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6166775 - 3 page 2
Marriott Newport Beach
900 Newport Center Dr
Newport Beach, CA 92660
Inquiry Number: 6166775.5
August 25, 2020
6 Armstrong Road
Shelton, CT 06484
800.352.0050
CrEDW Environmental Data Resources Inc www.edrnet.com
SECTION
Executive Summary
Findings
City Directory Images
TABLE OF CONTENTS
Thank you for your business.
Please contact EDR at 1-800-352-0050
with any questions or comments.
Disclaimer - Copyright and Trademark Notice
This Report contains certain information obtained from a variety of public and other sources reasonably available to Environmental Data Resources, Inc. It cannot be concluded from this Report that coverage information for the target and surrounding properties does not exist from other sources. NO WARRANTY EXPRESSED OR IMPLIED, IS MADE WHATSOEVER IN CONNECTION WITH THIS REPORT. ENVIRONMENTAL DATA RESOURCES, INC. SPECIFICALLY
DISCLAIMS THE MAKING OF ANY SUCH WARRANTIES, INCLUDING WITHOUT LIMITATION, MERCHANTABILITY OR FITNESS FOR A PARTICULAR USE OR PURPOSE. ALL RISK IS ASSUMED BY THE USER. IN NO EVENT SHALL ENVIRONMENTAL DATA RESOURCES, INC. BE LIABLE TO ANYONE, WHETHER ARISING OUT OF ERRORS OR
OMISSIONS, NEGLIGENCE, ACCIDENT OR ANY OTHER CAUSE, FOR ANY LOSS OR DAMAGE, INCLUDING, WITHOUT LIMITATION, SPECIAL, INCIDENTAL, CONSEQUENTIAL, OR EXEMPLARY DAMAGES. ANY LIABILITY ON THE PART OF ENVIRONMENTAL DATA RESOURCES, INC. IS STRICTLY LIMITED TO A REFUND OF THE AMOUNT PAID FOR THIS REPORT. Purchaser accepts this Report "AS IS". Any analyses, estimates, ratings, environmental risk levels or risk codes provided in this Report are provided for illustrative purposes only, and are not intended to provide, nor should they be interpreted as providing any facts regarding, or prediction orforecast of, any environmental risk for any property. Only a Phase I Environmental Site Assessment performed by an environmental professional can provide information regarding the environmental risk for any property. Additionally, the information provided in this Report is not to be construed as legal advice.
Copyright 2020 by Environmental Data Resources, Inc. All rights reserved. Reproduction in any media or format, in whole or in part, of any report or map of Environmental Data Resources, Inc. or its affiliates is prohibited without prior written permission.
EDR and its logos (including Sanborn and Sanborn Map) are trademarks of Environmental Data Resources, Inc. or its affiliates.
All other trademarks used herein are the property of their respective owners.
EXECUTIVE SUMMARY
DESCRIPTION
Environmental Data Resources, Inc.'s (EDR) City Directory Abstract is a screening tool designed to assist environmental professionals in evaluating potential liability on a target property resulting from past activities.
EDR's City Directory Abstract includes a search and abstract of available city directory data. For each address, the directory lists the name of the corresponding occupant at five year intervals.
Business directories including city, cross reference and telephone directories were reviewed, if available, at approximately five year intervals for the years spanning 1920 through 2015. This report compiles information gathered in this review by geocoding the latitude and longitude of properties identified and gathering information about properties within 660 feet of the target property.
A summary of the information obtained is provided in the text of this report.
RECORD SOURCES
EDR's Digital Archive combines historical directory listings from sources such as Cole Information and Dun & Bradstreet. These standard sources of property information complement and enhance each other to provide a more comprehensive report.
EDR is licensed to reproduce certain City Directory works by the copyright holders of those works. The purchaser of this EDR City Directory Report may include it in report(s) delivered to a customer. Reproduction of City Directories without permission of the publisher or licensed vendor may be a violation of copyright.
Data by
infoUSA
CapyrighM2008
All Rights Reserved
RESEARCH SUMMARY
The following research sources were consulted in the preparation of this report. An "X" indicates where information was identified in the source and provided in this report.
Year
Source
TP
Adjoining
TextAbstract Source Image
2015
Cole Information Services
X
X
X -
2009
Cole Information Services
X
X
X -
2004
Cole Information Services
X
X
X -
2002
Haines Company
-
X
X -
Haines Company
X
X
X -
2001
Pacific Telephone
-
-
- -
1999
Cole Information Services
X
X
X -
1997
Pacific Telephone
-
-
- -
1995
Pacific Bell
-
X
X -
Pacific Bell
X
X
X -
1994
Cole Information Services
X
X
X -
1992
Pacific Bell
-
-
- -
6166775-5 Pagel
EXECUTIVE SUMMARY
Year
Source
TP
Adioining
Text Abstract Source Image
1991
Pacific Bell
-
X
X -
Pacific Bell
X
X
X -
1986
Pacific Bell
-
X
X -
Pacific Bell
X
X
X -
1980
Pacific Telephone
-
-
X -
Pacific Telephone
X
-
X -
1975
Luskeys Brothers & Co.
-
X
X -
Luskeys Brothers & Co.
X
X
X -
1971
Luskey Brothers Co., Inc.
-
-
- -
1970
Ross Publications
-
-
- -
1966
Pacific Telephone
-
-
- -
1965
Luskey Brothers
-
-
- -
1961
Luskey Brothers & Co.,
-
-
- -
1960
Unknown
-
-
- -
1956
Luskey Brothers & Co., Inc.
-
-
- -
1955
The Pacific Telephone and Telegraph Co.
-
-
- -
1952
Luskeys Directory Service Co.
-
-
- -
1950
West Directory Co.
-
-
- -
1946
Southern California Telephone Co.
-
-
- -
1945
McCutcheon & Bragonier
-
-
- -
1941
Southern California Telephone Co.
-
-
- -
1936
Western Directory Co.
-
-
- -
1930
Western Directory Co.
-
-
- -
1926
Pacific Telephone
-
-
- -
1925
Western Directory Co.
-
-
- -
1922
Kaasen Directory Co.
-
-
- -
1921
Western Directory Co.
-
-
- -
1920
Santa Ana Directory Co.
-
-
- -
6166775-5 Page 2
FINDINGS
TARGET PROPERTY INFORMATION
ADDRESS
900 Newport Center Dr
Newport Beach, CA 92660
FINDINGS DETAIL
Target Property research detail.
NEWPORT CENTER DR
900 NEWPORT CENTER DR
Year
Uses
Source
2015
HERTZ
Cole Information Services
NEWPORT BEACH MARRIOTT HOTEL &
Cole Information Services
SPA
PERLA HAIR STUDIO
Cole Information Services
PURE BLU
Cole Information Services
SAM & HARRYS
Cole Information Services
2009
HERTZ CORP
Cole Information Services
HERTZ LOCAL EDITION
Cole Information Services
PERLA HAIR STUDIO
Cole Information Services
PURE BLU SPA
Cole Information Services
SAM & HARRYS
Cole Information Services
2004
HERTZ RENT A CAR
Cole Information Services
NWPRT BEACH MRT HOTEL & TENNIS
Cole Information Services
TROPICAL IMAGES
Cole Information Services
2002
HERTZ RENT A CAR
Haines Company
HTLSTNNS CLB a TROPICALIMAGES
Haines Company
NEWPRTBCH MRRTT
Haines Company
1999
HERTZ RENT A CAR RENTAL LOCATIONS
Cole Information Services
JWS CALIFORNIA GRILL
Cole Information Services
MARRIOTT HOTELS RESORTS SUITES
Cole Information Services
NEWPORT BEACH MARRIOTT HOTE
Cole Information Services
RENTAL LOCATIONS
Cole Information Services
TROPICAL IMAGES
Cole Information Services
VIEW LOUNGE
Cole Information Services
1995
Hertz Rent A Car Contd
Pacific Bell
JWs California Grill
Pacific Bell
Marriott Suites Newport Bachl
Pacific Bell
6166775-5 Page 3
FINDINGS
Year
Uses
Source
1995
Newport Beach Marriott Hotel & Tenn
Pacific Bell
ISLAND Club
Newport Marriott Hotel
Pacific Bell
Newport Reach Marriottl Hotel & Tenn
Pacific Bell
ISLAND Club
1994
CORAL TREE
Cole Information Services
HERTZ RENT A CAR
Cole Information Services
J WS CALIFORNIA GRILL
Cole Information Services
MARRIOTT HOTELS & RESORTS
Cole Information Services
1991
Alfredos Hair Etc
Pacific Bell
Coral Tree
Pacific Bell
Coral Tree Business Center
Pacific Bell
JWs Sea Grill
Pacific Bell
Marriott Hotel
Pacific Bell
Marrott I
Pacific Bell
Newport Beach Marriott Hotel & Tennis Club
Pacific Bell
Nucoles Restaurant
Pacific Bell
Or
Pacific Bell
1986
Capriccio Restaurant
Pacific Bell
Coral Tree
Pacific Bell
Holbrook Peter D Gibson Dunn & Crutcher
Pacific Bell
attys
Kings Wharf
Pacific Bell
La Vonnes Flonst
Pacific Bell
Marnot Newport Beach
Pacific Bell
Mc Clone Construction Co Inc
Pacific Bell
Newport Beach Marnott Hotel
Pacific Bell
Nicoles
Pacific Bell
Nicoles Restaurant
Pacific Bell
1980
Coral Tree
Pacific Telephone
I Capriccio Restaurant
Pacific Telephone
Kings Wharf
Pacific Telephone
Nevwport Beach Marriott Hotel
Pacific Telephone
Newport Marriptt
Pacific Telephone
1975
Capriccio Restaurant
Luskey Brothers & Co., Inc.
Kings Wharf
Luskey Brothers & Co., Inc.
Newport Hotel
Luskey Brothers & Co., Inc.
Newport Marriott Hotel
Luskey Brothers & Co., Inc.
6166775-5 Page 4
FINDINGS
ADJOINING PROPERTY DETAIL
The following Adjoining Property addresses were researched for this report. Detailed findings are provided for each address.
