OWNER OF pRopERTY WHO BUIU)S OR IMPROVES THEREON. AND HTATTRACTOP,:,,,.v WHO COES SUCH wORK HimSELE OR HERMLF OR THROWN Hs op HER owl EMMA:YEE% PROVICIED TITAT MICH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SATRAP. HOW ADDRESS: EVER THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLETION. THE IMPROVE FOR THE PURPOSE Of SALE.) YI I, AS OWNEP OF THE PROPERTY. AM EXCLUSIVELY CONTRACTING WRH LICENSED CON sTATE ,7 , , c i ,,, I. 22 T T,71..TT:T.1.. ”. FLEE 1 :ELL:7 7.:77.7.77.: :0 PHONE: TRACTORS To co.DTEHCT THE PROJECT (sEc. 7044, BusiNESS MO PROFESSIONS COOP 66. Ne , GLASS: . skueswPa.LicR.T THE CONTRACTORS LICENSE LAVV DOES NOT APPLY TO AN OWNER OF A PROPERTY WHO . BUILDS OR IMPROVES PIEREON, AND MO CONTRACTS FOR SUCH PROJECTS WITH A CON- ARCHITECT, TRACTORISKICENSED PURSUANT TO THE CONTRACTORS LICENSE LAW.). 0 I AM EXEMPT UNDER SEC, 0,55,0. FOR THIS REASON DATE °HIVES LICENSED CONTRACTOR@ DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSE° UNDER PROVISIONS OF CHAPTER P (COMMENCING WIRI SECTMN 7000) OF DIVISION 3 OF THE BLISINE S AND PROFESS0015CODE. AND MY MEUSE IS IN FULL FORCE AND EFFECT. LICENSEE/ASS LIC NO : I ',RPM; , DATE _.,..10 it2tCcr_ CONTRADEOR 4. 4 WORKERSCOMPENSATION DECLARATION HEREBY Of FIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS. HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF-INDJRE FOR WORK- ERS COMFTHSATION. AS PROVIDED FOR BY SECTION 3703 OE THE LABOR CODE, FOR .../eTHE PERFORMANCE OF THE WORK FORWHICH MIS PERMR IS ISSUED. I HAVE AND WILL MAINTAIN WORKERS PRIFFIXISATION INSURANCE, 54 BEMIRED BY SECTION 3703 Of THE IABOR CODE. FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS rssuEo. mY WORKERS' COMPENSATION INSuRANCE CARRIER ANABOLIC,' NUMBER APE CARRIER POLICY NUMBER. (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED 00L. LARS MOM OR LESS. __I CERTIFY THAT IN THE PERFORMANCE as THE WORK FOR ARCH MIS PERMIT IS ISSUED. I SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUB, JECT TO THE WORKERS' COMPENSATION LAWS OF CFUFORNIA, AND AGREE THAT IF I SHOULD BECOME SUBJECT TO THE WORKERS' COM 5 TION PROVI ONS OF SECTION 3700 Of THE LABOR 0006 7 SHALL FORTMYI Y WRH TH PROVI. SIGNS kp. DATE .4.4711—e2g— APMJCANT: wARNING. FAILURE TO WOW; wORKERF CONEENsATIoN °OVERAGE IS UNLAWFUL, AIND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALRES AND CIVIL FINES UP TO ONE HIJN- MEI) THOUSAND rre, I ARS ($100.003). IN ADDITION TO THE COST OF 03147E5041100, DAM- AGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LEND. ING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC 3097 CIV C I LENDERS NAME LENDERS ADDRESS I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMA- TION IS CORRECT I AGREE TO COMPLY MTH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON um ABOVE -MENTIONED PROPERTY FOR INSPECTION PUR ROSES Q- P NAME (PFHN11 vs..V 0866 ADDRESS LIG NO.: ENGINEER' ADDRESS' PPLICANT. ADDRESS: SIGNATURE OF APPLICANT i.e. . .... , . t:rup-o, ningt. 7.7 7!11;:01 71771" PHONE: PHONE: DESCRIPTION OF WORK ONST.: ONSTRUCTiON ODED 4 NEW SO Fr SLOG' 50.06 Permit No. B9503571 In on Re ueSts Phone No. 714) 644-3255 ;;;;; ;74;;; :;;;;;;;;; 0300. NO OF GROUP STORIES AD:ED / NEW SO FT GAR USE PARKING 20615 SPACES RECO BLDG FRONT REAR LEFT PHONE SETBACKS 71-77?-27216041 SPECIAL CONDITIONS 740 APPROVAL GRADING APPROVAL ... 7"/ 77 PLAN CHECK se APPROVAL TO ISSUE A D :DEC 2 81995 CITY OF NEWPORT BEACH 0 54 5 00 0 03 LEgy ff 0 Go 4,7 al 9 0_ CD APPROVALS DATE 8Y COMMENTS -. FOUNDATION: ROUGH GRADE SETBACKS FOOTINGS SLAB ON GRADE GECK SLAB FRAMING: SUBFLOOR ROOF 8 BUILDING HT EXT. SHEAR / HOLD DOWNS GENERAL FRAMING INSULATION DRYWALL SUSPENDED CEILING PLASTERWG: INTERIOR LATH EXTERIOR LATH SCRATCH FROWN MASONRY:" FOOTING ERE -GROUT FIREPLACE _ MISC. INSPECTIONS: I iNAL �(( ,ERT IFICATE OF OCCUPANCY TENANT NAME: $ i00 DEPOSIT RELEASED FOR REFUND ON �`ra- G 5 TO: AA4: J 4- TYPE OF BUSINESS USE: i k 0 a el!- � ,k City of Newport Beach Building Department P.O. Box 1768 Newport Beach, CA 92659-1768 Permit Counter Phone No, (714)644.3288/3289 OWNER-SUILOER DECLARATION JOB I HEREBY AFFIRM THAT I AM EXEMPT PROM THE CONTRACTOR'S LICENSE TAW FOR THE ADDRESS: WHICH RMG REASON ISEC.'N31.9.OWSTREs ANO FROEESRONS DEMOLIHY COIYREAIR NY STRUCTRE, PRIOR PERMIT TO COUSTBUCT ALTER,IMPBOYE,CE DEMOLISH, OR REPAIR ANY 079007VRE PRIOR OI5ISSUANCE.ALSOBEOUIfi65fl EAQPI]GNTfOe VCXI�flFW 70 A . GNEO BTP li THAT HE IS LICEN500',UPSUPNTTO THE PAOVIS10N40F• CONLf:A[TOR'S LICE at LAW ICHAPlER 91COMMENCING WITH SECTION ]WBI OF DIVISION OWNER'. 30" THE SW:MESS AND PROFESSIONS CODE: OP THAT NETS EXEMPT THEREFROM AND THE BASIS FOR 700 ALLEGED EXEMPTION. ANV VIOLATION OF SECTION 70315 BY ANY APPLI- CANT FOR A PERMIT SUBJECTS THE APPLICANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS ISSOO 0mJ: LI I. AS OWNER OF THE PROPERTY. OR MY EMPLOYEES WITH WAGES A5 THEIR SOLE COMPENSATION. WILL 00 THE WOHK,ANO THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC. 7044. BUSINESS AND PROFESSIONS CODE: THE CONTRACTOR'S LICENSE LAW DOES NO1 APPLY TO AN OWNER CF PROPERTY WHO BUILDS OR IMPROVES THEREON. AND WHOOOE55VCH WORK HIMSELF OR THROUGH HIS OWNEMPLOYEES, PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE. IF. HOWEVER, THE BUILDING 0R IMPROVEMENT IS SOT WITHIN ONE YEAR OF COMPLETION. THE OWNER - BUILDER WILL HAVE THE BURDEN Of PROVING THAT HEOID NOT BUILDORIMPROVEFOB THE SEOr SALEI. TR1. AS OWNER OE THE PROPERTY, ACTORS TO CONSTRUCTTOE PRD ECF IEEE. 70 4y CONTRACTING BUSINESSANDPROFESSIONS CODE: 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 A CTOBISI LICENSE() PURSUANT TO THE CONTRACTOR'S LICENSE W'W.1. (J I AM EXEMPT UNDER SEC_ DATE OWNER LICENSED CONTRACTORS DECLARATION NEREBV AFFIRM THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER 91COMMENCING BTH SECTION 7B110I OF DIVISION 3 OF THE BUSINESS AND /PPRR�OFESSIONS CODE. AND MY LICENSEIS 01.40s O{I�AND EFECT t LTC ND. tO LICENSECIAS$ II✓✓ -- CON TRACTOR - DATE WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM THATI HAVE A CERTIFICATE DE CONSENT TO SELF INSURE. OR A CERTIF CATE OFW00XER5' COMPENSATION INSURANCE, OR A CERTIFIED COPY THEREOF ISECSB00. POLICY NO „- L1'AQMPANV 10ERTIFIED COPY 15 XEREB 9URNRIFED f I CERi FEL: COPY 15 FILED WTH THE BUII.ONY ILEP( BEMENT. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE ITHIS SECTION NEED NOT BE COMPLETED IF n:E PERMIT IS FOR ONE HONORED DOLLARS 15100) CR LESS I CERTIFY THAT THE PERFORMANCE OF THE WORK FOR WHICH THI PERFIG IS ISSUED, I SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO 4S TO BECOME SUBJECT TO THE WORKERS' COMPENSATION LAWS OF CALIFORNIA. DATE APPLICANT AO (ICE TO n0PLICANT. IF. AFTER MAKING THIS CERTIFICATE OF EXEMPTION, CON c.IO!_D BECOME SUBJECT TO THE WORKERS' COMPENSATION PROVISIONS Of THE LABOR CODE, YOU MUST F U BTHWITHCOMPLY WITH SUCHPROVISIONSORTHIS PERMIT SHALL BE DEEMED REVOKED. CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM THAT THERE IS A CONSTRUCTION LENDING AGENCY FOP THE PERFORM ANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED 15[C.3097, CIVC I. LENDER'S NAME LENDER'S CERTIFY THATNOST4TE THAT THE ABOVE INFORMATION IB CORRECT. I AGREE TO COMPLY WITH ALL CITY ANT) COUNTY ORDINANCES AND STATE TA RELATING TO BUILDING CO STRUCTIDN, AND HEREBY AUTHORIZE REPPESENTA THIS COUNTY TO ENTER PON THE ABOVE MENTIONED PROPERTY FOR INSPEC- IC.NATORE OF PEIMITT GRADING PEEMIT ADDRESS: IpR CONTRACTOR: "'-' ADDRESS: STATE LIC.NO.: ARCHITECT: ADDRESS' NO.: ENGINEER: ADDRESS: LID. NO: ()TECHNICAL CONSULTANT. ADDRESS. ADDRESS: SIGNATURE OF APPLICANT VRn::_ 'In509907 PHONE: "r9.VW)j3:.-. ._._. NEW9090T BUa LIC I)Cn7:509 n IPC' P1 O2f7" nN4.lnI TB PHONE: PHONE: nTn.J nn PHONE: PLAN CHECK VALIDATION INSP AREA: 7 CASH HAT Permit Ho. Inspection Requests Ph9ne l9oVil1 244-3255 DESCRIPTION OF WORK'. TYPE OF PERMIT: VACANT SITE NEAREST • CRSSSi DESCRIPTION. YARDAGE PROJECT FOR SPECIAL CONDITIONS. L YES FILL: I I NO CUT: PROCESSED BY: ZONING TRAFFIC SUBDIVISION GRADING J ERMIT VALIDATION PALiD DOLT 0 41995 CITY OF NEWPORT a i AON CK. MO. CASH LV U O N O rc r O - 0O a (/J '5 0 (52 a 0 a 3 LrO i 0 3 INSPECTIONS DATE BY COMMENTS IP iEGRADE MEETING ICRADING INSPECTION ROUGH GRADE APPROVAL PREPAVINC MLEIING „CAB AND GUTTER PAVENIEFI[ SUBC,RADE AGGREGATE BASF. F_AT'wORK ;I OF'.Fd INIAIII BASIN ❑tOSICN CON'ROL 3•/1,Q6 1 /v/6 eas aft 2 /NACr freAV/D at Sorer £rb/Nae/fi& 3rn a- 2-9-'16p� j . Va(e I C 4 cta(�3 erW,rezt City of Newport Beach e/�/1 t Building Department c, yFi t f P.O. Box 1768 a-s Newport Beach, CA 92659-1768 Permit Counter Phone No. (714) 644-3288/3289 INSPECTION RECORD f fAf Re, •thCNa, --?‘.(0 STAID APPROVALS DATE INSPECTORS GROUNDING ELECTRODE UNDERGROUND UNDERSLAB/FLOOR ROUGH CONDUIT WALLS ROUGH WIRING CEILINGS ROUGH SERVICE TEMP. POWER UTILITY CO. NOTIFIED FINAL tifig WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM THAT I RAVE ACERTIFCATE OFCONSENT TO SELF-INSURE,OPACERTIR- CATE OF WORKERS COMPENSATION INSURANCE. OR A CERTIFIED COPY THEREOF ISEC. 1800. IAe0I. id CERTIFIED cop, LiEREBY FURNISHED RTIHEO come IS FILED -HE BUILDING D CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE 0HI55ECTIONNEEONOEeECOMPLETEOIF TREPEAMIr ISFOR ONEHUddREOCOLEAkb{MOO OR LESS I CERTIFY THAT IN THE PE8FORMANCE OF 1HE WORN FOP WHICH THIS PERMIT IS ISSUED.I EMPIOY ANY PERSON iN ANY 50 AS TO BECOME SUBJECT TO 1HE. WORKERS TCOMP COMPENSATION LAWS OF CALIF'110JA MANNER RATE APPLICANT NOTICE TO APPLICANT. IF. AFIEH MAKING THIS CERTIFICATE GE EXEMPTION. YOU SHOULD HFCOMFSUHJECT TO THE WORKERS' COMPENSATIONPROVISIONS OF THELSOHCOOE YOU REVOKED FORTHWITH COMPLY WITH SUCD PH0VLa0N0 OR THI. PERMIT SHALE BE DEEMED nerebyacknowledge that I havcread Misapplication: that the information given rtecf, and that I an)! e Cr the duly authorized agent of the owner. I agree lo comply wllh city and , tale laws regulating construction. and In doing the work autnorzed thereby, n0 p-rson well be employed In violation of the Labor Code of the State of California relating to Workmen's Compensation Insurance. RNMITIEE NPMe V 2 EIPflIMI SIGNATURE OFPERMITTEE Aon8FSS_-1/00\ Pa %. I'?nG4 c.)1 Iti cn. aADD0e RESS: BLDG: OWNER: ADDRESS: CONTRACTOR: ADDRESS: ELECTRICAL PERMIT 'FLOOR: OE I STATE 7•CLiS51 n. .. . UITE PHONE: PHONE: MS LOT 1KirkPROCESSED BY - -1 OCCUPANCY: INSP AREA' 5) Permit No. • + Inspection Reruests Pht2 �oQpltl4-3255 OESCRIPTo OF ADDIiIONAt1NSPECTIONRECOR05 A IL:) 0E0281995 CITY OF NEWPORT BEACH PLAN CHECK VALIDATION OK. M.O. CASH PERMIT VALIDATION CPC M.0 CASH IT BECOMES NULL A City of Newport Beach Building Department P.O. Box 176E Newport Beach, CA 92658-8915 Permit Counter Phone No. (714) 644-328813289 OWNER.00ILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PEHJJHY THAT I AM EXEMPT GLOM THE CONTRACTORS LICENSE LAW FOR THE FOLLOWING REASON IMEC ]IXn.. BUSINESS AND PROFESSIONS CODE: ANY CITY OR COUNTY l8N10N REWIRES A PERMIT TO C NS:MO'GI; ALTER, IMPROVE, DEMOLISH, OR REPAIR ANY STRUCTURE, PRIOR TO ITS ISSUANCE. ALSO REQUIRES ME APPUCATGFOR SUCH PEALS TO FILE A SIGNED STATEMENT THAT HE OR SHE $LWEYSEO PURSUANT TO THE PROVISIONS OF MECONTRACTORSLICENSE VW/ ICWSTER 91COMMENCING WIII S102011 ][MI OF D1,SON 3 OF ME BUSINESS AND PROFESSIONS CODE) 08 THAT HE CR SHE IS EXEMPT THEREFROM. AND THE BASIS FOR THE ALLEGED EXEMPITONn0Y VIOLATION OF SECT19N7031 sBY ANYAPPLICANT FOR BI PERMRSUECT55 Tr1E APPLICANT TO A CMLPENAL TY OF LOT MORE: ARI FIVE HUNDRED P.'LIAIIS (MOGJ fT I. ASOVMEROF THE PRCPERTV.OH MY EMPLOYEESWTTH WAGES ASM1R AM F cam. PER E-MXN. SKLL DO THE WORK AND MM E STRUCTURE S NOT ENDED CR OFFERED FOR SALE (SEC. 7049BUSINESS' PROFESSIONS CODE THE CONTRACTORS LICENSE LAW DOES NOT WHO DOES SµUCH WPLY OR(H MOH HAN Cv OF ERSELF PROPERTY THROUGHSHiG OHHEB OWN S THEREON. AND EES PROVIDED THAT SUCH POPI.- JEMMIES ARE NOTINTENDED OR OFFERED FOR SALE. IF HOW. EVER ME BUILDING OR IMPROVEMENT IS n WITHIN ONE YEAR OF COMPLETION. !HE OWNEREGILGEH WILL HAVE Th£ BURDEN OF PROVING THAT 1E OR SHE DID NOT BUILD OR IMPROVE FOG THE FJHPOSE OF SALE). 0 1. AS OIINER OF THE PROPERTY. AM EXCLHSIVEL'Y CONT ACRNG WTM LICENSED CON- TRACTORS TO CONSTRUCT THE PROJECT (SEC. RH. SLIMNESS AND PROFESSIONS COOP THE CONIAACTOES LICENSE LAW DOES NOT APPLY l.1 M. OWNER OF A PROPERTY WHO EJILos OR IMPROVES THEREON AND WHO COMPACTS FOR SUCH PROJECTS WITH A CON THACN01s1 LICENSE0000SUATIT TO THECOMMCTCRSLICEN0E LAW.). I AM EXEMPT UNDER SEC. T AP C. FOR THIS REASON DATE O'M9ER LICENSED CONTRACTORS DECLARATION ' HEREBY AFFIRM UNDER FEWL.TY OF0901RV THAT I MIVCENSE°(AYTER PROVIPMVS AODHF55: OF CHAPTER 91CSAMIEN LNG WITH :MET M]WB, OF DAIMON 3 OF ME BUSINESS AND PROFES7CNSC'[V,c,µD ESAV FULL EAN0 EFFECT. G�-'- 920R LICENSE MS_ Uc ASrvo TIC NO DATE 9j 4.4 el €0 CONTRA '- APPLICANT WORKERS' COMPENSATION r� ai TON ADDRESS: BUILDING PERMIT 34! 6PaPGSf S6P11 FLOOR: SUITE: SOAK MEMORIAL ROSPITAL PRESET 201-NEWPORT ILVD 800240T HACK CA -- - PHONE: CONTRAcroR:. CONTINENTAL LANDSCAPE SERVICES. ACopE53'. 2D31"500tf AOOS-SDREET SANTA ANA CA 9270E STATE 492004 CLASS: C271 ARCHITECT 80YLE DAVID A ADDRESS: 2090 5 CRANE AVE SANTA ANA CA 92705 DESIGNER - - JOB ADDRESS: BLDG'. OWNER: ADM- ESS IHFx.Y AFFIRM +'IRFium TV OF PERJURY ONEOF ME FOLLOVENGDEGARATONS. _ IHAVE MD WALMANTAN A CERTIFICATE OF CONSENT TO SEWNSLRE MIR WORN- �MSIGNATURE OF ED5 ENSATON,AS PROVIDEDFOR OLABORVSECIMN 370 OF THE LABOR CODE, FOR SIGN ` THEPERFOWMDCECF THE WCPo(FOR WMCIIMSPER.MT 61S0UE3. APR ICT.NT HAVE AND WILL AN7RMN WORKERS 0NSATON NSURANCS A5 RECUBIED BY ISECTON 3700 OF TIM LASOO CODE FOR THE PERFORMANCE OF THE WORN FOR NNNN THIS PERTs IS ISSUED. MY W102002' gWFENSPTTGN INSLA ONCE CARRIER NC POLICY NIMEIEB µE LIC. ND.: ENGINEER. CARRIER PWCYNLaw 9 . NCN91966194 (THIS 5ECT)OBIF1S(0NNEED 1f4T BE COUPLETS' IF ME PERMIT IS FM HUNIHE0001. UP5 mm I23UEOFI SHALL NOT EMTHAT IN INFPPLOY PERSON IN ANY MANNER SOPS TO BECOME ERFORMANCE OF THE WORK Fn WHICH THIS PERMIS JECT TO THE WOA400Z C0MENSATId1 LAWS OF CALIFORNIA. µ0 AG FL THAT IF I SHOULD BECOME SUBJECT TO THE WORKERS' CO AT PROVISIONS OF SECTION 37110E THE LABOR CMS.. NMI 1 FO`NN�WMPL T.IOSEPFAW- WS. OTTE: cp / / 6 41 APP WARNING. FAILURE TO15ECVRE WORKERS' COMpov COVERAGE IS UNLAWFUL µO S.'ALL SUBJECT AN EMPLOYER TO CRIMINAL PEKALT D CIVIL FINES UP TO ONE RUN. WED AS PR Om FOR INSAND DOUARS54M,M)IN ADDITION 376 OF ME LAOWB DOOM INTEREST, ANDST OF S.ITTGPNDAM- AGES FEES. CONSRVUCTIN LENDING AGENCY ) HEREBY AFFIRM LN0ER PENALTY C4 PERJURY THAT MERE IS A CONSTRUCTION LEND INC AGENCY FOR ME 509004000.NCE OF ME WORK FOR WHICH THIS PERMIT IS ISSUED 1NEC 59059RS NAME( �I LENDERS AODRE55 CERTIFY AT I:HAVE READ MON IS APPLICATION AND STATE THAT ME ABOVE INPORMA. MIM NIS CORRECT I AGREE TO COMELY WITHAL CRY AND COUNTY CRDINANC£B AND STATE LAWS RELATING TO GJILONG CONSTRUCTION. AND HEREBY AUMORI4 REPRESENTATIVES OF MIS COUNTY TO ENTER UPON THEACO\EMENDONED PROPERTY FOR INSPECTION PUR POSES V LE11/.4 • VII41e,a, DATE PHONE: NEWPORT BUS EC: PHONE' RAPES NI ALIAA 23 CNICKEDEE MISSION "IEJO CA 92656 PHONE, ENTER,/ Final Project Valuation Regular PLAN CHECK PEES Supplemental P.C. Pees BNILDIRS PERRIT FEE CLEAR -UP DEPOSIT Subtotal B01LOiMO PERMIT PEES Is MICROFILMS: FEE regair,:dl (8) CALIFORNIA SEISMIC SAFETY FEE > MANNING: MUM PUN CBECE RERR ?ET) TOTAL BLDG KELVIN PERMIT PEKE INSP AREA: I DESCRIPTION OF WORK: Permit No. 39b01139 Inspection Requests Phone No. 1714) 644.3255 CONTT.: At? SOILS STEPS,NALLS,RAMPS, TRELLLS,PAV;HLKS - TYPE OF SR OCD CONS,R001109: GRO 02 STORKSsa Fr ern 7:4/146-S901 DF USE RED ELDG FRONT REAR NO DS 714j557-791D Dens'P09IPTDm. 015208 FOB. LIC: LI T Yes Ha 714/957-8144 covomoes: 714/470-0230 PROCESSED BY: FIRE APPROVAL GRADING APPROVAL 525.E0 486.33 486,33 902.00 1,O20.00 /0 0 0 Ci ?n 2,974.61 35.00 Y 36.75 62,1S Y 3,108. 53 SfBP5,81 S19 PS,R�SSU i %) UP SODDED J Nq 20FTGAF. G TONE ES. LEFT RIGHT TRIM SOI LOT 169 ILK 2 POI OF LOT 17500E 1 134.78 edit eatende": 0.00 Total Credits: 1,124.78 Balance Aljoctsents Balance doe PA .H3N 0 41996 CITY OF r EwPc+I*',T 1,973.75 0.00 1,972.75 0, A Li J APPROVALS i DATE BY COMMENTS FOUNDATION.sW� ROUGH GRADE . -_ - ' '"7 jb' �f "Pv�sends /ss_ /N T`ei_%✓eeva SETBACKS ,FOOTINGS •:.�� �- AI g- �� /�y�� . SLAB ON GRADE L7-4 �j DECK SLAB 2./6• _ „� '' a S OY®Pa FRAMING: ,✓iR✓.:�. SUBFLOOR ROOF & BUILDING HT - EXT. SHEAR / HOLD DOWNS _.. . ����,. P— G/Y —7 (i>%�/JZ (I1�"% ck4 i { % �A �G • GENERAL FRAMING —L i® e 7 -354Orr . &- INBIJLA?!ON DRYWALL IO/2y�t/�" f� I-f "can L t SUSPENDED CEILING - �/�/Air ryd_ at.Lretlf` -con cyan PLASTERING: INTERIOR LATH EXTERIOR LATH SCRATCH BROWN MASONRY; _ - FOOTING • PRE -' OUT -29 FIREPLACE MISC. INSPECTIONS: FINAL /l/¢l S CERTIFICATE OF OCCIJPP:ICY TENANT NAME. i TYPE OF BUSINESS I.zy r City of Newport Beach Building DepartFnt P.O. Box 1768 - Newport Beach; CA 92659-1768 Permit Counter Phone Ne. (714) 644-3288(3289 OWNER -BUILDER DECLARATION I JOS HERESY AFFIRM THAT I AM EXEMPT FROM THE CONTRACTOR'S LICENSE LAW FOR THE "ADDRESS. FOLLOWING PEASONISEC.10315. BUSINESS AND PROFESSIONS COPE' ANY CITYOR COUNTY WRIER VIP.ES A PERMIT TO CONSTRUCT. ALTER, IMPROVE. DEMOLISH. OROEERP ANY STRUCTURE. PRIOR TCITSISSUANCEALSO OEOVIRESTHE APPLICANTFORSUCH PERIAIT TO PLE i. SIGNED STATGAEENT THAT HE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LICENSE LAW ICHAPTEP 9100MMENONG WITH SECTION 70001 OF DN151ON 2OFTHE RUSINESS AND PROFESSIONS CODEOH THAT HE IS EXEMPT THEREFROM AND THE rs D SFOR THE ALLEGED EXEMPTION. ANT VIOLATION OF SECTION 703r5 BY ANY APPL. CANT FORA PERMIT SUBJECTS THE APPLICANT TO A L.:R. PENALTY OF NOT MORE THAN FIVE WINOPED COLLARS LS0000)I. FCI. A5 OWNER OF THE PROPERTY, OR 4FY EMPLOYEES WITH WAGES AS THEIR SOLE FOPPENSAr10N,LL G.T THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED WILL SALE 1s1C 10:A ROSINESS AND PROFESSIONS CODE. THE CONTRACTORS LICENSE IAV! 00ES NOT. APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, ANOWHOOOE5591CPWORK HIMSELF OP THROUGH HIS OWN EMPLOYEES. PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOP SALE. IF HOWEJE0, THE BUILCING OR IMPROVEMENT 15 SOLO WITHIN ONE YEAR OF COMPLETION THE OWNER' BUILDEOVI'LL PANE THEOJROEN OFP4OVINGTHATHE DIDNOT SUED ORIMPPOVEFOR THE PURPOSE OF SALE I. AS OWNER OF TEE PSOPEPTY. AM EXCLUSIVELY CONTRACTING WITH LICENSED CON. TRACTORS TO CONSTRUCT THE PROJECT ISEC. 7044. BUSINESS AND PPOFE551ONS CODE'' m= CONTRACTOR'S Lm4NSE LAW 00ES NOT APPLY TO AN OWNER GE PROPERTY WHO BUILDS CR IMPROVES THEREON. a5O WHO CONTRACTS FOR SUCH PROJECTS WITH A COJERACTORISJ LICENSED PURSUANT TO TEE CONTRAC1CP'S LICENSE TAM KREMFT'JNOEP. SEC. B & P C. FOR THIS REASON OWNER LICENSED CONTRACTORS DECLARATION "40EBY AGI IRM TIM, I AM LICENSED UNE SXGVISIONS OF CHAPTER 9IEOMMENCING WITH SECTS,/ I 70001 OE DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE AND MY LICENSE I5 IN FILL FORCE AND EFFECT. LICENSE CLASS P;TI LIC NO yyVy4 ./CONTRACTO DATE IC (AL di rA WORKERS' COMPENSATION DECLARATION APPLICANT:I HEREBY AFFIRM THAT I RAVE A CERTIFICATE OF CONSENT TO SELF -INSURE OR A CERTIN- CATEOPw 11-KEPS' COMPENSATION PISUPANCEOR A CERTIFIED CAPVTHEREOF ISEC.3Wo. ADDflESS: LAB I IRS POLICY"0 VCG219661COOMPANY ELLIAMZ -.ICED COPYISHEPEBYFUPNS✓EO. 94CERTIFIED COP IIS FILL!) WITH THE &VI NGDP OAT- A� CERTIFICATE 1 Ip OF EX ON /lRKN+ {{{MPENSEla ONURAN WORKERS' CE COMPLETED INSURANCE (THIS OR LESS NEED NOT BE CONPLEIEp IF THE PERMIT IS FOP ONE HUP'9RE0 DOLLARS MOD/ OR LESS./ OWNER: ADDRESS: GRADING PERMIT 3ili P6aP6?t6 61I6 BOAC OGEE, HOSPITAL HEM 301 EEWPORT OLVO NEWPORT BELCH CA P„ONE. CONTRACTOR' CONTINENTAL LANDSCAPE SERVICES ADDRESS: 2131 SO0Y0 ANNE STREET SANTTA ANA CA 92704 BTA O 472064 CLA55, C2VA ARCHITECT: ADDRESS: IC NO'. ENGINEER. ADDRESS' I CERTIFY !EMT IN THE PEHFCRMAIICE OF THE MORN FOR WHICH THIS PEHM5 IS ISSUED.I SHALL NOT 0544 0Y ANY PERSON 'N ANY MANNER SO AS TO BECOME SUBJECT TO TEE WORKERS' COIIF£NSADON LAWS0-CALIFORNIA DATE APPLICANT NG ONE TO APPLICANT:E AFTER MAKING THIS CEHT=CATC OF EXEMPTION. VOIR SHOULD BECOME SUBJECT TO TNE WORKERS COMPENSATION PROVISIONS Of THE LABOR CODE VOL/MUST FOPTHW THCOMPLY W TI SUCHPBOVISIONS ORTH SPEPd1R0HALL BF DEEMED REVOKED. CONSTRUCTICN LENDING AGENCY HEREBY AFFIRM THAT THERE IS A CONSTRUCHON LENDING AGENCY FOR THE PERFORM- ANCE OF THE WORK FOB WHICH THIS7HMR 15155UEH ISEC.3097, [IV: I. LENOEBs4AME LENDER'S POOBE(5_— ICERRFV THAT IHAVE iEADT11IS APPLICATION ANOSTATE THAT THE ABOVE INFORMATION IS CORRECT. 1 AGREE TO COMELY WITH ALI. CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION. AND REPEDV AUTHORIZE REP ESENTA- INESOFF HIS COUNTYTO ENTER UPON THE 40]VE MENTIONED PROPERTY FOR INSPEC TIONP SIGNATURECi PERMIT/FEE 4.1 c4PEE OAT INSP AREA: 714/646-0901 PHONE- 714/5S7-2910 BVS C.? NEWP PHONE. PHONE' PHONE: 1N1A00E0 WILLIAM 23 CHICOAOSE MISELOB TIENO CA 92656 PHONE_ LIC No.: GEOT0CXNICAL CONSGLTANT ADDRESS SIGNATURE OF APPLICANT / Valuation of improvements ----> GRAMS -'e PLAN CHECK PEE `"e (Y) CREEPS -'= PERMIT PEE "` "" (0) PLINNINC:IO11G PLAN CHECK PEE 1(Y1 CLEAR -UP DEPOSIT > RIC1OTILBING PEE TOTAL GRAOIG4,IGEIILACE PEREIT PLES PLAN CHECK VALIDATION CK. 115202 114/470-023D DESCRIPTION OF WORK: PertnhhNo. G9600103 Inspection RegE.isls Phone No. (714) 644-3255 CrjINC (1161 6) CRAOIRO TYPE OF PERMIT: ;r—emu Drelrnd ern SOEAM NEAREST CROSS BT EGAD OESCWP110N. YARDAGE FOR PROJECT SPEu1Tl : Ms: DYES ONO. IRVINE SCE LOT 169 BLE 2 POE OP LOT FILL CUT: OMES NULL PPOCESSED BY: ZONING TRAFFIC SUBDIVISION GRADING APPROVAL TO ISSUE 200.00 Y 400.00 Y 21.20 P-.... .. 10O.CB 3.00 REVIEW DEPARTMENTS e Date 9292 P AI 6 JUN0419% l:@YY OF PdwvaFp��i: .a:,.�# /6°()CO'0.3 FAO. CASH PERMIT VALIDATION OK, MO. CASH PaYaeetu: re It eiteaded: Total Credits: Balance Adjnatnents Waace dp,e„ 204.61 0.00 204.41 724.09 0.00 3E4.59 cc 0 0 NSPECTOR'S C =6Ti:j;dg DATE t'r �.Cn.i f .NTS era A aArra 1- awe M' amil . sea '' /11,9 0. 11/'o{ i3 CIVIL ENGINEER'S CERTIFICATION FORM City of Newport Beach 3300 Newport Blvd. P.O. Box 1768 Newport Beach, CA 92658-8915 From:David A. Boyle Engineering 2076 South Grand Avenue Santa Ana, CA 92705 (714) 957-8144 Date: My 13, l c79(r Attention: Grading Engineer, Building Department GPC No.:G9600103 Tract/Subdivision/Lot No.: Rough Final X Project Names: TCU PATIO REHAB Project Address: cC/ NEW/ear &gip. Owner/Developer: HOAG HOSPITAL Type of Project: Tract Drainage Commercial Other Hospital Remodel Industrial Yardage for Project: Cut Fill NIL Borrow NIL Export I hereby certify that I have reviewed the finish surface grades for this project in accordance with my responsibilities under the City Grading Code, and it appears that all areas exhibit positive surface flow to public ways or City approved drainage devices. The grading has been completed: X in conformance with, with the following changes to, the approved grading plan. Description/ of Changes ` ��1 / ,J b)lddl' GL�.h,4Cefi /h tr.F,7, See s & Y/i 447 Sens✓r Company: D VID a_BOYLEEN RING N ame : 1( Cr t2 C r 1( V <'SL� (print) License No.:1.8559. (RCE/LS GA''P Al 6671- (sign) City of Newport Beach Building Department P.O. Boo. 1768 Newport Beach, CA 92659-1768 Permit Counter Phone ND. (714) 644-322 Ferm9 No. E9600896 Inspection Requests Phone No. (714) 644-3255 INSPECTION RECCAE 8 30 .�! P�r /� 9�P4 lt i®4f6 J. Go P40o4.. a AV earn J0B r a L3myJ RISP AODRE89: i1�f ��R�0RI AREA aLOG FLOOR: SUITE ER COILS REVEAL MITE ADDRESS 301 MET 711311 p0AFORT MCI 1 CI. 9266T PHONE: 71 drE16-3121 CONERACTOfl CONTINENTAL Inr':C 0! SER",ICOS .. ADDRESS. 2E31 SOUTE kW ETEEST A11 t ,ARA t 027C,_ PHONE 711 / 17 79!g rotGROUNDING e20Sd CLASS c271 NoviKS s or ' 11111 PROCESSED DY Pk OCCUPANCY: DESCRIPTION r j q Of WORK FI) 1x J“;.0 JAII1 ;.,, ]v. AREATHS1C MORTAL E0225 ADDITIONAL I1.oPECTION RECORDS .. APPROVALS DATE INSPECTOR ELECTRODE UNDERGROUND UNDERSLAB / FLOOR ROUGH CONDUIT WALLS ROUGH WIRING CEILINGS ROUGHSERVICE TEMP. POWER UTILITY CO. NOTIFIED FINAL /C/ ./4114 " / N-/`Y 4 - Electrical Emit roes e Each, ""S61-1 OUTLETS T,LTAL Ro. Cr LSO:CUNT ItIETURES SUBTOTAL al electrical fear 0 ,' 'S SLIT rev PEE rE9 r1% HEFT ISSCIIC FEE0C TOTAL ELECTRICAL BERET PEES c. ?e? 60 13 OD 7;c@Cr.S 16 21.20 L ` ^rf A:!, +/I.29 11.05 ' v 2alarcan 1U* . 