NEWPORT CENTER
800 NEWPORT CENTER
Year
Uses
Source
1995
Pacific Equities Network
Pacific Bell
923 NEWPORT CENTER
Year
Uses
Source
1995
LONGS DRUG STORES
Pacific Bell
LONGS DRUG STORES
Pacific Bell
LONGS DRUG STORES
Pacific Bell
LONGS DRUG STORES
Pacific Bell
NEWPORT CENTER DR
800 NEWPORT CENTER DR
Year Uses
Source
2015 OBRIEN COMPANY THE
Cole Information Services
PIMCO
Cole Information Services
PMREALTY ADVISORS
Cole Information Services
PACIFIC LIFE INSURANCE
Cole Information Services
CROWELL WEEDON & CO
Cole Information Services
SHERYL SPRENGER
Cole Information Services
2009 M & J S CAFE
Cole Information Services
CROWELL WEEDEN & CO
Cole Information Services
PACIFIC INVESTMENT MANAGEMENT
Cole Information Services
CO
OLIVIAS HAIR DESIGN
Cole Information Services
TERRY BLANCHARD
Cole Information Services
EXECUTIVE ONE
Cole Information Services
MORGAN STANLEY
Cole Information Services
SHERYL SPRENGER
Cole Information Services
STANLEY MORGAN
Cole Information Services
CWSFG 99 CAPROCK LLC
Cole Information Services
NEWPORT GREENS LLC
Cole Information Services
6166775-5 Page 5
FINDINGS
Year
Uses
Source
2009
CWS CLAYTON WILLIAMS &
Cole Information Services
SHERWOOD
BABSON CAPITAL MANAGEMENT INC
Cole Information Services
DEERWOOD BRIDGE LLC
Cole Information Services
NEWPORT DEVELOPMENT CO THE
Cole Information Services
P M REALTY ADVISORS INC
Cole Information Services
2004
JIM FORSYTHE
Cole Information Services
SHERYL SPRENGER
Cole Information Services
STANLEY MORGAN
Cole Information Services
EXEC ONE
Cole Information Services
SHEAR CLASS
Cole Information Services
CWS CAPITAL PARTNERS LLC
Cole Information Services
CROWELL WEEDON CO
Cole Information Services
MORGAN STANLEY/LINO SFDN
Cole Information Services
PLAZA DELI
Cole Information Services
2002
MORGAN STANLEY
Haines Company
DEAN WITTER MORGAN STANLEY
Haines Company
DEAN WITTER OBRIEN COMPANY
Haines Company
THE OLIVIASHAIR DESIGN
Haines Company
PFAMCOPACFNCL
Haines Company
ASST MNG PALLEYNEEDELMAN
Haines Company
ASSET MNG INC PIMCO
Haines Company
PIMCO ADVISORS LP
Haines Company
PIMCO ADVISORS LP
Haines Company
PLAZA DELI
Haines Company
SHEAR CLASS
Haines Company
BUILDING AVIATION CAPITAL
Haines Company
GROUP OFC 4 BRADFORD PETERC
Haines Company
ATTY CROWELL
Haines Company
WEEDON&CO CWS CAPITAL
Haines Company
PARTNERS LLC EXECUTIVE
Haines Company
DETAILING
MERRILL LYNCH
Haines Company
1999
WILLIAMS ADDED VALUE
Cole Information Services
ENTERPRISES INCORPORATED
SHERYL SPRENGER
Cole Information Services
EXECUTIVE ONE
Cole Information Services
PFAMCO-PACIFIC FINANCIAL ASST
Cole Information Services
MANAGEMENT CORPORATION PM
REAL
6166775-5 Page 6
FINDINGS
Year Uses
Source
1999 EWING KAE A
Cole Information Services
PLAZA DELI
Cole Information Services
CLAYTON WILLIAMS & SHERWOOD
Cole Information Services
FORSYTHE MARCELLI JOHNSON
Cole Information Services
ADVERTISING INCORPORATED
CROWELL WEEDON & COMPANY
Cole Information Services
STKBRKR
PIMCO ADVISORS L P
Cole Information Services
ACSIA INSURANCE SERVICES
Cole Information Services
PAC FINANCIAL ASSET MANAGEMENT
Cole Information Services
CORPORATION PFAMC 0
SHEAR CLASS
Cole Information Services
BRADFORD PETER C ATTORNEY
Cole Information Services
OLIVIAS HAIR DESIGN
Cole Information Services
PAC EQUITIES NETWORK MBR PAC
Cole Information Services
FINANCIAL COMPANIES
PALLEY NEEDELMAN ASSET
Cole Information Services
MANAGEMENT INCORPORATED
DEAN WITTER REYNOLDS
Cole Information Services
INCORPORATED
MERRILL LYNCH
Cole Information Services
1995 American Capital
Pacific Bell
American Century Financial Relations
Pacific Bell
Asset Recovery Enterprises
Pacific Bell
Auto Bitter Inc
Pacific Bell
Casta Mesa
Pacific Bell
Newport Beach
Pacific Bell
Clayton Williams & Sherwood Inc
Pacific Bell
DEAN WITTER REYNOLDS INC
Pacific Bell
EWING KAEA
Pacific Bell
Hart C Kimberly Attorney At Law
Pacific Bell
Hearn Frederick W atlty
Pacific Bell
Hughes Purcell
Pacific Bell
Brien Charles F Kirtland & Packard attys 0
Pacific Bell
Brien Company The
PMRealty Advisors
Pacific Bell
PMRealty Advisors
Pacific Bell
PMRealty Advisors
Pacific Bell
Plaza Deli
Pacific Bell
Shear Class
Pacific Bell
Simon William G
Pacific Bell
6166775-5 Page 7
FINDINGS
Year
Uses
Source
1995
Smith Barney Inc
Pacific Bell
Newport Beach Of ices
Pacific Bell
Wealth Management Corp
Pacific Bell
Wealth Management Corp
Pacific Bell
Wealth Management Group
Pacific Bell
Forrest Binkley & Brown Venture
Pacific Bell
Member Pacific Financial Companies
Pacific Bell
Pacific Equities Network
Pacific Bell
1994
SMITH BARNEY SHEARSON INC
Cole Information Services
EXECUTIVE ONE
Cole Information Services
OBRIEN COMPANY THE
Cole Information Services
WEALTH MANAGEMENT CORP
Cole Information Services
PLAZA DELI
Cole Information Services
COTE RLTY&INVSTMT
Cole Information Services
CALIFORNIA FEDERAL BANK
Cole Information Services
SHEAR CLASS
Cole Information Services
1991
ALLERGY & ASTHMA GROUP
Pacific Bell
NEWPORT HARBOR
Allergy Asthma Immunology Specialists Of
Pacific Bell
So Orange Co Inc
Benjamin Capital Management Inc
Pacific Bell
Borges Evans C Gibson Dunn & Crutcher
Pacific Bell
attys
Boyd Larry C Gibson Dunn & Crutcher
Pacific Bell
attys
Brennan J Michael Gibson Dunn &
Pacific Bell
Crutcher attys
Busch Joseph P Gibson Dunn & Crutcher
Pacific Bell
attys
Newport Beach
Pacific Bell
Campbell Layne M Gibson Dunn &
Pacific Bell
Crutcher attys
Cella Christopher L Gibson Dunn &
Pacific Bell
Crutcher attys
Cella Gene Sr Jostice Investigationsno
Pacific Bell
Cella John& Belinda
Pacific Bell
Clark Karen H Giboon Dunn & Crutcher
Pacific Bell
attys
Claster William D Gibson Dunn &
Pacific Bell
Crutcher attys
Clayton Williams & Sherwood Inc
Pacific Bell
Continental Drilling US
Pacific Bell
6166775-5 Page 8
FINDINGS
Year Uses
Source
1991 Copple Brian W Gibson Dunn & Crutcher
Pacific Bell
attys
Crews John R Gibson DOuni & Crutcher
Pacific Bell
attys
Crews M
Pacific Bell
Crews N
Pacific Bell
Newport Center Ofc
Pacific Bell
Crowell Weedon & Co stkbrkr
Pacific Bell
Dean Robert E Gibson Dunn & Crutcher
Pacific Bell
attys
Executive One
Pacific Bell
Farrell Teresa J Gibson Dunn & Crutcher
Pacific Bell
attys
Fay Allison S Gibson Dunn & Crutcher
Pacific Bell
attys
Feinstein Eloise Hock Gibson Dunn &
Pacific Bell
Crutcher attys
Fluckiger G Markell Gibson Bunn &
Pacific Bell
Crutcher ottys
Fox Barbara L Gibson Dunn & Crutcher
Pacific Bell
attys
Fox Beth
Pacific Bell
Gladwell Dennis A Gibson Dunn &
Pacific Bell
Crutcher attys
Goodman Davis P Gibson Dunn &
Pacific Bell
Crutcher attys
Gordee Alan J Gibson Dunn & Crutcher
Pacific Bell
attys
Greaney E Michael Gibson Dunn &
Pacific Bell
Crutcher attys
Gritsch Norman R Gibson Dunn &
Pacific Bell
Crutcher attys
Hammond Barnett D Gibson Dunn &
Pacific Bell
Crutcher attys
Henry Geniene T Gibson Dunn & Crutcher
Pacific Bell
attys
Hill Bryan W Gibson Dunn & Crutcher
Pacific Bell
attys
Holbrook Peter D Gibson Dunn & Crutcher
Pacific Bell
attys
Jacobowitz Marc E Gibhon Dunn &
Pacific Bell
Crutcher attys
Jacobowitz Miguel
Pacific Bell
Jacobs A
Pacific Bell
Jacobs A
Pacific Bell
6166775-5 Page 9
FINDINGS
Year Uses
Source
1991 Jacobs A Hi B
Pacific Bell
Jacobs A Hf
Pacific Bell
Jacobs AB POBox 655 Lag Bch
Pacific Bell
Johnson Jill E Gibson Dunn & Crutcher
Pacific Bell
attys
Kates Concierge
Pacific Bell
Kenny Gerard J Gibson Dunn & Crutcher
Pacific Bell
attys
Kirchoff Brian R Gibson Dunn & Crutcher
Pacific Bell
attys
Kirchoff H
Pacific Bell
Lilly J Kevin Gibson Dunn & Crutcher attys
Pacific Bell
Magill Thomas D Gubson Dunn &
Pacific Bell
Crutcher attys
Magill W
Pacific Bell
Magill W
Pacific Bell
Magill W
Pacific Bell
Magill W @Huntington Beach@
Pacific Bell
Mallory Frank L Gibson Dunn & Crutcher
Pacific Bell
attys
Matthews Milburn A Gibson Dunn &
Pacific Bell
Crutcher attys
McCracken Steven C Gibson Dunn &
Pacific Bell
Crutcher attys
Meloch Sally L Gibson Dunn & Crutcher
Pacific Bell
attys
Millet Craig H Gibson Dunn & Crutcher
Pacific Bell
attys
Mulrooney Michelle M Gibson Dunn &
Pacific Bell
Crutcher attys
PM Realty Advisors
Pacific Bell
P M Realty Advisors
Pacific Bell
Real Estate Investments
Pacific Bell
Palley Needelman Asset Management Inc
Pacific Bell
Pitcher Thomas B Gibton Dunn & Crutcher
Pacific Bell
attys
Quevedo Steven M Gibson Dunn &
Pacific Bell
Crutcher attys
Rider Michael J Gibson Dunn & Crutcher
Pacific Bell
attys
Robinson Jeffrey Gibson Dunn & Crutcher
Pacific Bell
attys
Schaller Gordon A Gibson Dunn &
Pacific Bell
Crutcher attys
6166775-5 Page10
FINDINGS
Year Uses
Source
1991 Schindler Walter L Gibson Dunn &
Pacific Bell
Crutcher atty
Shear Class
Pacific Bell
Shipp Marianne Gibson Dunn & Crutcher
Pacific Bell
attys
Smith Richard W Gibson DOsn &
Pacific Bell
Crutcher attys
Stoner John E Gibson Dunn & Crutcher
Pacific Bell
attys
Stoner Sharon L Gibson Dunn & Crutcher
Pacific Bell
attys
Sullivan James J Gibson Dunn & Crutcher
Pacific Bell
attys
Trinklein Jeffrey M Gibson Dunn &
Pacific Bell
Crutcher attys
Waggener Susan L Gibson Dunn &
Pacific Bell
Crutcher attys
Wells John C Gibson Dounn & Crutcher
Pacific Bell
attys
Wickstrom Daryl S Gibson Dunn &
Pacific Bell
Crutcher attys
Wilder M Byron Gibson Dunn & Crutcher
Pacific Bell
attys
Wilson Shelley C Glson Don Cnitcherattys
Pacific Bell
Wintrode Ralph C Gibson Dunn &