1 01.21 pistil) JUN 13 1996 CiTY OF NEWPORT PSACN 0/ C ^0 /" J/7/1 .'.CC Mg LT LICENSED CONTRACTORS I XEPEfiY PFFInM UNOFA PENALTY PPOFf'3010N5 GL0EMA110 MY LICEN E b s_ru,s 76 __._ GAT 4( 1b � DECLARATION OF PENUHV 114TI PM 0 7 F L111000OANIO G•b SIG ;. IIGEISEO UNOEH PXONSION7 FS EN S OF THE fiU51NE5a ANn CT I]11��O te WORKERS' COMPENSATION HEIEOYAFFIHM ON0E F0IN1Y0F VIC^0XEXS COMPENSATION, _Y __ 0000100/1 01 01O001 04 IL IMINTNNWOHY.ERS' S WHICH P 7S GVrrLHM011S ISSUES, AM1'OPOLIC" NUMto : CMXIRI_ 121121996101 WIV315E1NI0171000T nE CEN11Fv THAT IN THE PEHFOPMAIbE ISGUF0,1000LL NCT EMPLOY SUWECTT0THE VIOIME0S' COM1IPFNSAT F Iy/STMOOULO OEFOME SV�0CT DATE6 I S 1 lU PF0LICANS VIAPNING FNLUXE TOSECUXF 4VOX INOOSAN0 0011AHS 11E 1000H T0CH1 0F0010E0FOn INEECTIONC70001' THE I—V`Ci'nR'jEr',i`RATION PEPJUHYOM1EOF 2.51=81,Mg1L,TALVAUERthn 1O01 0 V0000 001N11H COIAPENa411ON COOS, F0n 111E PEFFOSM4000 07 F110,/1N(/10COMPENSATION CO 0EOF0HEPENMIi OF 1NE VIOPI' ANV FEX:ON IN ANY UWS T01 HE 'b EX" SN L OMPL FOLNNNGOECIMP1101b: 1xis PE0MI IS 101000. I00000ICEA5 PE0UIPE00Y OF THE W011K i0P INSUHANCE CARRIER SFOP0E1111NO000 FOP'NXbll THIS PERMIT li MANNEFI EO Ae TO SECOME FCALIfOPN41,AN0 AGXEF THAT P; yTION P000101ONS OF WITINTIO EPnOV101ON5. MP 04110N COVE1WGE pSTOQ EFVLA!10 IFLP 710100S ANOGNIL FINES 1 bN CODE INTEPESi,MO000000NEV`4FEES ES A$ GNEN Ii C:4PNFLT gDi1NTIA�i1'TIEHIXVNEP AG0EF T0'O H f-1ry AN0 Sra10 THE 0(0001.IOTHOXILEOTHEFE0V,NOP3FCd COOEOF MESTATF OF CALIFONNW XEIATING EISSM1 { I 1 ...SIGNATURE OXrM11tV PPUTHOPI(FO GENTOFTHF ONNER�1 LAIVG HEGOu11NG GONSTFUG110N AND IN 00100 14111.OE EMPL0YE0111'Il01ATION OF1:3El400X TO 000000EN SGOMPENSAibN INSU9ANCE. `,1 E1LZ. _-- PLAN CHECK VALIDATION INSPECTOR'S COPY CK. M.O. CASH PERMIT VALID GK. M.C. CASH 0 0 0 a z u 3 cr 0 0 0 3 w 6 PORT BLVD. cription or Builder B & ULRICH. es: Tenches Frames ELECTRICAL INSTALLATION er Date Final No. i Date CHIMNEY INSTALLATION Permit Noa'^. Date TILE INSTALLATION 9r Permit No. Date Garbage Insp. . --- Auto -Washer Outlets `` Meter O. K. No. Final O. K. SEWER, CESSPOOL OR SE PTiC TANK Permit No. Date FURNACE INSTALLATION Permit No. Date 5/ F jPORT BLVD e: ( a v S 5 t ART RS ) • Description (J i FILE or Builder Tanches Tit R`r ^Fz Fee Frames Final ELECTRICAL INSTALLATION tor Date ugh —Permit No. Date Final No. Date CIIMNE7 LWSTALLATTiuN Permit No. Date ;or TILE INSTALLATION Permit No. Date Gas Outlets Permit Garbage Disp_ Meter O. K. No. SEVER. CESSPOOL. OR S^PTIC TANK Permit No. Date (E INSTALLATION etor Permit No. " Date +"�'; •". 37tlbse r- '�Cf�' • tttl.'7 d'. :YM. J Xiffitt .i $ 301 h�B� OR' BLVD. PERM. MD11313 $Lni $ 939, C. $ 4ts9 n ry TTt�T�. p �9 (� Sit Rta LtiPs3OS CORP. VAL. S 1 y79O, OOO'i /�D�PPq.. `OGrAL $ 1, 409. 3.CkT CLOCK SECT. TRT. VAR. Y". 'T — F!PS GIST. 3 CROUP D-2 TYPE 1 a ✓e.,,+,r. �. _ % � i s 'r U A. 1. .. 4. maiN6 IMHP. D.K. CAT F k3i8PECTus Na S Y¢' CGNTAACTCRH PERMIT® DATE Na. F'Ck.RM& f it S .�id,Y ESfG%j94 rt.'''. Ems_ 'fl EPC -STEEL .e' i _ 1�'. �t�G`k i /d' �E'67mi- / — �<s.'4 �v �" iS`6^° y:.dt..w�:✓ AAME STEEL .,I-i . 7- 2;t' -..,--sr CHIMNEY L"AXH-INR Ev EXT. I l ^.PLASTER ''., 99 85La FCNEE , i$THER P{KAL CERT. CF OCCUP. .III-- 2.7- ‘se? c 6, j' Z. g.•r`a �`u,f? =SA_Tt=ft DATE i, Sl.DG. � ('� ASS . PERM No- us n P.C. ti;,, iSi7£31 n Gr'` VAL, $ 520.2.0 TOTAL $ ?As - "'2 BLOCK SECT. TRACT Tr7. y,; , ,. _- FIRE DIST. 2 GROUP TYPE VAR. Na. ua U. P. Na 2 , p7�',r .: Building $ c rrxpa p. Fors Insp. 1 O.K. Data I Sub -Contractors PERMITS Date No. � . P ❑ Un. Gr. ❑ i Elect. Ground'., ! j_Plmhg. f=L:. Ground ; Sewer Ground Heating g Ground - Chimney Warksespir Ground Lath ttTxea Pipe Ground, 1 Plaster '.. Ground V ` Sprinkler Reinf. ! t foenclation 1 v$srytepin' rig Pfprnbiby :. —II Final - rtmsbang III x.r Gat t epe i — 71 Final - Gas Heaiinq I Final - Heating y�$e: 5 ehi1 Finn ; `, Final - Yenti7. a Efact. Jab Complete y Gas Service ! I ^niso-nay SIGNS ' Fraen6ng ' Excavation ato.ry-Concrete ;[ Frame Viand Base. Steel iCann. Members i'� Support fnRk - Ext. I,; Elect. — If My II Job Complete 6ae - Temp. I =M1RENTS: '`c'^ .T2,. DATE — —4.1 BLDG. PERM. No. _ - VAL $ n P.C. $ n a SECT. TRACT FIRE DIST. - GROUP '= TOTAL ' VAR. No. U. P. No. Building PERMITS spoctions insp. O.K. Date '.. Sub -Contractors Date P. V Un. Gr. G aund G./flied G ound pip® Sound Pipe Ground Sewer fiitrsar ���, �-�iti:-ems li-icy-C�1 .�-i9. Chimney Plaster Ground I Sprinkler 9 1- as Ij final - Hotting ii Final - l+ Job Complete SIGNS Excavation ate i C 11 Frame Steel { C', Conn. Members ?. Support „ Elect. — If Any Jab Complete i BLD6. ";. s o- a r r ram ��o. PERbf N 9r��F,e VAL.$ }'s in• ' l P.C. $ BLOCK _ SECT. TRACT __r'. 7 I TOTAL $ " fl FIRE DISST. GROUP TYPE I VAR. Urde eel= . e .:' el c._eel-7 `c_ on. No. i 22 I U. P. No. , gvi`cdm fir" 'snpaci4ons fr.=n. O.K. Date I Suk-Contractors II PERMITS I Date Pfo. Un. 6-. —' .... Elect. ^�-•%�/ ��---- i?j-`�L�-Cd t` Ground; ' Plrn g. Ground '. Sawsr "— -$saatar Ground Heating ''Hreatiwg Ground -, Chimney I "tPa #tsgipn Ground I Lath I ixspa Grounds j Plaster --a si. Ground: '. SFrirkiar 'iseS &siesf. } r ion ..,.. ". iaa-ng: BLOCK 2 SECT. TRACF rev, Sub. I TOT -:i FIRE ETAT ? GROUP TYPE CO r.r - entrance r�eh Ground! Sewvr i+per Grou.adI Monti-41 einrog Ground - CFimney �1sr�iF. Ground+ Iaik s Pipe Ground t � Pieaier e#. Ground; 4 Sprmk{er VAR. No. t U. P. Ne. -� PE$Mi7S Sub-Conkacton I Dein 8 : Su¢P©rt =`-2 Elect. — IS fny 9 Job Catcri So Cot_ Cbs. Cc.. --- - — - ,. PEae�. Na, E55 301 Newpert Blvd. 4385g $465.005 P.C, $ 232.75`s r PWLuZt So. Coast Coast. Co. VAL. $ 350,O00.0 TOTAL $ 697.75•. Por 172 BLOCK 1 SECT. TRACT Irv. Sub. R- 1 FIRE DIST. 3 GROUP 13- 2 TYPE 1 VAR. No. emergency facilities, add dining roor. & business U. P. No. 22 ce, all added to existing building. wildIn g Imtpac'ions Imp. A I O.K. Date Sub -Contractors PERMITS Date No," Pr. P.. [j Un. Gr. C ! '. Elect. 4 ,i: _/ecy /'/(c C- `V midi/ 2# SpR Ground Pimbg• v G fCF / /- CA 611 fin/ X Ground Sawa illrer Ground Heafinga _ ##wfSu9 Ground', Chimney Wa4arp,•pe Ground ��2� Lath Ali 2-2t-G.& '-/Vefi Ground j Plater Ye yip e 2-2S EY '9*'4f/ Ground J ` .;,,I, - ! Sprinkler - .nt7fre tc9, [-Alt 69 ' i/1/4/3' Seset Rs n1. ':; i*CrMLetraa i fir'.: �� "! .,, L✓ ^,'-- ,. '; _ '. "'✓ - Cert. of Gaup. t r 7 -G ...S 3S Fin Final - Gas Final - Heating 1; Final - Vantif. a III Job Ccmpiats SIGNS cavat on Frame SS Cann. Monition (t buppori SS Elect ..— If Any ;. Job Complete { So. Cos. Gcs. Go. P '44.61BNM FIRE DIST. 3 Alter udistin.E. laundry ,Se slab on ground. ' BUTellog ?nopecitons _, Insp. ; O.K. Date h. P. D Un. Gr. lf, ! : Ground! PERM. Teo. iltailtESS 301"Newport Blvd. 44026 ITADER Sent,' Coast Const. Co. VAr_d 5000.00 P.C. $ 9'00 . . 1 0117tr72 BLOC K SECT TRACT 'CV' Sub' "MAI $ GROUP D-2 TYPE 1 VAR. No, ramp, enange retaining walls ; U. P. Na. G POUltd Ground Heating Ground ! Elect Pirnbg. Sewer , Healing iteca.„4,de • .a - C[ Si Chimney PER ITS Sub -Contractors ' Date No, Arattrpipe Ground , ! Late Sas r•per Ground ! Plaster act Ground j ' Sprinkler Steel Reid- 4/7-2244 !..,,,,,g ri • fooradation ' Akimptagift otrete L Rno! - Plumbing lr Final - Gas j'; Final - fleeting .! Final - vanti%. Job Complete SiGNS I'i Excavation Frame S€aaP Temp. t'. Conn. Members i, Support -k II E!aat.—?z An r � ! Job Complete Sign: O. K. to Eni,ar. Co. Se. Ccs. Gas. Co. En COA.ST CGi."T:. CG. 172 ®LOCK J SECT. PERM. No.. 5=7'Sw VAL $ 423 ,'Jt'(:. TRACT Irv. Sub :3 FIRE DIST. 3 GROUP 3-2 TYPE v RASEISIENT d442 Sq. Ft.C'hildrer,s un •-e 'J 7" L S t :1 . rr tit' —.sn Insp. O.K. Date Sub -Contrast U. P. No. PERMITS Date No. Vn. Gr. '`, Lack.' Ground I-' ' •%. ,.4" iris',' Plmby Ground Sewer Ground Plaefing 0E 1H$cAlC47Y444I 7—iJ—Mv fLU Ground I ' Chimney Ground i Lath u; (— II;(. Jr.-,�$.. hips Ground I Plaster C_F. 121x o.rf, 7,, q'-!!''- di, n S'a 4 Ground! ',. Sprinkler lag f Occ o ( . f G _,. Fl - /btaabin Roo 6 - 6o e Ftna4 - Ye Compute b SIGNS fsca•afian Frame Conn. Momben Support — If Y Job Complete NTS:0. K. to Eason Co. So. Cot. Cult Co, AL DATE GrlLd16. E Stit3iS ,, PR 3;VD. PERSf. Na 55292 $ 15.0 Krf3G AUTO SPR. CU. YAL, { r44a. TOTAL $ $j ` Q 3�°n 2 !LOCK SECT. TRACT Irv. Sub . «-P FIRE DIST. 3 GROUP D-2 TYPE I YAR. No. k'- CA a TtE SPRS FOR NE4' CHILDA.t;':' U. P. No. lui0d. ! 8 ona Insp. O.K. Date Sub-Conlrecton FERMIS D.t. No. . 2. ■ Un. Gr. 0 I Elect. Ground i ! Plmbg. " . Gtound', Sewer Grou 1 Heeling Ground Chimney Ground' Lath 771" Y•/r.bi z. /;._ j• c ^; Ground; Plaster e __1 Ground I Sprinkler ,a:=; us...4 .1 .AT�1{ii M PMM9'� iW4r... 1i Foil - Numbing Goc Find - Go �ry`r'. '1 Find - floating y' Y i{, Final ., VieMN. it Job CemN pl. j SIGNS q-Concnto i Frump dam Steal I C nn. Mombur% a I: Support i#I e : t Eivt. — If Any ;,yet' I Job Comp4M. G,rz Tcmp. I So. Cos. Goa Co, ITAL DATE 3/91 66' PERM. No. 2EWPORT RLii9i. 56474 COAST CONSTRUCTION VAL $ z 7.P40 P.C. 172 BLOCK T SET. 21.00 TRACTLr:,ine Sub I TOTAL $ 63.00 FIRE DUST. GROUP a_2 TYPE L Div 1. VAR, No. IOU'NGE & CENTRAL SUPPLY. ETC. NO ES. U. P. No. PERMITS Insp. 1 O.K. Dote Sub•Cordrectors Date No. Un. Gr. E. Elect. , �€.Ef/ R1 F.5 1 S—//—:C I $- (r 5-44. :. Ground 7. --(7 .. — ... Plmbg' d. -7, [".. Ground; Sewer .. •� Ground i leating Chimney I Ground Ground Ground Ground j Lath fr. Plaster 1 Sprinkler HOAG? OS SAL DATE 3/18/66 315 SO y PERM. No. S 301 YEWF➢R1 BLVD.55n4S 50. COAST C©NST. CO. VAL. $ 200,000 P.C. ; 157.75 172 eLOCK 1 SECT. TRACT Irvieb TOTAL $ 473.25 -I FIRE FIST. w G4OVP D-2 TYPE I VAR. No. ON L➢BBY ADDITION & ALTERATIS TO EXISTING LOBBY i35IT4'ESS OFFICE, RESTROOMS I U. P. No. PERMITS 3s#�paetuona Insp. O.K. rasa Sub -Contractors Dee No. Ur.. Grcl i Eiec4 r >7"-.X"trip - - a /i.,C Ground ! Pimb a".....r... Ground Sewer _ Ground ,. Heating'HP Ri -�3 -G (_; i5-fZYr'r'q {r.i reasr Ground �Wi ! Chimney l Waspipir Ground La4h it rt 'lielk,/ /I. I r—it" - L , 4Th..5 ck ,.` Ground Plaster . , , s Ground Sprinkker Rr ef. ."ran 1 :.' 1 Cart. of Occup. 1 mat - �•t J1 Final - He•i a Fin•I . Vemai? hJob Complete' Sl6NS Excavation ! Frame Conn. MIIIMk1411 Support {iEnka —!;bey 'I Job Campleft S: C, K. to Ed°isxv CO ,. wport DATE 2-1.4-b7 PERM. No. 59543 BLDG. $ .DER James A. Yor '.72 BLOCK VAL $ 5n^u.D0 SECT. TRACT it v. Sub P.C. $ TOTAL $ FIRE DIST. 3 GROUP D-2 TYPE 2f ft erti occs (non tearin ) wall 5j8' drywall YAR. No, I U. P. Na loading apothem Imp. O.K. Dots P.0 Un. Gr.w Ground Ground Ground 9 Ground Ground Pipe Ground Ground Sub -Confronters PERMITS Date No. Elact. I i Plmbg s/Iy/i 7 Samar Hooting Chimney I Plantar Sprinkle: i1 J;ifl71 y Ai x t `# Fnnai - ?FambisnI Si Fin aP - Gas I{ Final - Maatirt R Final - Yenta. Job Compfata SIGNS Freirsi Conn. Marpban Support if Any h ConmpiNs 5J9. Cos. AUL HOSPITAI DATE 7-5-67 RLDS. f 8.00 .. ySS 301 Newport Blvd., PERM. No. 61489 P.C. $ $B34LESER VAL. $ !LOCK SECT. TRACT TOTAL f FIRE DIST, GROUP TYPE VAR, N°' 8"'#axi-illuminated directional & parking sings. U. P. No. tab;ect to provisions of use per # 1280 dated 6-15=61 '' feifding 3na cti°ns Insp. J.K. Deo _ ___ Sub -Contractor PERMITS Dab No. • i an. Gr. — Etact. Ground Plmby. 4Tsi,*ckr Ground' Saar Ground Heating e4in g zround Chimney i s/pipo Ground. Lath Tips Ground Plaster '? G rourd '. Sp•intler Pion �-----_�_ Fiaek • pfnmbfing Fine! ll Final • Heidin leflon i qqJ I~pnei • Venkl. *' I IrJob Complete e • SO!"YVCe Ij SIGNS I Et<etetion Cain=Tsh f kame Conn. Memb.n " ! Support . j 1 Elect.-- If Any • Job Complain �✓j"''...ye.: �+�' ,�^`_ ;6 LIV.EAV I1a.1".RJ11Saiit HOSP1SQ1. DATE 7-s-67 -:•. 8.00 "A8&i!t€SS PERM. No. 3Oi=evpvrt Bivd., 61489 RLDG. g � SIt 6ER Duke's Signs VAL. $ 1,000.00 I ' BLOCK SECT. TP'.ACT i t TOTAL $ FIRE DIST. GROUP TYPE VAR. No. 2-elect. pole sings 96 sq. 6 10 sq. u. P. No, Footings -sign (A) 3'X3'x5'deep-(D) 1'x1`x3'deep Bonding _.--' Iinp.etian+ (Rip. O.K. Det. Sub-Cantmefon PERMITS j Dot. No. "".. i.).-. .0. as 2 ' 4, YIP/ Ground Plmby -4 nob Grounds Sewer p S.>Rek Eround Haying ,-.leaYing Ground Chin•ney �6s9.rP*Tag._. Gaourd: Lath '. Pop. Ground Plaster `.i iaG4. Ground Sp inl'en R•in4. ,. PomredRtion qy •":er?m4k ' . -‘ t if nal - Gas i li Gnat - Haating on 11 Final - Vantil. , 11 Job Cannata+. I I SIGNS 1f Excavation v it- / ii... ./ Franca v ' ., . - -1- t 1 San, Stu1 ,... !, ., %.,45,11n. NW," ( .P - rt 6. . '.. . 1' Pact — if Any l' AY. .. . II Joit Cantata+, MOMENTS: 0 it to Edison Co 'Art Si • /-2 c.; 7 -SSa 0 EL It So. Cos Gat Co. 56-,/7"C et• ROAG RiAL HOSPi TAL DATE 7-5-67 - *u 8. e R55 301 Newport Blvd., rERM.N0. 61489 P.C. $ l iiD£R Dukes Elec. Signs vAL. $ 1,000.00 BLOCK SECT. TRACT TOTAL $ °'Y43FfE FIRE DIST. GROUPVATYPE R. No. a —Elect pole signs `a 50 sq. footings-3' X 3' X 4' dleir U. P. No. __ Bus4ding .._ daspMsiion5 Insp. O.K. Date Sub-Conkectore PERMITS Deft No. UnGrcund'� Elscf.'p/.<'. 7'c- 7l l Plnbg. `, /Y4' i'esagA Ground Sewer Grourd Heeling Te•RfGround : Chimney '^afespipe Ground Lath ',,..Pipe Ground Rieder Gr^_und, Sprinder inf. :' xln,n9 L2_,2,K, - ...:(K.:.... Final - Flanatiaing Saa Pt Final - 1 Final - Vsaft . 1...lab Complete t t SGNS : Emayati -Cantrato I Frame .-- K t-. am Stead t Cann. MISMII411 ix I Support - . ISlect. — if Amy - 1 Jab Containita / tt. - Tamp. I : O. K. to Edison Co. So. Cos Dos. Co. C A)na,5 cot, man A7 ^raT' L DAiE` 4 -a7 BLDG. ; 74 ,a r•: Kr No alvd. r ,iU'�I-S P.C. $ VAL. f s� :. '- BLOCK SECT. TRACT . TOTAL $ 2 FIRE DIST. GROUP TYPE VAR. No. t13S'Ri siacL .=,.o.nyr.` 1_ ,;.,<: al -r;a7 Ls a,dd _ mrar .�1.4 U. P. No. , $. ;{d9mg r :%spoctions ' Insp. i O.K. Date 7 Sub-Contrectors I PERMITS Date Nn. _ 0 Un. Gr. I. : Elect`py>:,.-,_ r .�-<-% 5- 5 4... i..E:' hound'.. .' Plrnbq. ! I Ground Sewer ?$tK.rpT4 Ground . Heating Ground Chimney Ground '� i Lath ;, as Prpo Ground'! ;. Plaster Ground ' Sprinkier ;Rm. J 13I6 2 i!s P el - Numbing Final - Gilt Final -: hooting Find - YediI. it Job Complote in9 rote SIGNS } Etena$ioe Fume em Steel Cann. Afemhen ' Support Temp. Elect. — If My Job Complete ti ENTS: C. K. to Edison Co. So. Cos. Go s. Co. iGAG hi:MORTAL WSPITAL J-d-07 i J 00 , $ • ',, 'AGORESS i01 %. Newport EiVd., GUILDEit Jaoe. A, E‘Sele No. 59040 ,5u.i.PU i BLDG., ( P.C. $ LOT Ft-r in BLOCK SECT. $ TRACT il.r.Suu 1 TOTAL /ONE a- t FfRE DIST. i GROUP D-2 rflts VN i G ..e.' 4 esclob_re for Lray room - to“ Laaari Walt. VAR. No I U. P. No. eteleRel — hSP.Stli r4-7. O.K. Date ' Suo-Contractors : Data PERMITS kkr, P. -i-- tliiii tin. Gr. l-SrAt Elect 9 Grim oca . fkimbg. i- ' Trench GraLn„ 54..1(tf l r 9 Stine Ground Hee. nq , Ground Chimney I , Waterpaps Grirena eel Pipe Lath I Ground Pester i Sreand Sprinkler ykaiv frsicZa S.-5.09'411 tarmacs= r 3/k/7 rAtmg , .. .�..,_., Find - Numbing t6In Final • Gas Final - Pleating Final - Yentb. Jab Can pisb. SIGNS Exc.vaHas ham• io%d i.em Steel Conn. M.mban 'h S"p ort > ' • �+• Ennf. --• If Any Jab Complies T.mp. : 0. K. to Edison o. So. Ca.. Gas. Ca. rem= rz.J.3,1:,L 'Pr ZONE FIRE DIST. GROUP TYPE 7301 N. NE.742ort DATE 10- 17-62 PERM. No. 53220 ,-amasm nn 11,0HYDEP jozricrin no. EiSdin grapay. • BLOCK VAL. $ 1,500.00 SE -CT. TRACT Z;timloge ,..1,1:1,ertrourrd -ccomore P.C. TOTAL $ $ itnn. VAR. No. --mil: -.1.7??. -r10-2,. U. P. No, Building — , PERMITS Mspiections Insp. O.K. Date ' Soh.Contrectoin Dote Pe. P. El Ur :Sir -: 'Lett -{Linz,ilLii in7y_61/ Ground i Plentig ,PMrtail Ground Sower Ground Hosting ,„,,,Mosetie, Ground , Chimney ' ligatorpiple Ground ' 1 Lath '. tom Pips Ground jarlirati Ground Natter Sprinkler No. "+tr A'aa ape Fna - G.s I - Herf•nof „• ... €: 7fatf?iatkA 4 Pirt4 - VoAtr7.. Jab Cam pie* �evribe i �..:� ; SIGNS €s arlfion "-:-s oncrato ; Fa lye ^. L. ::read Ii Cann. Morahan 1' Sup par! • II Bed. —IfAy - li Job Complete -. Tamp. 11 T K. le Edison C. SO. C s. Gas. Ca. TAT. r3s`TS'PT?ATT. . i BLOCK FIRE DIST. ;kiln pardons Ins Un. Gr. Ground'. Ground Ground Ground pe Ground • Ground Ground: Blvd., SECT. GROUP DATE PERM. VAL. S TRACT TYPE 9,000.00 _rv. Sub r)-2 P.C. TOTAL VAR. Wo. U. P. No. PERMITS C.K. Date Sub-Cantreetan t Deb Na. Elect. p j Heeling —QgJ yChimney rj �ppfTe,Lath r c74r / •7 .Cr Cann. Mar ban Support ''!'. Sect. — If Any fi Job Campfete T' James A. Eisele YAL $ 200.0 BLOCK SECT. TRACT GROUP TYPE FIRE DIST. ion of door location P.C. TOTAL $ VAR. No. U. P. No. PERMITS ions Insp. j O.K. Dab Su6Controriiorrs — I Dd. No. Lk. Gr. Efoct. mak.c ct -, '7- 3-G7 C/'fsV Ground Plmbg. Ground'. Saar Ground Healing Ground Ground Ground Ground ' Find • Numbing as Pip* _i Final • Gas Heaths ll Final • H..ring Ventilation I Anal • V.nHI. ° � Job Complea II SIGNS on : Frame SEMI } i',. Conn. Members I /I SyEporf Eke. -so If Any /0" ' ( ''r t Job Compl.+. ili S:O. K. Po Edha4, C. Sc. Cos. Got Ca. City of NewportBeach yy11' Bui1d1ng Department 'r+'yLLL�� P.O. Box 1]68 "6" Newport Beach. CA 92659-1768 Permit Counter Phone No. (714) 644-3288/3289 INSPECTION RECORD APPROVALS GROUNDING ELECTRODE UNDERGROUND UNDERSLAB / FLOOP. ROUGH CONDUIT WALLS ROUGH WIRING CEILINGS ROUGH SERVICE TEMP. POWER UTILITY CO. NOTIFIED FINAL DATE INSPECTOR'S WORKERS' COMPENSATION DECLARATION HEREBY AFFIRJ"NATI HAVE ACERPFCATE OF CONSENT TOSELF-INSURE. OR ACEm1FF CBNM, LAB CORKE.a .4II9(yy uRANCE. OR A CERTIFIIjygphiefl EeF(5i POLICY NO COMPANY CERTIFIED COPY ISHEREBY FURNISHED. '1! CERTIFIED COPY IS FLEDWIFH THE BUILDNGDFP. DATE _.`APPUCWR CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (THIS SECTO N NEED NOT BE CC MPL_IED IF THE PERMI T I S FOR ONE HUNDRED DOLLARS lsl ao; OR LESS I CERTIFY THAT IN THE PERFORMANCE OF THE WORN FOR WHICH THIS PERMIT IS ISSUED. I SIWI. No EMPLOY ANY PERSON IN ANY MANNER SO A5 TO O.+E SUSIO:* TO THE W ORKERSiF1M COrn7FNSAPON7A0S OF CAu0OHNLA O ATS APPL'GWT NOPCE TO F?PUCANT IF. AFTER MAKING THIS CERTIFICATE OF EXEMPTION. YOU SHOULD BECOMESUBJECTTo 1NEWORKERS COMPE15A15ONPROVISIO`1S OF THE LABOR COPYO MUST FORTHWITH COMPLY WSUCH PROVISIONS OR TUIs PERMIT SHALL BE OEEF Fo Val REVO«E0. I hereby acknowledge Nall haveread thisapplioation: that theinformaliongiven csect; and that l am the owner. or the duly authorized agent of the owner l agree to comply with city and State Ia1S regulating construction; and in doing the wors aNnonz V thereby, no o II be employed in molet:n the Labor Code of the State Of California relatlno olkmaes C °ensationln ranee. ?TRUMAN't, SIGNATURE Of PERMIREF >' Roii&ci a.✓ 6 zc 2 s LtetN4 "els Ut6 Ciflt. {2.656 JOB ADDRESS. BLDG OWNER: ADDRESS CONTRACTOR. ADDRESS ELECTRICAL PERMIT 101 01i IIlIO FLOOR. SUITE: HOAR IBKB0IILL HOSPITAL 301 IBPPORT BLYD NEIPOIT BEAN CA 92658-891LGNE CALKINS 101e10 N 28592 LIS ANUS WWII NIGUEL CA 92656 PHONE STATE d91144 uss B 10 NNE'WPORT LiC. No s LIC PROCESSED BY. �-C OCCUPANCY: . Eleatic remit Pe OCCUPANCY. :ac TOTAL 10. OP OUTLETS Edpaten INSP AREA: SUBTOTAL of electrical fees Is PLAN CHECK PEE regairedl (T) PBIIIT ISSUING PEE TOTAL ELECTRICAL PEROIT PBS PLAN CHECK VALIDATION 11.00 CK. MC. CASH 714 645 860 714 831 597 17733 3 DESCRIPTION OF WORK: 2.25 11.00 Permit No. E92014494 Inspection Requests Phone No. (714) 644.3255 CIF ICIBICIC 01II(IC214t•44) ELECT SHERI-0E11EI LI1EN 1110EPTICL88 ADDITIONAL INSPECTION RECORDS 13.25 3.31 Y 15.00 31.56 PERMIT VALIDATION ?meats: 0.00 Credit Welded) 0.00 Total Credits: 0.00 Ialaece 31.56 Adjusting; 0.00 Balance dee 31.56 PAID JAN291993 CITY OF NEWPORT BEACH O. CASH sti z f 02 0a °O 0 C) O cc 1 o c)) oa fit z D 00 0 w 5 City of Newport Beach Building Department P.O. Box 1768 Newport Beach, CA 92659-1768 Permit Counter Phone No. (714) 644-3288/3289 OWNER-EUILOER DECLARATION I IIEREOY AFFIRM THAT I AM E%EMPF FROM THE CONTRACTOR'S LICENSE LAW FOR THE FOILOWINGREA50N 15EC. 70344.000INESS ANOPROFE5510N5 COOS ANYCITY 041 COUNTY WHICH REO WRES A PERMIT TO CONSTRUCT. ALTER. IMPROVE. DEMOLISH, OR REPAIR ANY STRUCTURE PRIOR TO ITS ISSUANCE. ALSO REQUIRES THE APPLICANT FORSUCHPERMIT' TO THE A SIGNED STATEMENT THAI HE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTOR'S LICENSE LAW (CHAPTER R (COMMENCING WITH SECTION 10001 OF DIVISION OFTHE0USINE55ANOPROFE5510N5 CODE, OR TTAAT HE IS EMMPT THEREFROM AND THE 34FO R THE ALLEGED E%EMPTION. V N OF 5EC110N 1031.5 BY ANY APPLI- CANT FORA PERMIT SUBJFC35 THE APPLICANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS (SSW. 001.1. E pliapERTv, on not AGES AS THESOLE COMPENSAi OEN *ALT'10 THE Wow', AND THEE SmpLoyEEs TRUCTURE IS NOwITHT INTENDED GH OFFS E0 FOR SALE 15EC 1044. BUSINESS AND PR0FE5510NS CODE: THE CONTRACTORS LICENSE LAW DOES NOT 4PFLY TO AN OWNER OF PROPERTY WHO CUILDS OR IM%1OVES THEREON, ANO WII000E5 S'JCH W004 HIMSELF OR THROUGH HIS OWNEMPLOVFFS.PROVIOED THAT SuCH IMPROVEMENTS ARE NOT INTENDER OR OFFERS D FOP SALE. IF IOWEVER, THE BUILDING OO IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLETION. THE OWNER ADERWILL HAVL THE BURDEN OF PROVING THANE DONUT BUILD ORIMPROVE FOR THE PURPOSE OF SALE. I. I. AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CON FACTORS TO CONSTRUCT THE PHOJEE115EC. 7044 BUSINESS AND PROFESSIONS CODE'. THE CONIHAC:OH'S LICENSE LAW DOES NC1 APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON. AND WNO CONTRACTS FOR SUCH PROJECTS WIIH 4 CONTR4L1OBI51 LICENSED PURSUANT TO THE CONTRACTOR'S LICENSE LAW.(. „ I AM E%E sum uNDER SEC _ . B. & P.C. FOR THIS REASON 041E -. _..-- OWNER LICENSED CONTRACTORS DECLARATION eREOv AFNBM THAT I AM LICEN5E0 UNDER PROVISIONS OF CHAPTER 9 5OMMENCWO WITH SECTION TORT OF DIVISION 3 OF THE BUSINESS AND PBOEE5510N5 CODE. AND MY LICENSE ISIN TULL FUPFE ANDEEFER. ' 4CI LICENSE CLASS.C,NO. �f_ ) J__- CONTHACTOP ATE_ At' /i _ J WORKER COM N DECLARATION I NERECY AFFIRM THAT I HAVE A CEP11FI0A OF CONSENT TO SEM-NSURE. OR A CEA fin. CATE OF WORKERS' COMEENSATIONIN4UP4NCE. OR ACERNEWO COPY THEREOF (SEC. 3800. TAB C.I. cm n. 0011TO PA..L F BATI"AAL ..i. POLICY NO._ _..._. _COMP4NV_._____ __ _.... [I CEPi1EIE0 COPY 15 HEREBY FURNISHED. El CERTIFIED COPE IS FILED WITH THE BUILDING 0004RRTTj1ENT� DATE /2 13`73 AEPUCA41.d' CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE THIS SECTION NEED NOT BE COMPLETED IF THE EERIER IS FOR ONE HUNDRED DOLLARS (51"OI on LEss7 CERTIFY THAT IN THE PERFORMANCE OF THE WORK Fan WHICH MI5 PERMIM IS ISSUED,1 SHALL NOT EMPLOY ANTI PERSON IN ANY MANNER SO 4S TO BECOME SUBJECT TO THE NO4RER5' COMPENSA NONLAW5 OF CALIFORNIA. 041E APPLCANT_". NOTICE l0 APPLICANT. IF. AFTER MAKING THIS CERTIFICATE OF EMEMPTION. YOU SHOULD BECOME SUBJECT TO THE WORKERS' COMPENSATION PROVISIONS OF THE LABOR CODE, VOU MUST FORTHWITH COMPLY WITH SUCNPBOVISION50R NW PERMIT SHALL RE DEEMED REVOKED CONSTRUCTION LENDING AGENCY I NEPEBV AFFIRM THAT 1HL NE IS A CONS0HURION LENDING AGENCY FOR THE PERFORM- ANCE OF Tilt WORK FOH wF cH THIS PERM r B ISSUED (SEC. 3091. CIVc.l. LENDERS NAME LEN0EBSADORESs I CERTIFY THAT I HAVE READ TLIIS APPL (CATION AND STATE THAT THE AR cam INFORMATION IS CORRECT I AGREE TO COMELY WITH ALL on AND COUNTY ORDINANCES AND STATE LAWS RELATING F0 BURDING CONSTRUCTION. AND HEPEOY AUTHORIZE REPRESENTA- TIVES OF THIS COUNTY 10 ENTER UPON THE ABOVE MEN110NE0 PROPERTY FOR INSPEC- TIONPURPOSES. L213•91 BUILDING PERMIT fig ADDRESS: )/: BLDG: OWNER: ADDRESS. PRAt,Tent GRWRT EACH,CA CHET - --LINE "-. CONTRACTOR: ±pq !:,11 STATE LW NO ARCHITECT: ADDRESS LIC. NO. ENGINEER ADDRESS MC NO'. APPLICANT. ADDRESS: CLASS 1(41 0 B11ImIA 5R 1.... 1P 'I ]tu0 SUITE'. PHONE: PHONE: u5P0RT Tic PHONE. PHONE: PHONE: INSP AREA: Pe8173'03734 Ins e04400 Requests Phone No, (714) 644-3255 OF WORKION YIYII P1IIu[i 1 s.. CONST.: IVPE OE CONSTRUCTION ADDEO I NEW 5O FT. BLDG NO UN: SF NEV INSTALL PAR: FIRE 1I'S BONE °no SODET GARW pKING SV0CES 05 6ACLLOC FRONT REAR VnV 1i.Y LEGAL DESCRIPTION. -H0 TIP .'TOP SpECIAL CUNDI0NR LEFT PROCESSED BY'. ZONING OTHER APPROVAL BEPARTMENI NO s1a°1105 RIGHT FIRE APPROVAL PLAN CHECK BY GNATUR APPLSIICANTE OF .-._: :-RE 2 R 1T :EL: PLAN CHECK VALIDATION GK. M0. CASH GRAOI APPROVAL PERMIT VALIDATION APPROVAL / TO ISSUE/ F .l rraiiince OK. M.O. CASH WORN MUST BE STARTED WITHIN A PERIOD OF 100 DAYS reAlV serC44e City of Newport Beach Building Department P.O. Box 1768 Newport Beach, CA 92659-1768 Permit Counter Phone No. (714) 6443288/3289 OWNER -BUILDER DECLARATION HEREBY AFFIRM THAT I AM EXEMPT FROM THE CONTRACTOR'S LICENSE LAW FOR THE FOLLOWING REASONI5FC.1011.0 BUSINESS AND PROFESSIONS CODE:ANV CITVOB COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT, ALTER, IMPROVE, DEMOLISH OR REPAIR ANY STRUCTURE, PRIOR TOIT51 SSUANCE, ALSO RE0u1RES THE APPLICAN0FOR SUCH PERMIT TO LE A SIGNED STATEMENT THAT HE 15 LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTOR'S LICENSE IAA ICH4PTER 9 ICOMMENCING WITH SECTION 1000I OF DIVISION SOF ME BUSINESS AND PROFESSIONS COCEM OR THAT HE IS EXEMPT THEREFROM AND THE BASIS FOR ATHE ALLEGED ESEMPTIDN. ANY VIOLATION OF SECTION 10310 BY ANY APPLY CANT PERMIT SUBJECTS THE APPLICANT TO A L1VIL PENALTY OF NOT MORE THAN NVE HuNOHEO DOLLARS 16500.00p 1. WH AGES AS THEW SOLE COMPENSATION, N'FLL DO EDEE wOR0. AND THEEMPLOYEES B(RUC TUNE SWOT INTENDED OR OFFERED FOR SALE ISEC. 10 M, BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS LICENSE LADOES NOT AFPEL. TO AN O0NEH OF PROPERTY WHO BUILDS op IMPROVES THEREON, DOES SUED WORX NITSW( NOTE OR OFFERED HIS EONEMPLOVEES,PROVIDED THAT SUCH IMPROVEMENTS OR SALE. P. HOWEVER, ME BUILDING OR IMPROVEMENT 15 SOLO WITHIN ONE YEAR OF COMPLETION, THE OWNER- BUILDERW PURPoSE ILL HAVE THEBOHOEN OF PROVING THAT HE LAD NGT BOILOOBIMPHOVE FOH THE ALE AS OWNER OF THE PH000001A ExcSIVELY cost 'UCENSEO CON. TRACTORS TO CONSTRUCT THE PNOJEWC0 I GEC. 1141 01151N55 coos PROFESSIONS OFESSIONS CODE F CON0NAC10B'S LICENSE LAW 00E5 NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS On IMPROVES THEREON, AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTOAC(Onrs1 LICENSEDPUR50ANT TO THE CONTRACTORS LICENSE LAW • 1 AM ENFMVT UNDER SEC _ _. B.IP.0 FOR P115 REASON_____—... DATE_._OWNER LLCENSED CONTRACTORS DECLARATION HEREBY AFFIRM THAT 1 AM LICENSED UNDER PROVISIONS OF CHAPTER 9 (COMMENCING WITH SECTION 1W010F DIVISION 3 OF THE BUSINESS AND PROFESSIONS COOP. AND MY LICENSE IS IN FULL FORCE AND EFFECT. LICENSE CLASS /�_�_�_N� _.._—.. __5 IICNO _71140. CONTRACTONF[,l" 4/ ones //�� WAGONERS' COMPENSATION DECLARATION HEREBY AFFIRM THAT I HAVE A CERTIFICATE OF CONSENT TO SELF INSURE. OR A CER01F1 CALF OF WORKERSCOMPENSATION INSURANCE OR A CEREIREOCOPY THEREOF ISEC. 3800, TAC MY NG.'In ss SB-91 COMPANY. _. _STATE 0000 0000 - 000IIFIED COPY 15 HEREBY FUPNI5HE0. YF[BORED COPY 15 TILED WITH THE BALDING BE 1-1I EFIT OATficti _ PPLICAN CER000ICATE OF EXEM • FROM WORKERS COMPENSA MNURANCE ITN15 SECTION NEED NOT BE COMPLETED IF THE PERMIT 15 FOR ONE HUNDRED DOLLARS 41001 OR LESS ENE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOE EMPLOY ANY PERSON 1N ANY MAN:4ER 5U A5 TO BECOME SUBJECT TO 111E WORKERS' COMPENSATION LAWS OF CALIFORNIA DATE APPLICANT NOTICE TO APPLICANT- IF AFTER MAKING THIS CERTIFICATE OF E xEMITON YOU SHOULD BECOME SUBJECT TO THE WORKERS' COMPENSATION PROVISIONS OF THE LABOR CODE. vOLIMIISTFORTEMITHCOMPI YWITHSUCHPROVISIONSOR THIS PERMIT MULL OF DEEMED REVOKED CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM THAI THERE 15 A CONSTRUCTION LENDING AGENCY FOR THE PERLORM ANCE OF THE WORK FOR WHICH THIS AMMO I51S5UE0{SEC . 3097. CIVC 1. LENDERS NAME LENDFNSADDRE55 I CERTIFY THATI HAVE READ THIS APPLICATION AND 5140E THAT THE ABOVE INFORMATION 15 CORRECT I AGREE TO COMPLY WITH ALL CITY AND GOONEY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION. AND HEREBY WINDPIPE PEPRESENTA. ELVES OF THIS COUNTY TO ENTER UPON THE ABOVE MENNONED MIOPER1Y FOR INSPEC 01ON PURPOSES. 1GN UPE OFFER IE yF7C,--7X JOB ADDRESS: BLDG: OWNER: ADDRESS: CONTRACTOR AODRES8, STTE IC4 NO ARCHITECT: ADDRESS IC. NO.: ENGINEER: ADDRESS' CIO. NO.: APPLICANT'. ADDRESS BUILDING PERMIT )I1 IBIF@ ? B[Y9 FLOOR NOAG MEMORIAL HOSPITAL 101 NEWPORT BLVD,R01 Y INSP AREA. 1 DOTE : eentina NEWPORT BEACH, CA 92658 PHONE: 714/760-5908 GRAM INC 1760 MONROVIA AIR COSTA MESA CA 92627 PHONE. 571328 CLASS: 0 NEWPORT OHO A7A CILB0RT 4 PARR PLAZA, SUITE 120 Des IRVINE, CA 9271i PHONE: ' 4 77S DESIGNEE PHONE' SALE2RY FRANZ d PARR PLAZA STE 120 1R7 CA 9271d PHO 714/722-6770 714 474 1775 T DESCRIPTION OF WORK'. In • ectiOn Re • PoomO No. B9302824 nests Phone No. (714) 644-3255 INi 1146WIBI9C 11df-9I) CONST.: 91 ALT ADMIN 0FC CONFERENCE CTR 12000 SQFT TYPE OF OCc 0001 CONSTRUCTION'. GROUP STORIES. SO FT BLDG': so�FE°GAR L' NO OF US E RARx G UNITS NE: SPACES. SETONT BACKS LEFT RIGHT Minim LEGAL o55mIPn0N. `REe0n1oCTAL on5 I IRVINE S00 LOT 169 NLR 2 FOR OF LOT PR• "STD BY:! a /` ate OTHER DEPARTMENT SIGNATURE APPLICANT aoF� / �i.% %� :a1 FSIg 'era! Sees ENT- Final Project Valuation R <ular PLAN CBECN FEES BUILDING PERMIT FEE Is a CLEAN -OP DEPOSIT required? (T) Sa8tatal CIP BUILDING PERMIT FEES CALIFORNIA SEISMIC SAFETY FEE ) Is DISABLED REVIEW FEE deeded? (Y) Is HAZARDOUS NAT. FEE needed? (4) TOTAL CIP BUILDING PERRI? FEES GRADING APPROVAL 37650 210.71 116.50 44101.09 Y 955.23 7.91 30.12 Y 15.00 Y 1,008.26 CI PLAN CHECK Bi-NAPPRO 0 0 0 6CL T — (1 =. o, 41$11.1.,!,-) Pays 218.73 Credit ex tided: 0.00 Total Credits: 218.73 Balance 789.53 Adjustments 0.00 Balance doe 789.51 Jut 081994 F UFkfigwpw MA�T�E�R�IA�LS NO HMO checked "'QO SCAOMD checkad ❑ PLAN CHECK VALIDATION CK. MA. CASH PERMIT VALIDATION W 2 LL 0 O 0 a 2 3 0 3 OK. ASH�53P 7041 $ 72a4ijs tV.5.'4Q pi elotie 7 -70. 24- r/ fl our aftwove- is. sldfr( On at & 4zr OK P/43'C -ant 01— Ann, ?SC fri</%hyal ce, 'N fity o✓ JJc' t ffVediers° a2a aer ,l� dry w/ 2 Curtis L ✓fin c.M , mac. Coo aoF stia. fl&asrh,, ctiy 4 U L� City of Newport Beach .Bulltling Department P.O. Box 1768 Newport Beach, CA 92659-1768 Permlt.Clspnter Phone No. (714) 644-3288/3289 INSPECTION RECORD/CPyttO 301 ' A., Aar.80A 1 1;se o tya�, ffi.e // is _ NL.- Lea 4406E t Aec- AV" APPROVALS GROUNDING ELECTRODE UNDERGROUND UNDERSLAB/FLOOR ROUGH CONDUIT WALLS ROUGH WIRING CEILINGS ROUGH SERVICE TEMP. POWER UTILITY CO. NOTIFIED FINAL DATE INSPECTOR'S eke/ ram"` JOB ADDRESS: ELECTRICAL PERMIT INSP 8 AREA: 301 IN! Mt BLDG: FLOOR: SUITE: OWNER: HOAO CONFERENCE CENTER AOURESS: 301 HEIPON? ELM NEWPORT BEACH CA PHONE: 716616E-5909 CONTRACTOR: 7ACOBI ELECTRIC 2932 CALLE REAM SAN CL80E0T€ CA 92672 PHONE: 714/361-5031 LIO TW.: 564251 CLASS: CICI NEST 010318 PROCESSED BY: 'ka(,Lc OCCUPANCY: * Electrical Permit Pees ADDRESS: WORKERS' COMPENSATION DECLARATION I HEREBYAFFIRM THATIHAVEACERIIFCATEOF CONSENT TO SELF INSURE. ORACERTIIR„ CATE OF WORKERSCOMPENSATION 4NCURANCE, OR A CERTIFIED COPY THEREOF (SEdW% :won. LAB CJ. NC40007221 E FREMONT COMPENSATION POLICYNO _.. COMPANY_..___ fl CERTn5000FV ISHEREBYFURNISHED I CERTIFIEDCOPY IS FUEL WITH THE BUILDING DEPARTMENT <. DATE 7-/3, - . APPUCAM CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE rims NFEDNOT BE COMPLETED IE THE PERMIT IS FORONE HUNDRED DOLLARSBIOQI OR LESSI I CERTIFY NAT IN THE PERFORMANCE OE THE WORN FOR wHIC11 THIS PERMIT IS ISSUED I HALL NOT EMPLOY ANY PERSON IN AlAMANNER SO AS TO BECOME SUBJECT TO THE WORMER.. F.OMPFNSATION LAW SAF CALIFORNIA DATE APPLICANT NOTICE TO APPLICANT. IE AMEN MAKING THIS CEHTiFICATE OF EXEMPTION. YOU SHOULD RFCOMESUBJECT 1OTHE WORKERS' COMPENSATION PHOVISIONSOF THE LABOR CODE VOU MUST FORTHWITH COMPLY WITH SUCH PROVISIONS OR THIS PERMIT SMALL BE DEEMED REVOKED I hereby acknowledgelha11 have read tllisappllcation: thal the inform[ lion given correct: and that l am the owner, or the duly authorized agent of the owner. I agree to comply with city and stale laws regulating construction: and In doing Ma work awnorlzed thereby. no person wlll ba employed In violation of the Labor Code of the Stale of California relating t0 Workmen's Compensation Insurance. s FRTM wn.. . 0404.0I .�CAI'd I ERM R � EIPR PE cgor./4. . TE 4 ADDRESS TOTAL NO. GP CUTLETS TOTAL NO. GP LIGHTING FIXTURES SUBTOTAL of electrical fees Is PLAN CHECK PEE required? (Y) PERMIT ISSUING PEE TOTAL ELECTRICAL PERMIT PEES Each Mo. 18 19 DESCRIPTION OF WORK: Fee 13.5E 14.25 21.75 6.94 Y 15.0E 49.69 • Permit No. E9400758 Inspeotion Requests Phone No. (714) 644-3255 0I40I 9930?82k0 ELECTRICAL/PI CONFERENCE GER 12000 SOFT ADDITIONAL INSPECTION RECORDS Payments: 0.0E radii extended: 0.0E Total Credits: O.CC Balance 49.69 Adjost4ents 0.00 Balance due 49.69 FAlD JUL 131994 CITY OF NEWPORRT BEACH PLAN CHECK VALIDATION CK. MO. CASH PERMIT VALIDATION C M.O. CASH City of Newport Beach Building Department P.O. Box 1768 Newport Beach, CA 92659-1768 Permit Counter Phone No. (714) 644-3288/3289 INSPECTION RECORDhC g4 s4t JOB HEATING, VENTILATING, REFRIGERATION & AIR CONDITIONING 300/��//►,,,,5S,,''� P� ADDRESSew APPROVALS DATE INSPECTOR'S UNDERSLAB / FLOOR �yJ HVAC/HOOD ROUGH Z//%,4y FIREPLACE ROUGH GAS TEST FIREPLACE FINAL HVAC/HOOD FINAL /7/y/,/ � WORKERS' COMPENSATION DECLARATION I HEXEBV AFFIRM THATI IIAVEA CERTIFCATEOFCONSENTTO SELFUNSUREORACERTIFP CATE 00 WORMERS' COMPENSATION INSURANCE. OR A CERTIFIED COP? THEREOF (SEC. Beap'Lk" J 3502607 REPUBLIC INDEMNITY POLIOYNO. __... COMPANY c CENnFIEOCOw ISHEBEBYFUNNISNEf. L: CERTIFIED COPY IS FI 50 WWT/TKTHE BUILDING C`F�PARTM M. Ina— _A.`Q_'`A«gpPLIUNT 1 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (15I5SECTION NEEDNOTDECOMPLETEOIFTHEPENMR ISFOn0NEHUNDRED DOLIJRS,s1Ml ON LE55I I CERTIFY THAT IN THE PERFORMANCE OF IHE WORK FDN WHICH THIS PERMIT 15 ISSUED. I SHALL NOT EMPLOY ANY PERSON W ANY MANNER SO AS TO BECOME SUBJECT TO THE W 055551' COMPENSATION LAW 5 OF CALIFORN W (1PTE._ _.._ APPLICANT NOTICE TO APPLICANT. IF. NTE5 MAKING THIS CERTIFICPLE OF EXEMPTION. VOU SHOULD BECOME SUBJECT TO THE WORKERS' COMPENSATION PBOVISKNISOF THELABOP CODE. YOU MINT FORTHWITH COMPLY WITH SUCH PFQ5510N5 OB THIS PERMIT SHALL BE DEEMED REVOKED IM1nabyacknowleageIhall have read this application; IM1al the information given Is correct: and Mal am the owner. or the duly authorized agent of the ownd in ner. l agree the work n,thon !Monied wilh city and skate laws thereby no person will be regulating dcinn violation al the Labor Code of the State of California relating to Workmen's Compensation Insurance. PERMITTEE "NAMEWAINS a -f VA y7 NniMITI SIG OFPFR InF.E......... ADDRESS BLDG: OWNER' ADDRESS: CONTRACTOR ADDRESS: PERMIT 101 RRBPOR! BLVB FLOOR: I SUITE: NOB MEMORIAL 0OSPITAL 101 NEWPORT BLVD NEWPORT EEACE, CA 92658 PHONE: K A 5 AIR CONDITIONING INC 2830 VIA WEIS AMAMEIN CA 92806 PRUDE. 714-610-0123 STATE 481431 CLASS: C2E NEWPORT 011721 LIC.HO.: BUS.110.: PROCESSEDB �Yh _ >_DCCUPPNCY: Mechanical Pe a k'ees - Each INSP " + AREA: No. of HVAC units repaired/altered 9.00 VENTILATION --- - bathroom fan 4.50 SUBTOTAL of mechanical fees Is PLAN CHECK FEE required? (Y) PERMIT ISSUING PEE TOTAL MECHANICAL PENNIT PEES PLAN CHECK VALIDATION CK. Fan. CASH 1 DESCRIPTION OF WORK: Fee 19.00 4.50 22.50 5.63 Y 15.00 Permit No. N9400458 Inspection Requests Phone No. (714) 6443255 N6CB�IBi it! (8430282( ALT HVAC 5 S.PAN/ALT ANNIE DEC CCU CTR - ADDITIONAL INSPECTION RECORDS PA ✓eil I� city 4 DfNr- PERMIT VALIDATION Payments: 0.00 Credit exteodad: 0.00 Total Credits: 0.00 Balance 43.13 Adjustments 0.00 Balance due 43.13 City of Newport Beach Building Department P.O. Box 1768 Newport Beach, CA 92659-1768 PermihQounter Phone No. (714) 644-3288/3289 INSPECTION RECORDPS6DJ7O 301 �" fl4o/j ai ,v'yuy0 7 /Jbr /hti 240,r1L %/Lf/4/ /to- /n s Permit No. PLUMBING PERMIT'. P9400510 JOB ADDRESS: LOG: FLOOR: BOAC EOSPITAL 301 NEWPORT BLVD NEWPORT BRACE CA CONTRACTOR: VATERP0R0 PLUMBING ADDRESS: 3016 SO EALLADAY 10 SANTA ANA CA 927065625 remitCIASs cNo 590879 'C36 PROCESSED DT: Arty OWNER: i+Ir-esty aA ADDRESS: APPROVALS SOIL PIPE GROUND SEWER WATER PIPE GROUND GAS PIPE GROUND PLUMBING ROUGH GAS PIPE ROUGH WATER HEATER GAS. PRES. TEST PNOTIFIED��/y PLUMBING FINAL FINAL DA E INSPECTOR WORKERS' COMPENSATION DECLARATION HERESY AFFIRM THAT I HAVE ACERTIR.ATE OF CONSENT TOSELF-INSURE.ORACERnN- TF OF WORKERS' COMPENSATION INSURANCE, OR A CERTIFIED COPY THEREOF 15EC. 38uu LAB C! PEC 265904-01 COLDER EAGLE INS POCOHNO COMPANY CEHTIIEOCCPY ISM HEREBY FURNISHER. I cFROIHED COPY ISNLEDwITH THE OOLONG° MIE J Y CERTIFICATE OF EXEM ON FROM WOIK(ERS' COMPENSATION INSURANCE 1IHISSEATION NEEDNOr BE GOMM FTEOIF INEPEPMOCSFOP ONEHUNOREOOOLLAPSISWI OH LESS) CEllrliy RHO N THE PERFORMANCE OF THE WORK FOP WHICH IHIS PERMIT I5155uEO. I ALL NOT EMPLOY ANY PERSON IN ANY MANNER CM AS TO BECOME SUBJECT TO IRE WORKERS' COMPENSATION LAWS OF CALIFORNIA. DATE APP.CANT OTCE TO APPLICANT. . AFTER MAKING THIS DERIMICATE OF EXEMPTION. YOU SHOULD BECOMESUBJECT TO TEWOPKEPS'COMPENSATONPROVSONSOFTHELABOPCOOE YOU MUST FORTHWITH COMPIY RADA SUCH PROVISIONS OR THIS REPOT SHALL BE DEEMED REVOKED ILsreby acknowledge that l have read this application, Ihel themlormallon given is creel and that I am the owner. or the duly authored agent of the Owner. 1 agree Iocomply with city and stale Mum regulating construction; and in doing the work S!i!ie of California anted yrelating to Work. na person will men s CompeeMplayedlnsationllnsuran en vioton of the LaEot Code of the `NFNME`I M�NTI/-( hGx IJ OFPERMITTEE I ?lading Permit Fees Eater closet (toilet) Bitches sink SUBTOTAL of plumbing fees Is PLAN CEEC£ PEE required? (P) PERMIT ISSUING PEE TOTAL PLUMBING PERNIT PEES INSP b I AREA: SUITE: PHONE: PHONE: 714/433-1205 a W80c:5T 015366 OCCUPANCY: Each 6.00 6.00 PLAN CHECK VALIDATION CK. M.O. CASH DESCRIPTION OF WORK: Pee 6.PC 6.00 12.00 3.00 15.00 30.00 Inspmetion Requests Phone No. (714) 644-3255 Pi,8fl8%8 (89101814) PLOMOIEC CONFERENCE CTP 12000 SOFT ADDITIONAL INSPECTION RECORDS PERMIT VALIDATION Payouts: 0.00 redit extended: 0.00 Total Credits: 0.00 Balance 3C.00 Adjustments 0.00 Balance doe 30.00 p.4 th jot to994 or?'OFNEWpc ,, OK. MO. CAM BECOMES NULL AND MUST BE STARTED WITHIN A PERIOD OF 180 DAYS FROM THE DATE OF VALIDATION OR THIS PER INSPECTOR'S COPY + City Newport Beath h ' Building Department P.O. 8ox 1768 Newport Beach, CA-17668 Permit Counter Phonene r4No.o. p': 41644-32884289 BUILDING PERMIT PM0087 I HEREBY AFFIRM THAT FaLOWINGP SONISEC WHICH REQUIRES A PERMIT SIFUCTOREPRIORTOITSSSVANCE, FILE A SIGNED STATEMEK7 CONTRACTOR'S L'CENEE 3 OPINE BUSINESSANO BASIS FOR 01/0 ALLEGED CANT FOR A PERMIT SUBJECTS EWE HLNOREDCOLUMS ❑ I. AS OWNER OE THE 008091SATIONVOU. LOW SALE I SEC. 701� LAW MESNOT APPLY H ANDWNO SUCH IMFAOVEMRNTS BUILDING OP IMPROVEMENT BUILDER WLLHAVE THEBURDENOF PURPOSE (K SA.E.1. 1.ASOWNER OF ME !TRAMPS TO CONSTRUCT ME CONTRACTOR'S LICENSE BUILDS OR IMPROVES. CONTRACIOPISI n¢NSEO C I AM EXEMTUM1 DER OWflER.OUILDER DECLARATION I AM EXEMPT FROM E CC' c089017NSE LAW FOR SHE 703'S. BUSINESS AND PRO E'-. I.5 WO. ANYC.IVOR PUMP(" TO CONSTRUCT. ALTER. :E 0EMOLSMO0PEPRW ANV ALSO REQUIRED 'PLCLN0FOPSVCH PERMIT TO THAT NE IS LICENSED I .T TOTE PROVISIONS 04 THE LAW ICHAFTER 9 iCOM MENG NO .. cH SECTION/MA OFDIVISION P7OGES50N5000 OR! MP! N 0Ef OM AND TI-E EXEMPTION . CLT1O 'SECTION ANIS BY ANUPU" THE APPLICANT TO A CVL.MNALW OF NOT MORE THAN 15E0050II PROPERTY, OR My EMPLOYEES . PAGES AS THEM SOLE DO THE WORK. AND ME STPVQURF I INTENCEOCR OFFERED BUSINESS ANO 08108ERW CODE '" CONTRACTOR'S ERENY WHO Du .0 EE,T.PEOVES0000THEREON, LOAN GONER OF THROUGH WORK HIMSELF OR IF ROUGH 6080o PROVIDEO T ARE NOT INTENDED OFFERED HOWEVER, 5 SOLO WITHIN ONE YEAR O C E8O L HE OWNER" PGO N THAT c NO LD So ORMP OVE FOR TINE PROPERTY, AMEXCLJSIVELV CONTROL TINGWl?LICENSED CON THE PROJECT (SEC. /B44 SLIMNESS AND PRCE£5Sl0H5 COO' LAW'ORES Nor APP-Y TO AN OW -:ER OF PROPERTY WHO THEREON, AND WHO CONTRACTS FOR SLCH PROJECTS WITH A PURSUANTTOTHE CONTRACTORS ENSE LAW I. SEC O.&P,C. FOR TIESREASON JOB INOP A➢041677 jell l AREA $ ELOG. FLOOR'. SUITE V.r� OWNER: -. ..- AGOPESS' ". LT ,_ _. 7. PHONE' -: - ")' CANTPACTOfl .._ _-_ ! ADDRESS: "" :22'-" r _ 0. STATE CLASS NEWPORT f 716( UC NO: iC - BUS LIG ..0 T'--TIT ARCHITECT "-"- -. YET P. ADDRESS', "-"- '- - V `_ P'!9 - "' PHONE. r- LIC. NOPT F'•7P : .., ENGINEER. ADDRESS. PHONE: LIC.NO,: 'E TRY Fyn: 710Tp'I APPLICANT. - .' ADDRESS: 1 - P_v+ ITT. PHONE .. ir::_r:-A. OESCRIPl10V OF WORN. "m.p CONS-.. PIPE OF CNSrPJLi ON: ADDEO/NEW SO FT, BLL:G NO OF UNITS. REO'OBIAO flQ5 LEGAL 00500'Pi1pN. AI �L+P�j1u,�Y LLL f�it{u(u�Iv�ie ci � �' .v�.l •''-_ _ 1 S I. BCC. NO OF Gm, Jr, SIORIE5' ADDED/NEVI SC FFT. GAR., PARKWG Sp5CE5'. LEE! RIGHT 1 r - - ' .AJ USE ZOI.E. FRONT REAR a - YI, , /L SPECIAL CONDITIONS PROCESSED BY. — DATE OWNED LICENSED CONTRACTORS 0ECWEATION IIEH SECTION OFCHAPTER0R9 «OMMENCI.My IO PM LICENSED DIE ER BUSINESS LICE SEISINRAI FORCE ANOEFFCT DIE BU51nFs5 AND PROFESS COO. ANC My LICENSE IS IN POLL GORGE AVID EFFECT uQNSECLASS LINO 1 Et, ' ZONING RO' APPROVAL DEPARTMENT DEPARTIAENP CONTRACTOR WORKERS' !HERM AFFIRM THAT CPTEOE WORKEBS'COM.PENSAL HL1. oi,r, POLICY _i_ I(�Ff�G N L1TyvT"L''%JJ_q •••-, COMPENSATIONOI DECLARATION 1 I HAVE A CENTPICATE OF CONSENT TO SELF"INSURE OP A CERTIGI WN INSURANCE,ORACENTGBUCMITH'EREOISE[.`MO. 441fr.t 2212EN EACIE ___ C7 COMPANY SONATGRE OF �� �/� APZa,,T K e. �- j[ - LJI/ -- (Cat-- GRACING APPROVAL iiiiii `l 71 I - ./. .. --- - --- ._E - "' "'" - T C'1 , """' rA0 O C(l E; 10 "'-""' Ad;cae:c.. C.CC 1,^ I iaaa^e tr, ..CO • 2� g4 5rypLry11V -- VOLN�� :IT L ❑LERTI08IREDWPY5HEPEUYFURNISHED. ❑CERTIRED COPY'S MEDD/MIME BUILDING 9ASTMEN{ DALE AWEIGH_ `t 23 �t4 da,a - R,TEE CERT OF EXEMPTION FROM WORKERS' COMPENSATIONINSURANCE ThI55£CT%1H11FEC MOT BE COMPLETED IF THE PERMIT IS FOR ONE HONORED C ARS LSI7IORLESs.I I CERIR4 THAT M THE PERFORMANCE OF THE WORKFOR WHICH THIS PERMIT IS ISSUES I SMALL NOT C EMPLOY ANY MOON S IN ANYMANNERSD AS 10 BECOME SU&ECi TO THE WORKERS' COMPENSATION LAPS OF GLIFOPfJP. DATE AWLCANT NOTICE TO APPLICANT. IF AFTER MAKING THIS CERTIFICATE O EXEMPTION, y0U SIIO'.L W BECOME SUBJECT TO BE WORKERS' COMPENSATION PROVISIONS OF THE LABOR CODE. YOU MUSTFORTMM'IHCOMPLVMTH SUCNPRUVI51ON5 ON THLSPEPMIT SHALL EEOEE:I/ED REVOKED. CONSTRUCTION LENDING AGENCY 7 HEREBY AFFIRM THAT MERE IS A CCIICTVCTION LENDING AGENCY FOR THE PERFORM ANCE Cf ME WORK FOR WHICH NITS PERMIT IS ISSUED ISEC 309/. CIVC1.(ENOERUNAME_ LENSS I CERTIFYTNATIEHAVE IS C00PEC , I AGREE LAWS RELATING TO OF IFIIS COUNTY DON RPoSES °e S READ THISAGPLICATIONAN0SLATE MAT THE ABOVE INFORMATIONSEP TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STAT£ TO ETERUPo'I iNE A80VFMENTHOHED 800800T'FOR IAISFEC UIIDING CONSTRUCTION, AND HERESY AUTHORIZE PEPRFSENTACITY��PGGE 1 -Q. NATURE OF REPARTEE DATE PLAN CHECK VALIDATION CA " M O. CASH PERMIT VALIDATION CID NO, CASH Reo tp1C, SiRucwits ? fte-AI .r sesrE)' runnel 1.e //Z445 5.5.,r 6 City of Newport Beach Building Department P.O. Box 1768 Newport Beach. CA 92659-1768 Permit Counter Phone No. (714) 644-3288/3269 OWNER-RUILOER DECLARANON HEREBY AFFIRM 1NAI M EXEMPT FROM THE CONTRACTOR'S LICENSE LAW FOR THE u Q FINGBEASON15EG AM 50050NE50ANO0POFESSr0NSCUOfANVnnJH COUNTY WHICHOR REPAIR ANY PUCTURE� PRIOR TO ITS H.SUANCESA050XEOIRES A PERMIT TO CONTUCT.LUIRES THE APR( CANT fl0R SUCHPEPMIT 10 FILE A SIGNED STATEMENT THAT HE IS LICENSED PURSUANT TO THE PROVISIONS Or THE Lary-TRCTORLIC NSE A4 ER9 !COMMENCING WITH SEC EMP oN700B 0FDV510N OE THE BUSINESS DP SSU'S CO E OPr T THEREFROM AND THE -5 UHE ALLEGED EXEMPTION. AN O N 00 SECTION U0315 BY ANY 4pp1 A PERMIT SUBJECTS THE APPLICANT TO A CIVIL PENALTY Of NOT MOPE THANHVFCAN rFOR 1UNOBE0 DOLLARS o$5010011. THE 5AGEs AS THEIR SOLE E5 ID r L DO p HORUI NO E STRUCTURE NR MY rmPLovrEs WITH OT INTENDED OR OFFERED Er IR 5 EC 1044 BUSINESS AND PpOiEsSioNsF O _ O S LICENSE LAw S NOT ApPLYOWNER ODRUIDS OR IMPROVEICE ANT WHO DOE' SuCHWORK HIMSELF OR THROUGH5 OWNEM O EES. PROVIDED X T SuCki U 5 NO O _ HOWEVER. Purl nµIMPROVEMENT55OLD µ'T ONE YEAR OFC ETON. THE OWNER RuILDEPURPOSE OFSAAVE rHEOUPnEN OF PROVING rHA HI WO NOT BUILD OR1MPROvE FOR THE i AS OWNER OFV EXCLUSIVELY UJNL:IACDNG Will llc[ NSEO CON 110C0OXO TO CON$TP000 THE Rix 10to XU51NF$S AND PROFESSIONS LADE rvE CONTRACTORS LICENSE LAW ODES Nat 4PPLr TO CrqiO uEX OF PACK RI, WHO l"O$ 'N IMPROVES IH ANoCONTRACTS PXOl[CTWITH q PaTOPASIULCNSFU PURSUANT TO THE CONTRACTOR'S UCEA5E InW LAM EXEMPT UNDER SEC R ft P. C. FOR THIS REASON OWNER LICENSED CONTRACTORS DECLARATION HERESY CPI RM THAT I AM LI CENSED UNOEN PROVISIONS OF CHAPTER 9IC OMMENCI NG LIC NO • H1 SECTION 7000I OF DIVISION D OF THE 0U51NESS AND PROFESSIONS CODE AND MY uCENSE IS N FULL FOR00AND EFFECT GhmEGHN0Ge1 ENSE.:1ABs CONSULTANT NO //- s /��'. ADDRE63. WORKERSCOMPENSATION DECLARATION HEREBY .'FIRM 00on I HAVE 4 CERTFIC40E Of CONSENT TO Sr I E INSIIRF-OR A CER1 F ITE0E WORKERS - COMPFNSA11 ON IEISUX4NCE. OR ACERTIFIEO COPY THEREOF 15EC 3,10E PCl cast K icse,5q I s'0j • O COMVANY CaalAtx— JOB ADDRESS OWNER ADDRESS: GRADING PERMIT - PHONE: CONTRACTOR PC (j3 re' l- <D) CC ADDRESSest"- /�J F T1 L L= J/ A"C' C C 5 PHONE.✓/! -a el uc Na / j ( 2 ZC CLASS. 1.3 �e WVOHTTO Ie/C/ C ARCHITTiCT. ADDRESS INSP AREA LIC NO.. ENGINEER'. ADDRESS c1Hn IFD COPY I5 H0RE0Y FURNISHED • FNHHEO COPY1.. VI MD WITH THE BmLaNO EXPO „AnC-M•gy -A Iu CERTIFICATE OF EXEMPT/ON FROM WORKERS' COMPENSATION INSURANCE nm aHC NON F,51 NLEu Np1 BL COMPLETED IF THE PFHMH IS FOR ONE HUNDRED DOLLARS IclimWV nmIIN THE PERFORMANCE OF -ME WUR4 FOR WHICH THIS PERMIT 15155UFO I Y PERSON IN 0NY MANNER SO As TO III(OFa SUBJECT IHE WO▪ RKERS COMPENSATION LAWS or CAL1FOObA A F APPLICANT 9imNon( 10 APPLICANT Ir KING THIS CERTInwTE OF L xiMAHONv GOOF MESGFORTHWITH( 010I IT COMPENSATIONPROVISIONSNSGP STOE HALL 00001 OD ' WORKERS cGMPENs w.wEH nnIwl HlmmPLYwlmsucrn noolwoms OR nos PERMIT S1ALLPFOFSMED CONSTRUCTION LENDING AGENCY I HERE AY AFFIRM THAI (HERE IS A CONSTRUCTION LENDING AGENCY TOR THE PERFORM AN00 GI THE 'FIRK FOR WHFCH IHISPERMIT IS ISSUED ISEC 3000CIV CO L ENDER SNAME IPN0ER'S ADDRESS cFR TIE,. THAI DIBE:i 5U IH READ THIS APPLICATION AND STA IF THAT THE ABOVE INr0RMAION IS 0601E C WIOH ALL ry CITY AND COUNORDINANCES ANT) STATE LCONSTRUCIION. AND HEREBY AUTHORIZE REPRESENT IIviCS or EATING. TO THIS COUNrYN NIP EN[B UPON THE N50VF MENTIONED PROPERTY FOR INSPEG 51JNA TUNE OF PERMITTEE DATE PHONE PHONE PHONE PHONE. Permit No G9400014 Inspection Requests Phone No. (714) 644-3255 DESCRIPTION OF WORK: TYPE OF PERMIT: `" _I YES I NO CROSSSt DESORPTION L/r: YABD4a0FOR PPm0LT coNaSPECIrAroNs FILL: CUT RL VIEW DEPARTMENTS PROCESSED _ Name • BY'. ZO TRAFF SUBDIVISION GRADING Cy PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MT BECOMES NULL AND VOID. o 0 o ¢O c 0 a n Z Ere 0 00 3 w 0 3 N O. ASH CS`i 7 If PFlTIONS DATE COMMENTS b.23.541 R p'" onteXc14 \ G-1V-9Y�,,, „ arew acwcr 30, �j/.aeoaa✓aaaea _sp. A0oy4i swe gc�xosr eari tindela /yf'Y,,,,5��rdn' (�nFiF.c io Tcsor9 ova /loe.yk c�O a,2 /� 3;� S; sad,,.: s di-yr kit 3-23-Fs- AV asted G �a z ,lop -4f pv . 