Pacific Bell
Crutcher attys
Wang Timathy Y Gibson Dunn & Crutcher
Pacific Bell
attys
Agajanian & Associates
Pacific Bell
Agajanian Janis B
Pacific Bell
Duncan Richard G Jr Gibson Dunn &
Pacific Bell
Crutcher attys
Green Robert L Gibson Dunn & Crutcher
Pacific Bell
attys
Green Robert L Pettis Tester Kruse &
Pacific Bell
Krinsky Law Offices Ot
Isbell David W Gibson Dunn & Crutcher
Pacific Bell
attys
Loewew Robert W Gibson Dunn &
Pacific Bell
Crutcher attys
Pacific Equities Network Member Pacific
Pacific Bell
Financial Companies
Thomas Jeffrey T Gibson Dmn & Crutcher
Pacific Bell
attys
Thomas Jennifer @Costa Mesa@
Pacific Bell
Thomas Jerry
Pacific Bell
6166775- 5 Page 11
FINDINGS
Year Uses
Source
1991 Thomas Jerry
Pacific Bell
Thomas Jerry
Pacific Bell
Thomas Jerry
Pacific Bell
Thomas Jerry
Pacific Bell
Yoder Michael G Gibson Dun N &
Pacific Bell
Crutcher attys
1986 Edwards Steven L Gibson Dunn &
Pacific Bell
Crutcher attys
Exon Charles S Gibson Dunn & Crutcher
Pacific Bell
attys
Farley Christopher J Gibson Dunn &
Pacific Bell
Crutcher attys
Fuller Glenn E Gibson Dunn & COutcher
Pacific Bell
attys
Greaney E Michael Gibson Dunn &
Pacific Bell
Crutcher attys
Grunow J Otto Gibson Dunn & Crutcher
Pacific Bell
attys
Hock Eloise S Gibson Dunn & Crutcher
Pacific Bell
attys
Hyden Cary K Gibson Dunn & Crutcher
Pacific Bell
attys
Kenny Gerard J Gibson Dunn & Crutcher
Pacific Bell
attys
Krinsky David A G bson Dunn & Crstcher
Pacific Bell
attys
Lewis Bert A Gibson Dunn & Crutcher
Pacific Bell
attys
Lewis Marjone Ehnrich Gibson Dunn &
Pacific Bell
Crutcher attys
Liljenquvst C Craig Gibson Dunn &
Pacific Bell
Crutcher attys
Loewen Robert W Gibson Dunn &
Pacific Bell
Crutcher attys
Matthews Milburn A Gibson Dunn &
Pacific Bell
Crutcher attys
Mc Coy Richard T Gibson Dunn &
Pacific Bell
Crutcher attys
McCracken Steven C Gibson Dunn &
Pacific Bell
Crutcher attys
Meyers John F Gibson Dunn & Crutcher
Pacific Bell
attys
Miller Michael L Gibson Dunn & Crutcher
Pacific Bell
attys
Millet Craig H Gibson Dunn & Crutcher
Pacific Bell
attys
6166775-5 Page12
FINDINGS
Year Uses
Source
1986 Inv Pstmnents
Pacific Bell
Palchikoff Jay F Gibson Dunn & Crutcher
Pacific Bell
attys
Palmer Robert E Gibson Dunn & Crutcher
Pacific Bell
attys
Rider Michael J Gibson Dunn I Crutcher
Pacific Bell
attys
Ri ZZI Robert A Gibson Dunn & Crutcher
Pacific Bell
attys
Sajor Donald J Gibson Dunn & Crutcher
Pacific Bell
attys
Schaller Gordon A Gibson Dunn &
Pacific Bell
Crutcher attys
Schindler Walter L Gibson Dunn &
Pacific Bell
Crutcher atty
Severson Kim A Gibson Dunn & Crutcher
Pacific Bell
attys
Shear Class
Pacific Bell
Shurtleff Mark W Gibson Dvnn & Crutcher
Pacific Bell
attys
Steves Detailing
Pacific Bell
Stoner Sharon L Gibson Dunn & Crutcher
Pacific Bell
attys
Bishop Keith P Gibson Dunn & Crutcher
Pacific Bell
attys
Boyd Larry C Gibson Dunn & Crutcher
Pacific Bell
attys
Busch Joseph P III Gibson Dunn &
Pacific Bell
Crutcher attys
Call Wayne W Glbson Dunn & Crutcher
Pacific Bell
attys
Celia Christopher L Gibson Dunn &
Pacific Bell
Crutcher attys
Clark Karen H Gibson Dunn & Crutcher
Pacific Bell
attys
Clayton Williams & Sherwood Inc
Pacific Bell
Cucchissi Michael S Gibson Dunn &
Pacific Bell
Crutcher attys
Dean Robert E Gibson Dunn & Crutcher
Pacific Bell
attys
Dorsey C L & Co CPA
Pacific Bell
Dorsey Jeffrey C CPA
Pacific Bell
Duncan Richard E Jr Gibson Dunn &
Pacific Bell
Crutcher attys
Duncan Richard G Jr Gibson Dunn &
Pacific Bell
Crutcher attys
6166775-5 Page13
FINDINGS
803 NEWPORT CENTER DR
Year
Uses
Source
2002
XXXX
Haines Company
1999
O S A SUN
Cole Information Services
1995
Sunwatch
Pacific Bell
1994
SUNWATCH
Cole Information Services
1991
Sunwatch Inc
Pacific Bell
807 NEWPORT CENTER DR
Year
Uses
Source
2015
CLASSIC NEWPORT BEACH
Cole Information Services
LORNA JANE
Cole Information Services
2009
BETSEY JOHNSON
Cole Information Services
BJ VINES INC
Cole Information Services
2004
BETSEY JOHNSON RETAIL STORE
Cole Information Services
809 NEWPORT CENTER DR
Year
Uses
Source
2004
PARALLEL FASHION ISLAND
Cole Information Services
811 NEWPORT CENTER DR
Year
Uses
Source
2009
BEBE
Cole Information Services
2004
OCCUPANT UNKNOWN
Cole Information Services
BEBE
Cole Information Services
1999
STUART MOORE CA LIMITED
Cole Information Services
1994
FOGAL HOSIERY
Cole Information Services
1991
Fogal Hosiery
Pacific Bell
Merletto Lingerie
Pacific Bell
814 NEWPORT CENTER DR
Year
Uses
Source
2004
HAPPY HERMITS
Cole Information Services
817 NEWPORT CENTER DR
Year
Uses
Source
2015
HYDE PARK OF NEWPORT BEAC
Cole Information Services
2009
THE LIMITED
Cole Information Services
2004
LIMITED STORES NEWPORT
Cole Information Services
2002
NEWPORT THE
Haines Company
LIJMITED STORES
Haines Company
6166775-5 Page14
FINDINGS
Year
Uses
Source
1999
LIMITED STORES THE
Cole Information Services
1995
Limited Too
Pacific Bell
1994
LIMITED
Cole Information Services
819 NEWPORT CENTER DR
Year
Uses
Source
2015
KATE SPADE
Cole Information Services
2009
KATE SPADE
Cole Information Services
823 NEWPORT CENTER DR
Year
Uses
Source
2015
ANTHROPOLOGIE
Cole Information Services
2004
ANTHROPOLOGIE
Cole Information Services
2002
ANTHROPOLOGIE
Haines Company
1999
ANTHROPOLOGIE
Cole Information Services
825 NEWPORT CENTER DR
Year
Uses
Source
2015
ELLA MOSS 651
Cole Information Services
840 NEWPORT CENTER DR
Year
Uses
Source
2015
NAKASHIMA JOHN M IRELL &
Cole Information Services
MANELLA
JOHNSON THOMAS W IRELL &
Cole Information Services
MANELLA
PACIFIC LIFE INSURANCE
Cole Information Services
THE IRVINE COMPANY
Cole Information Services
LOBEL WILLIAM ATTY
Cole Information Services
BASKIN SCOTT D ATTY
Cole Information Services
KAWAKAMI KYLE S IRELL & MANELLA
Cole Information Services
PIEROTTI ANTHONY W IRELL &
Cole Information Services
MANELLA
FRIEDMAN ALAN IRELL & MANELLA
Cole Information Services
IRELL & MANELLA LLP
Cole Information Services
GREENE ANDRA BARMASH IRELL &
Cole Information Services
MANELLA
STEDMAN ROBT W ATTY
Cole Information Services
SHERMAN RICHARD M IRELL &
Cole Information Services
MANELLA
SHERMAN RICHARD M ATTY
Cole Information Services
MCNEIL RICHARD J IRELL & MANELLA Cole Information Services 6166775-5 Page15
FINDINGS
Year
Uses
Source
2015
ERMER MICHAEL G IRELL & MANELLA
Cole Information Services
MAISTER MARC S IRELL & MANELLA
Cole Information Services
IRVINE COMPANY
Cole Information Services
PHILLIPS LAYN R IRELL & MANELLA
Cole Information Services
BIENERT JR THOMAS H ATTYS
Cole Information Services
COLDWELL BANKER
Cole Information Services
CAPUT FRANK A IRELL & MANELLA
Cole Information Services
GREENBAUM LAW GROUP
Cole Information Services
FOSSUM JOHN C IRELL & MANELLA
Cole Information Services
SAMINI SCHEINBERG PC
Cole Information Services
ARISTOTLE CAPITAL
Cole Information Services
2009
NICOLAS CASTRO
Cole Information Services
DIANA CASTRO
Cole Information Services
MANELLA GREENE
Cole Information Services
PIMCO FUNDS
Cole Information Services
COLLINS INC
Cole Information Services
PACIFIC INVESTMENT MANAGEMENT
Cole Information Services
CO LLC
TRAVERS ONCOR INTERNATIONAL
Cole Information Services
PIMCO GLOBAL ADVISORS LLC
Cole Information Services
IRELL & MANELLA
Cole Information Services
TRAVERS REALTY CORP
Cole Information Services
FORREST BINKLEY BROWN VENTURE
Cole Information Services
2004
KIMBERLY GILLASPY
Cole Information Services
DOUGLAS HODGE
Cole Information Services
JOSEPH FOURNIER
Cole Information Services
PIMCO COML MTG SEC TRUST INC
Cole Information Services
PACIFIC INVESTMENT MANAGEMENT
Cole Information Services
CO
PIMCO FUNDS
Cole Information Services
COLLINS BAY ISLAND SECURITIES
Cole Information Services
1999
GOLDSTEIN AIMEE IRELL & MANELLA
Cole Information Services
ATTORNEYS
HOLCOMB JOHN ATTORNEY
Cole Information Services
IRELL & MANELLA ATTORNEYS
Cole Information Services
APLIN R JACK
Cole Information Services
PFAMCO-PACIFIC FINANCIAL ASST
Cole Information Services
MANAGEMENT CORPORATION PIMCO
P
FORREST BINKLEY & BROWN
Cole Information Services
VENTURE
6166775-5 Page16
FINDINGS
Year Uses
Source
1999 ZOTOVICH STEPHEN & ASSOCIATES
Cole Information Services
STONECREEK CAPITAL
Cole Information Services
INCORPORATED
PACIFIC FINANCIALASSET
Cole Information Services
MANAGEMENT PIMCO FUNDS
NAKASHIMA JOHN M IRELL &
Cole Information Services
MANELLA ATTORNEYS
TEACHEY SUZANNE M IRELL &
Cole Information Services
MANELLA ATTORNEYS
COLLINS ASSOCIATES
Cole Information Services
SHERMAN RICHARD M IRELL &
Cole Information Services
MANELLA ATTORNEYS
PFAMCO-PACIFIC FINANCIAL ASST
Cole Information Services
MANAGEMENT CORPORATION PIMCO
F
VOSS COOK & THEL ATTORNEYS
Cole Information Services
BASKIN SCOTT D ATTORNEY
Cole Information Services
FOSSUM JOHN C IRELL & MANELLA
Cole Information Services
ATTORNEYS
BUDGE COLLINS INCORPORATED
Cole Information Services
WINDER LORI L ATTORNEY
Cole Information Services
MCNEIL RICHARD J IRELL & MANELLA
Cole Information Services
ATTORNEYS
CAPUT FRANK IRELL & MANELLA
Cole Information Services
ATTORNEYS
LIVINGSTON LORI ATTORNEY
Cole Information Services
BENSON ROBERT J IRELL & MANELLA
Cole Information Services
ATTORNEYS
GREENE ANDRA BARMASH IRELL &
Cole Information Services
MANELLA ATTORNEYS
WESTMONT INVESTMENT COMPANY
Cole Information Services
INCORPORATED
MISHOW EDWARD M ATTORNEY