1 4J do City of Newport Beach Building Department P.O. Box 1 id8 Newport Beach, CA 92658-8915 Permit Counter Phone No. (714) 644-3288/3289 OWNER -BUILDER DECLARATION 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT 1 AM EXEMPT FROM THE CONTRACTORS LICENSE LAW FOR THE FOLLOWING REASON SEC..EgN15. BUSINESS AND PROFESSIONS COOS: ANY C IIY OR COUNTY WHICH REWIRE MIT TO CONSTRUCT ALTER. IMPROVE OE01 , OR REPAIR ANY STRUCTURE. PRIOR TO ITS ISSUANCE, ALSO M. F REOLNRE0 E APM.i 1 P-IONFp15UCH /TERM T TO FILE A SIGNED STATEMENT THAT HE OR SHE PS LASED PURSUANT TO THE PROVISIONS OF THE COTRACTORSOE^LSE LAW (CHAPTER 9 (COMMENCING WITH iECTI°N 7000) OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS COPE EI OR THAT HE 0 / SHE H5 EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED ON. ANY VIOL iI0N Of SECTION 70315 BY ANY MPJCAM FOR A PERMIT SUBJECTS THEAPPLICANT TO A CIVIL PENALTY Of NOT MORE THAN FIVE HUNDRED CCILARS 1550017 PENASWMERCL THE PROPERTY?XMYEMPLOYEESWIINWAGEOASTHEIR SOLECg! SALE iSKKJ, WILL O THE WYNU( A40 THE STRUCTURE HS NOT INTENDED OR LICENSE ENE0 FOR SALE jNET. Ma TOSINE55 AND PROFESSIONS COS. THE COMPACTORS HCENSE LAW OCES NOT APPLY WHO DOES SUCH WORK HIO AN MSELF OOFR HERSEL1FFYORRTHTHBRMKN 01100 0+00 OWN EMIT AND ES PROVIDED THETBUILDI BUILDING G ORCH IMPROVEMENT SOLD WITH N°ONE VEER OF FOR COMPLEiION1gHE OWNER -BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT B01L0 OR IMPROVE FOR THE PURPOSE OFSALEI I AS071070 OF THE PROPERTY, AM EXCLUSIVELYCOMRACTING WITH LICENSED CON ITIA1HE CUNT ACTORS LFcl r4 1V DOJEC OES NISEC OE APPLY ND 4, ANIYOW OWNERAND A PROPERTY CODE ORAILOS CD IMPROVES THEFI 711 AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CON. cTORISJLJCEE0O PURE _ENT TORTE CONTRACTORS LICENSE LAW ) 14M EXEMPT UNUE '. C B6P C. FOR THIS REASON GATE LICENSED CONTRACTORS DECLARATION 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AMLICENSEO UOEN PROVISIONS PROFAPTER 9 ICCMIAENCIIJG WITH SECTION7000) OF DIVISIVE 3 OF THE BUSINESS AND ESSIONS CODE. AND MYLICENBE IS IN FULL FORCE AND EFFECT. A 111111 _ LICENSE CUSS ({�.iE -_ LTC. NO (�'� DATE - 3 ((s-y _J//9�_ COTPACTOH _ Nj]I(,{ p • /WORKEITS' COMPENSATION DECLARATION 1HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS. - HAVE AND WILL MAINTAIN A CEREON ICAIE OF CONSENT TOSELF'T/SURE FOR WORK- ERS COMPENSATION AS PROVI4E°R.YI BY SECTION SARI OF THE LABOR CODE, FOR THE PERFORMANCE' OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. HAVE ANB WILL MAIMAM WORKERS COMPENSATION INSURANCE, AS REQUIRED BY SECTION 31C0 OF THE LABOR CODE FOR THE PERFORMANCE OF THE MORN FOR WHICH THIS PERMIT IS ISSUED.. MY CODE. COMPENSATION 1NSURANCE CARRIER O POLICY NUMBER ARE DATE L ARR1ER_ STATE FUND PBLIGYNUMBER_ - 046-95-0614288 UPS SECTION oR (NEED 1407 BE COMPLETED IF THE PERMIT IS POR ONE HUNDRED DOL. I CERTIFY THAT IN THE PERFORMANCE OF THE WORE FOR WHICH THIS PERMIT IS ISSUJECTFEO ENE WOI SHALL RKERSPLOY ANY COAENSATTIONUW OF CIN ANY ALALIIFORNNER �AND AGREAS TO E TINT ME SUB- JECT S ECTIONSHOULD S/00 OFAE E LAOHC HIE SHALLL FORPERITIPOVMPLLY WITNPRTHOSE PROVE 4i/2Z/9SAPPLICAM t^MA�71‘1.‘ SHALL SUBJECT 4N EM• NG FAILURE TO PLOYER TOORKERS' COMPENSATIONCHMIINAL PENALTIES ANB IVIIL°FINES UPNTO ONE HUNf1 • ° THOUSAND DOLLARS 51Y0 coo. IN ADDITION TO TIE COST OF COMPENSATION, DAM- AGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE. INTEREST. AND ATTORNEYS CONSTRUCTION LENDING AGENCY HEREBY UNDER FTURY AT THERE IS A CONSTRUCTION SNMTNG AGENCY FOR THE PERFORMANCE HE WORK FOP WHICH THIS PERMITIS ISSUED I SEENDERS 97 NFIME J LENDER'S ADDRESS CERTIFY THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMA- TION ISCORRECT I AGREE TO COMPLY WRN ALLCRV AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION AND HEREBY AUTHORISE REPRESENTATIVES OF LV0 IS COUNTY TO ENTER UPON THE AOEMENRONEO PROPERTY FOR INSPECTION PURR POSES PERM �ITTF.Eti1MN4ME 1 ReI 4 0k \ �5 �NoOzE -33ti JOB AOORES0: BLDG: OWNER: ADDRESS. CONTRACTOR: ADDRESS: STATE C NO. ARCHITECT: ADDRESS: LTC. NO: ENGINEER' ADDRESS: LTC. NO APPLICAN `- ADDRESS: PHONE: NEWPOCR? PHONE: COSTA MESA CA 92626 PHONE: 714/548-966' Permit No. BUILDING PERMIT B9500681 "Al R61P01! BRIO FLOOR: SUITE'. Yon 'MEMORIAL NOSPITAL 301 NEWPORT BLVD NEWPORT BEACH CA 92626 PHONE. PYRAMID PENCE COMPANY INC 776 W 16711 ST COSTA KESA CA 92627 313311 CLASS: C13 INSP AREA: DESCRIPTION OF WORK'. Inspection Requests Phone No. (714) 6443255 CEO 6I91 F68C6 (660.95) CONST: ?LT CRAIN LINE FENCE 6'0204' TYPE OF CONSTRUCTIONADDE: SO FFT° BLNOGV 714/646-215';,rgi y` REDD @LOG SETBACKS 714/548-966 oe c`e1PnoN. 00197E BUS. L1C. LIST Yes No aE r�- CCC NO OF GROUP STORIES. AOEO I NEW SO. FT. GAR. SSPACES FRONT REAR LEFT RIGHT IR71NE SUB LOT 169 BLF. 2 P0R OF LOT (oF i1Ae West Seth tt gel) Kw.. : G' NIWI coml.; LIA(k-og Lc -Eke. of del;a0,4>ei tian Fgo'- adJ gwnfit 011R1._ PHONE. PROCESSED BY: .cci 12,'c ZONING �TGG OTHER DEPARTMENT itc APPROV PYRANID FENCE CO (MARC 776 W 16T8 ST FIRE PLAN CHECP APPROVAL BY s SIGNATURE 01 APPLICANT * CIP Building Permit Fees ENTER» Final Project Valuation Regular PLAN CUECE PEES BUILDING PERMIT FEE Subtotal CIP BUILD:NG PERMIT FEES Is NICROPILMINC FEE required? (9) CALIFORNIA SEISMIC SAFETY FEE > PLANNING:00NTER P8EVIE) FEE $5 ?(Y) TOTAL CIP BUILDING PERMIT FEES GRADING APPROVAL 35.10 54.00 89.10 .48 Y . S0 5.0d Y 95.08 2400 APPROVAL TO ISSUE gee_ Payments: redit extended: Total Credits: Balance Adjustments Balance due 0.00 0.00 0.00 95.08 0.00 95.08 MAR 2 31995 &E4CH 8 0} to 00 0 N F 0 O 1- W o rL > Q) 0 — 0 0 4 0 0 O a a 30 t 3 0 a 0 0 2< 3 APPROVALS DATE BY COMMENTS FOUNDATION: ROUGH GRADE SETBACKS air FOOTINGS Wars.. ®L SLAB ON GRADE DECK SLAB FRAMING'. SUBFLOOR ROOF & BUILDING HT EXT. SHEAR / HOLD DOWNS GENERAL FRAMING INSULATION DRYWALL SUSPENDED CEILING PLASTERING: INTERIOR LATH EXTERIOR LATH SCRATCH BROWN MASONRY: FOOTING PRE -GROUT FIREPLACE MISC.INSPECTIONS: FINAL r.2,, J- H CERTIF'CATE OF OCCUPANCY TENANT NAME: $ DEPOSIT RELEASED FOR REFUND ON TO I TYPE OF BUSINESS USE r City of Newport Beach Building Department P.O. Box 1768 Newport Beach, CA 92659.1768 Permit Counter Phone No, (714) 644-3288/3289 OWNER-SUILIVER DECLARATION I HE REWVN GflFIRM THAT I AM EXEMPT FROM THE CONTRACTORS LICENSE LAW FOR THE FOLL0WHIM REQUIRES A PERMIT TO CONSTRUCT, ALTERa ITALMOv. DEMOLISH, OR REPAIR ANY STRUCTURE. PRIOR TOI FSISSUANCE, AL50REOUIRES THE APPLICANT FOP SUCHPERMIT TO FILE A SIGNED STATEMENT THAT HE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTOR'SLICENSELAW ICH4PTER 9 ICOMMEN CINGWITH SECTION 10001 OF DIVISION 30E THE BUSINESS AND PROFESSIONS CODES OR THAT HE IS EKEMPT THEREFROM AND THE RAMS FOR THE ALLEGED EXEMPTiaN ANY CANT FOR A PERMIT SUBJECTS 100 4GPUCA NI TATION DE SECTION I o A CINL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLV.RSI3500. 001.1: III. A5 OWNER OF THE PROPERIV. OR MY EMPLOYEES wlrl WAGES AS THEIR SGLE COMPENSATION, WILL DOS THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SOLE ISEC. NET tl 1 55 AND PROFE5510N5 CODE. THE CONTRACTOR'S LICENSE LA 00ES NOTAPPLVTO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON. 0NDWDOES SUCHWORK HIMSELF OR THROUGH HIb GWN EMPLOYEES. PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE. IF OWEVER. TIRE BUILDING OR IMPROVEMENT IS SOLD wiTNIN ENE YEAR OF COMPLETION THE OWNER WILL NLV0 TURDE IE BN OT PEEING THATHE DIDNOT BUILD OR IMPROVE FOR THE Pun0OSE OF I. AS OWNER OF OH PROPERLY. AM Euw510 V CONTfl4T TING wrol1ICT NEncoN TRACTORSTTO CONSTPUa THe PRm0CT SEC 7044 BUSNESS4O O E COCTORS LCENSE LAW DOES NOT A"PLY TO 4N OWNER O HALOS OS0 IMPREE. LS PIT AND WHO CONTRACTS FOR SUCH PR . AL HI A _1A iOP151 LICENSED PURSUANT TOME CONTRACTOR'S LICENSE I AW 1. "I LAM EMFMET UN0EPSEC. b. 0000 FOR IRISREASON_ DATE _.. _.._.-OWNER. JOB ADDRESS: BLDG OWNER: ADDRESS. BUILDING PERMIT 191 NM FLOOR: SUITE. HOAO HOSPITAL 301 INFO!? ILVD 18"POIT IIAC0,CA 92660 CONTRACTOR. PORN CONSTRUCTION CO ADDRESS'. 2894 ROosit URINE LOs 610gLs5 CA 90039 s'c'Noo 151220 CLASS:1 ARCHITECT CMJ IIDIIEBRII9 ADDRESS 1450 V OH ST ST1 202 001014, CA 91720 DESIGNER ENGINEER. ADDRESS. LICENSED CONTRACTORS DECLARATION I HEREBY AFFIRM TEAT I" AM LICENSED UNDER P510015ENS OF CHAPTER 9 ICOMMENCING LIC.NO.. WITH SECTION 110001 OF DN151DN 3 OF THE BUSINESS AND PROFESSIONS CODE, AND MY LICENSEE IN Flill" FORCE AND OCTET APPLICANT LiaNSECLASS-- _ DGND. " 151220 --- - - ADOREss'. CoNTRATTOA or eve-_ 3--'9 WORKERS' COMPENSATION DECLARATION SIGNATURE OF HEREBY AMMO THAT I HAVE A CERTIFICATE OF CONSENT TO SELF INSURE, OR A CERTIII APPLICANT cABFE OF WORKENS'COMPFNSATIONINOuAANCE.ORACEROFIE000PY THL000 EOF (SEC 30. POLICYNO__250170IS73SSS_COMFAY__"_ "AIM CASUALTY FITTED L ' 'I EB GRNISHILL YEPP TET Doom'isF MT E BUILDS (TEAM! ENS bAn 3 9 .9L( CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE THIS SECTION NEED NOr NL COMPLETED IF THE PERMIT IS FOR 011E HONORED DOLLARS S1001 DH L.451 51''L'I TEEPENFONMANCE OF Om wryly FOR wicc515150E RHH IS ISSUED.1 ArvMA SON IN 4NV MANNISH Sn A5 in BECOME se13ECT TO THE wO,IKER'COMP[MSnFEN Inw5 or C4U4[NNE DATE App N OIICE TO APPLICANT 0 AFTER MAKING TES CENTINOATS 00 l%EPIATION. YOU SHOULD BECOME SUB SC/ it Mir WO05000' COMPENSATION PROVISIONS OF THE LARCH CODE. you muse HEFLINEH COM,R YYAOI SOCNPROvISIo0SON MISPERMII SHALL BE DEL MED 5EVDED CONSTRUCTION LENDING AGENCY HEREBY AFFIRM N14 r THEN,: IS A CONST0I1RION I ENDING AGENCY EOII TIN PEaf ORM 4NCF GT IHF LEAH Fair int(H rips ENMII IS IS0UEO Mr 3091.510 C1 LF.EDER .NAME f T Di1 TION Qt To cowl y LE O �TIORENEGENTA TNT F U .IE E D P E DOME ,,N ERPE_ 3 Fq'1L) DATE BILLER STEVE 301 IIIPOIP BLVD IMPORT lit CA 92660 * CIP Baildiam Permit Pees t ESTER» heal Project Valuation Regular PLAT CHECK PSIS ' - 101181SC PENIT PEE is a CL2AI.OP-DEPOSIT regaired3 (0) • Subtotal CIP BOILOIRO PERMIT PIES Cx CALIP011I6 SEISMIC SAFETY PEP TOTAL CIP 10ILDI10 PENIT PEES INSP AREA: PHONE 114/646-8901 PHONE: NEWPORT BUS LE PHONE PHONE 213/666-5440 019694 SOS. LIC. LIST Yes la 909/279-0057 PHONE 714/548-9622 PLAN CHECK VALIDATION OK MO. CASH DESCRIPTION OF WORK. CONST' TERE OF coNSTLECTION ADDNE 5O El BLOOw 00L UNITS ae eD e10G LEGAL DESCRIPTION Permit )1940No. -0594 nspaction Requests Phone No (714) 644-3255 till IIIILII (169-10 IDA TRIP TI41L80 POI BLOOD D0181 DEPT OCC NO op GRoup STOPf4 ADDSO FTGAREW ZONE ft— FRONT REAR sae(E7 LEFT IIVI88 S01 LOT 169 ICI 2 PER 0P HAT RIGHT csorvomoso Tote. sRzuautC/noout.eta 5436- lc- nest- Pc-'rexr L-oNa:a- e44.R.eds ufei5 -9L{ Bin c PROCESSED BY ZONING APPROV OTHER DEPARTMENT FIRE V PLAN CHECK APPROVAL BY GRADING APPROVAL 12000 87.75 135.00 300.00 522.75 2.52 525.27 scP4 APPROVAL S O ISSUE &LA -- Payments: 0.00 Credit estemded: 0.00 Total Credits: 0.00 Balance 525.27 Adjustments 0.00 Balance due 525.27 APR 041994 CITY OF NEWPORT 11,,C; PERMIT VALIDATION It, CKj MO. CASH WORK MUST Stift// dz- 1424o sze.9.r as 6 •/s -Pr 4%w//s rao &T7 - ,9StZFa row /o.tiie.J /Zits " : /S4 " a,4 / . /0.97 &rfr SW" *V ,S/oli° /S U.wl•HoraIc 6 %20. 71 C>ONf/. es,' 4tit ' p er. /7£ X-717aa �a�o /aa ad./T eehor 6 J 99 - erxtera.fd4 wig` "d>ffelr /tryti ". Ji% Gvt .9C'4dier0 'a .lam o.✓2,2- 1r /> /r #4 * a/nr/� #fl 24 9, as 7 i - gym -reel! p/iLL P. 23. 9# • engine /a zo 'ear,r, o d g r 9, %VG tin eater' a< fir A% Arta ref/rad sny e-K EX7£d/s/ate i 8/ o Bit%' an Agea'C itY42 otery d /S•iS- raza £O& r si11 ��!//Aar 4!l /t'itrevr,4 y//1,#+�•�•-- SroJsfi7/1is ,ram//7,sr.a4 r,S-w®,' 7Da.4 ?3•�s 7,P''Z�C,/ ,Lu,J /Own Set si E S✓3� Lip py `�4��LJ9zz & .. Les le- 0"1. Ua �'no 3 City of Newport Beach Building Department P.O. Box 1768 Newport Beach, CA 92658-8915 Permit Counter Phone No. (714) 644-3288/3289 OWNEPoBUILOER DECLARATION JOB HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM E'EMP1 FROM THE AOOHESS'. CONTRACTORS RACTORScLICENSE LAW FOR THE FOLLOWING REASON ISEc BUSINESS AND CITY OR COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT ALYER MPROVE, DEMOLISH OR REPAIR ANY STRUCTURE. PRIOR TO ITS ISSUANCE, ALSO BLDG: DEMOLISH. sucH PERMIT1a RE4s1GNROm4TUMENr THAT HE dR SHE BOAC OPAL HOSPITAL OWNER: 301 NEWPORT BLVD REQUIRES THE APPLI AN. '0 LICA6 SEDCI40SuANT TO THE PROVISIONS E PROVISNS Of THE CONTRACTORS LICENSE LAW ICH4FTER CODE} OR THAT HE 0R SHE 5 ExEEWITH SECTION MOT DIVISION OM AND THE3 OF THESNESS BASIS FOR TNEANDFALLEGED EXEMPTION. ON. ANY VIOFATION OF SECTION mT CN]50V ANY APPLICANT FOR A PERMIT SUBJECTS PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS 1§SOBI1 P. PROPERTY, S OWNER OF THE PROPER, OR MY EMPLOYEES WITH WAGES AS THEIR SOLEMN. THE APPLICANT FS4nON, ILL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC. BUSINESS AND PROFESSIONS CODE E CONTRACTORS urns -LAN' ODES NOT AY TO AN OWNER OFOR IMPROVES THEREON. • O COS 5VCH' YORH HIMSELF OR HERSELF ORRTTHHRO°UGH ILDS HIS OR HER OWN EMPLOYEESS. PM vrorn THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE IFHOW EVER. THE HE WNEF BUILDER WILL HAVE THEEVEMENT BUB EN OF PROVING ONEIS SOLOWITHITHT HE ORRSHHE DO NOT SOOF LO IMPROVE As owNER OETHEPROSE ` ERLTY. AM EXCLUSIVELY CONTRACTING WITH LICENSED CON TRACTORS TO THE PROJECT ISE.3044. BUSINESS AND PROFESSIONS CODE THE CONTRACTORSSTRUCT L 1ENSE LAW DOES NOT APPLY TO AN OWNER OF A PROPERTY WHO • cs9IONsEouSRHECOM°O15ELsvTH4can. TRAr0SI THEREON, TOTC.0110ENAI I AM EXEMPT UNDER SEC __._-_ —_ • D °C C FOR THIS REASON DATE BUILDING PERMIT HI Riffling ng ADDRESS' NEWPORT BEACH CA 92666 POZZO CONSTRUCTION co CONTRACTOR: 2894 ROWERA AVENGE ADDREss: LOS ANGELES CA 90039 STCATEO 151220 G B .. TAYLOR A allc.(c-21102) ARCHITECT: 2220 UNIVERSITY OR 1200. ADDREss'. NEWPORT BEACH CA 92660 ASSIGNER LICENSED CONTACTORS DECLARATION I HERESY AFFIRM UNDER PENALTYOFF CHAPTER 91COMMENCING WITH SEC110N1U70 0I OF a V SIO FIY THAT I AM ENSEO `XE BUSINESS AGER ND OFE551CMS CODE, 4NB MY LICENSE IS IN FU°. FORCE AND EFF 40 LICENSE CL555= �-_ Z / UC NO W ('_ _ UirE-U.J/ Q _ CONTFMOTOR�Wt�Gi.� WORKERS' COMPENSATION DECLARATION POW() I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOSLO W ING GEp0MTCN 5 I HAVE AND WILL MAINTAIN A CERTIFICATE Of CONSENT TO SELF INSURE FOR WOYM- ERG COMPENSARON. AS THE PERFORMANCE OF THEWORN° FOR WNttN THIS PERMIT IS ISSUED. COOS FOR X (SECTIOAND EiW OF MAINTAIN IlARCA CODE COMPENSATION05 T LE RRFFOR MANGE OF AS REQUIRED FOR WHICHONUMBER ID IENI.`1ESUO FMY WOELERG CJMP@SATON INSUMNGE CARRIER AND CARRIER AETNA CASUALTY _ 25C.15717639550 PODGY NUMBER (THIS SECTION NEED NOT BE COMPETED IF THE PERMIT IS FOR ONE HUNDRED DOL. LAR515OV OHLE551. CERTIFY THAI IN THE PERFORM4OE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUB TLC! TO THE WORKERS COMPENSATION TAWS OF CALIFORNIA. ANB AGREE THAT IF I SHOULD woo O BECOM`NUUBJECT TO THE WORKERS. COMPENSATION PROVISIONS OF EBUrr ODE I snALL FORTHIITI COMPLY WITH T SE PROW a;IS ?- 4 TATE u3 /— AELLGANI }'E'4cJt � •21,..,-4. SHALL STAIECT `AN EMV SECURE TO CR114150L COMPENSATION °NoCOIL FINES UPNTOWONE HUN- DRED TPRVIDETO379oR`ofSMESTTIOR°9s AGES EAOED DOLLARS SCTIONN 0 THE LABOCUERANDATN F CONSTRUCTION LENDING AGENCY HIRLEND- NG AGENCYEEw FOR AFFIRM TTHE`CIEH PERT RMSNCF rENALTy OF `IIF lly WORK FON WHICH THIST THERE IS A ERMITTin IDRSSUED OLEG YY}J. CIV CI I ENDER SNAMF ENDER S ADDRESS CI RE .1VE READ M15 4PPLICAT ION AND STALE THAT THE ABOVE MEORMA. ON I5 COOEC*L AREE TO COMPLY WIT1 1ALI^MI1Y AND COUNTY ORE NAN:ES AND STATE 4W5 RE m RUIL0INO CONK RICrlan D HEREBY 4uT. OR 2E REPHLSENTATTIES r911 COuN1Y la ENTER uPR nm ABO}VE.MFNNGNU) PROPERTY FOR INSFECDON PAR. ARK E Severefu % E FFI R?ERMIT1EE e4 01 v7,e5J-- DATE TIC. NO.: ENGINEER'. ADDRESS' LAC. NO Puca8T ADDRESS P0EZ0 CONSTR CO (10882) 2894 ROWENA AVE L05 ANGELES CA 90039 SURE: PHONE: PHONE NEW PORT PHONE: PHONE PHONE SIGNATURE OE APPLICANT /'ry fL C. Ui_LICJifA✓ CIP Anildine Permit Fees t ENTER» Final Project Valuation Regular PLAN CHECK FEES BUILDING PERMIT PEE Is a CLEAN-UP DEPOSIT required! (Y) Subtotal CIP BUILDING PERMIT PEES Is NICP.OFILNIN00 FEE repaired' (Y) CALIPORNIA SEISMIC SAFE!! FEE PLP.RNINC:000NTFR REVIEW FEE $5 Y(Y) TOTAL CIP BUILDING PERMIT FEES INSP AREA'. 714/646-8901 213/666-5440 019694 BUS: L1C. LIST Yes No 71i/574-1325 213/666-5440 11V5V0531 L1S)BC,)On Requests Phone No. (714) 644-325 OOWION TWIG II1L 152.11) NEW SITE RETAINING WALL 4°3/8°1201 CONST.: CONSTRUCTION . TYPE OF �Y/ %�i OCcGROUP lj� EW 50 Fl. BLDG so *1 GAVR NO. OF o5E �J PARKING UNITS. OONE L SFACES- SET ABLDG FRONT REAR LEFT ADDEDN: NEW LEGA L CONDITIONS PROCESSED BV ZONING APPRO FIRE APPROVAL GRADING APPROVAL 22.75 35.00 100.00 Y 157.75 .30 Y .50 5.00 Y 163.55 IRVINE SUB LOT 169 RLR 2 °0R 0P LOT 1500 OTHER DEPARTMENT "Toa1E 5 s RIGHT ` Paytcnts: U 0.00 Cre it extended: 0.00 Total Credits: 0.00 Balance 163.55 11jnstnents 0.00 Balance due 163.55 MAR 0 81995 Ci l Y OF NEWPORT £EACH 0 0 2 3 34 0 0 0_ (10 a0 00 of 2 CD LLZ a 0 3 a m 0 APPROVALS R I DATE BY COMMENTS FOUNDATION'. I I3-9-95 ROUGH GRADE SETBACKS FOOTINGS fah /le( F i SLAB CN GRADE ..r/c/J - dlJ__"!!c r.i,n i D_� Set S tNita_a DECK SLAB /e E FRAMING. SUBFLOOH ZW- ROOF &BUiLDINC HI EXf SHEAR; HOLD DOWNS stg-IZ-. - /W�Li ,/��1St /4S®�Crf/oA). f/4f_� lO'Z'e,040-r A+riPsd 4N el ei 44kd-- vzwVi� ,n,eee -Ley_Aggire---_p� aten, GENERAL FRAM NO I S -4k. - �7% ara t9's o ' -; 1.TdB ' ' 3r_ Gen_ 70 .E Gv1 '- INSULATION^•��•�r DRYWALL - I 55iS 4V ege0 Li `e._�W 4- AX� "JUG . ewe- '!L aUSPENDED CEILING /f .'" 00 OL2S "L PLASTERING. f .�� INTERIOR LATH I EXTERIOR LATH SCRATCH BROWN MASONRY FOOTING PRE PHE GRGJT FIREPLACE MISC. INSPECTIONS. FINAL CERTIFICATE OF OCCUPANCY ✓ 23 •/ , ••� QK(-/ - .r TENANT NAME TYPE OF BUSINESS USE'. s Igo— / DEPOSIT RELEASED FOR REF- OD ON 1p- 56 TO 2t-^ 7,7 /J.r to 91003:7_ City of Newport Beach Building Department P.O. Box 1768 Newport Beach, CA 92658-8915 Permit Counter Phone No. (714) 644-3288/3289 OWNER -BUILDER DECLARATION I '.HERESY AFFIRM UNDER PENALTY OF PERJURY THAT I AL?tat EXEMPT FROM THE CO R C ORS LICENSE LAW FOR THE FOLLOWING REASON 9 5 BUSINESS AND PROFESSIONS CODE ANY CITY OR COUNTY WHICH R000IRES PERMIT TO CONSTRUCT. ALTER IMPROVE. DEMISH. OR /REPAIR ANYTO ITS /SSUANCE. ALSO REQUIRES TE APPLICANT FOR SUCH PERMIT TO FILE 4STONED S ATEMENT THAT HEOR SHE IS ICPROVISIONS PURSUANT TO THE PR50050F THE CONTRACTORS LICENSE LAW (CHAPTER C MENCING WITH SECTION IOW) OF DIVISION 3 OF THE BUSINESS AND PROFESSFhS CODE, OR THAT HE OR SE'S EXEMPT THEREFROM AND THE OASIS Fon THE ALLFGEO EXEMPTION ION OFSECTION 703150Y ANY APPLICANT FOR A PERMITSUBJECTS APPLICANTTrIF TOACIVIL PENAL OF NOT MORE THAN FIVE HUNDRED O3LLAPS WOO'' OWNERO HE PROPERTY.ERA OYYEES WITH WAGES ASMER SOLE . JX4 E5 O. 00 E WORK.AND THE Sr C S NOT INTENDED 0R OFFERED FOR OEI' NOT SE APPLY TOSAN OWNER PROFESSIONS coo BUILDS OR IMMOVES CONTRACTORS AND WHO PHCVOEDSTHAT SU HORIMPROVEMENTS AREENOT INTENODED ORROREPED.FORRSSALEPIFF.. HOW. THE BUILDING OR IMPROVEMENT 15 SOLO WITHIN ONE YEAR OF COMPLETION HE OWNER -BUILDER WILL HAVE THE BURDEN OF PROVING mnr HE OR SHE DID NOT WILD OR TVA ORWNER OFT E PPROSE OPERTY. AM IMPROVE -00EXCLUSIVELY0.MCMNESS AND CWITH0000 DEBASED CON- ThE O S r0 CONSTRUCT THE PROJECT NOT BUSINESS ANO F A PROPERTY CODO TIE cS C IMPrOVEUCEEE 75DOesNOTNTRACToAN OWNER 504PROPERTY WHO TRACTTRSMPROVESMEREON NOWHO HE CONTRACTORS PROJECTS WITH AGUN - LI LICENSED PURSUANT TOiHECOMRACTOR9LICfli6E LAW , AM EXEMPT UNDER SEC .BSP C. FOR J HIS REASON „ALE LTC. NO ENGINEER LICENSED CONTRACTORS DECLARATION FEREBY AFFIRM UNDER PENAL OF PERJURY THAT I AM LICENSED UNDER PROVISIONSADDRESS. L PROFESSIONS CODE ICOµNL OF WITH SECTION D MYLICENSEISIN MAL FORCE DIVISION F OH EANDEFFFCT TIE BUSINESS AND LICENSE was UL.N0. 436023 CONTRACTORLau.k.xeLePLICANT. WORKERS' COMPENSATION DECLARATION ADDRESS. I HEREBY AFFIRM UNDER PENALTY OF PEIUORY ONE OF THE FOLLOWING DECLARATIONS. I HAVE AND WILL MAINTAIN 4 CERTIFICATE OF OcluCFNT TO SELF INSURE POP WORK' SIGNATURE OF THE PEEIE'ORMAAJNCE OP THE WORK FOR WHICON. AS PROVIDED FOR BY HTHISSPPERMI IS ISSUED000F -DIE . CODE FOR APPLICANT ( HAVE AND SECTION 33750 00 THE LABOR CODE FOR THE PCE AS REWIRED PERFAINTAIN WORKERS' COMPENSATION ORMANCEOFTHE FOR AND VVHICH THISLICY PERMIT INS ISSUED. MY WORKERS' COMPENSATION INSURANCE CARRIER CARRIER BUILDING PERMIT JOB ADDRESS: 101 0H00! B6i SLOG: FLOOR' SUITE: OwIER ROAG MEMORIAL ROSPItAL PRESOY ADDRESS 301 NEWPORT BLVD, _NEWPORT BEACH CA;12ES8 PHONE' CONTRACTOR. - MATSON INVESTNENT;.UEBLOPNERT ADDRESS-. • 18182 SERRANO AVENUE VILLA PARK CA 92667 ',WI 636023 CLASS'. B ARCHITECT. PENMAN INTERNATIONAL ADDRESS' 129 V WILSON , STE 200 COSTA MESA CA 92626 DESIGNER THORPE WILLIAM HOWARD 5 CORPORATE PARR DP, 1260 IRVINE, CA 92714 S-003866 PERIDIAN 1NtERNATL (STEEE) 129 0 WILSON, STE 100 COSTA MESA CA 92626 PHONE' PHONE' NEWBUS PO? PHONE' PHONE' INSP AREA: 71U646-890 BUS. LIC1 Na 714/5(8-8393 71b-250-4222 DESCRIPTION OF WORK' Permit No. B9501367 Inspection Requests Phone No. (714) 644-3255 C8808Cilg,8kbI/P68C68 (8%- s) COAST.'. d1,T 3511 6'BLCCK WALL 6 351 TUBE STEEL PENCE CCONSTRUCTON O oE0 r NEW SO. FT. BLDG. NOUNOF SETBACKSG DESCRIPTION. SPECIAL 005017IONS SEB BY: AL I/I1 SA APPROVAL 714/S48-8393 GRADING APPROVAL USE ZON GROUP PEKES STORIES. 50DFT. OAR PARKING SPACES FRONT REAR LEFT RIGHT IRVINE SOB LOT 169 ILK 2 P0R OF LOT PLAN CHECK a Re Sr APPR T--Il—Ir POLICY NUMBER NC-E}ENP4-- .... -.. n5 SECTION NEED NOT HE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED COL- XI WISISISIL OP'.551. f,LORE,/ THRT IN THE PERFORMANCE of THE WORK FOP WHICH THIS PERMIT IS ISSUED SHALL NOT EMPLOY ANY PERSON IN ANY MANNER 5O AS. TO BECOME SUB- JEC0IC THE WOPKENS COMPENSATION LAWS OF CALIFORNIA AND AGREE THAT IF I DATE SHOULD 3700 BECOME EISULABOR TO E I IIALUVOFORTHWITH RS COMPENSATION PROVISIONS OF sous 0 EU0000011514LL 04500camm COMPENSATION THOSE PNOVF —,- LE1-qS Lit_ ko . WARNING FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWI-.AND OREO THOUSANDDOLLARS 15TIYJ 000) 10 IN AOOR7N TO TFMINAL PENAL TIES E'L Sr CIVFINES COMPENSATION DAM ACES. AS PROVIDED OR IN SECTION 3100 OF THE LABOR CODE. INTEREST, AND ATTOFNCYS CONSTRUCTION LENDING AGENCY III:REF1Y AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS 4 CONSTRUCTION LEND AOENCY FOR THE PERFORMANCE OF THE WORK FOR W'RICH THIS PERMIT IS ISSUED ISEC IDS] CIV. C I T FNER'S ADDRESS CER (IFT i113000RECTT(HAVE TEAD L IAGREE OCCOMPL7''NTAPPLICATION ABOVE HALL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION. AND HEREBY AUTHORIZE REPRESENTATIVES POSES0 COUNTY TO ENTER UPON THE ABOVE -MENTIONED I'HOPERIY FOP !NSPCC ION PUR RicAlAP.O w . PERMITTE NAME (PRINT, r,,a_< 3.a. I E I a9 7-11-`W.S DATE * CID Building Permit Pees EN1ER» Final Project Valuation Regular PLAN CHECK PEGS BUILDING PERMIT PEE Is a CLEAN -OP DEPOSIT required? (Y) subtotal CIP BUILDING PERMIT PEES Is NICROPILMIRO FEE required? (P) CALIFORNIA SEISMIC SAFETY FEE PLANNING:ZONING PLAN CHECK PEE 1(Y) TOTAL CIP BUILDING PERMIT TEES 105.30 162.00 300.00 0 567.30 584.61 15000 P f>' nt 0 123.16 redit enacted: 0.00 Total Credits: 123.14 Balance Adjustments Balance due O LU 30 0 m� 00 aU 00 O FU W 0 .11 CD 0 O 0 `0 O a 3 lL PAID N JUL 191996 C Y OF NEWPORT T NIEACH 661.67 0.00 461.47 APPROVALS DATE FOUNDATION: ROUGH GRADE SETBACKS FOOTINGS SLAB ON GRADE DECK SLAB FRAMING SUBFLOOR HOOF S BUILDING HT EX SHEAR HOLD DOWNS GENERAL FRAMRJG BY COMMENTS LAiefeAS r SalSeof__AserlY� ,tom: anteered -sir __ e it "Wain O,,me 1 INSULATION DRYWALL. SUSPENDED CEILING PLASTERING INTERIOR LATH EXTERIOR LATH _-R SCRATCH RRrtN:Al - 1 MASONRY. FOOTING _- PRE -GROUT 'FIREPLACE 8-a? 11- 2' MISC IN3PECTIONS- FINAL CERTIFICATE OF OCCUPANCY TENANT NAME. TYPE OF BUSINESS USE 20 if IS �� DEPOSITfiELEASED FOR R UND ON _hi CIS - TO o el l-a, c.a 131 LE 11 7e%} l Oh- 214t$ n/0o I, CA92650-LOO Permit Counter Phone No. (714) 644-3288/3289 OWNER-SUILOER DECLARATION I HE PT BY AFETIM DIA AM MOPE FROM CONTRACTOR'S F SF TW FOR THE Ohl CAMEO BEASON YE( S smrvsc CITY oncnunry 10NUa0CT n LISIS OR ELPAIF ANY IMMO lIAI oANI FOR SUCH PPHMO r0 SINNED IST.ULMITo�I rF I ICENSEDRPu651uANrLTO THE PROV151ON50F TIIE ON " LAW ;LIOTSH RECOMMENCING W1015ECEION 100010F OIYISIO,. oll Tn1r_NErNS MO RIMLADSALL NOPM IMENNEEN ANDFE YViR TONHAI Cr SECT.ONNIMBI LEILTIOI 00 ,4AN0nre ROIL POP E,EMLNON A DI SENALT ,RmN T ANY THAN I AM TO IIN111L50 W IF HIh APPLICAN Il1O A CD IL PENALTY CIE NOT MORE THAN II44 IOIIe Lour I.. eS ISlROOIII IMF P MBEIT/ 011 MY EM L,0YaES'WITH WAGES AS THEIR 50Lv NOT IN IENUEO OR OFFEu[O DAI I ISO E L 'O D CODE T 'oF PROPEITYWHO BULDE onrAAPNOVIrut 1HSOVEN EMBO ES. PRODOED r THAT TT MONDE mu ARE NOF Iti Nom cir DOME IT MR SAL iE EVER EH !A I ECLOSIVII Y CONTRACTING WUH ICENDIN CON ONENESS AND PROFESSIONS CODE. .LICENDE AWDOES NOT APPI V TO AN OWNER OF FOEHTY WHO AND WHO CONTRACTS FOR (NCH PROJECTS WITII A Ir. MO ,I(iTOUT PURSUANT O IIL CONTRACTORS LICENSE LAW. I-KI FYI M APi UNDER SEC n&e C. FOR THIS REASON nett OWNER LICENSED CONTRACTORS DECLARATION LICENSED LINDER PROVISIONSf:CHAPTER (COMMENCING MI In SEC MN MOO Of DIVISION 3 01 THE r SF E1 Lu'E AND FOP s r OrRt ODE NOeY I NO WORKERS' COMPENSATION DECLARATION LEI NFICATE OF CONSENT TO SELF INSURE. On A CE0TIPI. AN ORv1EIS 000450.NEAFION INSURANCE 011A CERTIFIED COPY THEREOFI5EC. ONO II IT Y NO PC EZEMPScomPANY HR ROWLISH/Ell I OWLISH/Ell-NRHD COPY IS 1I RE U WITH DR ROII DwOOEPANTMF A CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE rsloln DEC Ox EION D Nnr RF COMEX r ETD IF MEPu1ML 1.. FOIE ONE HUNDRED DOLLARS 11N IHI PERFORMANCE TO ERE WORK F0II WHICH THIS PERMIT 15ROOM .1 SIIAE6 NOT EMPLOY ANY PERSON IN ANY MANNER 50 A5 TO BECOME'SUOJECT TO THE, WORKERS COMPENSATION IA'WS DE CAI0ORNIA DACE l 14 vPLICANT ?Z-T QsF--�- aao� mCE TO APPUCAN6 it Ar4FR KIMONO ODD CERTIFICATE