Cole Information Services
ENGEBRETSON CAPITAL
Cole Information Services
MANAGEMENT INCORPORATED
Z B INVESTMENT COMPANY
Cole Information Services
LAIRD EDWARD L
Cole Information Services
JOHNSON THOMAS W IRELL &
Cole Information Services
MANELLA ATTORNEYS
ERMER MICHAEL G IRELL & MANELLA
Cole Information Services
ATTORNEYS
REICH MARC IRELL & MANELLA
Cole Information Services
ATTORNEYS
BIENERT JR THOMAS H ATTORNEYS
Cole Information Services
THEL ALBERT J ATTORNEY
Cole Information Services
6166775-5 Page17
FINDINGS
Year Uses
Source
1999 PIEROTTI ANTHONY W IRELL &
Cole Information Services
MANELLA ATTORNEYS
SPERTUS JAMES W IRELL & MANELLA
Cole Information Services
ATTORNEYS
LIPMAN FRANCINE ATTORNEY
Cole Information Services
LURKER DAVID A ATTORNEY
Cole Information Services
PIMCO-PACIFIC INVESTMENT
Cole Information Services
MANAGEMENT COMPANY OFFICE
PHILLIPS LAYN R IRELL & MANELLA
Cole Information Services
ATTORNEYS
STEDMAN ROBERT W ATTORNEY
Cole Information Services
COOK BRUCE V ATTORNEY
Cole Information Services
MAISTER MARC S IRELL & MANELLA
Cole Information Services
ATTORNEYS
KAWAKAMI KYLE S IRELL & MANELLA
Cole Information Services
ATTORNEYS
AFFINITY INVESTMENT ADVISORS
Cole Information Services
INCORPORATED
DEUTSCHE FINANCIAL SERVICES
Cole Information Services
CARY GEORGE S IRELL & MANELLA
Cole Information Services
ATTORNEYS
LEVIN BRIAN H IRELL & MANELLA
Cole Information Services
ATTORNEYS
COX BUCHANAN PADMORE &
Cole Information Services
SHAKARCHY
FRIEDLAND MICHAEL K IRELL &
Cole Information Services
MANELLA ATTORNEYS
MANELLA GREENE
Cole Information Services
1995 Benson Robert J Irell & Manella attys
Pacific Bell
Bergheer Pacific Inc
Pacific Bell
S Caronia Corp
Pacific Bell
Caronex Co mfrs agts
Pacific Bell
Christlanson Michael J atty
Pacific Bell
Collins Associates
Pacific Bell
Cook Bruce V atty
Pacific Bell
Fossum John C Irell & Manella attys
Pacific Bell
Friedland Michael K Irell & Manella attys
Pacific Bell
Goldstein Aimee Irell & Manella attys
Pacific Bell
Greene Andra Barmash IreII& Manella
Pacific Bell
attys
Hotel Partners Inc
Pacific Bell
Irell & Manella attys
Pacific Bell
Johnson Thomas W Irell & Manella attys
Pacific Bell
6166775-5 Page18
FINDINGS
Year Uses
Source
1995 Kawakami Kyle S Irell & Manella attys
Pacific Bell
Livingston Lor atty
Pacific Bell
Lurker David A atty
Pacific Bell
Maister Marc S Irel & Manella attys
Pacific Bell
Mc Gah Edward R Jr Irell & Manella attys
Pacific Bell
Mishow Edward M atty
Pacific Bell
Nakashima John M Irell & Manella attys
Pacific Bell
PIMCO Pacific Investment Management
Pacific Bell
Company
PIMCO Funds
Pacific Bell
PIMCO Pacific Investment Management
Pacific Bell
Company
PIMCO Pacific Investment Management
Pacific Bell
Co
PIMCO Funds
Pacific Bell
Pacific Investment Management Co
Pacific Bell
Phillips Layn R Irell & Manella attys
Pacific Bell
Pierotti Anthony W Irell & Manella attys
Pacific Bell
Raskin S Robert Jr Irel & Manela attys
Pacific Bell
Sherman Richard M atty
Pacific Bell
Sherman Richard M Irell & Menella attys
Pacific Bell
Spertus James W Irell & Manella attys
Pacific Bell
Teachey Suzanne M Irell & Manella alttys
Pacific Bell
Winder Lori aty
Pacific Bell
Affinity Investment Advisors Inc
Pacific Bell
Caput Frank A irell & Manella attys
Pacific Bell
Ermer Michael G Irell & Manella atts
Pacific Bell
Ofc
Pacific Bell
Pimco Paclflic Investment Management
Pacific Bell
Company
Reich Marcirel&Maselaattys
Pacific Bell
Thai Albert J tty
Pacific Bell
Voss Cook & Thel attys
Pacific Bell
1994 I T T COML FNC
Cole Information Services
AFFINITY INVESTMENT ADVISORS
Cole Information Services
CAL FED ENTERPRISES
Cole Information Services
LORI WINDER ATTYS
Cole Information Services
CONCEPT SYSTEMS INC
Cole Information Services
THOMAS, JOSEPH M
Cole Information Services
FERGUSON CROSSWELL
Cole Information Services
6166775-5 Page19
FINDINGS
Year Uses
Source
1994 MERRITT, THOMAS R
Cole Information Services
LAIRD, EDWARD L
Cole Information Services
CRENSHAW, KYLE C
Cole Information Services
THOMAS JOSEPH M
Cole Information Services
1991 Wah Mdust Duke @Irvine@ B & Manelli
Pacific Bell
attys
Adele Michael Ray Irell & Manella attys
Pacific Bell
Adele S
Pacific Bell
American Coupon Exchange
Pacific Bell
Baskin Scott D atty
Pacific Bell
Brodnik Thomas A Irell & Manella attys
Pacific Bell
Cal Fed Enterprises
Pacific Bell
Cal Fire Protection Co
Pacific Bell
Callahan Craig A Irell & Manella attys
Pacific Bell
Cary George S Irell & Manella attys
Pacific Bell
Collins Associates
Pacific Bell
Concept Systems Inc
Pacific Bell
Cook Bruce V atty
Pacific Bell
Ermer Michael G Ireil & Manella attys
Pacific Bell
Evans Dan & Associates
Pacific Bell
Evans Patrick Irell & Manella attys
Pacific Bell
Fossum John C Irell & Manella attys
Pacific Bell
Graves Maureen R Irell & Manella attys
Pacific Bell
Graves Melvin
Pacific Bell
Graves N
Pacific Bell
Graves NJ
Pacific Bell
Greene Andra Barmash Irell & Manella
Pacific Bell
attys
Hoffer David A Irell & Manella attys
Pacific Bell
Irell & Manella attys
Pacific Bell
Jensen Jeffrey V
Pacific Bell
Jimenez Carol S
Pacific Bell
Jimenez Christine
Pacific Bell
Jimenez Christine M 6 32
Pacific Bell
Johnson Thomas W Irell & Manella attys
Pacific Bell
Kawakami Kyle S Irell & Manella attys
Pacific Bell
Kuhta Cynthia M Co Inc
Pacific Bell
Laird Edward L
Pacific Bell
Lurker David A atty
Pacific Bell
6166775-5 Page 20
FINDINGS
Year Uses
Source
1991 Mc Gah Edward R Jr Irell & Manella attys
Pacific Bell
Mishow M Edward atty
Pacific Bell
Nakashlma John M Irell O Manella attys
Pacific Bell
Nakashmma L
Pacific Bell
Pacific Mutual
Pacific Bell
Pacific Investment Management Co
Pacific Bell
Pacific Heritage Development Co
Pacific Bell
Pacific Investment Management Co
Pacific Bell
Pegan Kevin C
Pacific Bell
Romano Daniel Irell & Manella attys
Pacific Bell
Sherman Richard M atty
Pacific Bell
Stedman Robt W atty
Pacific Bell
Teachey Suzanne M Irell & Manella attys
Pacific Bell
Thomas Joseph M
Pacific Bell
Unan Vernon A atty
Pacific Bell
Voss Cook Casselberry & Thel attys
Pacific Bell
Voss DJ
Pacific Bell
Voss Dave & Connie @South Laguna@
Pacific Bell
Wattson Company The
Pacific Bell
Willis Stephanie M
Pacific Bell
Budge Collins Inc
Pacific Bell
Budge Phillip
Pacific Bell
Casselberry Steven atly
Pacific Bell
Crenshaw Kyle C
Pacific Bell
Crenshaw M
Pacific Bell
Merritt Thomas R
Pacific Bell
Merritt Tom & Karen @Irvine@
Pacific Bell
Shumon Cynthia Irella & Manella attys
Pacific Bell
Spahi adoson S
Pacific Bell
Spadih Madison SJr
Pacific Bell
Thel Albert J atty
Pacific Bell
Thoeas Jeffrey Ehat &e anell attys
Pacific Bell
1986 Aeronautical Test Vehicles
Pacific Bell
Alexander Marc Irell & Manella attys
Pacific Bell
American Comm Center Corp
Pacific Bell
American Coupon Exchange
Pacific Bell
HITCO Subsidiary Of Armco
Pacific Bell
Baskm Scott D atty
Pacific Bell
6166775-5 Page 21
FINDINGS
Year Uses
Source
1986 Bergheer Co The rl est dvlpr
Pacific Bell
Budge Collins Inc
Pacific Bell
Busch Firm The
Pacific Bell
Cal Fed Enterprises
Pacific Bell
Cary George S Irell & Manella attys
Pacific Bell
Casselberry Steven atty
Pacific Bell
COAS T THRIFT & LOAN AS S
Pacific Bell
OCIATION
Collins Associates
Pacific Bell
Cook Bruce V atty
Pacific Bell
Dillion Gregory L atty
Pacific Bell
Dunham Associates
Pacific Bell
Ermer Michael G Irell & Manella attys
Pacific Bell
Evans Dan & Associates
Pacific Bell
Ferguson Bob indepndnt
Pacific Bell
Ferguson Robert B
Pacific Bell
Fujitsu Microelectronics Inc
Pacific Bell
Fujitsu Microsystems Of America Inc
Pacific Bell
Gartland Internatl
Pacific Bell
Grffin Realty Corp
Pacific Bell
Harwood Investments Co Inc
Pacific Bell
HITCO
Pacific Bell
Impact Group Inc The
Pacific Bell
Irell & Manella attys
Pacific Bell
Johnson Thomas W Irell & Maneta attys
Pacific Bell
Jonna Realty Ventures Inc
Pacific Bell
Kennedy Industries Inc
Pacific Bell
Landrum Douglas F arty
Pacific Bell
Leanders Christopher J atty
Pacific Bell
Lisenbee Gary W mvestmnt counsir
Pacific Bell
Lurker David A atty
Pacific Bell
M Group
Pacific Bell
Macdonald Andrew B atty
Pacific Bell
Mc Gah Edward R Jr Irell & Manella attys
Pacific Bell
Mishow M Edward atty
Pacific Bell
Newmeyer Landrum & Dillion attys
Pacific Bell
Newmeyer Thomas F
Pacific Bell
Orbit Group
Pacific Bell
Parker North American
Pacific Bell
6166775-5 Page 22
FINDINGS
Year
Uses
Source
1986
Potter Andrew G atty
Pacific Bell
Property Correspondents
Pacific Bell
Ray Glenn R atty
Pacific Bell
Romano Daniel Irell & Manella attys
Pacific Bell
Ross Company The
Pacific Bell
Santucci Danny C atty
Pacific Bell
S AN TUCCI POTTE R AN D LE AN DE
Pacific Bell
IRS atty
Sherman Richard M atty
Pacific Bell
Shimon Cynthia Irella & Manella attys
Pacific Bell
Smith Eric T
Pacific Bell
Solomon Gen A atty
Pacific Bell
Stedman Robt W atty
Pacific Bell
841 NEWPORT CENTER DR
Year
Uses
Source
2004
CANDLE IN THE WIND
Cole Information Services
JASMINE SILVER
Cole Information Services
FLORAMAR IMPORTS
Cole Information Services
ANALAND ORCHIDS
Cole Information Services
MAW & PAW KETTLE KORN
Cole Information Services
CHRISTMAS CREATIONS
Cole Information Services
CANDLES FOR EVER
Cole Information Services
KIDS FANTASIES
Cole Information Services
DOWNING STREET LQ
Cole Information Services
BELLA MI
Cole Information Services