OI EXEMPTION. YOU SHOULD ITIMF SOL Orrrn D16 WORKERS COMPENSATION S OE THE LABOR CODE. YODMUSTEOFITHWITTOOMER now sun. Sn0v1.,10N5 OR OR, PERMIT SHALL DE DEEMED PE VI Krn CONSTRUCTION LENDING AGENCY LRV 1 CIE IS A CONS111M rHON IFNDING AGENCY FOR .HE ^EREDRM ONE`OP 1 irr DII x 10D WHICH THIS PEHMIO IS ISSI F0 Olt a011. Cis C 1 M. AN S APPLICATION ANO STATE MAT TIE ABOVE INFORMATION NO MONTY ORDINANCES AND STAN TING4 A.41IS HE LA HD MOOING CONSTRUCTION EE ESENTA MEG0r THIS n0N OVER UPON THE ABOVE.MrNEONII PROPERTY InR INSPEC INN1V0P05B: 7-/9 SIGNATURE DE FERMIUM JOB ADDRESS FAWNER ADDRESS 0ONn1ACLOH ADDRESS uc im ARCHITECT. ADDRESS LIC NO ENGINEER ADDRESS LID. NO. NSULTANT ADDRESS APPLICANT. ADDRESS GRADING PERMIT 101 iiii09191,90 HAG HOSPITAL PRESBYTERIAN 301 NEWPORT BLVD NEWPORT BEACH CA 92650 REASON INVESTMENT DEVELOPMENT I8182 SERRANO (VENUE VILLA PARR CA 92667 116021 GLASS INSP AREA SIGNATURE OF APPLICANT ?ERID[AR INTERNATL (STEVE) 129 R WILSON, STE 20D COSTA MESA CA 92626 w * GRADING/DRAINAGE Permit Pees e $ Valuation of improvements ----> GRADING - ee PLAN CHECK PEE ere (Y) GRADING - e: PERMIT PEE eeeeete (I) .PLAJIRIRG: ZOIINR PLAN CHRCK•.PEE T(T) CLEAN -OP DEPOSIT > MICROFILMING PEE TOTAL GRADING/DRAINAGE PERMIT PEES PHONE PHONE NEWPORT BUS LI PHONE: PHONE. PHONE: PHONE 714/646-8901 714/974-6421 714/548-1393 DESCRIPTION OF WORK'. Permit No G9500107 Inspection Requests Phone No. (714)644-3255 0110I80 (09101161) GRATING/PENCING f ARDSrAPE TYPE OF PERMIT: Precise Grading Permit s0Eary LEANEST moss so i0c Pax SPECIAL CONDITIONS C NO IRVINS SUB LOT 169 BLR 2 POE OP LOT FILL'. PROCESSED BY' ZONI TRAFFIC SUBDIVISION GRADING APPROVAL TO ISSUE IBS.00 Y 770.00 Y 19.61_Y 300.00 7.40 882.01 AI CHECK VALIDATION OK M.O. CASH PERMIT VALIDATION "V T. REVIEW DEPARTMENTS Name Payments: 204.61 Credit extended: 0.00 Total Credits: 204.61 Balance 677.40 Adjustments 0.00 Balance doe 677.40 0 U co 4, 00 E CJ E U% o 0 _ O W 0 N O E 0 1.1 0 0 0 e`I COMMENTS /®. ¢$ ' /°/S 4frowitki etryi tad iax M j&eAsofr Aeotosi 300 -zaA5kfosv; 39/Oa P.M y eiva €n Io[00 "-Lopsiewra, ch 2ua JE- (otoo City of Newport Beeeir Building Department P.O. Box 1768 Newport Gooch. CA 92659-1768 Permit Counter Phone No. (714) 6443288/3289 OWNER -BUILDER DECLARATION nERV AFF RM THAT I A THE FROM E CONTRACTOR'S LICENSE LAW FOR THE FOLOW NOREA.SON SEC r0 BUSINESS ANDPROFESS ONSCOOE'ANYCTYOHCOUNIv WHICH TER. ROVE DEMOLISH.OR REPAIR ANY ST -S Or EU SA TOI S TSS Nni0 A 50 REQUIRES THE APPLICANT FONSUCIPESA T:O Far nAClo,is I mwSE LAW ICImrrtR s !COMMENCING WITH SEC 110E 00001 01 DIFl9ION J LA THE RUTTINESS D PROEESSIONS CODE,OR TIIATHE IS EXEMPT THEREFROM AND THE PASTS' Eon CAN i n N 0. e BY ANY APPLIN r FOR S SBJFC Is ME APr L CAI., IvIL PENALTY OF NOT MORE Exit H 11R ED DOLL AR IS,No011,. S OWNER OI DIE PROPERTY. OR MY EMPLOYEES WITH WAGES AS THEIR SOLE THE WORK.AND THE STRUCTURE 15 NOT INTENDED OR OFFERED to FAis O PROFESSIONS CODE. THE CONTRACTOR'S LICENSE O PROPER Ty WHO BULOS OR IMPROVES THEREON. AND WHO _ O HIMSELF R THROOIUGFHS OWN EMPLOYEES. PROVIDED THAT SUCH S RE NOT INTENDED R OFFERED FOR SALE F HOWEVER. THE O5EMENr IS SOLD WITHIN ONE YEAR OF COMPLETION. TILE OWNER PURPOSEOER WWII` L HAVE NIT OU OEN OF PROVING THA THEOIONOT DUO 0 ORIMPROVE FOR T,L n5OwNERTJF THE PROPER Ty. AM EXCLUSIVELY CONTRACTING wiTH LICENSED CON TRACEOTTS le CONSTRUCT THE PROJECT ISEC /44Fill CON NACrMR'S LICENSE LAW DOES NOT ',FPLY,TTO ANSOWNER ANDPOF PROSPERTYSCWTE0 nue/ Ss OR IMPROVES THERE ON, AND WHO CONTRACTS F[ PROJECTS WITH A c m wcTORI ICENSED PURSUANT TO THE CONTRACTOR'SLCENSE LAW. I AM E TEMPT UNDER SEC .R GPCT-OR THIS REASON OWNER_ LICENSED CONTRACTORS DECLARATION GRADING PERMIT Mlpt'I�NI hL.° .NCI HEY.Clat, HITITAL cprnv !Y. 4EAPPP.:EP: NE9PEPT ,EPFN CA 12EIR PHONE CONTRACTOR. UNIT. CONETR CTI N & NAINTENA9C ADDRESS17, FLAFC`aRTr !TPEET .P-TNS CA 927C! cuss A L1!I� ARCHITECT -- iiNE ADDRESS. CE - T^nTn p.ror R^B_I!T_P 7nve1 T ¢,Tn .'TNT'". :)ESAD S:1 ILISCi17.170 CA' 92 1C. NO: ENGINEER ADDRESS: HEREBY AFFIRMm0n Am (MENU() u00ER PROVISIONS Or CHAFFERr icnwMENC,NG LIO NO.' RI SECTION 7000 OF DIVISION 3 or THE BUSINESS AND PROFESSIONS CODE AND MY L HENSE rs w FULL FORCE AND El FEET GEOTECHNTSAL LP C ENSE CLASS _ A HC NO . Z i9sO T,JNTRACTO0C/Nf'r �QEsg)7,4st 4' _{(/4 WORKERS' CLMrENSATION DECLARATION THAT I HAVE A CERTIFICATE Or CONSENT T05ELF.WSOBE. OR A0E0.TIM- FCy-WORKERS COnIPENSAiON INSURANCE, 004010TIFIED COPY THEREOF ISEC 30W. LAB C .}I��LfrT� �l! p/ia ITCYNL,, II C01 NO!, )CV (7 Sat COMPANY /l G%1([r, C/'C TxER IED[Dry IS He TIEBY FURNISHED n �`!F �,/ SIGNATURE OFj I CENTHEDCOP,' IS ULEo WITH DIE BwwmFITMENT G OTMENT.^�Im^INUT APPLICANT Ce ADDRESS. OWNER ADDRESS DATE //�4A 1 -APPLICAN CERTIFICATE OF EX IOF/ OM COMPENS ON IN ANC iTHIS 5LC1 ON NELO No BE COMPLETED IF THE PERM 151 /SILTS OR LESS ONE HUNDRED DOLLARS f E IUTYTHAT IN TpF1- PE 1UNMANCE OF THEW OR VVITICTI T,S PERMIT SISSUED. OMIIIIIANOSHALLNM- PERSON IN ANY MANNER SO AS TO BECOME.SUBJECT TO THE WORKERS' COXIFENTAHON LAWS OF CALIFORNIA. DATE APPLICANT NOTICE TO APPLICANT. IF. AI Ern MAKING THIS CERTIFICATE OF EXEMPTION. YOU SHOULD OFCOME SUBJECT TO 1HE WORKERS' COMPENSATION PROVISIONS OF THE LABOR CODE. TOTE MUSTFOHIITWUH COMPLY NIP ,HS CPEHOVI510NSOH THISPERMITSHALT BE DEEMED RevoxrD CONSTRUCTION LENDING AGENCY I HEREBY FIRM THAT THERE 15 A CONSTRUCTION LENDING AGENCY FOR DIE PERFORM. ANCE OF HIE WORK FOR WHICH THIS PERLIN pE ISSUED ISEC.301T CIVC.I LENDER SNAME ENDER000ESS 'PATTYTHAT Is APPLICATION U5 iETHA INFORMATION CORRECTIS AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES ANS STATE RELATINGLAWS TO BUILDING CONS, UOTION AND HEREBY AUTHORIZE RERESEN IA ,Op�'O, 0E E LIP$N 001E ABOVE MENTIONED OR INSPEC O CONSOLTANT ADDRESS' PPLICANT ADDRESS'. r:JN Ne 14Ani T F111 PrFEE.rep mOe LL n:;N TfP;E..(Ir,nE ?CBY_n nH. PHONE NrwpoRT uus 'C INSP AREA 1,0':Q(4,x5 P I.uE PHONE: I .LIE l7-.., PHONE: PHONE. PHONE. .W7:-III" PLAN CHECK VALIDATION OK. M.O. CASH DESCRIPTION OF WORK'. Permit No G9400218 Inspection Re•uests Phone No. (714 644-3255 4W-1u I I!SI 11 U vet PF.FfaSE _RANI. L/SU FUR TEEATIE SYSTEM .' TYPE OF PERMIT: VACANT SE • RE 00055sr LEGAL DESCRIPTION YARDAG OJECT FUR, R SP CONDITIONS PROCESSED BY: ZONING TRAFFIC SUBDIVISION GRADING 1 I YES INC E0B T'fir.) ?ru 2 n.nCF... FILL: CUT REVIEW DEPARTMENTS Name PA tV N1J CITY OF NEVINL) BEACH PERMIT VALIDATION CK. M0. CASH OLL 3 0 ;70 �..1L fry SA i9 1z.1, 'fr 2N 2-3. r akaa %.c )L. >4 f C et, ad /�csa-jr�r--,lo o, /.rf/ "an a ..QK /O•41 *al) 499,4961 r/i/OIa' 4': a14,0,-Le /o #-,9,s'zr--- (o, 1'.5r 3oi ow ate City of Newport Beacn Building Department P.O. Box 1768 Newport Beach, CA 92659-1768 Permit Taunter Phone No. (714) 644.328B/3289 OWNER -BUILDER DECLARATION HEREBY AFIIPM THAT I AEA EXEMPT PROM ME CONTRACTORS IICENSF LAW FOP THE FOLLOWING HFA50NISEC. 7031.5 BUSINESS ANC, PPOFF5510NSCO0E. ANYCIIV OPCOUNTV 'PI REDUIPES A PERMIT TO CONSTRUCT ALTER IMIMOVE DEMOLISH UP REPAIR ANY • UCIUIIF. PRIOR YOIT5155UANCE. ALSO REQUIRES THE APPLICANT FOR SUCHPERMIT TO PELT A SIGNED ST4TEMEN I THAT PR IS LICENSED PURSUANT TO THE PROVSIONS OF TITS SONTRACTORAT LICENSE LAUV ICUAP,ER A COMMENCING WITH SECTION 100010E DIVISION -ITOF THE BUSINESS ANDPROFESSIONS CODE? OR THAI HE ISEREM P 1-THEREFROM ANDTHE RASPS FDn THE ALLEGED EXEMPTION A NY CANT rn A. CIVIL SECTION 70515RYANV APPLI A DPERMIT DOLLARS THE nPPUUNT TO 4 CIVR PENALTY OF NOT MORE I,IAN MEP HONORED oounns 15soauml As OwNEE OE THE NOATIOWILL 00 DIFO PERTY. OH hE WORK AND 5 STRUCTURE NOT INTENDED COMMmM OOHS WITH WAGES A5 THEIR SPELL N D OR OFFERED OPSALE 15EC ]044,, RUSINE55 AND PROFESSIONS CODE. THE CON TRACTOR'S LICENSE W OGE5 NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS On IMPROVES THEREON. AND In DOES SUCH WORK PI1MSELF OR THROUGH H15 OWN EMPLOYEES. PROVIDED THAT • M PROVEMENIS A TIED OR OFFERED FOR 54,E IF THE BUR DING OR FMPHOVEMENT 000000TSOLO WITHIN ONE YEAR 0 COMPLETION, THE IOH TH BUILDER VOFI IA4VE THE RUPDFNUF PROVING IIIA! N[ CIO AIOTBUILOOn IMPROVE I9N THE Pm .EI5LE1 T:T OWNER TO ONsmUCTT THE PROJECT IMuCs/Om CDNIn00 AND 00000S' LICENSER THE CONTRACTOR'S VCENSF IAW DOES NOT APPLY U ANSOWNEPPOF PPOPEP1510H0 BUILDS OH IMPnLVEs THEREON. AND WHO CONTRACTS FOR SUCH PROILCI0 wm1 A C0NTP4CTOPI61lICENSFO PURSVANT TO YHF CONTRACTORSLICENSE LAW1 I AM EXEMPT UNDER SEC _, B& PC. FOR THIS REASON... _ DA LICENSED CONTRACTORS DECLARATION I HEHER✓ AFFIRM THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER 91 COMMENCING BATH SEC.TioN 0000 CIF DIVIMON 3 OF THE BUSINESS AND PPOEES510N5 CODE, AND My _CE SE IS JR PULL 00H E AND EFFECT. LICE SEM ASS B (�j E N _.. 151220 CON TRACTO0'P -i,%j>A•.e4T4 ATE C_' 1.75 WORKERS' COMPENSATION DECLARATION FHEBV AFFIRM THAT I HAVE A CERTIFICATE OFCONSENT TO SELF INSURE OPP A CERTIFI • IF OF WORKERS COMPENSATIONINSURANCE. OR ACERFIFIEOCO^v THEHE01 SEC 3,00 =1 POnMY NO 25C109714" ,9PA„Y AETNA CASUALTY orn HEED c Y IS HERESY FURNISHED •' �.LRF F Ei COPY Is PILED WTH THE OU LO N1 DEPARTMENT CERTIFICATE OF EXEMPTION F OM WOR ERR' COMPENSATION INSURANCE THIS SECTION T] NOT RE CI,MPLFTEO IF THE PERMIT IS Pon ONE HUNDRED SDI LARS i5100i OH LESS I TER HEY THAT THE PERFORMANCE OE N,E WORK Ion WHICH THIS PERMIT IS ISSUED I SH41 L NO1 EMFILOY ANY PERSON IN ANY MANNER so n5 TO BECOME SUBJECT m TM won/In. COMPINSA(10N LOW s OE UOIORNI4 DAZE APPLICANT NOTICE r0AP PLICANT IF AXING THIS OS CERTIFICATE OF EXEMPON. HOU SHOULD BECOME StillETS r TO WORKERS' COMPENSATION PnovS0Oms 0P TIT. LARon cook, REvo00D RnINI OI�0M0IV WITHSUUIPn0V510A150P THIS PERMIT Mom LT Br TEEMED CONSTRUCTION LENDING AGENCY .FIRM THAT TTIFRE 5 A CONSTRUCTION LENDING AGENCY FORME PERFORM ANC000 THE WOHKroll ww1H THIS P;HM1nsIss o005Ec. 3091. CNC.1 LENDER 9TER 'my NOI DFE45 IION15 CLEAR. r II AGREE 10 COMPLY 1YI IH 4LL 0 TYEAND ACOUNTY ORDINANCES E AND • S 1TELATIT.G TO LIIJIIENNG COHLSTRUCTIEN AND TIRES Of THIS COVNIV TO EN TER UPON [HT ABOVE MENITEONEO P110 ERIY f OH M`.NEC TIDN P1 mPO5E5. '- a13 JOB ADDRESS. OWNER ADDRESS CONTRACTOR. ADDRESS Permit No. GRADING PERMIT G9200008 BOAC MEMORIAL HOSPITAL 301 NEWPORT BLVD MENPGRT BEAU P0220 CONSTRUCTION CG 2894 RONENA AVENUE LOG ANGELES CA 90039 sc NEQ 151220CLASS'.. B ARCHITECT' ADDRESS TIC NO.. ENGINEER'. ADDRESS. G0AI ULTANT ON ADDRESS APPLICANT. ADDRESS SIGNATURE OF APPLICANT INSP AREA PHONE PHONE NUSLIC PORT PHONE PHONE LERO'Y CRANDALL 6 ASSOC 900 GRAND CENTRAL APE GLENDALE CA 91201 PHONE: ROBERT BEIN 6 NII FROST ASSOC I4725 ALT03 ?ARRAY IRVINE CA 92718 or- t GRADING/DRAINAGE Pert GRACING PLAH CMRCR PEE IT) GRADING PERMIT FEE (Y) CLEAR -OP DEPOSIT SUBTOTAL OE GRACING/DRAINAGE FEES OTHER FEE 6 Accounting Code TOTAL CRADIEG/DRAINAGE PERMIT FEES FLAN CHECK VALIDATION CK. PHONE 0 CASH 1 714 760-2220 213/666-5640 019694 yo • TTN'243-4140 714 835-3730 DESCRIPTION OF WORK'. Inspection Requests Phone NO. (714) 6443255 P9ECiSE 0N0110 (11.91) BOAC H02P WIEEGRICT'DIP? 818111101 TYPE OF PERMIT'. Precise Grading Permit MTH NEAREST ESCRIIPTION f I YES IND IRVINE SOB LOT 169 ILK 3 TOR 0P LOT 0 Y0ROAGE TOE PROJECT CONo CONDITIONS FILL'. 400 CUT. 800 REVIEW DEPARTMENTS PROCESSED ] Name • Date ¢ Y BY: r C4® t'/�3 a a ZONING A�1 I—E3-'-!.z O U TRAFFIC 0 r/1 SUBDIVISION A J O 135 L 0 150.00 Y Paynents: 300.00 w 300.00 Y Credit extended: 0.00 900.00 Total Credits: 300.00 2 GRADING APPROVAL TO ISSUE 4 1j /- /3.93 1,350.00 165 . 145.00- 010-4614 1,515.00 PERMIT VALIDATION Balance 1,215.00 >ddJesteentt. ; 0.00. Balance due 1,215.00 PAID JAN 1 8 1993 CK I M0. CASH 0 INSPECTIONS I-2/-tv RI/ COMMENTS /-2c) 49 .>ay�'',�1a`� %l /.-i3-pc, n-" q{s /-21-Se1,441' Qn nit' nosy. / Q 2-2e yY *' s` bk 1-11-ks20 AO at Ifs n k r 6 G-S 04.tE th its .i.Trr Gi i SJ°•9y" p„Ls3 ' d u ocY�.Kt, ql. /-2Y11/1 A rere Yy c*�O4 4'44 it C'L�Xp / a-/t it /7,27.91" g/U/L 4/1/1 ai../'Y/ 41944.arr r%ff%i'M. s 25 t' F'/ «tY if"a t .:vi 3. PaopHs Bb Y `Robert `Reirt,`William Post Citc9ssociates PROFESSIONAL ENGINEERS, PLANNERS 8 SURVEYORS October 31, 1995 JN 27017 Mr. Richard Higley CITY OF NEWPORT BEACH 3300 Newport Loulevard Newport Beach, California 92658 Subject: Hoag Hospital Emergency Room Precise Grading Plan Dear Mr. Higley: I hereby state that the precise grading has been completed in substantial conformance with the Hoag Hospital Emergency Room Precise Grading & Paving Plan through Revision No. 4 dated March 31, 1995 with the following exceptions: • The parking spaces against the Ventilation Plant appear to have no slope in the back five feet adjacent to the wall, and the Asphalt Concrete Paving in this area is deteriorating. • The manhole and vault door to the holding tank were not installed. • The curb handicap ramps were constructed without a flared taper on each side of the four - foot -wide ramp. • The height of the curb above the pavement surface varies along the Northerly side of the entrance driveway to the Emergency Room. Plans call for a 6" high curb. • The Alignment of the sidewalk north of the entrance driveway does not match what is shown on the plans. We understand from the project Architect that some of these items have been modified by other projects approved subsequent to this one. If there are any questions regarding this project please do not hesitate to call me directly at (714) 855-3658. Sincerely, any D. odd Vice President Land Development ACE 35569 LS 5521 4Prgfessiatal Service eSirtee 1944 14725 ALTON FARKWAY • P.O BOX 57057 • IRVINE, CALIFORNIA 92813-7057 • (714) 472-3505 • FAX (714) 472-8373 OFFICES LOCATED THROUGHOUT CALIFORNIA City of Newport Beach Building Department P.O. Box 1768 Newport Beach, CA 92658-8915 Permit Counter Phone No. (714) 644-3288/3289 IMPROVE LOCANT FOR CHPMR µY STRUCN0E, SNM TO ITS ET HE, AI80 RE00ISSTHEAPP rRT FOH 900HEONS OF FILEASGNECTORSLIIENSTIUTHEHA SE 0 (COMMENCING PUEWMTO THE PROVISIONS DI DIVISION CONTRACTORS AND PRO1CSSIONS D ICg1RAR THAT HE OR SHE IS SECTION ]0l1 OF EMPT THEREFY 5 OF THE HE BASIS µD THE AL 81008 FM0IPf0N µY VNMATKKI OF SEBCTON ]Wf 5 BY ANY APDRKN 1 044A FOR SULBJEDCETSD TMEAPMMI ICT TO ALVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS 1 IJ I. M OWNER OF THE PROPERTY CR MY EMPLOYEES WTIH WAGES AS THEIR SOLE CIA REFUSAL ON WILL 00 THE WORN AND THE STRUCTURE IS NOT IM1470ED OR OFFERED FOR SALE SEC 7044. BUSINESS AND PRCFE550NS CODE THE CONTRACTORS GCENSE LAW R`ES µPLY 70 µ ONNER 06 pRg4Rry W140 BIIIIAq OR IMPRDVES TNEREpp Apo CONTRACTOR: WHO DOES SUCH WORK HIMSELF OR 1i0.8E1F CR THROUGH HIS OR HER OWN EMPLOYEES PROVICEO THAT SUCH*ISOVEMpnS ARE NOT INTENDED OR OFFERED FOR SALE. IF. HOW' ADDRESS: EVER. THE BUILDING OR IMPROVEMENT I5 Sato WRNIN ONE YEAR 6 COMPLETION THE NFPOVE OWNEMBULOER RHAVE 1NE POUE 1N S00000NE PROVING THAT NE OA SHEp0 NOT BUILD OR J I.82 OWNER OF THE PROPERLY AM EXaUSIVELV CONTRACTING WnRLICENSED CCN- T ONTRACOTO"SLC CONSTRUCT THE 'AW DOES NOTROJECT APPLY YO OH EOWNµO PROFA PROPERTY WHO BUMS Oa IMPROVES THEREON. ANO WHO CONTRACTS FOR TRACTORS) LICENSED PURSUANT E TO THE CONTRACTORSLINODEA>gp1ECT5 WRH A CON TRACTORS) I AM ENEMPT UNDER SEC. B8PC. FOR THIS REASON BUILDING PERMIT DWNER.9UILDER DECLARATION .10B ROW TO' INSP AD RFSS:' (ill YEI'px} V Yn.. AREA:,. PROFE HEREBY AFf1AM UNBEi VENALLY OF FOLLOWING REASON AM EXEMPT. THE 4 y• CIXRR_A_CT_OS_ _LICENE LAW FOR OGE: ANY CITY _THE F_IXLO'M_NG _R_EASON (SEC 5 B_U_SINESS AND '! J FLOOR SUITE: V.IIN.. C L i5:' 1v N7,77 ?. U• PHONE: HIL7Z r 7ELLEY MERSRr )' Pp 4401 0 MIT 01 TI En PP' "'DIMEni IJnf11 PHONE: ucSTATxEon 2.2A! CLASS: 1- NEWPORT : ... ARCHITECT: ADDRESS: DATE LICENSED CDNRTACTONS DECLARATION HEREBY AFFIRM TINDER PENALTY CR PERJURY THAT I AM LICENSED UNDER PROVISIONS 6 CHAPTER P (COMMENCING WITH SECTION 7000) OF DIVISION 3OF THE BUSINESS AND PROFESSIONS CCOE.MW MIYLJLENSE IS INRAL FORCE AND EFFECT. .n1f' UCEMSE CLASS DATE !O—y 1�i-r CDMRALTOR/45 f AJ/ 61 WORKERS COMPENSATION DECLARATNTN I HEREBY AFEIAPA UNDER PENALTY 6 PERMw ONE OF THE FOLLO W IM3 E<.. LATxN15. OWNER ADDRESS'. LIG NO.: ENGINEER: ADDRESS: LIG APPLICANT: ADDRESS: __IHAVE MD NELLM4YRAJN A CERT61OATB 6 CONSENT TO SELFINSURE FOR WORK. SIGNATURE OF EEO' COMPENSATION, AS PROV1EB FOR BY SECTION 3700 OF THE LABOR COE,FOR APPLICANT THE PERFORMANCE OF THE WORK FOR WHICH THSPEFSAR SLSSUE0. 4.1_14MVE AND WILL MAINTAINWORKERS' COMPENSATION MIBLIPANCE, AS REQUIRED BY SECTION IlSswDRS'PNYiMAECARERN10H THIS PERKISSUED. CODE, ECOMiT01'URNCRI ANO FpICY NUMBERµE: CARRIER POLICY NUMBER min SECTION LESS) NOT BE COMPLETED IF TIE PERMIT 9 FOR ONE HUNDRED COL - tips _ _ CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS JEST TO THUED. I E WORKERS' COMPENSATIONNOT EMPLOY ANY NUWS OF CALIFORNIA. IN ANY RAND AGREE AS TO TTIAOME T IF SHOULD BECOME SUBJECT TO THE WORKERS'0 044SAT ION qi 0OP51ON5 OF SECTION OF THE LABOR COOE.I SHALL FORTHNITIJ ry,,'A1%.V WIIETSPaE VI, DATE. {L APPLICANT WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL T AN DOLLARS 'ER ,20). IN AMMO N TO THEN COST 61 COMPENSATION, DAM' SHALL THOUSAND SUBJECT MIMPLO SEW AGES AS PROVIDED FOR N SECTION S7W 6 THE LABOR CODE, INTEREST. µD ARg1NEY5 FEES CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM LNG 008040Y FOP THEEPPERFORMANL OF TR PENALTY OE HE WO414 RN OR WHICH THA IS CONSTRUCTION II1ISSUED EDRAE NLNESNM. LENDERS ADDRESS I CERTIFY THAT I HAVE READ THIS APPLICATOR ACT STATE THAT THE ABOVE m-^PMA. TCN5 CORRECT I AGREE TO COMPLY NTH AU. CRY AND COUNTY ORDINANCES AND STAVE OFVR11RELATING TO HIEPUFCOECONSTRUCTION. Alb HEREBY AUTHORIZE REPRESENTATIVES POSES. ABOVE -MOTIONED PROPERTY FOR INEPECTON PUP, PHONE: PHONE: DESCRIPTION OF WORK: Permit No... B9403213 Inspection Requests Phone No. (714) 644-3255 RLq IYIIY. _ . all II C0N8T: !? TYPE OF�ODC CONSTRUCTION. GROUP. ADDEO /SO Fr. NEW 50 ADDED NO SO FT. GAP RO.W Cr • USE T- PARKING ZONE podOO SLOG - FRONT REAR LEFT SETBACKS LEGAL DESCRmn04* CONDITIONS'. PR 20 AP FIRE APPROVAL GRADING APPROVAL OF STORIES: RIGHT S 04 At* PLAN CHECK BY FAIR OCT 0 41995 CITY OF NEWPORT BEACH O 0 2 (44 F se n U 2 OO ° U 9a 0 Z O 0 r 0 0 O 00 Q 0 0 s A' - 757s1 Atax 69i sae APPROVALS DATE BY COMMENTS FOUNDATION:,llatfr L N �% D ea y ROUGH GRADE , 44,a -K' ffb..i aft, E-0p2917` SETBACKS Of( 2"Ylf.%gi 6/Jjp_ rp.. C Z FOOTINGS SLAB ON GRADE %M g - OWar DECK SLAB Y/. -__ FRAMING: �q�/'�,y�� %%L /tl i /if//`"-{/Jm}•.S///AZ SUBELCOR ROOF & BUILDING HT EXT. SHEAR / HOLD DOWNS GENERAL FRAMING INSULATION DRYWALL SUSPENDED CEILING PLASTERING. INTERIOR LATH EXTERIOR LATH SCRATCH BROWN MASONRY: FOOTING PRE -GROUT FIREPLACE MISC. INSPECTIONS: nFCLAR" IOR�l RECJLP'IA �-- �/ _��IOLi It AODE DY ge1li lie GB r.RD PARI 61 1403. ;�4EBf05 �pYF L BUBMt1TL�'J L"J: FINAL 3.i* I6 bb 0�.1g/� A CERTIFICATE OF OCCUPANCY D PDXD . aifiCAl TENANT NAME: TYPE OF BUSINESS USE. $ I for C7 DEPOSIT RELEASED FOR REFUND ON 3- ^^ TO' I V `il 4 - "-QU e'wporH 8 CITY OF NEWPORT BEACH, CALIFORNIA BUILDING DEPARTMENT APPLICATION FOR BUILDING PERMIT APPLICANT TO FILL tN AREA °WITH)N 9JILDIN� �f_ HE9VY LINEL ONLYSS . P,,.. AQDRE��- a ARCH TECT J.. ktGi AESS "J NTR?C-T)rZ i CLOCK rit OrBLUES. NOW OM LOT TEL. L. LOCA Li TV NEAREST CROSS ST. CENSUS TSRACT GROfi1T YVPE PROC SSv Y STATISTICAL CLASSIFICAT[CN '. VA A _ SETE CLASS NO. rL DWELL UNITS _ YES .0110.fte SE ZONE yAP SPEC,, FIRE ZONE CONDITION E_,JG. SE-EACK FROM sr E 'R.:.. _._.�- O. it N'F a f✓. *_rds: Rear d PP 0 LS TAT_ i LICENSEE .. �, `E rlSr ^v.frfl ( FdyE' Fr _p..8' R S LASS ! °- '' y& Ate. i/GSJ . C.:I NEWPORT i�t -' t.,NG AP a..VAL Fo OF WORK E{_ AP_. :�YAL C Me- LS A.70 t> R REPAIR OEMOLISH _. O. SOST R ES ;L FJ. _>IS,9 DEPT APPROVAL (/�i�@"In EIS / AN CHECKED RY S F_17)1 e SRO ISSUE rCal ("Lauf de cif K :OTHER PMT FEES S E S PLAN CHECK VALIDATION CI NSPECTQ:. *=a0. FOR U �tac7. tv4e` Sla) c-recc c-L : it r C F+rp • LJ v .r: -- S ..TORS APPROVALS ;Gti ATURE _ZLaZAT ON LOCATION .4u,S MA'_3IA'_S 1.� COVERING ROO= SH_ATHING —titiSSLIMBER O D !'"1 PERMIT VALIDATION it,/,^i • ?". . 11Co4-' tire: 5 di HE We cd-- -(11 oie 5:7-c C41-C > nt'55. tat?) n4.- .44/71. -frar,''re{'/ ifte-P1,7! n' 2 c irz 1.4 #41* t°14` v 4XArep toes cifireK/4" 5/go..) ) CITY OF NEWPORT BEACH, CALIFORNIA BUILDING DEPARTMENT APPLICATION FOR BUILDING PERMIT CANT TO RILL IN AREA WITHIN fd U'LDING y'I -EAvv LINES hLrADOREss ( j_f`,ti.l7t.&.�1.._,.i _3r/4ck Vt. 4 cL. �'�`i / fir2<_4 CLASS Ill- SD, Fr STE NEWPORT / LI L. 0 L� PLAN NINT AP=Rp Lo.. e,_ F_,T, NESS LNCALITY 35:. t�` Tr'`,-L . ( zt I /77 BLOCK CRJsssT s }�"T!r° e-- CENSUS PRAC G�RY! sOUP T- ^PR(.�CESE E BY •3 C - i z / CCNA., ACT L ,New Cr/ LOT STATISTICAL CLASSIFICATION 'VACANT SITE CLASS NC_f_�,DW n'-^1,. l3st ° �{ neat.? '} L i� kr tNtl' NO. UNE ZONE i. MAP o SPECIAL ZONE CONDITIONS 3LCG. eEETBA:=1'. %POW 77 iTRzr R A..._.R✓t./dtf v 1 -'/ Re Le NG 4. 9-4 - 5Ot.y_ Yards: Rea- R S .q ESS S `'F-.5 �f kAe.le,,,xL'TcA E..^+D. rCIS� a 7 c —. — �Fr. Rear 'r:EE R� CHECK & AP:PV_ DESCR FT C.i OF Vi03ti A a r __... r.RE ArPR..VALiSar D r'--:- ALTER REPAIR DEMOLISH WF.A NC, _F NOOF 1-,7LP(.AP:ROVA S•CR'ES FAMILIES PLAN CHECKED BY rc'ai Due. Oti"e ,y• J - �. S _C.AL NEPECTOR E'ry D_ FOR ti , T C I. e q/ t -fCcjc!�Lf�=Qi t/7R/A/ !'�t�r(. ! °PIFER PEES S sA, PCRCVA LS FcjNoArION. LOCAT. ON . -.y_. M.IT£R.A_S that a ern eh° he dy q ec 't . vN] crty and s•ste Y. actRo zed •-s eSr Cede or .he W".•to Wo•e f5a}ce Inr.o!•, e. L t'• PLAN CHECK 'vAtiDATION FP A MiNG INSPECTOR'S _.. . ATURE ROOF COVERING ROOF S-:EATHING HOUSE NUMBER CORRECT A.N0 POSTED Ace PERMIT VALIDATION CITY OF NEWPORT •EACH, CALIFORNIA afvoo W Newporf Blvd • APPLICATION FOR BUILDING 1Ei_ERMIT APPLICANT TO Rst-I, :ha A RFA WITH/Pi a: line Jiver -4EAVY LINES ONLY BA UD 011-RDE14/:1 yea p ;Jtbwiti -34-7 kety,,:,44_737, LOCALITY 6 BUILDING DEPARTMENT NO Tan SLICK CROSS ST NEAREST TRACT CENSUS TRACT GROUP TYP1 a S BY 5qo OP BLOCS. - I SYZE DP LOT NOW ON LOT STATISTICAL CLASSIFICATION Pabent 673-2 10 EllatiNG eLDG. e40441:-Farek)-CE CLASS NO.4 DWELL UNITSt_e" T ""cy- USE ZONE !map GROFF R hiC-aa eciabartebtkat n0 -e hrf RODPE55 7ca aP9.,'‘ SPECIAL Crrr 'It.-4,-L-'1.1La'a teta tjrt E ONE CONDITIONS ACP rrECT FIPP. ESDAKEEPP its.arier. a "K NO. "Yr' ADDRESS d, At).....r.ss ,S.:4_? ,eV Vent- 4 !TCAE7SE Na. RC:1%Z 7 Eaves: cr R S 1 - 2 - e NEWPORT --K P_011 h1 CHECK & A—PPRIFFed. r F-PEC'AL INSPECTOR APC-1,.. FOR 'l CITY f,Yl-P-a1Niaa.tai ailie 'TT" 11 LICENSE af.%7 L'i'ar C -2c-- Al lif —Th‘7. -r. 1 .1.? 1.-- -IF.g .-- TONCRETE P _ L:C ch 2ESCR 1271ON OF WORK PR,' A.PPROVP': //aii Ill ,5"--- -7 `.: -& a '.-- 1: WELDING :: Pr -5 :PIING FTETALTH DEPT. APPROJAK 1" °M4ER a 0 NEW POD ALTER REPAIR DEMOLISH NO or NO OF PLAN CHE KtO BY " RIZE STORIES RAMILIES SLOG. SETBACK FROM BLOC. SETBACK FROM BOB. PROP. LINE OF VACAIK".7 SITE 1E5. _ NO , Yards Pe-ar S ta.44_,4 r 7 STRUCK:RE . C1b Cu,P110 V1 - 0 BE DONE ,/ " —7— 4. , le-' jea12datZeas11 .b., Cwher E!dr. Eoh.n 5^G/RA ORE On APaa-C7A•KT /a-- .75. " Conn. 7 " -CO Water Carr VAL OAT:Ok Et • P. C. FEE 5 OTHER FEES 5 PRI FEE -1-"" aatts, asss;edge ; ITa-e red Mit SCPIcaNsIt that ,he ; :Rad— ya dr e'.e- rorretr, dre: 'hat an ree owner, ch the c,ely zmrher'rea agerr er tra ccer 1aa-ec Is cernply wts :My and state aad do"ng the work authorized thereby de-ai err--plcaed .ialaylon Ite Labor Code ci the pyre r, crHro.rje •eia'isg TO WC•IRres Cornaessation Insaranca Total Dye : I5.51ECTORS APPROVAILE Cate E E.MATLIRE rouNDATION: LooKr[oN FORA'S. MATERIALS FRAMING ROOF COVERING ROOF SHEATHi NC, HOUSE N5ME3ER CORRECT A55 POSTED 5 Ct. Tat APPROv AL roR OCCUPANCY 1;5, tt-G APPROVAL TO ISSuE Ct'iR t ft PLAN CHECK VALIDATION PERMIT VALIDATION 0 .4 CITY OF NEWPORT BEACH, CALIFORNIA fligin. Nexoperf P.:yd. 31aDING DEPARTMENT APPLICATION FOR BUILDING PERMIT ,s. .__. APPLICANT TO FILL IN AREA WITH•N ..EWI_C;NCT ri,>,,,,,, . _ _ •FERv't LI F. ES ONLY 7,-. AC.D.ELSS .3 fre'";?1,-, 111 ii (--, NEAREST ELOCK 1- C,OSE ST CENSUF. TRACT 4 GROUP TYPE odetie ci,,X I CON 34-LZ2.:3-1 cr LOT NOW 0, LOT STATISTICAL CliiSSIFfCATION F'-wr Poe- tz_Z- RiRtpIm 673-2110 V I, Ater EfTE CAptirrStNG 32,17DC . _ TEL. FLIL:eSEzoNNE:fm_Ap___E'NELL tiFe!TS_VES 44 ov-NF-" ietaRbe 1/4 ° 42k C-1 NO EP :" r" R E57.7 CONDITIONS _ GREC'Ar., re;.'ettpase—le-e• 42 4, re cs. t _ 1-- TEL fr „DO r—:-..Cr..POLA 'r ENEINEZE NO syq<L- 5 S,r1EF-6 = t es,r,ss-R s c:- -Ls...1;5C +•7)15-3- j; liz Ser‘, .,..- _ , S7,F7F AZEFTSS -5' tf-...; ' el AnCieit4 t- CE‘SE NO.f 01- .C.T.F.SE_, , ;Se z-c 11 C_A.S.s jsj-sf 'C's 3 c ,, = eYsittiudirs' DE.r:C2)77CN OF WORK "L,...e --)% _ _ --- ..,O Ffr-,TIA_ _ ACM ACER ,F=F:R OEM,OLISH fr," if ,I. .-'.. 2 S_ cr.. "00 O. CT% C--, ...._ A ir 1- c,- A tr IL, i I c, ; say Z, ink", - cc", 4 E6 A66:0-7. OP Al ( J 2 6r "VAL -6.0,46/ TEL S, ); ETEHI PYT FT0v±.LS eage R•Fl. .eee .,e 7-F1Y: \* tc Co'nor.LaHs- OUSE NUM7FR • 7 CCEPECT ,t,,n POSTED /r54t, erce !NS:FE:I:TOP S za-z A o • p - Pr.r0:6066 "6.2 66-2 r7:1 7' If"' ) 6 'I'. al ptttIN CHECK VALIDATION „, PERMIT VALIDATION 0 USE CF STREET urRET WORK TO BE DONE tar ..,76;. CSC- - it I— /71 eft2C&&ic /2Li y fraTe,-ki SiGNATGRE -7"ft Cej-- /- AFPL :CANT , ireSeedw.V. VAILELATI q`i4 E LDS. SETEACK FROM 1:41one 673, 1 FRO,-7 PROP LINE OF s•-•.e.r.r... = Si OS SETEACK FROM c.rprirT . ir 1 ".--1 Yarals: Rear Eaves- Fr 1-4p4514-er Rea- R 5 LT PLOT PLAN CHECK & APPRY. REECAL INSPECIsOR ZEE FOR corracTR T: MARC fur ( EIRF Apn VAL:, "' WELDING _7. FS- EL-4ING HEA-Toi ,RP. APPROVAL' OTHER Ar 2 tt, ALTER, REPAIR DEMOLISH ISQ • , E-2NO,OS , NO OE SIZC iStrieFaIR FAMILIES PC 3300 W. Newport Blvd. CITY OF NEWPORT BEACH, CALIFORNIA BUILDING DEPARTMENT • * APPLICANT TO FE. E. IN AREA WITHIN APPLICATION FOR BUILDING PERMIT HEAVY LANES OLY ADDRESS tRN BLML DING , ADDRESS „rw/C 40A7„: /3-kJ. LOCALITY , r , NEAREST , LOT NO I L k - 1 ) ( BLOCK / CROSS ST , Ak.,„ , , CENSUS TRACT TRACT it, i, , _._ a / NO 0,* BLOCS. En OF LOT VOW OJL T USE OE eXILTtNG BLDG. _AC1,:e/9/270 GrIRPIE /117 r.3 jilzietect C NO. LS ct AOOR E. s 3caliCaELI ,00 r -I 6 1.41-7-$ Ctilf %Y. / Its C-aou rt 4 G A-.CHSTECT FOR TEL ENGINEER NO ADDRESS I GROUP TYPE PFROCESSED ERY CONST. t a STATISTICAL ELASSIFICATION vACA SITE CLASS NO. 1 DWELL yds LiNO USE ZONE MAP NO f/C SPECIAL FIRE ZONE CONDITIONS ',Ce CONTRA odOR.414-0E-„,„ ,r4;, 1,24Z l-LL L6 — ADR,PEss EiLr GLE.--.4J,CENSE NO. atc:Iiedra (6c,i5r.i., et 2054a ArgciEs": cis -/ -c ez NEWPORT LIC "/ • / DESCRiRr:ON WORI !NEW PLAN OIRCKED BY Curl Cirt Care. aid,. Form Rock, tax Rowe, Coco. Water Conn. Thta, Doc F s OTHER PMT LE EF areCOR S -1 FEES S S TH., / e e ' APPROVALS DATE ONATURE FEE B .2 O' ..4^ATION LOOM ION ' urea., AVG ot4cdoe that . haae "aid th7s aco,,TasE. ; that ,he Freme. ItIvreeiaos . trafot-ct o- steter Is ouvevo and Hat I aro ine °err or Ihe du:1/4. -s .,, ,w„, , al.,0, .. conpb, , ,th c:„1, drd „ate FRAMING 1 a.tr. ag Aar to. cotstruoriot ato 'r. ocIog Ge work aaMorized Meretty, not ste-rs, ..,' . tre =stop/Geo, ,- .,,,lit.07 of the Labor Code of the Roo"' 00VER'NG Mato of EcErcfMa re,atIrg to Workmen s Cornoeosat.on insurance ROOF SHEATHING . HOUSE NUMBER E CORRECT ANO POSTED ' 4-4 eaTT 1 C. . I _ A r,PROVAL Fr.),} OCCUPA'wCY A r:t t, r .7.,S -r: APPROVA c To !SSue _ PLAN CHECK VALIDATION 'SW PERMIT VALIDATION tr 0 -eV 2 2 4 7 iWi1 vt-1 ,--FAM ROO= COVER;NG ROOF S:-iEATHENG J'SE ttekeRES CORRECT A.._ POSTED e Po,. Ei CITY OF NEWPORT BEACH, CALIFORNIA BUILDING DEPARTMENT APPLICATION FOR BUILDING PERMIT APPLICANT ' II tl AREA �yyTHIV AID LC iS ^ 3 0/ Atle ME4V .T LIS S CHLY. AOJ451/Y/ LOCALITY Aat, - d7 l NEAREST T V`J' FLOCK CROSS 5'. +} T_... .ndliLhr._..]��. 3 / /4 S.. / CONS Y L].SS. w f / E Cr LOT !c zoT STATISTIC`L CLASSIFICATION IVACA 'S 4WG CLGG. , CLASSNO. ODWELLC'VfiS C YE USE ZONE AP ✓T C ?L ICE-ZC^1=_ CONDITIONS ivcc_obcnJ PJ/„J S Tres LC.e O. ST4CcT ENSUS TRACT ,GROUP TYPE ATE - v_ENs NO./pAt$, 2 ^ SC Caves: !f _ .Rear LICE CLASS " PI_ �Y Kr: S ettte EW PDRT ArF&(v' AL EN_ISH ed'A=� ALTER REPAIR C)� tC_. - OF NO. CF a T- CEt c :C.AL. s RIES Acei LIES A c=P0Na. `lAL'uAt ON $ r rr. ' tER FEES 5 fat .._j VI ,ova .`e v a e Lveee .brcode c-.crrme a•;. Pe= PLAN CHECK VALIDATION T SITE 7 NO NSPECTOR'S S!G\ATUPE TPE CON ST STA 5TICAL CLASSIFICA^.^_'V VAC. ^'e+ne 671-2 t 10 CLASS NO DWELL. DR. %I's 74/No 1— _1��j 1155 ZONE MAP NO. SPEC! AL FLRE ZONE CONDITIONS Y GF NEWPORT BEACH, CALIFORNIA BUILDING, DEPARTMENT APPLICATION FOR BUILDING PERMIT S. ....: ...... _.__. .�.._.. W'P NY TO FILL RN AREA /h,THi\ BUILDING p hICP Y I'y E8 i.,NLYh�Y A7) ESS h� / 3 „ O/ /4/c-Wipe ri a ' LOCALITY : NEAREST j4 BLOCK CROSS ST. !4e2E GF LOT USk O' EX'9_TE;.G BLDG. _ O*b NF.R ri p____ ... rta AGfYR€�5p5'EsJ CLR} t4� CCTY /{(tip 3a I isl NO. PA_ OPJA 1GJ A, alga;= 6n-90.1 _: 9 - s Hddre,'.. 5 1- 3 ELS -c �gNv. LSJ i@L..' ,41-€154_4 NE iP._RT i' _.r v LY ESCR IC'N WC< ADO F. -OF `k C' 35 easr?J • SIGNATURE OF APPLI CANT UAT-.ON $ SSO2,.e5 0 3 _E4' ?ft _. A... DES1OLiS! S!TS CE FOP Oar — Eaves Roar R LOT PLAY CE. ECK & AEERY, BALER DSFT. APPRO./AR' C»:b _ a!tlr. -Farm $. n. DIs1. c5 eae• Cyan. Co oaa.. Dte .. SPE :AL INSPECTOR _ Th. FOR TONTEETE _ FAA _:RV WELDING J PLir ET -TYING ...: OTHER. e� A PPROV A LE -n z -TO" 5 .... AT RE 3a:.. }4.L f'.,@ AORMS. 1.1ATERI>'_5 d'p ane ;tare eCodnr a eby the ROOF COVER,:NG I s..ance. yq ROOF SREATHING A% HOUSE NUMBER CORREtt AN" POSTED _ APPROVAL FOP O...C.'JPAY'C APPROVAL TO:SOUO PLAN CBE CX VALIDATION PERMIT VALIDATION 2 Ird CITY OF NEWPORT BEACH, CALIFORNIA ;no L3/4' Newport B BUILDING DEPARTMENT APPLICATION FOR BUILDING PERMIT APPLICANT 10 FILL IN AREA eTHEN HEAVY LINES °NU', TDRESS hc Hei k e AncPr. tir, ;BLOCK No DT E.L.O.T.S. ei 'EASE EnT e; .AirReS17 :Sea et.r.15 CLASS NO./ DWELL eN[TS (!) ___ EL: vES RID: 'en LSE ZONE gm/ ven''s EA ye A er W 65 el 7./. L ,„- 11" 9 f - Mil ite I NO Cir :": ATECTITSS 3° 0 i /VW t7i at. IIP EIRE ZONE CONDIT,ONS SPECIAL TS KNOEER 'A:al.:SS .-DEPENS 'flea EA/flail Ok.CENES NO /8:2293 EPoss: 2r. _._____Redr __ _ R S `- ,AtiCk apt" nuil Lass C -- /6 PLOT ?LA' CeECA & APPRV - 1-- = / 3 8 "i's nANN NG APPROVAL 0, e e.d toffy C. . EANIA. Pitons 673-2 I 10 ." BUILDING .3 0 4/1 -LeitinAlteista (1.1 ADDRESS LOCALITY NEAREST CROSS ST. -ENSUE TRACT GROUP 'TYPE PRocimSto BY c„ , CONST. STATISTICAL CLASSEFICAT!ON OF `..CK FPCM ,PA' r7 7eiti APT- CAZ2-4ee 1:3 OTHER FAT7 eFPROV FEE 5 FEES c s Or0 FC...C.,„-C.9 LOCAI-10.4 /Sr P'CRYS' MATERtALS : C.),17 aaene 'n nn-e. A “- sev ROOF COVER[NG Yards. L'ear._ LESCP,!=r:ON OP LroC;K ,e &DC r0A, San st SLTERfr..."' TEPAIR. sEttoL;SH 'ne PeeAn- (14 _jqc9 1“711T31/4.2:irE5 STT-_ -RE it/ cf. s• kr,9 PLAN C-4CPED RA ne.a D,e SeECIAL .NSPE..CTOR Ec, FOR : APT7):: Ayc .07,00 i c- APFR:..-JA. IcilJE uai.rrfltst- ere 1111 c 4E' 7-- YACAN''' SITE DEAL', DEPT APPROVAL: C'TA En re SNITNATURE PLAN CINECK VALIDATION ,-,7"1 CORRECT ANL POSTED FOR Sat.JPANCY PERMIT VALIDATION Nut ',41•LVI'l• 4,44a 'NSTECTOR S ee 0 CITY OF NEWPORT REACH, CAL!FORN!A BUILDPNG DEPARTMENT APPLICATION FOR BUILDING PER LEY:CANT TO 4 AREA Afl Tu3hELIILDING loop HEAVY LINES ONLY AODRBOG ESS s' _R eiA` f dar ii ITV NEAREST // fT 7 BLOCK CROSS ST. ee ( op CENSUS TRACT GROUP TYPE` pROCi s RV t' G. _->� ✓$i _ .__.__ d �. ?_ I �$ �Q CONS?. I. 7 SEATISTl G\L CLASSIFICAT ON '. VACA.N S;TE CLASS NG __j,-_-BWELL /l/f.!..3-r5 (/�� I_` VEc '*Ip TF i� v5 ..NE NOP -_-. �.-i -_ f4r 1! W SPECIAL _-_- — } GE zoP;E _CONDITIONS 1734110 Litz„.. :CENSE NC. „A Or, G {«tea 1C_ASE 7 ON Or, `J4O.,2K _PA'._ GE ..Ct_1 orT N PVT FEE S 5 2_ ETSAO..0 FROM a _.. _,..E OF = _ves GHECY & AP'4v. APF2 OvAL PLY Form 'Esc Ica ? ', i Ce&r. CXe BY ..al SrEGA_INSPECTCR 2 FO4 L.PROVA_S TALE n Amos L csATO ... _-.... s MATFA -.3 ROOF COVERING R 'GF SHEA-HING OUSE NUM 2ER CORRECT Arno POSTED VALIDMIJN PERMIT VALIDATION 393 +z.3?8'.a P CITY OF NEWPORT BEACH, CALIFORNIA ity4G-4 a Re: BUILDING DEPARTMENT Pere 4eP44cmCf APPLICATION FOR BUILDING PERMIT AP I I CANT EEKY LINES �TO FII N AREA WSPRIIN�,/y ACTRESS 8l:_'_DING 1 �,�p {" �' 1 "Ce-tri L'Ca j.. LOCALITY � = /2 ;AR�Vi:TECT EP ELOCR N CGS. CT LOT is -lore ST>TR '.1 CL•.SS EEWPOR5 4 OF V C ✓ 2E5,2,., SNICLIISH NO. Cr PVT S NEAREST CROSS ST CENSUS TRACT I GROUP ',TYPet CONST. ?` STATi=TICAL CLASSIFI APOpN CLASS NO V DWELL UNITS 9fiII ZONE '.MAP 4 NO. v., - .1 ___ ___-___ __ SPECIAL EIRC ZONE CONDITWNS EL_C. S£TSACK FROM SETOAC'ri FROM S _ tP Ye._z. ' zr F S ESPY & AFFR'Y. P5 aYPZC+AL D 'T APFROGA',. 9,TRECTV .i 1'2" AI-vr 25. SPECIAL `NSPECTOR t' ^-- FCR ..PPROVALS [> S MATERifrLS -— Q R,_- COVERING ' .2> POOE S-4E&THIF:G vO"_E NUMSSER CORRECT ANT POSTED PERMIT VALIDATION S S 5P2.472.2135 Pq,r BtVa_ CITY OF NEWPORT BEACH, CALIFORNIA BUILDING DEPARTMENT APPLICATION FOR BUILDING PERMIT APPLICANT TO Ft rc r 1_g v, _Xi��Iy.,q Pe -EC—i,/rt E 4 id. t LF� CF ESS C ftr ; PLAN CHECK VALIDATION 1 7 BLOCK Cue NO OF a .s. -Cbs-1 <_ AL; ar-92.7 EASE s .sisS).+,+.: p .EMC 5 r? LCLOING ADDRESS LOCALITY NEAREST CROSS 5T. CENSUS TRACTGROUPGROUP^ TYPO! .PROLE{j j I Cam. S'ATtSTIC^I. CLASSIFICATION VAC4±*." -3 h73-2110 T ZONE m t,p SFR CI AL. E ZONE CONnITONS FT^AF, FROM re -as: ear R,5.___ _ _. _ I S d can. re Tat I, JRI vS , it So.- Csn so SPECIAL !NSPECTCC t_ FOR APPROVALS _A__ n r� a- PIA-7LocF. cs� Ma-ePias :cation: tha• cT•--'.T; NO cr s c tr e state On.FOL Er JthcAzAi tre,ety POOF SHEATHING c ARAAarT.. u-0cSE NUMBER 7r /C ' - R. CT POSTED LC I a a_ (__ n-Pr_: V- .OR CCC/J PANG n ( _ _ CL.,a<e,.. Zaz ,fir, Mi�='�... PERMIT VALIDATION J ".TORS ATLRE 3X.00 Newreori CITY OF NEWPORT BEACH, CALIFORNIA 8LIILDING DEPARTMENT APPLICATION FOR BUILDING PERMIT APPLICANT TO PILL IN AREA WITHIN HEAVY LINES ONLY • ADORES& _TA 641_1 \J ca.! 4-, • •!LOT NO BLOCK TRACT ai re. /4. „St v3 MC CO SLOGS SAXE CP LOT NCH.. 7,H3 BUILDING ,3.1 LOCALITY Lieu:pc iJspi / NEAREST CROSS ST USE OF EXISTING BLDG 1-A cz)_re r I've....d, TEL. NO. ADOOCSO "117,:, O % ILI 77 It0 -200_7; -4-. i. AT.ITECAT OR TEL. ENGINEER NO. GROUi CONEY, 7 CENSUS TRACT ! P TYAK PIII0C STATISTICAL C ASSIPICATION VACANT,' SITE CLASS NO. i DWELLUNITS I. USE ZONE MAP N-- 6 O . pig& zo E r SPEC[ !ATI; ONS 1 ‘...-75' —1 AOC-PEES CON'eR° - 6 &ire' S-6 24-t 45•614- ' STATE' LICENSE _ CZNEE — — ( 9-or -0 S.07.91OX FROM 1.771E OP STP2.7", = NEWPORT LAC OLOC. SETBACK FROM' statzp. Yetd-.• RrA., c -Ccc;•se-e- ;- Rat,R S - L'rESLOP!PT ON 0; WORK ......_ „ NE N ". e.t- r, ALTEEPAI: DEMCLrEH A------ SQ. Fr ' , NO, Oir 17....: Or STO.RiES FA V.:L;ES USE 0,7 ScR0'07 _RF_ VACA / 70 C.; DONE 0•NL>,-; t‘i AS!... SI.37:.77-0F7E Cr 2.! cc: VAL IAAN Crt P C. r rEL S OTHER FOES S FEE3 nc'c LC. PLAN CHECK & A_KIIN,A^ AFARovA._ ! ! C_ ___ --- _ , c.. C.A P". Ar7:,c_ P AL sa, :-t-s C bC'T AppeovAL: ____ i‘4,1',27 CAne ?LA', r-ArErrtr..ey _or cr: SPcL.AL .NS.EC FOR 1E000 CONST LENDellt I BRANCH: Azaactss. ZIP pPpOVAE. S CAoE S I.ATURE FCLHOATION: LOCATION rs0 "NEsECTOR'S tartz. a-trrarnadqe 'Hat ha're read ttA r4..a..e_ _ .77 .5 tA-ert; th.7' : aH- tHe cw-.er tHe duly ' &e.55 _aan, tra crinr- agree to somr7e w:!H ar.d raee Po'AP COVERING ! AA: -; 77-"o77• a-.71 ..0o;r Ae wo'k 35i5AG5'2FF: the.eHy 77 77 '77 o tArr-rArd c" Fece && -h, ROOT SHEATHING _ . .• , a. - aA-t! W&Nr-e- s 057.-55.e.M.M !ns.rrdrta HovacE trUMBrR CORRECT Pier. POSTED PLAN CHECK VAUDAMN APPF'" -OP OFCMPANFY 66/ -&-- _ 1 CMC.A.5 PERSI1T VALIDATION Q f°1 CITY OF NEWPORT BEACH, CALIFORNIA S% D3 BUILDING DEPARTMENT �^ !Wa"a -illt APPLICATION FOR BUILDING PERMIT r_.. P •CANT HEAV I SN T ONLY A D DIN �/C �x • FJ �- !! HEAVY IY 4eF J `/ A Ral 3©[� CC We it �(f /y� T�F)'r Y( OCR.LITY �T / EAREST e ,q /`may / 3Y eu. / i SLOCK CROSSST. 19LA. e.Afrk _ _ ... / i • Z <._NS1.15 TRACE GROUP cotsst. FROCEg €p By yo or soots. 8E Or LET NOW on LOT 5TATST;CAL CLASSF;CATION VACANT EITE � y y yASS NO ..W,ESLL UNITS_ '�€s KT"10 3B f4f k' �11.F!'.SL_____ R.RE ZO ZONE _CON CON SPECIAL ONS flC T G R -f .t ,..AEv. NO. - -All�W._ of >GREsi _.�_s_Tsacr r v O r MF / ea Nt. 5-Y2?Se A _SG ?Mai !TE sE r.c_254,C L LICEAFSC3Tb e c Lj',/x- -/ L' Jr T C:_ASS E d �� l [ NEWPORT NE OF OTHER FEES S 1 - ,cCcztc": RAF •re _ d Iy A.Or dad are C fort L!DAMN Yards• CA-IFEiED E+ 417FIFI GAa EPEE' At. INSRECTCRAT=W FOR A y,i..'+>' TO IS C11 (Az U/p�. p'.__.7f y �CJ • O:J :_._ eL n A RODE COVER'VG POOR SHEATHING H 'SE N t ,:R— COP 7ECT A.._ POSTED PERMIT VALIDATION :SPELT 0 TURE u RESS twPORT BEAC6J CALB€UNK,NA BUILDING, DEPARTflENT APPLICATION FOR BUILDING PERMIT ANT TO FILL !N ARE HEAVY LINES ONLY. E LOCK v7 OF SL3GS. :sow Gv LOT UILDINf 7O L ��b` f l9i pea, nit DDRESS �} CALIT`. NEAREST CROSS 57 CENSUS TRACT GROUP TYPE '.PROOEAaSD By 36 r P ® COST. STATIST CAL CLASSIFICATION 'VACANT SITE CLASS ND DWELL UNITS 55 YES fro4[O USE ZONE MEP p SO. {�j ENTI SPECIAL O tE 'CONCON INTIONS V( a -G. SE'uACK :2 NO. F SLOG. G . SE ACK FEJF 4" 6 .>.CE PRC1 LINE O_br'6 OW /�,,� e Eaves: r P 5 dip ot*, 7 F-%'tkG'' t S4 E �i Fyn'T-� e HcCF A K INEWpopts 45 _ • NN NV' APrP^v- •.i.v14r B3. Sean_ -LCc P7.1-0N O` VYJKK - e in - ALTER -IR EtROL(F 2Lyll.rs j5% 'T -( - Cl 7 C - -- NE+.' , PT. APPROVAL_ S-O I-5 :Water Cc' ' PLAN CBE S.K50 BY i.. Gas OTHER 0v FEES S t hae ._ the PYT. EE S PLAN CHECK 'VALIDATION +� 1 SE CA. .NS➢EC CR ?£'. OP=s..AL z PP:OVA S ___... ON Ltc&r: us. - 5tE 1ALs FFAMIN' EC OF COVERING RCOF SHEATHING ^use NUMEER -i- CORRECT ANT POSTED i. AP PAN PERMIT 'VALIDATION e CO �wpor+eTd. CITY OF NE'MlPORT BEACH, CALIFORNIA 2tf4' BUILDING DEPARTMENT APPLICATION FOR BUILDING PER MIT APPLICANT TO FILL IN AREA Hi'THIN .: LGING---.9 .-, . ---7 ..., _-' i -I ▪ NG Ale --cis_/ _.'Blitifi. LOCAL ITT NEAREST "d0 A/'f L BLOCK 1 CROSS ST. 1 CENsu/S TRACT 1G�ouP T %'PRQc c r CTYll rt ` y�UeGi. 3U —I G- CO{VST. 7'• NT OF® C OF LOT v: on/ _an STATISTICAL CLASSIFI ION RA/CAN="rTE C=' TdNG BLDG CLASS NO ▪ DWELL UNITE 0 q- YES 'e,NO EL. USE ZONE uNp 7erc.) r r..4�7 - % yA�_ - Csyf 4e Br"i T r,RE ZO\E ScEPECNDITION'S K hl. i-_fE` oR EER `C2 ZlESE _.. E " rfrao' AC J 4, E1 sR L T-L_ i 6-70}-5/ Ye-ds: ear _.___.�'Ai$._.__.�.. _... Li =Y¢3 c5i, nodeosin. i_ c M1 No./OrTo z_% Ea P,I_ ,,(( A_ Cae C n wn�-./.Q+,f& ^C2c) >!? Aa;q �t NE yPORT F ✓ •.'. v A.;”;-.., At wea D_-,ON Or WoiK sy s2_i _L.T ER ERA I R EMOL;c 4.C. �L /-)! -�_• _ •. lldrIfY'rl Ups. + r `t if 4tut 3 AN Cr+_CIFO Al ON At oven i. S7,2., CriC6 s'rt� - ---- cF s .e (r11 ER FEES $ ri.AH CHECK DATI > EriiFLS W,.o. .;-.a. e cul. ee ROO. CVER'NG eJ _ .__.. c P 7 H M1 NIZYBER CCRRET Fn.c. POSTED PERMIT VALIDATION GI0.L'.NSPEC T nrcD. FOR ZIP COO.' T NS. TORS SVOSATURE o.: al d. CITY OF NEWPORT BEACH, CALIFORNIA BUILDING DEPARTMENT APPLICATION FOR BUILDING PERMIT APRI.. ICANT Tc FILL. !I! AWN. WITHIN HEAP! LINES Nc-<cpsrl 2 /(1- _. �%ia,/I /V VL/s - BLOCK 2/ `T YC. Gt BLOOS. O, LOT LAN CHECK CuI'y y p .. ROOF COVERING Ot -= ,he ROOF SHEATHING • InS:NLe. HOUSE NURSER N'MM� /.i CORRECT a+. POSTED i\� [%%!L�r nterifANC0A.41±2. of r2-ere'st/ PERMIT VALIDATION SPEG.AL {PaS PECTOF Rct„^'0. FOR SPECTOR'S _NATLIPE 4'nt `EL s�f� -CC / _A Cr' • SOILDINC 4 PV/ ADDRESS LOCALITY NEAREST CROSS ST. CENSUS TRACT IROVP '.TYP! I CON„. 310-12- STATISTICAL CLASSIFLCAT,ON CLASS NO._�[ )WELL UN6TS USE ZONE MAP 2 SPECIAL E ZO^ E CONDITIONS NO. 'E a-ds- STFTE ( e� : SE a Caves: tiE 4 ^- f7/ - - Pn„4TL 6 M1ca^ 06t. =5 / REPAIR �EUOLiSH /1. l e Cv FROM e0 Rca. c $ CHECK 2:- IC, .b C.+ -.H DEPT APPROVAL. YAL,DL:ES .2`?1Jpf / rizhinti,,°,'i c n, N.. -eicHes.>c FeTh p Ct4» pei-a s- �i§-CE-- 0300 61?- 02 a PPRCV4S t C&TICN ?45.MATERIALS 2 7 9 a. CITY OF NEWPORT BEACH, CALIFORNIA BUILDING DEPARTMENT bn•xlio APPLICATION FOR BUILDING PERMIT icAn-' RaLT F R N ARE: WITHIN BUILDING - -�-!_ E /Y L NLY ADDR"SS a - ,2Porr G 1� d LOCA !TY 111'-H V ViAlT 4+ G r0' NO. ! C° SLOCK NCROSS ST EAREST .^ SmAy,._ A P am` p0e 6 l J 60 CENSUS T((R'Act '-G77R��O,,UP'} CONEY. PROC @g=r BY 3CE o LOT Nc. C esL es. 1p - 1 Z �L./' C..', -.. ^+ow oN LOT STATISTICAL CLASSIFICATION VACA ^.TE ISTICD_DC CLASS NO. DWELL UNITS - U E ZONE ,N^:P GE SPECIAL FRE ZONE-1 CaND DONS TEL y BLOC. SC.SACK FROM NO. E o n o: C _. M1 E OF A DRESS -ROM 4 CLZ?vT.ACTEP ...L_ c L,i.�'CI' nC(cip 4117- o^STATE _ss � aP r1t,G NSE " .'Sz 7 POR _. . _.-- _ 1,. PER oy, O s.O:< / -i T4. Apt avAL i:Tr J PLAN CHECK VALIDATION R S P_OT PLAN CREEK & AOPRrTcut LT E14/ _'A R OEMO H /oil %/ 2..�(�IC NO OF YH_AL [$ APPROVAL- STOTTES - PLB�lC7-7E M-D a� --- 4 f qE �R rtTR Lss E T 5PEC!AL NSPECTc' REED D. FG0. -DER Pa=c APPRCV \INSPECTOR S q ;, - TEE - SIGNATURE ,r e` ^ram--/� OU . ALSON YT"R "_V Fn QyQ \ER':.5 ROOF' COVERING ROOF SYEATH:'NG HOUSE NUUEEP. CORRECT AWE. POSTED Pr RMIT VALIDATION \I 1 .., ,. LALIFORNIA • DEPARTMENT fOR BUILDING PERMIT NT To FILL In; AREA WITHIN HEAVY 1,.1 NES ONLI,. 2 LOCK C/e, CN LOT g ±pr i l30 Oc i - CT OR 2UG_D NC AVCIR[5 LOCALITY NEAREST T CROSS ST We, 5pi, 7-lT c. A5' C CENSUS TRACTCT GROUP 'l'YtT PPROCESSED BY3F-(a D-2.. coNST.N� STATISTICAL CLASSIFICATION tVACANT SITE CLASS NO.4P DWELLUN:-.s '^-° YESNO USE ::GNE . '.SA ... __ / SPECA:. FIRE ZONE CDND'T:ONS 0RT DM ?i5g:DONE kC cyf yL1_ Tc c2C7.t c it•L CF !#.(6Etf_tfiLcSE-y-3 `�:'.�-p up �K:VEOF LEA_ Re( , - A4C} S- c!iOM T'l 4.4 PF]P.A .00__ Ai sea- (f P f-kTlir ��✓+ ve,dz- Rea- o+l I CE'+SE (Cr.; -1 , /T - I- - ASS 1P127 CrE A:P E & R; • aa „ ij 0 __. I., J OF WCF,K R?.;R EEMOLISH . NO -OF - APPROVALSTO;,;CES Cori, S=EVAL N PECL7:7; ;SC FOR TIER 1. PLAN C,HEEW VALWAUUON P„T =eE 3 J G Dt.L: Loc,r,0 A-EP A:S .. ..')]F COVERING !NG NL:MEER CORRECT AN's ao sTED PERMIT VALIDATION Call ORS S. C :. ATURE 7 QCl F ES JJ S� L�C/ C cV LacsT:oel msvTacr..as .' a e cac i S <Dc'.:. the FEL"-.. E G fea my _.. '^FLY ti a•.d ,fat, ROOF -OVER!NG ^ � C cD e ROOF SHEATHING V' CdRanHadradce. HOUSE NUM E CORRECT n.o POSTED PLAN CHECK VALIDATION E PERMIT VALIDATION CITY OF NEWPORT BEACH, CALIFORNIA BUILDING DEPARTMENT APPLICATION FOR BUILDING PERMIT APPLICANT TO RIt.4 !N AREA HEAVY LiNCS ONLY. NO. CY OR LOT OR SONG CHITECT OR `Pp- F`-�t BLOCK CS BLOCS. TEL ti0. „r_r OR P(E NO. Et STATE SS LICENSE' NC. L: NSE CLASS N E'W PORT L:C. = 7.7.101\-i OF WORK 4 'ER o EPA! R c❑EMO! iSF _T.:3:E5 FA•M LIES ..-. ry- 673-2110 BUt LDING ADDRESS 90/ Atria aRr .7 (� l LO ALITY (H©44 KosP^ C9 CROSS Masr/r44. CENSUS TRACT ;GROUP TYPO 36-/z P_z CONST. 5TATISTIC_AL CCLASSIF1CAT:CN CLet5S,?SO. __ [ __DWELL UNITS U ZONE MAP NO. CT SPECIAL----�- CON-G:T:ONG Cs SE' TaM A n r o K FCOM RD SOE'. `NSPE O= EEL 7 POE __ ER PYT PPSA. 4L5 > - SPEZTOR-5 _ _ S;GNATURE CITY OF NEWPORT BEACH, CAL!FORN!A BUILDING DEPARTMENT APPLICATION FOR BUILDING PERMIT APPLICANT TO FILL IN AREA 'NI TVI# R:ILDI NS IE4VV LINES ONLY ADDRESS "SOO tiPO r SE OF #f STING BLDG. C€i iTECT u:NEER BLOCK NC cr 3L GS, I:ON OV l6T • TEL NO STATE LICENSE t0./'. ASS NE.AFORT LIC. = D&SORfPTION OF WQ"R< ALTER- „ - NO 0 FEES S PLAN CHECK VALIDATION P read _' LOCALtT♦ �L Lft NEAREST CROSS ST. CENSUS TRACT GROUP ;TYPE PROCESSED BY 7 COMET J 1✓ 1 STATISTICAL CLASSIFICATION VACkN-F SITE CLASS NO.7__OW ELL, UNITS 0 , 7" YES NO USE ZONE MAP C.--. NO .� SPECIAL FIRE ZONE CONOITfONS n` SE'_aCK FROM F2_T FCC, _INF OF STa= BLOC. SETBACK =569 /17C„,/ SIC[ : PPOP. .NE OF /(/ !\ .S^.RECt 'tea . ds' PAa- C F, 5 PLOT PLAN OEECK & &PPP. } C.rb _f A_ANN:NG APPROVAt. g corr. • ACPPOVAL __.MOLIEH NC Sr FA 6. _ ES !Se - HEt LTH CEPi. APPROVAL: ▪ L5N Ck"cCRfb BY Tcroi SPEGAL INSPECTCP FEC'C. FOR A ROV ._- 1 COMET Lt NotR- mrot A3^RCSC. APPROVALS Cmoo:: n^.0V LOCATION � pens M1!A'c P;0.'_5 ROOF COVERrNG ROOF 5-+ESTH:'NG ^Y- te cE NUMBER CORRECT u_p POSTED PERMIT VALIDATION SIP COCE - —'- INS CTOR S SGT:ATURE cc N 1100 W Newport Bf;td CITY OF NEWPORT REACH, CALI BUILDING DEPARTMENT APPLICATION FOR BUILDING PERM T Sri. ilf F ni C: a c." It PPLeCANT TO AWL IN AREA WITHIN . . UILE'PNG • - I HEAVY E. . ADDRESS tO LOCALITY NEAREST CROSS ST PSI:" c 'MIA D... !ti - en NO OF SLOGS 3 CO '''' CONST1 CENSUSPROCEsay TRACT I GROUP TYPE , I. P` WIC OF COT Now ON LOT STATISTICAL CLASSIFICATION VAPAAE SITE - EXISTIN^ BLDG CLASS NO I DWELL UNITS -1- 'at S _ _ Al ertESCQWT:ON OF WORK USE ZONE Ap FI E --Ito\ E SCPOENCOIATLIONS 'W,ILL.De -V 1±,thc,,ES.S 0 k 11,2gt_134) o Poe OF I 72 PLOCK TRACT 1c.-, GsA,',0 010 .' 44;EKK ADD , ......„LIER REPAIR DEMOLISH "I BO r' -SLUG0 3 O OF Ef -SIZE Cs c A &CE SPCA' ES EcIa LIES Cuo-, USE OF STRUCTUZE WOEIC r's FF. BONE Si7$2-1 LC{ CV\ VALUATIOM $ TEL Otaci$11‘.4„..__‘° .e5d4P$ C-(451 ir I ie? Ftsofte 673-2110 ,:r.CACK FROM FRC, C P,OP 0.= • 3T.RCE7, SY.:, PROP 1_!`a .,Virt.EFT OwNNES ADDIEESE C.TE 1*4 fa• NEziagr bLio , ARCH 'TEC` CD TEL NO. kifa Cc:903 jpp‘'ESS 79$1,507 PAQC.,TLiCENSE NO. (87293 SAPLE CITY CLA- N/CENSE C ,St.GNPT_PE pp APPLICANT ; ./1; Eve;- Fr. Per ; PLOT hUAN CSE33( & cwORA F 1 EE APECI.3”AL )$ c -ft HEA_TH DEFT:TSPRCSAL Pi ATI CH-ECK-I'D fie — - I7fcc, 3ha APPPOJAL t---L 3- C-Pce L-NocR AL iNSEECTCG w pc, 3 r CR -_-, . _ OTHER PMT -EPEOVc_S FEE S k... ' FEES PEE S S CaNATUPE CL, Esc.NocrtoA LOCATION r0R4di street; te.es -, dee ott. ecge .Fat . ^pee fetid this apclication; that fhe , ieforTa. ce a -cc. o wc-erf, cad teat I am the ow r er or the duiy A./Iwo-two Aces a' t-e ecce, ' agTh weOCCE,Cypiu city city „d ttaue REINEOPC STEEL ., Lief; fActwi. "ft cacf-fate:c re. iy cc, A the Note A-the:iced thereby co arc- ac be espict. d; it Hoatice- et the ;Labor Code of ft- ' Stare cf Etac-Ia tele; to :Perietreet s rattairensat;on Interante SIGN Ac '2.7E LAN CHECK PALMATION - . PERMIT VALIDATION LoICAP Cat' OGCUE 1 SPE A- INSPEPTO porn L:vO. CITY OF NEWPORT BEACH, CALIFORNIA 673.-2H BUILDING DEPARTMENT APPLICATION FOR BUILDING PERMIT APPLICANT TO FILL IN ARWITHIN HEAVY LINES ONLY. ' 3c/ NNu <r'rk'f. (, tic/ BLOCK WO. OF ELCGS. LOT HCva ON LOT .G_ a_agr L C) j Y t t ti DESCRIPTION OF WORK ADD ALTER REPAIR DEMOLISH BLDG. GARAGE 'LIRE YALL'`A'itO BE CONE NO. OF NO OF ST_.R:ES ,m:LIES .4C csP:l4dro ADDRESS 7.� / C6. / OR TEL. ,,.'Yk�a TE �a `,''71e' %alo }DENS=_ NO. 2V 277 LICENSE CLASS _ (F NEWPORT lDS LiC. C Se84ATAI. C APP`_:CANT. NT• 440 P.0 CTHER FMT. EE S FEES 5 FEES 0 cf,. i rf f BUILLaIN G ADDRESS 't m 0 kick) PO M I LOCALITY NEAREST CROSS Sr. CENSUS TRACT GROUP TYPE J 6,- CONS/La-7 STATISTICAL qCLASSIFICATON CLASS NO?_. J DWELL UNITS USE ZONE MAp )/I r NO. Cr' SPECIAL FIRE ZONE CONDITIONS 3 san^.5_TSACH FP:OM SParcE Re.c FROM 5 `rE PR^p c c < At Ya.ds: Pea- _R.S Eaves- F: Rear.____.. P 4 ' ,tN CHECK S AP HEAi'I{ ✓EPT. APP OVAL. FLAN CHECKED PY APPROeu TO i[._ C ERANCM ae'ecy zaknowtee.ge that ; ^a-e read aPelIa atice; 14a' the aaf.emt a^c a Pia Nee. e t.•e R NPOPC ST d Me th_v :c :he f ,. ced 'A s L cc- cd o sa• i 1 e . f /.-9.HEATHING .ALS LC,CATEON AUDITION PERMIT VAUDITION /nee se CITY OF NEWPORT BtACH, CALIFORNIA Newpore dive{ BUILDING DEPARTMENT APPLICATION FOR BUILDING PERMIT SAO-DING Peon 673-2110 APPLICANT TO FLL IN AA WITHIN BUILDING goy ,j HEAVY LINES ONLY ADDRESS lai ki rot Step AEDRESS / CIO Alt r LA,o, LO3ALITY t NO. BLOCK NEAREST # CROSS ST CENSUS TRACT GROUP TYPE COMET. S A F PLAN CHECK VALWATION --rp.,AcT VC OF 3LOGS 34 — It /Z 1 P-2, SIDE OF L. o r 0N 0 LOT STATISTICAL CLASSIFICATION UAC N.,--T vit EXISTING SLOG CLASS NO. 7 DWELL UNITS _ :: V'ES .f-440 -r) ES: ZONE ...ARp OWNER HCAL$ ilee.4)1FAL.,. NC 5_4&: e.-4-1 --------- .,.. I. 0----4c1.--t-IT t.2 (,--Lii) - FIRE ZONE CONCHTIONS SPECIAL ___ . __._ a -- _ 'ARIERITIfi..) pR _ ,(.4.4 gitizi&cisitc2,sgth: _7,-, - -. ,,,.0.2414-,4 Bertifi/SRAT, tIti.a.NEd i-lito„._ r -- • - --. e'' Eike r - E _.0 sC-CACK RCM ,.3/ 0 r i4.14/..j rqEr ADDRESS ,.--De - 3 _ L'ICTLITAL2C NEC i ---T COMT$A3TOH/AC:-CU-1--= NO i hpf- Yrds °,-ar R / STATT T„ ACTOTESSighli3,04.4<a e s I-LTIRECISE NC.talitel Pear cattYrrfaaSrAt Me+ cs. 1 CP/ rs f4°,9 lal'IT75NSSE NEWPORT - ;[‘ct-R:7:0ti 0; WORK DTVAL PA, EV/ V c DT ',AN O-iEO' & AP,,SV ALTER REPAIR 3EMOUSTH r /. - 7 i rrs F. reraCeAL [Fe:Jr 71; 3 33 / / 5/.0.0 IC C'r C‘T'. 0$ ES i ?;::41?/..r'ES DEE ArAROvAs LLI . U E LAT STSRL CT.,/ V. V ne,--nt-n.:, trk-- 4 , DIA CA 'ALAN THEDREP SSEC A-4SECT0R FRRO, 0 FOR EE DON • A ,,- A SIGNATURE OVA And/ APPLICANT AvAra, ---/ VALUATAsN $ P OTHER ARTATCATTCS' FEL S H TEES S SDUNATURE 3ETE S Lc—e 5-0.4-0-0'DN 1-00, 363, rc. vms. ...TERIALS VCCAM: ad sse d. 7-e du'v ,DT• s, Hs suu. "H) svy sr, s.), ROOT COVERING LH/ /s4'333. DT-33DR- AF's$ Hs AcTI F.,H3)/LeA The/Aby HOILSR NUMBER 0.33TRETT ANZ POSTED 7"(7'. PERMIT VALIDATION1,071 4, CITY OF NEWPORT BEACH, CALIFORNIA ' Notio . T4v4Ber, ET 4, BUILDING DEPARTMENT PR -re 673-2110 ...2, ..... APPLICATION OR ELECTRICAL PERMIT r FEE A g" • 'V::: '' Arr.:WANE TO Fa: IN AAAE'A ,,L!