2002
WOLFGANG PUCK
Haines Company
1999
WOLFGANG PUCK CAFE
Cole Information Services
1995
Balboa Beach Company
Pacific Bell
843 NEWPORT CENTER DR
Year
Uses
Source
2015
EYEXAM OF CALIFORNIA
Cole Information Services
LENSCRAFTERS
Cole Information Services
2009
EYE EXAM 2000
Cole Information Services
EYEXAM OF CALIFORNIA
Cole Information Services
LENSCRAFTERS
Cole Information Services
DR LILLIAN JUE
Cole Information Services
2004
OCCUPANT UNKNOWN
Cole Information Services
6166775-5 Page 23
FINDINGS
Year
Uses
Source
2004
EYEXAM 2000 OF CALIFORNIA INC
Cole Information Services
2002
XXXX
Haines Company
B 59 XXXX
Haines Company
1999
MAIL ROOM GIFT WRAP CENTER THE
Cole Information Services
849 NEWPORT CENTER DR
Year
Uses
Source
2015
YARD HOUSE NEWPORT BEACH
Cole Information Services
857 NEWPORT CENTER DR
Year
Uses
Source
2015
URBAN OUTFITTERS
Cole Information Services
859 NEWPORT CENTER DR
Year
Uses
Source
1991
Bayley Robert E Construction
Pacific Bell
860 NEWPORT CENTER DR
Year
Uses
Source
2015
CMR FINANCIAL & INSURANCE
Cole Information Services
SERVICE
PACIFIC LIFE INSURANCE COMPANY
Cole Information Services
2004
DENNIS RIBANT
Cole Information Services
PACIFIC LIFE INSURANCE CO
Cole Information Services
CMR FINANCIAL & INSURANCE SRVC
Cole Information Services
CB CAPITAL PARTNERS INC
Cole Information Services
2002
ESERV PACLIFE
Haines Company
FINANCIAL&INSURANC
Haines Company
1999
PACIFIC MUTUAL LIFE
Cole Information Services
1991
yteplrf Beach Office
Pacific Bell
1986
Newport Beach Office
Pacific Bell
865 NEWPORT CENTER DR
Year
Uses
Source
2015
MUTTROPOLIS
Cole Information Services
2009
MUTTROPOLIS
Cole Information Services
2004
SUNSHINE IN NEWPORT
Cole Information Services
6166775-5 Page 24
FINDINGS
869 NEWPORT CENTER DR
Year Uses
2009 HALLMARK SANDS NEWPORT FSHN
ISL
SANDS CARDS & GIFTS INC
2004 SANDS HALLMARK
873 NEWPORT CENTER DR
Year Uses
2004 THE CHILDRENS PLACE
879 NEWPORT CENTER DR
Year Uses
2015 RUSSOS PET EXPERIENCE
2009 VICTORIAS SECRET
880 NEWPORT CENTER DR
Year
Uses
2015
RITZ RESTAURANT
2009
RITZ INC
2004
THE RITZ RESTAURANT & GARDEN
2002
THERITZRSTRNT
R1ZRESTAURANTTHE
1999
THE RITZ RESTAURANT
1994
RITZ RESTAURANT
1991
Yoder Norman E
Yoder Michael G Gibson Dunn & Crutcher
attys
The Ritz Restaurant
Griffiths Sean P Gibson Dunn & Crutcher
attys
Meyers John F Gibson Dunn & Crutcher
attys
1986
Ritz The
881 NEWPORT CENTER DR
Year
Uses
2009
PACIFIC SUNWEAR
2004
PACIFIC SUNWEAR
2002
PACSUNWEAR
1994
BOB BURNS RESTAURANT
Source
Cole Information Services
Cole Information Services
Cole Information Services
Source
Cole Information Services
Source
Cole Information Services
Cole Information Services
Source
Cole Information Services
Cole Information Services
Cole Information Services
Haines Company
Haines Company
Cole Information Services
Cole Information Services
Pacific Bell
Pacific Bell
Pacific Bell
Pacific Bell
Pacific Bell
Pacific Bell
Source
Cole Information Services
Cole Information Services
Haines Company
Cole Information Services
6166775-5 Page 25
FINDINGS
888 NEWPORT CENTER DR
Year
Uses
Source
2004
ALLIANZ DRESDNER ASSET MNGMNT
Cole Information Services
901 NEWPORT CENTER DR
Year
Uses
Source
2015
NORDSTROM FASHION ISLAND
Cole Information Services
NORDSTROM FAX
Cole Information Services
2009
MAY DEPT STORES
Cole Information Services
MACYS WEST INC
Cole Information Services
JASMINE JEWELRY
Cole Information Services
2004
JASMINE JEWELRY
Cole Information Services
MAC COSMETICS
Cole Information Services
OCCUPANT UNKNOWN
Cole Information Services
MACYS
Cole Information Services
2002
JASMINEJEWLERY
Haines Company
MACYS
Haines Company
NATURE ART
Haines Company
1999
MACYS
Cole Information Services
1995
Bullocks Wilshire See I Magnin
Pacific Bell
1994
1 MAGNIN & CO
Cole Information Services
1991
Bullocks Wilshire See Magnin I & Co
Pacific Bell
Magnin I & Co
Pacific Bell
903 NEWPORT CENTER DR
Year
Uses
Source
2015
JOHNNY WAS
Cole Information Services
2004
PRIORITIES INC
Cole Information Services
2002
PRIORITIES
Haines Company
1999
PRIORITIES
Cole Information Services
1995
Priorities
Pacific Bell
1994
PRIORITIES
Cole Information Services
905 NEWPORT CENTER DR
Year
Uses
Source
2015
BUILDING ONE SERVICE SOLUTION
Cole Information Services
2009
THE BRONSON COLLECTION
Cole Information Services
FASHION ISLAND SHOPPING CENTER
Cole Information Services
GARYS PER DONNA
Cole Information Services
BUILDING ONE SERVICE SOLUTION
Cole Information Services
6166775-5 Page 26
FINDINGS
Year
Uses
Source
2009
BRAEGER WOMENS SHOES CORP
Cole Information Services
GARYS & CO NEWPORT BEACH INC
Cole Information Services
COLE HAAN
Cole Information Services
2004
COLE HAAN
Cole Information Services
THE BRONSON COLLECTION
Cole Information Services
BUILDING ONE SERVICE SOLUTION
Cole Information Services
FASHION ISLAND SHOPPING CTR
Cole Information Services
2002
COLEHAANGARYSP
Haines Company
FASHION ISLAND
Haines Company
SHOPPING CENTER GARYS PER
Haines Company
DONNA
1999
COLE HAAN GARYS PER DONNA
Cole Information Services
FASHION ISLAND SHOPPING CENTER
Cole Information Services
GARYS PER DONNA
Cole Information Services
1994
KARLS TOYS FUNSPACE
Cole Information Services
1991
Karls Toys Funspace
Pacific Bell
907 NEWPORT CENTER DR
Year
Uses
Source
2015
SAINT CROIX SHOP
Cole Information Services
2009
OLIVIERS & CO
Cole Information Services
2004
SAK
Cole Information Services
2002
JIJDESIGN
Haines Company
BETSEY JOHNSON
Haines Company
1999
STYLE FOR TWO MATERNITY
Cole Information Services
1995
Style For Two Maternity
Pacific Bell
1994
STYLE FOR TWO MATERNITY
Cole Information Services
1991
Style For Two Maternity
Pacific Bell
915 NEWPORT CENTER DR
Year
Uses
Source
2015
BURNS SADDLRY
Cole Information Services
2009
MARTIN LAWRENCE GALLERIES
Cole Information Services
2004
MARTIN LAWRENCE GALLERIES
Cole Information Services
CHIC HIPPIE
Cole Information Services
LAWRENCE MARTIN
Cole Information Services
2002
FASHION ISLSHPNGCT
Haines Company
RUSSOS
Haines Company
1999
RUSSOS WORLDS LARGEST PET
Cole Information Services
STORE
6166775-5 Page 27
FINDINGS
Year
Uses
Source
1999
FASHION ISLAND SHOPPING CENTER
Cole Information Services
1995
Russos Worlds Largest Pet Store
Pacific Bell
Newport Beach
Pacific Bell
1991
Russos Wonderful World Of Pets
Pacific Bell
Newport Beach
Pacific Bell
917 NEWPORT CENTER DR
Year
Uses
Source
2004
PHOTOS BY MISH
Cole Information Services
SCENTED THEREPY
Cole Information Services
923 NEWPORT CENTER DR
Year
Uses
Source
2009
MARTIN & OSA
Cole Information Services
2004
LONGS DRUG PHARMACY
Cole Information Services
HOLIDAY STORE
Cole Information Services
2002
PHOTO
Haines Company
PRSCPTN LONGS DRUG STORES
Haines Company
LONGSDRUG
Haines Company
LONGS DRUG PHOTO
Haines Company
LONGS DRUG MAIN
Haines Company
1999
LONGS DRUG STORES NEWPORT
Cole Information Services
BEACH
1995
Newport Beach
Pacific Bell
LONGS DRUG STORES
Pacific Bell
1994
PAC ARTEFACTS BELAS
Cole Information Services
1991
GOT
Pacific Bell
Go Sport
Pacific Bell
925 NEWPORT CENTER DR
Year
Uses
Source
2015
BUILDABEAR WORKSHOP
Cole Information Services
2009
BUILD A BEAR WORKSHOP
Cole Information Services
2004
BUILD A BEAR WORKSHOP
Cole Information Services
OCCUPANT UNKNOWN
Cole Information Services
2002
BUILD A BEAR
Haines Company
1999
BUTERA KIDS
Cole Information Services
PLACE IN TIME A
Cole Information Services
1995
A Place In Time
Pacific Bell
Place In Time
Pacific Bell
6166775-5 Page 28
FINDINGS
Year
Uses
Source
1994
A PLACE IN TIME
Cole Information Services
1991
Photo Play
Pacific Bell
927 NEWPORT CENTER DR
Year
Uses
Source
2015
7 FOR ALL MANKIND
Cole Information Services
2009
THE CLOSET
Cole Information Services
2002
XXXX
Haines Company
1999
VICTORIAS SECRET
Cole Information Services
1995
Victorias Secret
Pacific Bell
1994
VICTORIAS SECRET
Cole Information Services
1991
Victorias Secret
Pacific Bell
Victorias Secret Bath
Pacific Bell
929 NEWPORT CENTER DR
Year
Uses
Source
2015
WINDSOR FINANCIAL GROUP
Cole Information Services
ASICS
Cole Information Services
2004
LITTLE PIGGY WEARS COTTON
Cole Information Services
2002
WEARS COTTON
Haines Company
THIS LITTLE PIGGY
Haines Company
1999
THIS LITTLE PIGGY WEARS COTTON
Cole Information Services
MARKET OF PIER 1
Cole Information Services
1995
Hannah
Pacific Bell
1994
HANNAH
Cole Information Services
1991
Hannah
Pacific Bell
941 NEWPORT CENTER DR
Year
Uses
Source
2015
PINKBERRY
Cole Information Services
2009
RITZ CAMERA CENTERS INC
Cole Information Services
2004
RITZ CAMERA CENTERS
Cole Information Services
2002
KITS CAMERAS ONE HR
Haines Company
1995
KITS CAMERAS
Pacific Bell
KITS CAMERAS
Pacific Bell
Dist Ofc
Pacific Bell
Fashion Island
Pacific Bell
1994
KITS CAMERAS
Cole Information Services
6166775-5 Page 29
FINDINGS
951 NEWPORT CENTER DR
Year
Uses
Source
2015
CUCINA ENOTECA
Cole Information Services
2009
EL TORITO
Cole Information Services
2004
EL TORITO RESTAURANTS INC
Cole Information Services
2002
EL TORITO GRILL
Haines Company
1999
EL TORITO GRILL
Cole Information Services
1995
El Torito Grill
Pacific Bell
1994
EL TORITO GRILL
Cole Information Services
1991
El Torito Grill
Pacific Bell
El Torito Restaurant & Cantina
Pacific Bell
953 NEWPORT CENTER DR
Year
Uses
Source
2015
CAFE BEAU SOLEIL
Cole Information Services
AMERICAN RAG CIE
Cole Information Services