-HYA HEAVY LENE5 .44H...4' ' E4I.HLL4iNd v‘,44 _'''.., ADDRESS ....-"vi CONSTRUC, 0,1/4: NExpvst jit 1, cnosS ST .,....j.kii , ,. - ? 0- 11' , OmAWILN ER "Air 0-0 )0, J.,100- , r ..,..„ — ° — .— -- — — -- — —_ _ _ rEL ‘c...ry . - .. , , A -A ! - ASERESS ao c .7.0' SA:4 'AA' NO i f.L.k ,,,,, t;QA:7 ,` `;11-°".ti.' -- G R01!. P ZONE r'R'0222ESSE.0 ;i2( 0&1-04`170 no c REP ERE -4, „traT-44RES i' T _11.<,— P i - !!!‘t ,,a,camo 44,D -04-7. AP.L,AAHES ' CA. INSPECTION RECORD S — 7.0 3 EEC EEO TE..“32. 91.CE 33 UN WORK AESEE, citt < - ; r-cr .7 A C744.-A-HY E!XT,JEES 0C ,:013 FEE:: - ,TRW- sS_I S s pr'in,:e04, "2' Pe , 3,,-„,,np 3.._i_ P 3 : 2,-c ,p -ecra Pc: - '22 3,-c- 2- Pc ','-', - / / PIEEC, c - 7 . - , , 4rIes ; cc 3.--pht, 3c, i ,E -3 •. c .2-, :en-E.-3,d „,,,,VELIDTTION CITY OF NEWPORT BEACH, CALIFORNIA BUILDING DEPARTMENT A PL!CATION FOR ELECTRICAL F9'ERM!T Q L4 T R i'.E •J a W.x c. W a a>.c.,ws A,._. ,_.a. L` l E-T- ovEA 210 :00 NEAREST' _d tCROSS S � r.IrJr OWNER MAUL dADgE65C' f _..__ e vdLesf ELECTRICIAN TEEL. NO. NPT. LI . NCY. oft, tiJ T %! y" GROUP ZONE j PROCESSED_,�7 ff SPECTION RECORD Ptf,,no ar3-7H0 ldw i nP r.-�lyL1 L> ^<x� P:C- 4u".PE LO LiNOEPSLAS w0'iK R-•.3G„CONLLOOr TEMP POWER 'ice -r NOT 1-AL FEE R!v CITY OF NEWPORT 9EACI-1, CAZIFORNRA BUILDING DEFARTMENT APPLICATION FOR ELECTRICAL PERMIT Pe3CtN YQ Rr3.E fPd £4 A NTa4ty, gi31 D6'wG _ , HEAVY . N S 9©," etacz... G/,.t s _ CFoss s? OWNER _ • A TRESS F:^.c.e 673.2ii 4Gfl3- 1ENREOTOtorOAL _.;nw ~•.� ....� „ _ vS ELECTR N -G, CiTYi•eewek-r' /5Crc-S T=LNOatS"':al" STATE Cr)NT. NO, /C RBI✓( C-LP ''.ZONE '.PROCESSED &Y 5C. ----- 2z.ce 50 TOTAL FEZ ;aaE th7s dv44's Jl:ud reby - 2 03 am„T 7pS,21:00 FEE Witkqpurf aivd CITY Of NEWPORT BEACH, CAUFORMA BUILMNIG' DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT , C1Nis ADORES' FEE DOKISTExu ET T -OCAL,T2 ARD4221$25 A L., , $ F4F.AREST p, tt pE, CROSS ST — obi LwRia ER 1‘,),,3 ‘." t, Lt,s-k„-' 4 - A r DRESS ' C 2.. Yentt 4 i 00 FEL N0 ELECTR!CIAN La ert P k C4 -------,,, (010-1-ETS ri PTI llt/1 2C17 1 I CITY ft 6. r 7- d. /Li -411 CI PT eri li j L 20 4„, - ..A,a;„1a 4i,., .!..,,•.,., ",,, ,0,,f1,,„C.i,„.„„.,t,0„l„ „eu..,„.,tI,,.R_N" , NzGGs *K(i I 2,0 NPTUIC O 1 —S E T O 2=G. ZO 41 • ... 30 , 2 — e 2 50 ' N , TO i00140CF 0- 0 ,„.utsc P • t, - TOTAL. F.:TE 04040 .26, 0-040-2,0 -ra.. -: : i sz i ) ' '''S ''' '''c '''', ".",' C '' 0 ' - T. 12'G,'' el122 $ -$ sulKos 3242 .0000 „..-: - -...0r- .s.„,,,,- - - 1- To „nt: '00 :Ti 000 ' 00 ---404 • -N- ---n .-: en- - .1.0 -:" ".0 "^". -' NT „:No ^ ' -, 673-2.3!0 f.Dorlest;c. 6$$S' TREK 00 6- 00 INSPECTION kEID tsTr-i-t 3. AI CERSLAE, WORK ' R0010;$ CONOLDT 1 FouRIT ARFSKIG tEm p RC AtER E1XTTRES -$7.6..33n$NOT/E1E0 p.; ViiiiDATWN CITY OF NEWPORT BEACH, CALIFORNIA DUILDING DEPARTMENT ATION FOR ELECTRICAL PERMIT PLICANY ,T FILL iN AREA Wd6 NIPB _ Sll.Y ES G ,•, I4EAVY LINESS ONLY, _e „�L`/'•�.re^t s`daky-f� g'..: 3b' FEE 'f.�� _ L; sIS —__— . LOCALITY A`CG t. M /J C.a FC�z=k f°c 'NEAREST— j CROSS ST i'G'F radde t OWNERS I J� AIL E .�✓%C'/Ti�/�� �C� „,, MADDRESS f1 ket-i.% rcrf /S 11V A 'i too �_ �.__. ITT i'C4c .9ri / c.<'.?r_it TEL NO-6 ii b"-re 1—% A5 OC 5 C ER THAN NE. F 0EL'IAL `� -- - nst .a� I. AI.rE z ±n s a �.-,ova ELECTRIC J.N -..tFW nIea-1 — •. W� OT,SL I .. i I ?OGRE:'_' c C3 CG aSYTi✓C et✓cA /'t.r _td za s d/I cd CITY jfc.<-io`rf STLAP-h TE - STATE C T crz -n ! Crib NPT. LIC. NO. NO.IOS, TOTAL - - GROUP ZONE ,.PROCEcEE$? Y G j J.Ea 20 :O Z_i f\ 111 -KING AN❑ DOME F PP- IAI*U_ES L'0f^eib:c YO TRAM9_ NC _.fs TA_ FEE INSPECTION REitJRD tCO' 1 000 .Co L _f rr r rsbv ectaew'.edce n. + "Aid eq c atirry _ /ea 0_� w Corn 4OERSLAe WORK CCINifiLLIT POWER RES RA 0 CITY OF NEWPORT RE.ACH, CAUFORNIA BUILDING DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT APyPLiCANT TO !TOLL IN AREA INST 4:H 7 SU:LDWG HEAVY LINES ONLY. J ADDRESS `, / e^ ,JA A .v/s� F£E :TIAt: NEAREST f ±: 5T.', i@?lR 90 FT RES.: NSTRUCTION LQCAL4 TY C RID a:a ./ 4_ K CROSS ST. J—. ,5 eaf" P'ID /P O OWNER _//4 4_4 .L'`,c(24ey .41. /744/), T,4.c ?BAIL ADDRESS d$ A nidt Phone 671.2110 -- — --L CtTe TEL NO. 4 THAN NEW PES'-.ST'Al_^-- S AN AnurrloNs. ELECTR!C!AN . (Q LA-4 F4 /4,4.JC- 4..i d;:IC 7 ADDRESS J 4 3 Se zk ..-.n4- Ili..' F:gs,2Q .S2O, f CITY AS"4jf'.'1 TEL NO. Se�` Cats 20 TCTA'_ p ro voT 2 D " _I C../ER 20 AND HODS :. EEL'ANDES (Domestc Oniv) 10 40 0VE5 e CO. ?O ESO 2.D0 n- a I 50 .--__ FOG SOC i-Q LAMPS ISSUING FEE TOTAL FEE 'Owledge that 1 hade f c e gen cnatruct:on;and CO Q 21 STAT CANT. 0 e st , e. t 9Iica O ; that the the sae , o_ „y 3: _ :ta's cdc r e.'L'h Pcy, Labe Code _Co AccricI7co "rt." rhn PPRov A' 5 UNDERSLAS WORK FOL:GH CONDUIT ROUGH WIPING F_ TURES I LITE CO. NOTIFIED L ADNATURE O P RdITTET -'VALIDAT^ TIDN RECORD :YSPE0t 9 G '3:0.4ATUW2 sand. CITY OF NEWPORT BEACH, CALIFORNIA BUILDING DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT AP PLI LA '.� PIz, L. 'py AREA Wiflt N P StM_D@NG l'f �iNES O4LY. j ADDRESS :J,4' FEE' NEAREST EF. ^ <. F.. xr S CROSS �saz- ..e OWNER p,x MAIL. FGS'EA9 NEN .ES! EE.IEAL. D.;S «DEVIEENS. ELECTRICIAN Ph's% 673-1110 ''..l., ____IOUTLETS! "o. cAty ADDRESS i �i '''4 dt :r'C:a,..I� ,.Cr Li .,R: 3. Lh so °etc' CITY %g en ' TE... NO.6Y(P?Ci.IZ1 5-ATE CON' "ENSE N..-. aEe^r ,, o"`�'d "`T !r NO a. NO O � i rr•- %3 / TO ` (GROUP ZONE 'PROCESSED :=v. arcs ( // m„ z� .l.i_. 20.,_ do_ Z ---- i 20 0... "F i ,.5 INSPECTION RECO*.' .O.r= APPLiANCEE 1.00- -a5.4;;c 2.00 d LiRE ve:in :Er a OF PERM :TTEE ev .OERSLAE WOR U'GH CONDUIT WIRING P. POWER URES ITv CO- NOTIFIED FINAL C. V {I., PON po*f Blvd. CITY OF NEWPORT BEACH, CALIFORNIA BUILDING DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT APPLICANT TO Ft, !se AREA WIT!N 61vG�- HEAVY LINES ONLY. BU j e,p0RIiOa UCii0'< I CR 5S � e =R OSS S9'. s`o*C 4 s.. •T. et PCS 50.FT GARAGS• CO LER £ S FOP OT V NEW .ES 0ENTIAL R ALL ALTERATIONS' .M1L 4.207ei0a5_ TOTAL.. vC. OUTLETS $ A,f Ve to TOTAL TtJRES KENO AND' HOME APP=]A`!CZS f icr.R,iic Oslrl 20 0 ___.— - 00. 1.SO 15 IS 0 S 00 O -PANS :SC LAAASE 100 G FEE TOTAL FEE AIL Ae- OEIRESS CO=Gt ^It. I =4---' CITY 1 r ohnahrIedge `Pa' ! hare toad th1s a01, a''c- 5Fe9 tS e teat' *he't of the soree ootreht soNe ord Fats LonstrooNom c a, _ �� e e,t Fn_ e a W ^:aY ^. a ^,,s. PF.ono 673-2110 ELECTRICIAN rt .^*-1 et; r d e: c- .fC.l„°! C. .•c, AOCPSsS I -$ ^ A r »1/J 4 /4/ . CITY i y' TEi..NO4- 12-:19.9 ° o 5 NO SFS 2LIYPE t CENS$. v N.3 ,Z4'ic;o T... L GROUP '.-LONE ! PRDCESSED BY EERSLAB VIOPK CONCA.111- °UGH WIRING VALIDATION POtr ER RES CO NOTi INSPECTION P,EI ;R0 ary OF NEWPORT BEACH, CAUFORNIA BUILDING DEPARTMENT APPLICATION FOR ELECTRICAL APPLICANT 0 Ff'LL I,N AREA WYT fifty '3UY IN< HEAVY LINES ONL'f. ADORERS NSTRUC: I{aN FEE NT.AL. i5 LOCAL4TY NEAREST :* i I¢ca s...=- zr CROSS ST. OWNER _._. MAIL �P'_H ADDRESS FE 4 FOY OTHER THAN NEW RE .DENTi A:. —�" j ADDOFF.TiONS AND nctneors_ �ELECTP_ICPAN �/ TOTAL +.c. £AE:: hDJRESS 2 .�p `c:Tv 1 Csda_ FiPAT 2a' _n_ • OVER 24 10 r.,PT. _lC. q NO. AL ' ROUP :ZONE =:e=_.a as — ER20 .0 �-a. AND HOME aPc„gNCES a INSPECTION RECORD ERMIT ,C_Ia:sc OHO O /_.. .ear 0V ER 0 SO — a0 CO; 130 2 00 2.50 3 OC PROCF_ Y 673 2110 ....'nt!v 5. EEYS1•✓+L�_ __.. ems... N fi YI R 55lnNG FEE TOTAL FEE JN0ERSLAE 'WORK ROUGH CONOJ:T TEMP. POWER T;XTU2ES 1-fTlf_17,1 W. NOTIFIED Fehr a< wleCre fhaF ' hove read ib.4 a :cation, + the g w ofy Mat the a o-aN aofe^9 ri iF c:Aply e d < HniF .D �'u LAbOr ::I a 4J0_ a r _ _ iA CITY CF NEWPORT BEACH, CALIFORNIA BUILDING DEPARTMENT APPLICATION FOR ELECTRICAL PER Eak' RNA n _ aT1O\s. HOME _i,, RGFS TOTAL +..QUA{..PTV NeGAREST CROSS ST. — - Al C - < TAR NO f`" Fr Ng A, "y G RCi.t- ZONE'd5F20CESSEN EY INSPECTION RECORD iJ DERS_AE WORK ROUGH CONDUIT CITY OF NEWPORT BEACH, CALIFORNIA BUILDING DEPARTMENT APPLICATION FOR ELECTRICAL P CANT TFS P1i ;+E.n„Y VICE 11 tFLAR rEE3 'J-...'rtrir. NErt uES,JE!:R a ,Fi]R ALL EPAr-As4 TUR NEAREST S C _ CROSS SY OWNERf 4C-.: —.1 a R° S sp" L. a ....:. IKAIL PRIORESS 4 "erns C Y pp TEL. NO. ELECTROCAN LJ ,3 $rs ,.irz tr,. °P c: S ADKESSi2-4 4L4._.'44A.. it 14- <C:YY 4 S.3 ft, i-4 .i h TEL. NO,C7 4j' ;3 STA' CO.^NY LI _'FNS 90; oc NET ITC NO Se,,1,24 NO ul 414t g TYPE 44. ^ham^ ' :ONE PROCESSED BY e 673-2110 20 ;J 3idtaG AN:] HOME A PRIEIANCES 100. ',Doer„ srlc ,O_ryi tRS: .-seA _ O C PERMIT I ESL:INS FEE TOTAL FEE NSPECTION RECORD PPE 'A S LIERPECTOR z cNn YJ 1 0 '.00 UtivER L 6 WORK , ROETTEI CON^.... 0.JOH WIRING TEMP. POWER FIXTURES UTILSY NO -IF ED _s,: Ccdr FIST AdURE OF P_PIXITT LICFATION w. Newport lvd CITY OF NEWPORT BEACH, CALIFORNIA B BUILDING DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT APPLICANT To FILL !At AREA w3f1 N HEARN. LINES ONLY. ADDRESs Sit CONSFRUCTpoN FEE. ts I LOCAUTY COIENT! A L I NEAREST . CROSS ST t =ER :4E Er PES E0 Ef PER SO r— C2,PAEE2 oviCE 't 00 Elitel,F.4.0 FEE'S CEP 07-1.4E T. kW NEN RESIDENT,A, wK,A3k0l1,0., ALL ALTE-RA.T ONS fit.0 SEE.T.ONS OWNER . — ADDRESS 2.7Y /A ELECT (AN ADDRE.S., Ty) t TEL NO eif E.AI STA.72 C TyP GROUP ZONE TPROC SGEP Llet t NS NO tr TOTAL LO 20' 441(EURES si OVER 20 10 F-I Phone 673-2110 °yrs ss L'it ?PT LIC NO 7 rt.00K,K0 ANL- S.EVE ,00P001410ES 00 !DnmesNc. 0.,Hy) .RtS OVEA 53 1 00 1 SO E --- 100 5 00 INSPECTION RE ___EPPP0VA, E 754TE 00 ,SFKC:YEP 5,EN,-(ERE sEptetCE tett SCI -Z40,0-. Act. _RW0 .EstOt.c. FEE 00 ___ttE ' 00 cde , ft? / :4! e TOTAL r FF a0(zost7,:ce ^.,e,,e road tErk. eppncatc..n: .ern ths. ENVe' Cr ISA 2Cpare of :0.. C,^C,tomp,i 3500151 city ann rare tAvr: E.rd ;gr:„c!-, ,:.] b: c.tr c.,,ens in Ettde itt Stat• L." arrr; ONEFERELAB WORK CONOWT ItOL 33 WIRING TSAI? ROWER Fix.-JRSE .21221-of CO tt OTIOSE VALIDATIH 51-c ??Kr-c-e )(jet r21- ( (7/4 35 5 Ne+po;< toed. CITY OF NEWPORT BEACH, CALfFORNIA mRe 673.2t1 BUILDING DEPARTMENT APPLICATION FOR ELECTRICAL PERT A 9'Wi.0 $E TO FlL•L ASPS •di:TFilh` HEtvrLDlh:G / F{ Fat / 'M11 EAv`l LtNFS ONLY . ADDRESS ES 701 > EER iq M:i 'ESE RE5!0E' "aflta _pAit- R:A- OEM ENS no.x o..>. ELECTRJC+IyAN ^AL ;j +(�+ g 7JTj ETS 30 E/cF; ADDR SS .F 2..*f }s�ro a_ s�^qp, [d a 20 S 20CtTY M!$a A[ 1 4 EL. N a+i . Cate -O -'t 5v _, l .NP" O. w .B Nr ^ "otm4 r 20 G. OUP Z NE PRG SED BY .eresbs,�� Q, gpr { aczm °REs 6 't f i rc:. .03AIS0 r\D Al „PP ANr_ES ,o„:. _ -- INSPEGT44€d RC --i LOGFLIrY �=LI.F NEAREST --- CROSS ST. �. .. q, gig sAs,..... OWNER g At.J CT`I7AS ¢'y CEEE PERM : >SUING FEE TC TA, UNDERSLAS WORK 0-:Gd 004ZUEt MP. POWS'S jPE CITY OF NEWPORT BEACH, CALO-ORNIA BUILDING DEPARTMENT CATION FOR ELECTRICAL PER AAREA IT L.Y STRFU CT;ON 1AL: cR Ste. Gt. GARAGG ET<: 5OD _. -OCALfTY NEAREST CROSS ST OWNER MAP._ ADDRESS CITY ms s:q - n x. ven r I r (I '4 scs+cfapy e �r.1lo Arc: c ELECTRICIAN 171! A .__r OUTLETS .__ _4..F� —_L—.. pO tESSjj�� ...5~.{.L _+20 2J ( :OIA CITY J(/ )�, coo TOteAL 0 200A 1.00. E C-SOOV.Gv[a 200A. x'_I '2.00 E 'Ea SCOY :SSUP:IC FEE TOTAL F EE -. azJ Giizd on; _ rle L qr O R CIpLa h _ ,.. rer..c :... GROUP ZONE PROCESSED 9 INSPECTION RECORD ,_wv=,,VAT 5 CONDUIT ROUGH 1,:PITNT TEMP POWER FIXTUPTS 00 NOTIFIED 0. W. Newport B1vd. CITY OF NEWPORT BEACH, CALIFORNIA BUILDING DEPARTMENT APPLICATION FOR ELECTRICAL PERM T APPLICANT TO FILL IN AREA ANTFUN eui-mr4, v5, s5. HEAVY L I NES ONLY ! ADDRESS $0 f ,a{4C-44/re 51:01451IN CONSTRUCTION FEE ! LONALi, cestierim PeelthrieJl4 4470»s NEAREST f ; CRO5S ST /los r °INNER (-7*-4G.' 4frikfit,All _AA/CZ A rout 1,,..g01ms, 3 et teetsitIceer ogt‘ "I.I.StRmtso O 1 00 Phone 673-2110 ereLiStE C-42:444444 LLES TEE OTHER THAN 44EJE RES!C0'04.AL PA7/:04.0 FOR ALL FCrEINOI0`.,S. 4E40 ADDEtreNs j . ELECTRICIANeee I A 4 er,.6; erg: e C r i eti;;, i 6 i ig 4,t4P1 i. TOTAL ; f ' At:DRESS ;15 / 7 -.cc 4 Aite4 /Ai ? OUTLETS ! CITY Ad /2-Atc4 _ TEL NCY-r4t099.°2 nr,tORT _ ' ., , ov, 20 ! NAT_ ! / T N0,52 & 2" Z Top.X.I.N2 r ;:3 EF I eCrE A c. Ai IIII1 '151,ALAGNIT5NG ; ! st4E4 20 TOTAL 20 FCO-I,) P 7R445 .PP FISED LY ! ; ,I.11_41-1FOLTURES i' I :To _ lel - (. . C1--k INSPECTION RECORD COOKJAS A 0 HOME APP_IAA,:25 ' 55' ' 1C:mesfp. C(11v) L___T5T at TEL. N0fl et cc( 0 _J 3 00 SC - 100 5 00 66m6vscr_ ."./64M0, A655,44/1-4-krAtioir (Lai_ „E a? eackiag-- ( 00 PP5 FFF-Rore ia,NA-uor LINCERSLAR WORK FOJCH CONDUIT ROCC-I WIRING TEMP POWER A _-j UTILiTA CO. NOTIFIES IEERESit '554'INCe FEE a° 5' 6 TOTAL FEE Ai N.A L — : lanb, anaacwiadgir i tile aad aaaa -43E te4 .4:-..E.j4eFEL: ;aie l al'e . larla-nial'oa i.gii,ani is roirwat: —a; . et -'44 S.'S" et °lci:iv Lit N wadtwalzwal i;qiii;aii ol ;lie zi-a- ; aciiii/ — ia.---a d".- al.'', aari 5.1L(.6 laws ;ritaiiirg annsiiiiallaira arid in :di-ii; ii;id; -a-i; a -a07'7..44L ,•-wpnw Sfade Caiilo.iaith Woinwea ; - cte—rt• OE, .LIDATcON STEVCT AL: CITY OF NEWPORT BEACH, CALIFORNIA BUILDING DEPARTMENT APPLICATION FOR ELECTRICAL PER IIT 6YCkFE4 77 eli.1. S* 6.RG`0. WiT?Y!!a 9UeLu1NC' F "> [ EA1O LtYv£ R.Y SCORESS LOCALITY - NEAREST %1 PERV,E ars. '�CROS3 AT, rhos, 677-2`10 0 _..: 61-1 5 F H OT FR MK . C`. 2ErT;AL an.i v aoL ELECTRIC Add_ IOTA_ •. �i 4, aDERESS rk77.5 20 .._y. ✓_', -I TEL. tiOey ,L2 iT4,)s'?, STNST CC r.0�Zc'C,' No .re.v 2�Tt 7 Lv rn idi _ 2¢a TOT 20 OLJP ZONE :PROCESSED EY 20: INSPECTION RECORD 2 CO 2 50 SEL FEE a a. CITY OF NEWPORT BEACH, CALIFORNIA BUILDING DEPARTMENT APPLICATION FOR ELECTRICAL ICAL PERM T :N AWES WITHIN f; L'tLbpNG ,{ Y L^5 ONLY A.v`E IIYESS .,_f. 4__.✓� FEE 0..4.:.A3 TY I G NsA ST CROSS ST OWNEp�f", MAIL —_ +.BC14E55 00 y S j NO' c , . ELECTRICIAN J/CL ±2 et. Jn.c. c ¢ frt lTOTAI h�_Eh ALGROSS �. 7- . .zy: 247 'g '+ t.,._ 4 r xo-L OVER ^O .. tiC �l / SyAgy.`1i 3y S� ..y.. j i v. TOTAL,,OUP ZONE PROCESSff gY . P_-zJ. zrn . zc 10. 2.SO 3 00 ti t INSPECTION RECORD SINCE SSLA3 WORK SOUGH CONDUIT ROTCH NIP /NG TEMP. POWcq BUILDING DEPARTMENT APPLICATION FOR ELECTRICAL PERM ARE.O WWTHIN »4LY. :S:EiiTHE$mu FEE, I $ LGCAL:ITV NEMTEST... .v... 1 1 CROSS ST. WNoRii ofl1a" aT .n RAC£. CZ aattmm .. _...__ ADDRESS MAIL Ne S"t ::L Vti. 1 —_ __ _—._. _.. 1 CITY y7�yaT'4 � � TEL. NO 7R CITNSF THAk NEW RESIDENTIAL *Ew.aro s n AD.-;rnoNt. l ELECTRICIAN ( j 6 j'T 64C T`e C� Inc.... TOTAL uo i[A_w' ALRDPESS did. re �,, �$o. A �i( OUTLETS r zo 20 S 20 y 1 Anal ' CITY Santa l Cal TEL. NO> 2 3 ill cvE;c 2Li <ppJG.� N4 T�28i 26161` NFF,CO3TtiFE TOTAL GR L � Lws z0 Q. 20,,w. ._GSF,LOVER eo 2 2+1 ; 10' 22+ 10 HOME A P_:ANCES •. Co'': ngetic Onkd U?NC FEE TOTAL FEE Ge mploye, PAN, 2 G s< ZONE PROCESS b a. . / INSPECTION RECORD O. 1 A/V ll"e _70RS LAS WORK !� ,S kGb EH CONCL'IT i I? J.I. `-Ffl sX} ' PovOrt WIRING 2-pc S l82 d thu senAkailor, + IFe o o'!he c.ne', or the do::Y mply ..rti y and sateIha work auito t tee -thy, Code of the neon Corneensalien .m,a ee ] /. ! �y c+ f/q CO. NOTIFIED _ATE ,Lead,.ene se.Nniu:x£ CITY OF NEWPORT BEACH, CALIFORNIA BUILDING DLPARTMENT APPLICATION FOR ELECTRICAL PERMIT 1AEAV`;` _;N S ONL1_ ADORERS FEE S LOCALITY 1 INEAREST CROSS ST.. �,p , _t.' d4ORP 55 " V C-F�Elt CITY i. ELECTRICIAN r`Y 1'6TCT5 '.--, { ALDRESS ._i '3 _—.. _.. I/rrky 20 } 7 d CITY , d.l v i .,..�'LOr srn .yT to C NO" "x :9 as C,r X,i TG ! <, TOT' GROUP ZONE PROCESSED:EY a AC x a :=.n::'.Fc INSPECTION RECORD STRUCT ION 1AL: W' NEW RE_:'CE`0 A'.. 2DO 2.30: 2 00 3 00 ANS r PD^V4'S TEL -'v0 tf 1 .. .r v.. /SR 206A A• p f _— 140E RSI_AL1 WORW ' 2'" .- 1 ftGU6M1 CONDUIT 70V S p^ C R _UGH WIRING YEMP. POWER ..Wi.ETY Co NOTI REE _ivL'SE r r{rya ToNTss t1ALI[ATl ON 673-2110 CITY OF tiEWPORT riEACH, CALIFORNIA BUILDING DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT I� h 40Y. (:, r�G i, E'.0.Vi �,IMES Chl_Y. . T R'JC'rr; lBx *'-EE L.00AT! YRJ« �"✓f'A. ,, �; f)_3 (f F. EA REST CROSS ST. F [ii -- -- t-- ; ADDRESS' vfp,.1 fed C. EFVIC +_o i CTe L E�1Ai �r ICIA (� -'- x 1"b .:1,s RE -SS . JY ci AL .'. So. �pac n�r,r ' G _ zo_--- GIEr PPL7.INICIIIS co UT4_:TV CO. INSPECTION RECORD r1...ne 673.7 74 tda:4F'e: CITY OF NEWPORT BEACH, CALIFORNIA PO R1 AL,o BUILDING DEPARTMENT MISCELLANEOUS APPLICATION APPLICANT TO FILL IN ARS_d /dui -HEN HEAVY LINES ONLY. T NO. BLOCK N0. OF SLOGS. mint :.N LOT ;SE OP RESTING En. PNL._onn—c..' cPPUCATCON FOR iSPANCY PECRION sf PERMIT DSL tt T2MECRARY SOGN 7 ; k RONEC +G SR —It IIo. C POS °P77 S(NESS.• �..e WALL SiE N CCMe.D:DeN _ S NLY u ?_ASTER PERMIT FEE $ CATION VALIDATION C A PERM :T OCALITY £A Ft0S c55 ST. PL ZONE. r GROUP PAGE IGNJ+:AY ctrzct¢1 STATE MAJOR SECOND LOCAL E ZONE SPECIAL CONDITIONS TIRE' YAg0 ACK • PONT P.L, SIDS HWY STREET NAME cxter _.... WPOTH Seraby act^o e/ _ `a° -a read .4' ,bat Me :Mon -ration given is oorreoRanSo owner Dr the duly aotSoTrad agent of the o qr o fo rime it n and rate to S n are �o dean fo3 t s or -so -Hag 'heregs oi the Statee Cal for a a. 9 'c � +msn s L<p/t .n Inso. aces. S:CNATITLIPS ../ OF ERMITT rl�,--iZ!..w C� 4ij Ted1. s ORESS.. J} A.PF"ROYALS OCCUPANCY APPROVAL •^ROcP °CC. LOAD F0 J? 0ATION. LOCATION FORMS. MATERIALS LATH EST=_R1OR L TH. INTERIOR ©R"`TrALL PPRO'VAL PERMIT VALIDATION 8 67 i ASPECTOR'S DATE _ 3NATURE 'POD 6,4 CITY OF NEWPCR.f BEACH, CALIFORNIA BUILDING DEPARTMENT CELLANEOLIS APPLICATION IN AREA S ONLY. T NO. • BLOCK OF BLDG'S... N-OW ON NOT G cBsLDG. T.:R �ff d4 3,YLr CU*$15 Q./_�.. APPL1CP.TiOON �COPnNCY sS.sECTroN tGN FERMI' MIND SjeN. CiTT LICENSE NOIN. '.1' C.of S VALJATDN -EMPORA.RT SIGN _ WALL SIGN . GN CONIP. SIGN G., .,.+ _2K OF PERMANENT ASTER PERMIT 1CATION ;LAUDAHON NOT A E MI . CASK BUILDING ADDRESS LOCALITY NEAREST CROSS _T. RE ZONE PAID PAGE">r> 'n0 PGic STD E JST hE SPEC CONDITION EOUIREC YARD at SCOSACK FRONT SIDE P.L. oef4by3 Y..CA Ce, • e fl lib, .:.. d C..1^C __. bawl 5 y....A c ^o porton AO be ofp Srate f CaIIforNa fe_ MAJOR ^or';: ND LOCAL Y STREET MAMS to;GNATBRE OF PPRMITTEE .y {. /J�/� t [mi}/.�:. ADDRESS _31 ' _/ o..��61 EXIST. OTK TOR:'S APPROVALS "ATE _. NATURE OLINDATICN. LOS ATION FORMS. MATER:`,LS ?T� EXTERIOR :.FT: INTERIOR 791R-INO'9L_1 1 0 7 5 7 APPROVAL PER M[T 'i,&''_IDATION 7 48 CITY OF NEWPORT BEACH, CALIFORNIA FOR : BUILDING DEPARTMENT MISCELLANEOUS APPLICATION T yQ EA A:FPPL.UCATiON ROUND t r• — AQII p. L SIGN OCAM N __ A1 UMAT76N.'_ M`.STSN - YAROA' rr C CATION VALIDA NOT A c_:.Li:T A S h! OCALITY EA REST ORS ST. IRE TONE GROUP TYPE of CONS C" NAY C'RCLE:. STATE MAJOR ESZC%O LOCAL SPECIAL CONDITIONS REQUIRED YARD H SEQACK FRONT P.L. SHOE Y STREET NAME hereby c[kr.o& if.-' gm that 4 have reiamafwetion ed r ^otll and that 1 a-Y %he c»tee-. or o tho e g n - ! Pr. (ogres to ample w iir'rp Mad requiatInd Par, and io d ea semen 'CE -�YlC violation Scaie C I'a,. .a �.aa 'Workmen's to We krenl Cuo CoCo m Si SICNATURS 1 �'.. OF PERM ITT OCCUPANCY APPP04}'L GRC!JP C_C. LOA° FOUNDATION. LOCATION FORMS. MATER..&LS ATH EXTERIOR, ATH. INTERIOR mSRAAVVALLi FINAL APPROVAL PERMIT VALIDATION re. of 'he a -co. `=SGCTOF-S DAT E ATE _:GNATURE M C 02250akt 1 1, ',6) 2.06 CUPANCY PECTION NPERM'? _rt_ASEE �0O CITY OF NEWPORT BEACH, CALIFORNIA RU!LDFN G DEPARTMENT MISCELLANEOUS APPLICATION TO FILL FAY _ LINES /1/ ra.e�` A7 'SC,I N41 G 1qe DURESS G 30 U!LOI LOCALITY NEAREST L C- r-s JY±!eL _ .: BOSS ST. FIRE ZONE EL OGK G -LOG. VALUA"GCN PLAN EN TA.^:; OE PEi WALLSGN _ ;CO:NE. SIGN SLY S/4;TH APO a:AC ER PE4M!T AP'Pl_1CAT ON VALiD'A NOT A. PEPSNY'.. ahshSai CONS- P PACE H:CNWAY CIRCLE': STATE MAJOR SFr,; USE ZONE SPECIAL CONOITIC'NS . REGU£RE.^, j YARD fi ,! sETamcrc FR_..N----_.._. ER6 NT P, L. DE E L. Y :.FEET NAME e.eby asknc.tladge that inhaPanaTon -y F.an oared: aaaPpSzari ages, r laws •e 4 apaand no person ba se. }OYed Sta's c. Cal fora la .e-ating ,.. APPROVALS 0CCup4.Nce APPROVAL CROUP CC0. '.LOAD FOUNDATION. LOCATIO FORMS. MATERIALS EXTERIOR INTERIOR ERIOR -: RM'A"LL.: FINAL APPROVAL PERMIT VALIDATION D BY OC AL EXIST. vwr DTSt INSPECTOR'S GATE S'GN ATURE M. C. C.ASH. CITY OF NEWPORT BEACH, CALIFORNIA BUILDING DEPARTMENT MISCELLANEOUS APPLICATION APPLICANT TO FE _!A AREA APTHVS H_Aw, LJ "tES 4NLY. OT NO. c s LOCK _._._._ s /3 APPLY'.. AT L'Ec:LEE=F i42- i$CGJPANCY ._r_. - :._... _.._ 6 WE 5?°ECTI CEL S. N PERM1VA. ON excel.M�$GSAGN RCSOPSIE.N v �. — (1.C.M3. IGN SEES LOCALITY NEAREST CROSS ST. FIRE. ZCrNE a4es as?r MAP PAGE C,danAY ATE MA OR SECOND LOCAL JSE ZONE ..._SFEC,AL GONG ¢d 1n %+u b SIGNATURS PERMITTE ADDRESS.._ APPROVALS C_ o FOUNDATION. LOCATf O`N FORMS, MATERIALS TH EXTEREOR DRYWALL, FINAL APPROVAL e r - nog her¢bg,eby i tcdE c' f%-e pny .n s_._rca_ _ ETECTOrS DATE S GNATURE E M!i VALCATION O EwAoRT SLYb, CITY OF NEWPORT BEACH, CALIFORNIA. BUILDING DEPARTMENT AISCELLANEOUS APPLICATION LICANT TO FILL iN AREA EAVY LINES ONLY. Po $" B BUILDING T.. ADDRESS PirQ[l�__'� I LOT NO. BLOCK NO. OF BLOCS. NOW ON LOT LOCALITY NEAREST CROSS ST. ZONE MAP PAGE NO USE ZONE USE OF EXISTING SLOG. Svvracifrd— ['Trr38orz-r- SETEAC.K '... TEL. NO. 5fi_. t- OUP TYPE .-a cawSr GNAA! Y,., CIRCLE. STATE MAJOR S'3EC1AL CONDITIONS REQUIRED As Lig. it, FRONT TEL SIDE NQ. 0 :s,A1 ;Jf/ o L LIC �LC APPLICATION FOR CUPANCY SPECTlON I_: D rc.Y W ALE YARDAGE LifralAA CITY B 5 NESS. LICENSE O. , LATH AND PLASTER FEE S APPLICATION VALIDATION ;NCI A PERMITI CK. I iceraL ,t,crniatiort q,,a au d age,' State of C is S'GNATVRE STREET NAME apol - that the m the c . t �e duly n a cco t ,t and state 'se .0 4 a . • L d eeereby, a! the Lan- .cde of +He !an' s Comca sx c_ Isurance. OF PERMITTEE_ •�/-S iSCry_¢ APPROVALS OCCUPANCY APPROVAL GROLe FOUNDATION. LOCATION FORMS. MATERIALS LATH EXTERIOR AT_ NTE2tOF. iDRYWALL, FINAL APPROVAL PERMIT VALIDATION DATE I NSPECTOR'� SIGNATURE CASH CITY OF NEWPORT BEACH, CALIFORNIA aaao w. NeNenneT BLVD. BUILDING DEPARTMENT •HONE ez3-2/;,-, MISCELLANEOUS APPLICATION APPLICANT TO FILL IN AREA WLTEUN HEAVY LINES ONLY. -'�° /I / -. /6)SUILOING L / .,Jeai(T / L e0 ADDRESS C)/.... fV�f»= %yl i� E. Yke LOCALITY 1 x F'// HL f� cRosss®r l7 OtSP/rn- L ..R0 F:RE ZONE i GROUP TYPE I PROD :a E9'i O. OT ND ©Lock 3 j9 c0NA'r 1 i 5 OF a LDGS. ON LOT OR OF LOT z STING SLOG. /1ps/i `r °'d r fi �il r'r3 i� Li4 Lc!)�. APPLICATION FOR YDE/RANDY S PE CTl Ord RE WALL YARDAGE MAP PALE„.- :-YW4Y Nc l� _1 ~C'2CLel STATE MA USE ZONE SPECIAL CONDITIONS Pl YARD HWY R SECON STREET NAME OCAL EXIST. WIDTH SIDE u c. q rft,�`N7 y O % ¢ c a erce edge the t Fa are read Cris +D _ °I+aS tSe J TIC. Ip.+ gofer/ and Mat I am the ca !Se Sale auPoc ed agent c owner. I ee to uo^wo r n - r bYe a _ raga a✓ig certif.:isen; ard 'do/no ic. the work a „xd to ot'a 1. V S 4FC cy. ^.p willbeono/seed In 'Old ,. End of tI'e LL.ENSE rt_ -! $ a iar ! Care -^'a ^aaGng to Wo kmxr. „n a ce^v . c. alce. LATH AND PLASTER n-EfEe • APPLICATION VALID.ATIO' :NOT A PERMIT C SIGNATURE OF PERMITTES SPE1'OR"S APPROVALS DATE S!GNAATURE _ ..._ .. P�"Focal CROUP floc LOAD GU ND LT; ON. LOCATION FORMS. MATERIALS ATE/ EXTERIOR LATH. INTER/OR /DRY:+i&LE/ sH PER.MIT VALIDATION OR. G CITY OF NEWPORT BEACH, CALIFORNIA BUILDING DEPARTMENT SCELLANEOUS APPLICATION PLtCANT TO FILL IN AREA WRH HEAVY LINES ONLY. OT NO. BLOCK NO. OF BLOGS. NOW ON LOT USE OF SEX _STtryG SLOG. h L�i. LID. Y l'UstissIbef. NO CIC SASE rey CITY BUSINESS A8'e-P'LCAI!ON FOR LICENSE NO. .�a" BUILDING ADDRESS .mac LOCALITY NEAREST CROSS ST. FIRE ZONE GROUP MAP PAGE SIGHS' tY NO CIRCLE: STATE Id AJCR SEC/ •..D LOCAL LISE ZONE; SpEC!AL CONDITIONS °- U ACK RED YARD HWY EYE ACK FRONT. F.L SIDE P.L. STREET NAME EXIST. WIDTH .CU PA NNC? EC3O a n LATH AND P'_ASTEE PERMIT FEE $ APPLICATION VALIDATION NET A. PERMIT. .. CAEH 1 e _by atbs.:::wteoge vat ha a read i appv[caf h . ?he f .nation give. correct; re' that ! a yea•. 'e 7uiy a4 hO.'Led adept f Me ownos. i eons. to snd Y Mi ' t end state laws Ou'at g cc s,. .ior. a do'.. e e k sutvn rsd throb'', no oe SLnw b r eo.Ose 3 ion f e fi e of Try Stet, of Ca o a re!atbrg to Wo r-en 5 EOriCEr su arse. =ic;NATURs r ! � OF PERMIP-TEE et 4 C ` -' IC ADDRESS APPROVALS O C,-!apn.ucv APPRO'JSL GROUP ▪ OUNDAT ICI,. L�'�ATiC^d FORMS. ` A'TERIALS LATH EX-T ERIOR LATH. i NTERIOR ERVWALLI FULL AOFRWVA PERMIT VALIDATION 'P:SRECTOR'S SIGNATURE CASH CITY OF NEWPORT BEACH, CALIFORNIA ulu. BUILDING DEPARTMENT PMOVE ,n.a rs MISCELLANEOUS APPLICATION APPLI CANT TO FILL IN AREA HEAVY LINES ONLY. TY ST SY per WT[QP! LOT NO. OF LOT BLOCK i NO. OF SLOGS. NOW ON LOT USE OF EXISTUNT., BUILDING ADDRESS LOCALITY NEAREST CROSS ST. FIRE ZONE IGROUF--TYPE co O CIPCL.EI STATE MAJOR SEC.1ND LOCAL SE ZONE ' SPECIAL CC NZTIL:N9 , APPLICATION FOR CCUPANCY 4SPECTION c_ASS BUSINESS E <SE NO. ALL ;F_{, LATH AND PLAST:-A 'EERMIT YARDAGE FEE S AP PAGE HIGNWAP —5 REQUIRED' SETBACK YARD HWY FRONT _ F.L. SIDE P.L. haraby ackeowl@Cie 19 I bavE . ieiorrnafton given Is correct' and aoihodnd agent of the dener. agree lows regulatIng c ns. boo: and le dolno no person'li bee oYed i ielee State of CatPor a relatleg ro Work^roe SIGNATURE OF PERMITTED ADDRESS_ 9e @ De inr EXIST. WIDTH NSRECTOR'S APPROVALS DATE E;GNATLJRE OCCUPANCY APPROVAL GROUP OCC. LOAD FOUNDATION. LOCATION FORMS. MATERIALS LATH EXTERIOR LATH. NTEF.'i OR IDRYWALL: FINAL APPROVAL APPLICATION VALIDATION NOT A PERM,TI OK CASH PERMIT VALIDATION °c,'`3' NI r_aeH • ARGO W. NEWPORT eLvrt. CITY OF NEWPORT BEACH, CALIFORNIA BUILDING DEPARTMENT PHONE 473.21", E LANEOUS APPLICATION APPLICANT TO FILL TN AREA witron HEAVY LINES ONLY. t+ t 4/c.4.20,e. 4,a....•4'N'er60114 t.OT NO. BLOCK • NO. OF SLOGS. tal L kei 1 I • %. it! LOCALITY NEAREST CROSS ST. 1 GROUP TYPE I PROD r FIRE ZONE pZ; CONST NOW ON LOT StUtItt PAGE KFCHWAY UBE OF CIRCLE) STATE MAJOR SEQCNO LOCAL. 7, EL,"Eti,T -5 0 YARD WY STREET NAME wtorm It( `Y. EXIST EXISTING BLDG. USE ZONE SPECA. CONDITIONS L_Z!„,,,,zeitteeic.g4,4„.f,af _ REQUIRED SETBACK TEL SIDE NO; Y4 et c PL LIC "CY; blaa 4 NO ICEY hi CLASS FRONT PL .1, " Jtary CITY BUSINESS j APP LF CATION FOR LICENSE NO ete r`da. rrtb OCCUPANCY kkaspEcrooN t DRY WALL YARDAGE LATH AND PLASTER PERMIT Int Ent hereby a:know:eat dge thI bays read t!; apPicarsit,r Met 'the informatiog grven It correct; and RN! rn ri•te owner de 'ate duly authorized agent of the owner. ; agree to comeiv tart'. arty and Nate laws regatatIng <Orfila:0;4Ft, a od in do,ro tta work eatrb-rrrad `hereby, no ref son wiH be enwto)ed ?tt vio[at:c of tn Labr on of tr.: State of c&ifogn reia.tng to Workmen s ComoenatRa, irrarance. SIGNATURE ADDRESS__ -tijrf,/ , pA INSPECTOR'S APPROVALS DATE S,GNATURE , OCCUPANCY APPROVAL : Macaw, occ Loan FOUNDATION. LOCATION FORMS. MATERIALS LATH EXTERIOR LATH. INTERIOR retRYWALL, FEE 5 tr" at' APPLICATION VALIDATION NOT A PERMIT, sir M O. CASH FINAL APPROVAL PERMIT VALIDATION tril, m CASH !Hi NO Adt)0 W. NWro CITY OF NEWPORT BEACH, CALIFORNIA BUILDING DEPARTMENT MISCELLANEOUS APPLICATION APPL!CANT TO FILL IN ARICA WITHIi HEAVY LINES ONLY. r.--- — h...,.....- 4'7:SING :Orr/ 4::evA, p if ,th 1 iJ ax , iszy d/iLActed --7,6,:41 7-- LITT LOCALITY agsr i -- 7 $ St- *ireygt71)4 1 f! 4- /-11421 i 1Cidg:s;r. /.4. -1740,, rel C /-/ 2-- I g t, ;EGA!. ---- FIBRE ZONE 4GROUP I TYPE I P OCESSE0 BY SIBIRTION LOT NO, , BLOCK , CONET NO OF BLOCS *BACA NOW ON LOT MAP PAGE INCH VVA f USE OF No orlaccan STATE MAJOR SECOND LOCAL SIZE or Lot EXISTING BLDG USE ZONE ' SPECIAL CONDITIONS --4 !—' ,ettiatth aly— /742I'-‘17 /:27_.;9 4- _ ,t., Jor ,..., ap,t,zss _ 7 Li NC,' , AO,M,M , fr. `"- ' REQUIRES ' sa-TsAcx I YARD HWY ' STREET NAME WIDTM EXIST — ,.. TEL, SIDE - --RACT°R '1-4....t Li? C 4-4 -S. NO L. 'ADDRESS cis y s5 ..-- t- >ihrzte,4.4_ k:g.- i , "?.,ic i I hereby acknowledge fhat I have endthria AWCA.;075: "bad the Information given ,s correct; and Hat I ard RN! *Asp dr the th,ty "IBTRY il,. Va rti .... — A SS / 4 ``. i authorized agar.* of He owner. I agree 'a cetisPy tr,th r ty arra stare Tau IP:J-1100'g RRINNdoRa"and f^ dOwg the rro!k a,Orro!dtd thereby CITY BUSINESS ..,.. , no ce-ror! wi.r be ernp!oved in , dierIorr of Pm Laird, Code cf the APPLICATION FOR LICENSR NC SW". .,c Oalicornia relatdd To 'Workmen! Campencatdr, Irsu-arce r . ,..• OF PERMITTEE . x..H.. ' - " , toCAdarrrhA _P' ro OCCUPANCY , .or INSPECTION SIGNATURE ADDRESS Sni,,3,..L. t 4 " A PHONE 473 - Zit° DR' WALL z. LATH AND PLASTER - YARDAGE YC' PEP.M IT APPLICATION VALIDATION Not A PraMIT t4C M-O. APPROVALS OCCUPANCY APPROVAL GROUP OCC. LOAD FOUNDATION. LOCATION FORMS. MATERIALS LATH EXTERIOF? INTERIOrnaDRYWALL: FINAL APPROVAL PERMIT VALIDATION 'Ccc CASH INSPECTOR'S DATE SIGNATURE , CITY OF NEWPORT BEACH BUILDING DEPARTMENT APPLICATION FOR SEWER PERMIT APPLICANT TO ALL IN AREA WITHIN HEAVY LINES ONLY, / 7 a IRci/u(___ `'L J.. NC On SLOGS. r_ O/7 A� �_ CESCRIPtiC-PN OF WORK SEER CE 1 OR ..L S�. SSTSM CLOG OR EL. 65.-90J_1 OPTY LICENSE NURSER NEE LOCALOPY NEAREST CROSS ST. - � ��[/e . it ADDRESS a ..a" - CONNECTION DATA CAUTION LOCATE LATERAL, BEFORE EXCAVA^r TRENCH PRORar- RE:=FENCE PLR.- _ PHONE 673-2110 1 P PC b CJtiNEC :0 =RS PL. SADDLE CUSS EN RAI ti FIELD PERMIT � 2 OS TOTAL FEE ..5 o0 `: ein- acknomiedne that ha-e read this application: that the giver ana that ! am the owner, or the defy o cosi— of tire owner i agree to comply with city and state wkg cns n: and doing the work dethorized teere be: ,Perepicyed aeon of the Labor Code of We , -si atirg to Workmen's Cq.nsa€ion insurance. j /fUr rii/'/%Gi cut yAtte _j I "EC O:T!ON -- -- -a (i. SUR,OING CR WORR S EnT.0 TANK. SEE?. PO" E, 00,0'CR ORAR =IELC QLILLK PERM OR ET. W'. DEN NC, ENC POA0 H ME!:' ROAD PERMIT `6C ACTUAL CONNECT{ON: FT OF STA"I" SHOWN JAPE TINSP00YOR N SIGNATUREI APPROVALS OUSE SEWER CESSPOOL_ 0RP WELL &OPER. PEPA'R. SPWOR OR EEWAGE O'SFCSAL SVS'EM UIc.-oNnEOT PLUG ANO AeA!'+ooN NOUiE SEWER ▪ 'LL 5FTIC TANKS _ SEEP `PIT. _, CESSPOOLS ALlDATION 11167 3300 Newport Pl,nd / SECA, RIRTION _oT CITY OF NEWPORT BEACH BUILDING DEPARTMENT APPLICATION FOR SEWER PERMIT APPLICANT TO FILL IN AREA WITHIN HEAVY LINES attn. to,g-pa=.30/ NC OF eLnos. 'Sat :ASOTA.:7.A5S IADNArrAc,-ra At'aRrAl N.136-0701 LOCALITY SPAREST CRCS5 ST PHONE 673-21I0 pre / iestr .9,SL..i@rtrzOz )qLk+St st3ij :OEM1 tESSERIPTION 0 WGRK • MOUSE SSWE R CONDErs'ss To S ' A5som -.sr SEEPAGE D'A OR •As AN.DICO, uRA(hrELO 5,0 OD S.S-Em coNNE5, os•T ,DG OR : *co< AO SEWER TRUNK FERNO7 NO ROAD FERMIS NO ALy'NREDA•D ER .SAsOONSIPSEINSE ' • SE..5P OR UsSFDE,rt, E.SmsAt OWNER SISAL ADDRESS 30/ oj CITY TEL NO mAR I PROCESSES, ay GROU 0 - OK PG -- C CONNETION DATA CAUTION LOCATE LATERAL REFORE EXCAVATING TRENCH pROPERA. -'NE PE.EDENCE_ _ FEE" __Os E-* N S mAk40,18 cONNECICS CURB P.L. SADDLE C__C% EASEFEEGCSA SEEPAGE PIT DRA!N FIELD R rr virDENING son ENEPOACHMLNT PERMIT No PErr,A27" 2 CO TOTAL FEE c— 0 er° • E..-omtEsse D.s.‘ Sa.4 ••ead t1ds aPP cat or; that ,rorrrarion q s comecA ass MSI• arn 41¢ cwnEr Or the OL'y ar,,rr,o-rred aye., cr cw,e- agree Pc ton by with ctty and stare lass -egr'sg d-t•do rg 'he wo,k arr,Icrized throb'', atrA.',o, , De ern:, ,efeCl ,tra, on of t,42 Labor Code or the Stare DA CaaprA5s 'o Woo-km.e.s Compensefon Inararce .• GN AT ... /2fi I.2 77/C,("" 414AraVe ri,G" . te/ r OF DERMArsT'S ADCPESL 4- AA ‘V/A4.11" NT- ACTUAL CONNECTIONrr OF STAT,ON SHOWN APPROVALS DATE INSPECTOR'S Sit NATURE! NEW MO,SE SEWER CONNEct AECITIONAL SW. DIpc op WORK SEPTFD TANK, SEEP. PIT' S ANC!'" MDA1'5E,SAD ca5SPOOL ORYWELL • ALTER REPAIR. SEWER OR SEWAGE DisPOSAL SYSTEM DisCONNEET PLUG AND AsArencN HOUSE SEWER sAcerS,L SEPT E TANKS SZEP Pi' ES.S.POOLS •c VALIDATION } m CITY OF NEYNPORT BEACH, CALIFORNIA B i1LDING DEPARTMENT APPLICATION FOR HEATING VENTILATING, REFRIGERATION & AIR CONDITIONING AP<'i3 CANT TO FILL 3N AREA WITHIN i BUILDING f_ /�Cd-' K6d' yA �,�p 't7 HEAVY UfNt S OYR_Y. A._ $$ s. ITeCLO-.v VAf.vAT,Ot. t E ALITY LIt ef ` d.p„a. teeATSN6 i, RARE/i-�M t imAS G!fo4SS$TaPI/r a,p Yl�__'l�S� VENiiLa htt 0NNER ca a ✓*ice �A i�le D.CT SYSTEM �n AGE TOTAL FEE DRESS 01TY TRACTOR. n., 9 '�j 8 Sif �T§T.lrw5/ TER No-`s o y LA CSS V'�Ew?G7' For record of lob correction notes see back of Inspector's copy cf this per.n- t APPROVALS CATE ,s€ Toas RE. Rough Heating - Ro. gh Air Cond.- Rough Gas Piping Anal Ai! Cond.-Venti:. Pleat Gas eaeby ac krowicdge !hat haw - read thfs appFcafioo; }hat t1e atm 4,'en is ct; dad that ac, the owner.. the dsslY fed dg4nt of the owner. I d'j _e to camntY with city and Kta ay 'fa i c e i and in doing the, work authorised th b Y-d oa.the Labor Cuf the u Workmen's Comp MI Insuranc e, �— ___ _.... PER»JTTE- / } — UTILITY CO. NOTIFIED � s .ico Completed 14.49 ALt AT1ON �rf- C ?t. O. CASH CITY Cif iEWPORT REACH, CALlRNIA BUILDING DEPARTMENT APPIICATI']N FOR EAT9N% IlEifF;LATU4G REFRUERATION & AIR ONDIIIO1 LiCANT TO FILL tN3. ARF A' WITH N HEAVY y;NES 3NLY. VALVAT4 r r.r ,GEaarler: ADDRESS OCALlTY NSA NEST /�7 aryl xOSS ST G,3' , � GI. L oar - CWNFP.�!.._ i au I2ChM ere ea4 --ADDRESS 3C.i ! Lr d-$ !7 !v ` <.Y 0. I CONTRACTOR _s_7.p44,J. _ i"N <S f r DRESS a. X 0.1ZCItJ — i PUY e Nc 6V6- 7cr‘L acknowiedge'Ant ! nave read this elerrhiceinni that • e tn is nosed: and that I am the owner, or the defy qNn} of the cwcer. agree +o comply with cIty and state in9 construction; and in doing the work auKy=z 4 +kereery, r be ooioxd sofa+i of the Lab. soft e to Workn e r orcoer'sa ♦ Insurance. CLAC. CLASS GROUP Z0 pa Ess EC+ ev For record of job carrect�cn notes see back of Inspector's copy ofthis permit. APPROVALS DATE S TOR's ' C-t ATURE Rough He+ting Rough Air Cond.-Verb!. of;? *Ding .sal Nesting -472 Final Air Cond.. Venhii. F'fi13t Gas ITV CO NO .._n Cod. pia+ed LfDATICN CASH CITY OF NEWPORT BEACH. CALIFORI'HA BUILDING DEPARTMENT APPLICATION FOR +iEAT[NG. VEN'W'WING, REFRIGERATION & AIR CONOIT60 ANT o rILL v ArRr'. ALY,t'FISN seep! ©� LINc4 ONL'+. A RES c s , n-t-vatelt„^ rcr_ OCHI.I)'�l�Cis'f N ARES�'+ OSS ST. I mAiL AaDRESS 3O./ /Cw4 ;C`r ERA, ! ON SYSTEM DLiN F POOYAGEOC;TAGE __- _. _ _._... FL TOTA:. FEE a er k c- Prot love 2 rh':f ap,.r ai am the{ the iti o ate agrthaee 1 ant comtssply corner, fyothe Dare totoog con ,tit o,rnan d a Floe towore auth ai{e and stare ^ e er,,rtioro-v and Io Fati n he work Leber authorized thereby, opt 6t amtattoo I .'o Workmen's cer tom e,sat Gcdn :{ the. a!i(veia ',tattoo io Workmen's Comp»esa!_an Insurance. IIF: PL4P{ITTEF% OSESS e'.C.g�'."a;. C iNTRACTO(2� a;1dkESS ' _1/ 'dfr/era 7 NO C(TY {..ATE __ L.. aG L!CENSE ^JO Tte.. fm9e ,— raj—IL ''Or record of job correction notes see ack Of inspector's copy of thh permit_ ---APPROVALS L&TE h Heat:re it:Overt Air Cond. - Veafil. Rough Gas Piping. 0,e711,_ ° oo Corr DIP,{cd VALIDATION O_ CASH a. Hna :;ng nel Air Conde-Ventii. l, na_.. ... UTILITY CO NOTIFIED 02243FR115.00 .. ctoc TUPEI 6A<_pLiNE CO"A6E: CITY OF NEWPORT BEACH, CALIFORNIA BUILDING DEPARTMENT APPLICATION FOR 3iNG, VENTIJTING. REFRIGERATION & AIR CONtMu* Et-dttar A30RE CCAUTY NEAREST CROSS ST. --.i OWNER CONTRACTOR SATE --- L.CENSE PS FOP record of gob co.- _t'o❑ notes see back of Inspector's c n- of this permit. AP=ROVALS DATE atECTOR'5 ithaia,TURE ouch Gas Piping 1 real Heat o f/t a q� i1 r j/ f „01,f s3(,/ nal, Air Ca .rd.. Nen" �`'% TC < SEE [ 0 cLiLi Gas h w ed54. ct: I hymen - as "'t ap ' ? 0 n: (that the .s or c a 'yay 7 an the owner, or the duty the o I ag•o=to comply with - ty and state a cc .zh uv rc d , deto e work ao h,; ded thereby, e rotating d i .blrk to of the Labor Code of the forme rotating to N✓ovkxee; Compen}ryY' .. Insurance. TU1RE ERM ITTE LWTILITY CO NOT!FIE'J Job Complktad VA LiDATION M. o. CASH CSC OF M WP ' RT BEACH, CAL iFORN A BES9! D4"a DEPARTMENT N* FOR A9$r': TO fl .L hY£',PpVY U 4E in --at E5q'Lej ,NT OOp SUING KEE TOTAL FEE ray ackww6edge that 1 have read this applieatinre; thaf the elite given is correct; end that I am the owner. or the dui,/ reed agent of the owner to comp!. with city and :sate aga!eking constructad 'n de. the r autharired thafeby, rson w ti be am..,. ed ..,1 tho Labs- Coda of the of California r.,' Cgmrya .dtion Insurance. OWN. NAIL record of job correction notes see dk of Inspector's copy of this permit. APPROVALS DATE Rcugh Hating Rough Air Coed.-Yenri!. Rauch Gas Piping cal Heating naI Air Cond.- Ventil UTILITY GO NOT:FIE_ Ccrnplete„ VALIDATION O. ;ASH CTOR 4 ATURE P'atiSre. CON WaFR7CEitATtO USTAUMNT dAWGE HOOL DUCT SYSTEM GAS LINE FOOTAGE._ OTHER PEaMPT.B SSUING FEE TOTAL FEE OF N t#C RT CFI, CALtr-oRNIA RUttD N PART'4PE :T LOCAG7rt TEL. NO. For record of job correction notes see back of Inspector's copy of this permit. APPROVALS DATE INsescro4-s sic.r;e,-;ARE Rough Heating Rough Air Cond.- Vontil. Rough Gas Pining ... Final Heating 3-00 Final Air Cond.- 'lentil. 60l et Final Gas obi acknowledge that ! have -ead this application; that the Mon give.^. Iscorrect; and that t am the owner, CT the dsiy ed agent of the owner. 1 agree to comply with city e44 state -¢Sating construction; and in doing the work authorized Thereby, mitt be employed .n violation of the Labor Code of the Caffornia relating to 'Workmen's Compensation insurance. TURCa �--y rER I;TEE� #&Y UTILITY CO NOTIFIEr, Job Completed VALIDATION `:.Ly M.O. y CASH TEThEtri As OF ICE RT 4 . CALIFCRt'1A 9titLEit# C FEPARTh. etT x�rar caass sz. OWNER�1.. Mnft Ant9tkss ;,Pa M ADORE.ss a - Ott"( Ftr"a6 7K.R0. _--G L EHSENO. se "g'&!' CiiA55 .ter}✓--- L C PORT, For record of job correction notes see back of Inspectors copy of this permit. APPROVALS DATE tttsPt CTo a's sr.GteAt URE °ugh }seating Baugh Air Cond.- Veniii. Rough Gas Piping Final Heating SUEk6 FEE T 00 - Final Air Ccnd. • Ventil. '.OTAL FEE Final. Gas crsa+*faid tfrat i laxe read this application; that fha en 's rrac ; anal shall I am the owner, or the dui} n4 of then f agree to comply with city and state ..nor miruc4i Or ; and in da+a9 the work autkonzed thereby. be ernpicfad ir. r'-softie of the Labor Code of the orr'a 'slating to N?arki , s Compaaygtipa Bnsurance_ tSTILITY CO. NOTIFIED .lab Comple+ed VALIDATIGI" CITY t)P NEW✓ ,T BEAC I C.k . o ttdIA BMML0h9 1 DEPARTPAENT CAlafriLLmPN AREA WMei ffiUd$blN6. N r A wREss 301 N. P net. PEE LOCALITY � £ Newport 'CATIONN Rd9s%RA.TtO I tars i7.iURANT MSE 4foogy 125,00 75_4a0 "SUCT SYSTEM i t iband.l i nc Unit 3 0 L" 3 00 SAS LINE FOOTAGE FT OTHER Daae reator Air COCd ed COndensina Unit E osp-x-- Presbyterj 1 l N. dewport Blvd. Ort Beach TEL NO. COtlTRACTOR UniversityJ4ech. Cantr'actors ADtDRESS 504 N. Newport Blvd. CITY Newport Beach TEL.Fi3. 645-1125 STLICESTATNO.88552 cuss C_"`cr°ar 1341 For record of job correction notes see --- flack of Inspector's copy of this permit. 4.20_ i 4 '47t7 APPROVALS DATE 4HP£CTOR'S S£C3^ATLw Rough Heating 4.00 ' 4 E90 Rough Air C,ond.•Verriii. Rough Gas Piping Inc 1 aerator 't anf Check Fee (1 /4 tb a 1) j 48 '75 L 21n7 -PERMIT ISSUING FEE 3iCO TOTAL FEE 243 75 t abp axknowledge that I have read this applicagoe; that the al![Psmatfoe g an is correct- d gnat i am the owner or the duly age t of the er I agree to comply with city a d state Newt rmgalating coast racMgn a in doing the work a.}horxed here 9 tit , f nCaf tf b to f a a Y . ih r ,roan C sat on pr• or Cade aae5�f. PERM reE tILSS 04 N. Newport final Heating Inai Air Cond. • Ye na! Gas LITY CO. NOTIFIED .Mb Competed ALIDATION w. C,. CASH T SYS7 UNE 'AGE PORT:BLVD. OF fE R7 REACH, CALIFORNIA LOW NG DEPARTMENT FOR q q p [ ,5 �I�i�Fto�S CC ADDRESS 1[ s� opU }�/LJ_)_e-V_L�- , rant NOa.%S sT '' GLASS y�c,1{Jt LIC aT ONE PPOGE%F.ED 3Y nor record of job correction notes see Dock of inspector's copy of this permit. APPROVALS : DATE CTOR's ATGRE Rough Heating Rough Air Cand.-Jantil. Rough as Piping Final Heating FEE b SC ___ .Final Air Cond.- Vertii. .. ._ TOTAL FEE ! '� acknowledge that 1 have read this application, that the wen is correct and that I am the owner, or qua e9udy yeot of the owner I agree to cosnpl with city a iaq crastruction, and in do' - ,.,- horned '�. rehr. r,EF 'e erzgt- sio ton of forrvia Final Gas UTlL:Tt co NOTIFIED ob Como!e+ad VAL.DAT# CK. W. o. WATER CLOSET (TOILET) 150 R.aTM TUB !.50 Sk©k°t ER STALE ISO { r LAYATOR W.3i4 3k IN 5C`___ erecn£.0 s F',_._ OARR4ce DISPOSAL },SO IAV%CRY 'MAR OR AUTO.W4$H_MACH t 50 �Si51WASHER E50 k EATER f.50 SSTEM OUTLETS 1 OUTLETS OVER 5 PER SYSTEM .30: LAWN SPRINKLERS 2.00 WATER PIPING PERMIT TOTAL FEE l: CITYOF NEWPORT BEACH BUILDING DEPARTMENT APPLICATION FOR PLUMBING PERMIT AFPti TO FILL IN AREA WITHIN HEAVY LINES ONLY. XYUrt£ GR tYEM (EFCN; PEE S BUILDING 1 ADDRESS LOCALITY NEAREST GROSS ST ( ys OWNER ¢2�� �f j),(2,ta MAlL CITY1i —Z•' CONTRACTOR eby dr.. owladge that 1 ^nee 'ead tlis ap p!ication; ihe• the gn-en ! and that I are the owner, or the Cy!y een dgeei c' '.r agree to comply ws4!th city and g c a aey! ing to e thorized thereby, 'I oe V.Riata of the Labe of the '.d ipn-.''a Q e 1.k.-e.'s Cmpd, d on !:rn r4rCe. 5"c RE FERMIT.'E 0 ADDRESS t CITY CT-t /7t)— .._ ._LNG tAYE __deE >NHCER 3 SiA5 vO TEL CITY j i1 56 2-1 GROUP ZONE PECTON RECORD APPROVALS DATE U!DER SLAB WORK R'-'!GH PLUMBING GAS PIPING GAS VENT HOT `HATER HEATER_ PLUMBING FIXTURES re TEST UTFLL.•�_._J O. NOTI FiED VALIDATEON M O 'F-40HE 673-1110 POCCESSED EY CITY OF NEWPORT BEACH BUILDING DEPARTMENT :CATION FOR PLUMBING PERMIT LIG t6T Td FILL k ViiTNPN REhW LIMES ONLY. R CLOSET .TOILET) : 3.50 /SSea' I LOCALITY P€rf. t TU3 50I ! NEAREST --I. CROSS ST. ,4'— t LL .YATrORY WASH BASIN) `. 50 tC4 tiv.. RSAG£ 215POSAL,. 1.50i J• DISHWASHER 1 50 ATER SOFTENERS HEATER 1.50 AS SYSTEM OUTLETS ' $0' 'TLETS OVER 5 PER SYSTEM 30 LAWN Svo1NsCERS 2.00 erec" e na?aw arimeC agee :NG { OWNER N;:Gg. }MA!L ../r/ ADDRESS vi r'%l CITY Loy," CITY L.,._F CONTRACTOR. ;PERMIT 5. 2 00 TOTAL FEE rasa ! ha,e read ttis aooli. floc, that the atd ^.at i art Pao owner, or the duly agree So tcn p:y with city and state weak aod thereby, sicIalata Labor Code a Ihe m 'i.'ce. Workmen': CompensatCompensationen-: pensat aticn In Furance. ADDRESS CRY ete--A-LQ_ STATE LICENSE NURSE GR0UP Z0 APPP.0YALS R SLAR 'WORK ROUGH PLUMBING GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES GAS TEST —ITY CO. NOTIFIED NAL VALIDATION v 0 Y port ©1vd, CITY OF NEWPORT BEACH BUILDING DEPARTMENT APPLICATION FOR PLUMBING PERMIT APPLICANT TO FILL-IN WITHIN HERB? LINES ONLY. OF FIX. L'R?0 ATER CLOSET .TOILET) 1_50. 50 TN TUE R STALL LAVATORY WWASH BASIN) I,so K- NEN _.__ GAP_BAGE OFSPOSAL- ) 5D -: p "-RA., OR AUTO WASH IAGH1 P 50 SHWA HER ISO PATER SOFTENERS I50 ATER I 30 OUTLETS - t.50 5 PER SYSTEM .30 200 SYSTEM ETS GVE I BUILDING —y ADDRESS / ilde/falr. PHONE 673-211 LOCALITY NEAREST f _ // �✓ CROSS ST 4,, r. r3.3eSL PCit 50: 33373-3 Fq OWNER /// /J l MAIL �.'f�r�p.� • CI%%BF�, hi ADDRESS 30 Aiac ib ff L 6 hi rt 1ruJJ�.` a cite CONTRA CTOR CAM a- /9 0 /a/54'4e��� ADD.L RESSY aIii-Ar A-♦ /TL/C_..... MIT S 2 , 00 TOTAL FEE ..'erg nfr3r. t'^.ai ; hare read fins apN;caHon: that the and ;Nat 1 anf the er, ,n, cr the dul Ry agree to Coyo city and utate '!c rn and in do.-n4 n n a.ah .rzed tho-ebv. fff fr, frfofafforf or the Labor Code ? the Wo-krae. ^+ocnsa-: ue .!ance. CITY iVet4A01.4 Oicaz i S,ATE LPsENse VSER CLASS v ias-ye7 r3> ZO APPROJA_S UNDER SLAB WORK JU^H PLUMBING G A.S FIRING GAS VEN'i MOT WATER HEATER ryLUMEINiG Fi X1"IRES GAS TEST UTILITY CO. IDATiON SF.D BY lign Newport Blvd. CITY OF NEWPORT BEACH BUILDING DEPARTMENT PHONE 673.2110 APPLICATION FOR PLUMBING PERMIT APPUCANI TO TILL IN AREA WITHIN HEAVY LINES ONLY. c WATER C4.0Sfl sTOILET) : 1 50 I I LOCALITY * Re ---- I BATH TUE ! I SO 1 I : NEAREST i CROSS ST. . TYPE OF FrXTURE OR ITEM .EACtei zE5 !BUILDING , 22X__60, I ADDRESS , ttiy (44 ,11.4 V/-We " I SHOWER STALL LSO I OWNER 'LAVATORY (WASH BASIN} : I 50 , MAIL ADDRESS TCHEN GARMAGE btSP0SAjr 4.50 LAUM0RyTnAvcAuTowAsH4Acw: 1.50 s ,DSSHWASHER " SO WATER SOFTENERS I 50 CITY CONTRACTOR ADDRESS WATER HEATER / SO city GAS SYSTEM OUTLETS e haa /1 .114 TEL NO1 S(6 904-m/ STATE L.CENSE NUF,RER CA. SS '4D, Cfl LICENSE h,.1{8IER /CIIS / OUTLETS OVER S PER SYSTEM .30 LAWN SPRINKLERS 2 00 WATER PIPING I SO; "2-E 4747 " 4 / GROUP ZONE PROCESSED BY /NSPECTION REOL, PERMIT 5 2 00 APPROVALS DATE INSPEC,:. 5 SIGNATURE' / .; / r'l ''''' ''''' TOTAL FEE ROUGH PLUMBING twirIus acme:Wedge the : have read this WaWiciatiee. that GAS pou,ING Wear -as -ow given corec rt and that I am the Twee e, the duly ks*BeizeB spznt of the owner agree fo comply with city and state GAS VENT TAiws wuwatzg C0,111,4Ctky:' a -id In doing the work aut,sedied thereby, 'PO franc,- he employed in violation of the Labor Code Of We HOT WATER HEATER Stab sC forr a FafEr.g 4, Workmen t Compensat'on Insurance PLUMBING FIXTURES IGNUTURE „ t GAS TF:ST UTILITY CO NOTIFIED Dcrpcss SiiiC_11( 4-" t-- VADDATION CASH 5 17 E CITY OF NEWPORT BEACH ar BM/ Neavpzet Blvd. BUILDING DEPARTMENT APPLICATION FOR PLUMBING PERMIT APPLICANT TO FILL IN AREA WITHIN HEAVY LINES ONLY. PHONE 03-2110 'PE or FOSTURE on 7171:47EACH. FEE t !Loma _ assommr (ADDRESS J T I WATER CLOSET (TOILET; ) / so i I ' LOCALITY ; 'BATH TUB 5— i Atzi_Te,iis ; 1 so 3 00.. NEAREST , .,e e............e.,e, y SHOWER STALL I 50 le, ,,, -o— (LAVATORY (WASH BASIN) 1 150 I , ; OWNI"OR hecia7/t eitirelejegie, ' MAIL. ADDIZESS 3 c.,) / tiettotte li ilia - MCc(C,IEN SI, qe..4TIAGE C1SPCSAL 150 ', CITY ,LSUNDRY RAY Ca ALITO WASd MACH! 50 TEL KTO „Stift' 614S7 T MEW/IASI-TER 150 ,wATrrt SOFTENERS WATER HEATER ISO GAS SYSTEM ou-n_rrs 1 50 T OUTLETS EWER 5 PER SYSTEM .30 RESIDENTZAL. GPO JP ZONE LAWN SPRINKLERS , WATE;i P2P: NG BO — _ INSPECTION BC -ZOO CON-IRACOOS AOOPESS CITY 2frer4-412.-/ STAM 1/tE,LCE 4Pes..73 #./C),r4' / .go >ne _ack- CSAVG ( s theaw 4 705 3 top-45 " x C det,- Sloe 1- :77; Sic icy id /4 FPCITESSED SY St,: PERMIT 5 2 00 r APPROVALS DATE ea pee - TOTAL FEE ...NCER SLAB 'JORIC b-,PLUMBI7 Nr r z ii I re.feby acyno......Ldge. I"at ' e r gad ti's, son] C4' o^: that the — eT, ieform,tese czyen A cothoce aoa thaI ' am ,k4 or oF the ci,,, GAS PIPING , T' autzborieo are} oj the owe( I ayee To comply etht :Bo end .0.2m , _ L. taws requ'aITog torBruczico; aod H. dol&rg tca now authorized throb'''. GAS VEN! TooTon WIT be employed To Q;Ciei 7..1 C4 the Lobo, Code of the HOT WATER HEATER 0. CZHC.Ha reIeWth to Wricrer 5 COrilPerlc InSuranC4 . e i T OF PERMITTEE -LT. 6.44ene.Z4I/ r t lik-"---e-eb4leTJTI__ITY CO NOTIFTE0 'I' SIGNATURE N. / ,e, o .„/ GAS -rEsT , .. — . A0DRT53 LO/ PLUMBING FIXTURES VALIDATRON CASH WATER ..:TATER I 50 '.. =.GAS SYSTEM OUTLETS L50 OU TS DYER 5 PER SYSTEM .30 :. RESSOENnAL LAk SPRINKLERS 2.00 WATOR P(NG 5O V'i1.!IeG ena < 6 person Sitx oC f tiATR Of PER? JEREES PERM4T 3'.., 2' 00 TOTAL FEE at I have reac the epphcal:ca; feat the Cor tee': and that I eel .n< owner,the dj1t owner agree to iTh comply wcity and state c he c+ and doing he wzrk authorized thereby, e empIovee le hioratIon of the Labor Code o1 the ' re!af to 4.1_ inverts Compensation nst ranee i SHOWER STALL 1 50 LAVATORY (WASH BASIN/ 11-50 -Hnm SiV¢ GARBAGE OiSP0SA3.; 1.50- CITY OF NEWPORT BEACH BUILDING DEPARTMENT APPLICATION FOR PLUMBING PERMIT APPLICANT TO FILL IN AREA WITHIN HEAVY LINES tINLT. t APE Cff FIXTURE OR :TEM WATER CLOSET ( TOILETI --- --- LOCALITY BATH TUB I 1sb ! NEAREST Ix X CROSS 5T, MAIL '.. REGRESS T2 A,' Ow AUTO. WAGH. MAST,t. SO city ASs+ER I.so cor4TRacToa Eh ERG ISO ADDRESS7 if.ix / 8 ei TEL. NO PHONE 473.2! 0 GROUP ZONE I p{{bc 35, EO aY RECORD APPROVALS UNEER SLAB WORK ROUGH PLUMBING GAS PIPING GAS VENT - -_ HOT WATER HEATER PLUMBING FIXTURES GAS TEST ,reRLITV CO. NOT IF: E❑ e a9 GNATURE OF PERM; -TEE; CITY OF NEWPORT BEACH BUILDING DEPARTMENT APPLICATION FOR PLUMBING PERMIT APPLICANT TO FILL IN AREA WITHIN HEAVY LINES ONLY. ' xsu RE �R ITEM lEAG6t FEE ASUILDSING DDRESS 3ef Alµ.F t gi jjt L'�L u LOCALITY .RAT pc. C ri c Y J` 2, fl+ ATV TUB !SO ; NEAREST —_— I CR08S ST ATER CLOSET (TOILET) SH 0WEtR STALL SO, (r Y LAF ATORY WASit BASIN) SO ! b I MAILOWNER l-& i xarcx N S Nlc --cs RSAct DrssoSALI t SO y o* L' . ADDRESS ' LA 4NbRf TRAY ORAUTO . WASV,. MACH 1S(} p YC c»C!TY 'riI '�' A..� iE NG. S�+WASHER 150 : CONTRACTOR`% 0'ADDRESS / .2- C Oe--/4'Mie3�CrCY TLENT CL%/�0 yJ!e+t d1?]F -3 5 TE LICENSE NSISSES CLASS NO, T, LICENSE %UNSER ;WATER SOFTENERS WATER HEATER GAS SYSTEM OUTLETS F.36 %OUTLETS OVER 5 PER SYSTEM .30; ATER PIPING 1 501I, PERMtT 5' 2 40 TOTAL FEE by zolfeowledge Mat I e seas/ Mrs a opi;:eio that The Ion oryed is correct; and MN I aro the owner', the duly : d agent yr :'e owner. 1 agree to comply wIth rity and state alat'. g cora' uctlon: a- d doing the work a• horized thereby, be empioyed rio:at ov of the Labor Code of the Ceriforaia reiating to Workmen's Cornpensatlo.. Insura,—e. PHONE 673-2110 PRC-CI SSEO BY PE CTION _RECORD APPROVALS DATE INSPEsTCS UNDER SLAB WORK ROUGH PI -UNBIND fit+ GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES GA5 TEST UTILITY CONO. PIED