2009
CAFE BEAU SOLEIL
Cole Information Services
BARNERS & NOBLE BOOKSELLERS
Cole Information Services
2004
BARNES & NOBLE
Cole Information Services
2002
BOOKSELLERS
Haines Company
BARNESSNOBLE
Haines Company
1999
BARNES & NOBLE BOOKSELLERS
Cole Information Services
1995
Barnes & Noble Bookstore
Pacific Bell
1991
Growing Trends
Pacific Bell
957 NEWPORT CENTER DR
Year
Uses
Source
2015
LARK CREEK RESTAURANT
Cole Information Services
LARK CREEK
Cole Information Services
2009
GRILL CONCEPTS INC
Cole Information Services
DAILY GRILL
Cole Information Services
2004
DAILY GRILL
Cole Information Services
GRILL DAILY
Cole Information Services
1999
DAILY GRILL
Cole Information Services
1995
Daily Grill
Pacific Bell
1994
DAILY GRILL
Cole Information Services
969 NEWPORT CENTER DR
Year
Uses
Source
2002
TACOS&CO
Haines Company
6166775-5 Page 30
FINDINGS
987 NEWPORT CENTER DR
Year
Uses
Source
2015
LEMONADE RESTAURANT
Cole Information Services
2009
RED ROBIN GOURMET BURGERS
Cole Information Services
989 NEWPORT CENTER DR
Year
Uses
Source
1999
TACOS & COMPANY
Cole Information Services
991 NEWPORT CENTER DR
Year
Uses
Source
2002
MEDITERRANEAN
Haines Company
CUISINE
Haines Company
MAROIS
Haines Company
1999
MARDIS MEDITERRANEAN CUISINE
Cole Information Services
1995
Mardis Mediterranean Cuisine
Pacific Bell
1994
MARDIS MEDITERRANEAN CUISINE
Cole Information Services
993 NEWPORT CENTER DR
Year
Uses
Source
2009
PANDA EXPRESS
Cole Information Services
0840 NEWPORT CENTER DR
Year
Uses
Source
1991
Halstead Sherman
Pacific Bell
NEWPORT CENTER DR NE
800 NEWPORT CENTER DR NE
Year
Uses
Source
1986
Campbell Layne M Gibson Dunn &
Pacific Bell
Crutcher attys
840 NEWPORT CENTER DR NE
Year
Uses
Source
1986
Advanced Aeronautical Enterprises Inc
Pacific Bell
SANTA BARBARA CT
806 SANTA BARBARA CT
Year Uses Source
2002 RODRIGUEZIrm a Haines Company
6166775-5 Page 31
FINDINGS
SUNDAY DR
820 SUNDAY DR
Year Uses Source
1975 Kandter Pau L Luskeys Brothers & Co.
6166775-5 Page 32
FINDINGS
ADJOINING PROPERTY: ADDRESSES NOT IDENTIFIED IN RESEARCH SOURCE The following Adjoining Property addresses were researched for this report, and the addresses were not identified in research source.
Address Researched
Address Not Identified in Research Source
0840 NEWPORT CENTER DR
2015, 2009, 2004, 2002, 2001, 1999, 1997, 1995, 1994, 1992, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
800 NEWPORT CENTER
2015, 2009, 2004, 2002, 2001, 1999, 1997, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
800 NEWPORT CENTER DR
2015, 2009, 2004, 2001, 1999, 1997, 1994, 1992, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
800 NEWPORT CENTER DR
2002, 2001, 1997, 1995, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
800 NEWPORT CENTER DR
2015, 2009, 2004, 2002, 2001, 1999, 1997, 1995, 1994, 1992, 1991, 1980, 1975, NE
1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
803 NEWPORT CENTER DR
2015, 2009, 2004, 2001, 1999, 1997, 1994, 1992, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
803 NEWPORT CENTER DR
2015, 2009, 2004, 2002, 2001, 1997, 1995, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
806 SANTA BARBARA CT
2015, 2009, 2004, 2001, 1999, 1997, 1995, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
807 NEWPORT CENTER DR
2002, 2001, 1999, 1997, 1995, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
809 NEWPORT CENTER DR
2015, 2009, 2002, 2001, 1999, 1997, 1995, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
811 NEWPORT CENTER DR
2015, 2002, 2001, 1997, 1995, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
811 NEWPORT CENTER DR
2015, 2009, 2004, 2002, 2001, 1999, 1997, 1995, 1994, 1992, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
814 NEWPORT CENTER DR 2015, 2009, 2002, 2001, 1999, 1997, 1995, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
817 NEWPORT CENTER DR 2002, 2001, 1997, 1995, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
817 NEWPORT CENTER DR 2015, 2009, 2004, 2001, 1999, 1997, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
FINDINGS
Address Researched
Address Not Identified in Research Source
819 NEWPORT CENTER DR
2004, 2002, 2001, 1999, 1997, 1995, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
820 SUNDAY DR
2015, 2009, 2004, 2002, 2001, 1999, 1997, 1995, 1994, 1992, 1991, 1986, 1980, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
823 NEWPORT CENTER DR
2015, 2009, 2004, 2001, 1999, 1997, 1995, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
823 NEWPORT CENTER DR
2009, 2002, 2001, 1997, 1995, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
825 NEWPORT CENTER DR
2009, 2004, 2002, 2001, 1999, 1997, 1995, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
840 NEWPORT CENTER DR
2002, 2001, 1997, 1995, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
840 NEWPORT CENTER DR
2015, 2009, 2004, 2002, 2001, 1999, 1997, 1994, 1992, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
840 NEWPORT CENTER DR
2015, 2009, 2004, 2002, 2001, 1999, 1997, 1995, 1994, 1992, 1991, 1980, 1975, NE
1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
841 NEWPORT CENTER DR
2015, 2009, 2004, 2001, 1999, 1997, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
841 NEWPORT CENTER DR
2015, 2009, 2002, 2001, 1997, 1995, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
843 NEWPORT CENTER DR
2002, 2001, 1997, 1995, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
843 NEWPORT CENTER DR
2015, 2009, 2004, 2001, 1999, 1997, 1995, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
849 NEWPORT CENTER DR
2009, 2004, 2002, 2001, 1999, 1997, 1995, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
857 NEWPORT CENTER DR
2009, 2004, 2002, 2001, 1999, 1997, 1995, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
859 NEWPORT CENTER DR
2015, 2009, 2004, 2002, 2001, 1999, 1997, 1995, 1994, 1992, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
860 NEWPORT CENTER DR
2015, 2009, 2004, 2001, 1999, 1997, 1995, 1994, 1992, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
860 NEWPORT CENTER DR
2009, 2002, 2001, 1997, 1995, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
FINDINGS
Address Researched
Address Not Identified in Research Source
865 NEWPORT CENTER DR
2002, 2001, 1999, 1997, 1995, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
869 NEWPORT CENTER DR
2015, 2002, 2001, 1999, 1997, 1995, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
873 NEWPORT CENTER DR
2015, 2009, 2002, 2001, 1999, 1997, 1995, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
879 NEWPORT CENTER DR
2004, 2002, 2001, 1999, 1997, 1995, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
880 NEWPORT CENTER DR
2015, 2009, 2004, 2001, 1999, 1997, 1995, 1994, 1992, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
880 NEWPORT CENTER DR
2002, 2001, 1997, 1995, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
881 NEWPORT CENTER DR
2015, 2002, 2001, 1999, 1997, 1995, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
881 NEWPORT CENTER DR
2015, 2009, 2004, 2001, 1999, 1997, 1995, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
888 NEWPORT CENTER DR
2015, 2009, 2002, 2001, 1999, 1997, 1995, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
901 NEWPORT CENTER DR
2015, 2009, 2004, 2001, 1999, 1997, 1994, 1992, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
901 NEWPORT CENTER DR
2002, 2001, 1997, 1995, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
903 NEWPORT CENTER DR
2015, 2009, 2004, 2001, 1999, 1997, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
903 NEWPORT CENTER DR
2009, 2002, 2001, 1997, 1995, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
905 NEWPORT CENTER DR
2002, 2001, 1997, 1995, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
905 NEWPORT CENTER DR
2015, 2009, 2004, 2001, 1999, 1997, 1995, 1994, 1992, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
907 NEWPORT CENTER DR
2015, 2009, 2004, 2001, 1999, 1997, 1994, 1992, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
907 NEWPORT CENTER DR
2002, 2001, 1997, 1995, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
FINDINGS
Address Researched
Address Not Identified in Research Source
915 NEWPORT CENTER DR
2002, 2001, 1997, 1995, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
915 NEWPORT CENTER DR
2015, 2009, 2004, 2001, 1999, 1997, 1994, 1992, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
917 NEWPORT CENTER DR
2015, 2009, 2002, 2001, 1999, 1997, 1995, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
923 NEWPORT CENTER
2015, 2009, 2004, 2002, 2001, 1999, 1997, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
923 NEWPORT CENTER DR
2015, 2009, 2004, 2001, 1999, 1997, 1994, 1992, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
923 NEWPORT CENTER DR
2015, 2002, 2001, 1997, 1995, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
925 NEWPORT CENTER DR
2002, 2001, 1997, 1995, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
925 NEWPORT CENTER DR
2015, 2009, 2004, 2001, 1999, 1997, 1994, 1992, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
927 NEWPORT CENTER DR
2015, 2009, 2004, 2001, 1999, 1997, 1994, 1992, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
927 NEWPORT CENTER DR
2004, 2002, 2001, 1997, 1995, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
929 NEWPORT CENTER DR
2009, 2002, 2001, 1997, 1995, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
929 NEWPORT CENTER DR
2015, 2009, 2004, 2001, 1999, 1997, 1994, 1992, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
941 NEWPORT CENTER DR
2015, 2009, 2004, 2001, 1999, 1997, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
941 NEWPORT CENTER DR
2002, 2001, 1999, 1997, 1995, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
951 NEWPORT CENTER DR
2002, 2001, 1997, 1995, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
951 NEWPORT CENTER DR
2015, 2009, 2004, 2001, 1999, 1997, 1994, 1992, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
953 NEWPORT CENTER DR
2015, 2009, 2004, 2001, 1999, 1997, 1994, 1992, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
FINDINGS
Address Researched
Address Not Identified in Research Source
953 NEWPORT CENTER DR
2002, 2001, 1997, 1995, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
957 NEWPORT CENTER DR
2002, 2001, 1997, 1995, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
957 NEWPORT CENTER DR
2015, 2009, 2004, 2002, 2001, 1999, 1997, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
969 NEWPORT CENTER DR
2015, 2009, 2004, 2001, 1999, 1997, 1995, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
987 NEWPORT CENTER DR
2004, 2002, 2001, 1999, 1997, 1995, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
989 NEWPORT CENTER DR
2015, 2009, 2004, 2002, 2001, 1997, 1995, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
991 NEWPORT CENTER DR
2015, 2009, 2004, 2002, 2001, 1997, 1995, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
991 NEWPORT CENTER DR
2015, 2009, 2004, 2001, 1999, 1997, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
993 NEWPORT CENTER DR
2015, 2004, 2002, 2001, 1999, 1997, 1995, 1994, 1992, 1991, 1986, 1980, 1975, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
TARGET PROPERTY: ADDRESS NOT IDENTIFIED IN RESEARCH SOURCE The following Target Property addresses were researched for this report, and the addresses were not identified in the research source.
Address Researched Address Not Identified in Research Source 900 Newport Center Dr 2001, 1997, 1992, 1971, 1970, 1966, 1965, 1961, 1960, 1956, 1955, 1952, 1950, 1946, 1945, 1941, 1936, 1930, 1926, 1925, 1922, 1921, 1920
Image Provided By EDR Aerials
0 _
Subject Property
i
0 Boundaries are approximate
WN
AERIAL - 1938
1320000294 MARRIOTT NEWPORT BEACH CALIFORNIA
E 6 I Consulting
900 Newport Center Dr
Newport Beach, California 92660
environmental I engineering I due diligence
PROJ. MGR: Hallie Vitolo DATE: 9/3/2020
DRAWN BY: Christopher Evans PROJ. #: 1320000294
Image Provided By EDR Aerials
Subject Property
Boundaries are approximate
AERIAL - 1952
1320000294 MARRIOTT NEWPORT BEACH CALIFORNIA
E 6 I Consulting
900 Newport Center Dr
Newport Beach, California 92660
environmental I engineering I due diligence
PROJ. MGR: Hallie Vitolo DATE: 9/3/2020
DRAWN BY: Christopher Evans PROJ. #: 1320000294
Image Provided By EDR Aerials
Subject Property .
Boundaries are approximate
yT
.*'Z' /
"W _1
AERIAL - 1972
1320000294 MARRIOTT NEWPORT BEACH CALIFORNIA
E 6 I Consulting
900 Newport Center Dr
Newport Beach, California 92660
environmental I engineering I due diligence
PROJ. MGR: Hallie Vitolo DATE: 9/3/2020
DRAWN BY: Christopher Evans PROJ. #: 1320000294
Image Provided By EDR Aerials
a
t
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Subject Property,
tit• , -.
�f6,4
�, � � • it
dLp
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AERIAL - 1994
1320000294 MARRIOTT NEWPORT BEACH CALIFORNIA
E 6 I Consulting
900 Newport Center Dr
Newport Beach, California 92660
environmental I engineering I due diligence
PROJ. MGR: Hallie Vitolo DATE: 9/3/2020
DRAWN BY: Christopher Evans PROJ. #: 1320000294
Image Provided By EDR Aerials
AERIAL - 2005
1320000294 MARRIOTT NEWPORT BEACH CALIFORNIA
E 6 I Consulting
900 Newport Center Dr
Newport Beach, California 92660
environmental I engineering I due diligence
PROJ. MGR: Hallie Vitolo DATE: 9/3/2020
DRAWN BY: Christopher Evans PROJ. #: 1320000294
Image Provided By EDR Aerials
161
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Subject Property - -
. 111 t
r
r
k �• #
AN
iY kk
4 n•
Baries argWppr4x1mate
AERIAL - 2016
1320000294 MARRIOTT NEWPORT BEACH CALIFORNIA
E 6 I Consulting
900 Newport Center Dr
Newport Beach, California 92660
environmental I engineering I due diligence
PROJ. MGR: Hallie Vitolo DATE: 9/3/2020
DRAWN BY: Christopher Evans PROJ. #: 1320000294
Image Provided By EDR USGS Topographic Maps
Subject PropertY
e
A
- � e
� � e
S _
N
1�
Boundaries are approximate
TOPO MAP - 1896
1320000294 MARRIOTT NEWPORT BEACH CALIFORNIA
E 6 I Consulting
900 Newport Center Dr
Newport Beach, California 92660
environmental I engineering I due diligence
PROJ. MGR: Hallie Vitolo DATE: 9/3/2020
DRAWN BY: Christopher Evans PROJ. #: 1320000294
Image Provided By EDR USGS Topographic Maps
Subject Property
SPU
Boundaries are approximate
TOPO MAP - 1942
1320000294 MARRIOTT NEWPORT BEACH CALIFORNIA
E 6 I Consulting
900 Newport Center Dr
Newport Beach, California 92660
environmental I engineering I due diligence
PROJ. MGR: Hallie Vitolo DATE: 9/3/2020
DRAWN BY: Christopher Evans PROJ. #: 1320000294
Image Provided By EDR USGS Topographic Maps
F
Subjec
u
{
f
t Property
jr
Irvin
-Country C1
�L Boundaries are approximate
i
spur
e
TOPO MAP - 1965
1320000294 MARRIOTT NEWPORT BEACH CALIFORNIA
E 6 I Consulting
900 Newport Center Dr
Newport Beach, California 92660
environmental I engineering I due diligence
PROJ. MGR: Hallie Vitolo DATE: 9/3/2020
DRAWN BY: Christopher Evans PROJ. #: 1320000294
Image Provided By EDR USGS Topographic Maps
Subject Property h
h�
I
•1.
T
■
lify
Irvine ic6l
Cowtry �u
Boundaries are approximate!
TOPO MAP - 1972
1320000294 MARRIOTT NEWPORT BEACH CALIFORNIA
E 6 I Consulting
900 Newport Center Dr
Newport Beach, California 92660
environmental I engineering I due diligence
PROJ. MGR: Hallie Vitolo DATE: 9/3/2020
DRAWN BY: Christopher Evans PROJ. #: 1320000294
Image Provided By EDR USGS Topographic Maps
7. Subiect Pror)ertv
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Boundaries are approximate
TOPO MAP - 1981
1320000294 MARRIOTT NEWPORT BEACH CALIFORNIA
E 6 I Consulting
900 Newport Center Dr
Newport Beach, California 92660
environmental I engineering I due diligence
PROJ. MGR: Hallie Vitolo DATE: 9/3/2020
DRAWN BY: Christopher Evans PROJ. #: 1320000294
Appendix G
Analytical Results
9000 Commerce Parkway Suite B
Mt. Laurel, New Jersey 08054
Telephone: 856-231-9449
Email: [email protected]
INTERNATIONAL
ASBESTOS TESTING LABORATORIES
CERTIFICATE OF ANALYSIS
Client: EBI Consulting
Report Date:
9/10/2020
21 B Street
Report No.:
619258 - Lead Water Rev #5, 9/16/2020
Burlington MA
01803 Project:
Newport Marriott
Project No.:
13200a294
Client: EBI753
LEAD WATER SAMPLE ANALYSIS SUMMARY
Lab No.:7059959
Location: I st Draw Kitchen Sink by Stove
Result(ppb):3.00
Client No.:01--------------------------*-Sample
Clie t No.: ---
acidified topes <2.--------------------------------------------------------------------------- Lab No.:7059960
Location:2nd Draw Kitchen Sink by Stove
Result(ppb): Sample Not Analyzed
Client No.:02
Clie tNo.:-----------------------------
*Sample acidified topes <2.--------------------------------------------------------------------------- -- ---
Lab No.:7059961
Location: 1st Draw 160 D Bathroom
Result(ppb):1.20
Client No.:03
Clie tNo.:----------------------------------
* Sample acidified -- —PH - <2.--------------------------------------------------------------------------- Lab No.:7059962
Location:2nd Draw 160 D Bathroom
Result(ppb): Sample Not Analyzed
Client No.:04
Clie tNo.:----------------------------
*Sample acidified topes <2.--------------------------------------------------------------------------- --- ---
Lab No.:7059963
Location: Ist Draw 1601 Bathroom
Result(ppb):<1.00
Client No.:05
Clie tNo.:----------------------------------
* Sample acidified topes <2.--------------------------------------------------------------------------- Lab No.:7059964
Location:2nd Draw 1601 Bathroom
Result(ppb): Sample Not Analyzed
Client No.:06
Clie tNo.:----------------------------
*Sample acidified topes <2.--------------------------------------------------------------------------- --- ---
Lab No.:7059965
Location: 1st Draw 1502 Bathroom
Result(ppb):1.90
Client No.:07
Clie tNo.:-----------------------------
*Sample acidified -- —PH - <2.-
-- ----------------------------------------------------------------------------- Lab No.:7059966
Location:2nd Draw 1502 Bathroom
Result(ppb): Sample Not Analyzed
Client No.:08
Clie tNo.:-----------------------------
*Sample acidified topes <2.--------------------------------------------------------------------------- -- ---
Lab No.:7059967
Location: 1st Draw 1503 Bathroom
Result(ppb):1.30
Client No.:09
Clie tNo.:-----------------------------
*Sample acidified -- —PH - <2.-
-- ----------------------------------------------------------------------------- Lab No.:7059968
Location:2nd Draw 1503 Bathroom
Result(ppb): Sample Not Analyzed
Client No.:10
* Sample acidified to pH <2.
Please refer to the Appendix of this report for further information regarding your analysis.
Date Received: 9/9/2020
Approved By:
Date Analyzed: 09/10/2020
" `
Frank E. Ehrenfeld, 11I
Signature: =
Laboratory Director
Analyst: Chad Shaffer
Dated: 9/16/2020 10:51:34
9000 Commerce Parkway Suite B
Mt. Laurel, New Jersey 08054
Telephone: 856-231-9449
Email: [email protected]
INTERNATIONAL
ASBESTOS TESTING LABORATORIES
CERTIFICATE OF ANALYSIS
Client: EBI Consulting
Report Date:
9/10/2020
21 B Street
Report No.:
619258 - Lead Water Rev #5, 9/16/2020
Burlington MA
01803 Project:
Newport Marriott
Project No.:
13200a294
Client: EBI753
LEAD WATER SAMPLE ANALYSIS SUMMARY
------------------------------------------------------------------------------------------------------------------------------------------------ Lab No.:7059969
Location: 1st Draw 1504 Bathroom
Result(ppb):1.80
Client No.:ll--------------------------*-Sample
Client ---------
acidified topes <2.--------------------------------------------------------------------------- Lab No.:7059970
Location: 2nd Draw 1504 Bathroom
Result(ppb): Sample Not Analyzed
ClieClient No.:12
-------------------------------------
*Sample acidified topes <2.--------------------------------------------------------------------------- ---
Lab No.:7059971
Location: 1st Draw 1046 Bathroom
Result(ppb):1.90
Client
Client No.:13
* Sample acidified topes <2.--------------------------------------------------------------------------- ---
Lab No.:7059972
Location: 2nd Draw 1046 Bathroom
Result(ppb): Sample Not Analyzed
ClieClient No.:14
-------------------------------------
*Sample acidified topes <2.--------------------------------------------------------------------------- ---
Lab No.:7059973
Location: Room 631 Bathroom - 1st
Result(ppb):1.40
Client
Client No.:15
* Sample acidified topes <2.--------------------------------------------------------------------------- ---
Lab No.:7059974
Location: Room 631 Bathroom - 2nd
Result(ppb): Sample Not Analyzed
ClieClient No.:16
-------------------------------------
*Sample acidified topes <2.--------------------------------------------------------------------------- ---
Lab No.:7059975
Location:Room 633 Bathroom - 1st
Result(ppb):1.00
ClieClient No.:17
-------------------------------------
*Sample acidified topes <2.--------------------------------------------------------------------------- ---
Lab No.:7059976
Location:Room 633 Bathroom - 2nd
Result(ppb): Sample Not Analyzed
ClieClient No.:18
-------------------------------------
*Sample acidified topes <2.--------------------------------------------------------------------------- ---
Lab No.:7059977
Location: Room 647 BR - 1st
Result(ppb):<1.00
Client No.:19
Client
*Sample acidified ----to PH <2.--------------------------------------------------------------------------- ---
Lab No.:7059978
Location: Room 647 BR - 2nd
Result(ppb): Sample Not Analyzed
Client No.:20
* Sample acidified to pH <2.
Please refer to the Appendix of this report for further information regarding your analysis.
Date Received: 9/9/2020
Approved By:
Date Analyzed: 09/10/2020
Frank E. Ehrenfeld, 11I
Signature:
Laboratory Director
Analyst: Chad Shaffer
Dated: 9/16/2020 10:51:35
9000 Commerce Parkway Suite B
Mt. Laurel, New Jersey 08054
Telephone: 856-231-9449
Email: [email protected]
INTERNATIONAL
ASBESTOS TESTING LABORATORIES
CERTIFICATE OF ANALYSIS
Client: EBI Consulting Report Date: 9/10/2020
21 B Street Report No.: 619258 - Lead Water Rev #5, 9/16/2020 Burlington MA 01803 Project: Newport Marriott
Client: EBI753 Project No.: 13200a294
LEAD WATER SAMPLE ANALYSIS SUMMARY
-------------------
Lab No.:7059979
Client No.:21
Lab No.:7059980
Client No.:22
Lab No.:7059981
Client No.:23
Turbidity >1NTU
Lab No.:7059982
Client No.:24
Lab No.:7059983
Client No.:25
Lab No.:7059984
Client No.:26
Lab No.:7059985
Client No.:27
Lab No.:7059986
Client No.:28
Lab No.:7059987
Client No.:29
Turbidity > 1NTU
----------------------------------------------------------------------------------------- Location: Room 189 BR - 1 st Result(ppb):25.6
-------------*-Sample acidified topes <2.------------------------------------------------ Location: Room 189 BR - 2nd Result(ppb):2.60
* Sample acidified topes <2.------------------------------------------------ --------------- ---
Location: Room 188 BR- 1st Result(ppb):8.60
* Sample acidified to pH <2.
Location: Room 188 BR - 2nd
*_Sample acidified to pH <2.__
Location: Room 192 BR - 1st
*Sample acidified to pH <2. __
Location: Room 192 BR - 2nd
*_Sample acidified to pH <2.__
---- -- - ------ --
Location: Room271 - 1st
*Sample acidified to pH <2
_
Location: Room 271 - 2nd
*_Sample acidified to pH <2.
---- -- - ------ --
Location: Room 106 BR - 1 st
* Sample acidified to pH <2.
•-----------------------------------
Result(ppb): Sample Not Analyzed
Result(ppb):4.00
Result(ppb): Sample Not Analyzed
Result(ppb):2.00
Result(ppb): Sample Not Analyzed
Result(ppb): 57.2
Please refer to the Appendix of this report for further information regarding your analysis.
Date Received: 9/9/2020 Approved By:
Date Analyzed: 09/10/2020
Frank E. Ehrenfeld, 11I
Signature: Laboratory Director
Analyst: Chad Shaffer
Dated: 9/16/2020 10:51:35 Page 3 of 7
9000 Commerce Parkway Suite B
Mt. Laurel, New Jersey 08054
Telephone: 856-231-9449
Email: [email protected]
INTERNATIONAL
ASBESTOS TESTING LABORATORIES
CERTIFICATE OF ANALYSIS
Client: EBI Consulting
Report Date:
9/10/2020
21 B Street
Report No.:
619258 - Lead Water Rev #5, 9/16/2020
Burlington MA
01803 Project:
Newport Marriott
Project No.:
13200a294
Client: EBI753
LEAD WATER SAMPLE ANALYSIS SUMMARY
------------------------------------------------------------------------------------------------------------------------------------------------ Lab No.:7059988
Location: Room 106 BR - 2nd
Result(ppb):1.20
Client No.:30--------------------------*-Sample
Clie t No.: ---
acidified topes 1NTU
-------- --------------------------------------------------------------------------------------------------------------------------------------- Lab No.:7059990
Location: Room 314 - 2nd
Result(ppb): Sample Not Analyzed
Client No.:32
Clie tNo.:----------------------------
*Sample acidified -- —PH - <2.-
--- ----------------------------------------------------------------------------- Lab No.:7059991
Location: Room 304 BR - 1st
Result(ppb):4.10
Client No.:33--------------------------*-Sample
Clie t No.: ---
acidified topes <2.--------------------------------------------------------------------------- Lab No.:7059992
Location: Room 304 BR - 2nd
Result(ppb): Sample Not Analyzed
Client No.:34
Clie tNo.:-------------------------------
*Sample acidified -- —PH - <2.--------------------------------------------------------------------------- ---
Lab No.:7059993
Location: Room401 - 1st
Result(ppb): Void
Client No.:35
Clie tNo.:-------------------------------
* Sample acidified topes <2.--------------------------------------------------------------------------- ---
Lab No.:7059994
Location: Room 401 - 2nd
Result(ppb):1.20
ClieClient No.:36
tNo.:-------------------------------
*Sample acidified topes <2.--------------------------------------------------------------------------- ---
Lab No.:7059995
Location: Room 407 BR - 1st
Result(ppb):2.90
Client No.:37
Clie tNo.:-------------------------------
* Sample acidified topes <2.--------------------------------------------------------------------------- ---
Lab No.:7059996
Location: Room 407 BR - 2nd
Result(ppb): Sample Not Analyzed
ClieClient No.:38
tNo.:-------------------------------
*Sample acidified topes <2.--------------------------------------------------------------------------- ---
Lab No.:7059997
Location: Room 404 BR - 1st
Result(ppb):1.70
Client No.:39
* Sample acidified to pH <2.
Please refer to the Appendix of this report for further information regarding your analysis.
Date Received: 9/9/2020
Approved By:
Date Analyzed: 09/10/2020
Frank E. Ehrenfeld, 11I
Signature: " ` =
Laboratory Director
Analyst: Chad Shaffer
Dated: 9/16/2020 10:51:35
9000 Commerce Parkway Suite B
Mt. Laurel, New Jersey 08054
Telephone: 856-231-9449
Email: [email protected]
INTERNATIONAL
ASBESTOS TESTING LABORATORIES
CERTIFICATE OF ANALYSIS
Client: EBI Consulting Report Date: 9/10/2020
21 B Street Report No.: 619258 - Lead Water Rev #5, 9/16/2020 Burlington MA 01803 Project: Newport Marriott
Client: EBI753 Project No.: 13200a294
LEAD WATER SAMPLE ANALYSIS SUMMARY
Lab No.:7059998
Client No.:40
Location: Room 404 BR - 2nd
* Sample acidified to pH <2.
Result(ppb): Sample Not Analyzed
Please refer to the Appendix of this report for further information regarding your analysis.
Date Received: 9/9/2020 Approved By:
Date Analyzed: 09/10/2020
Frank E. Ehrenfeld, 11I
Signature: Laboratory Director
Analyst: Chad Shaffer
Dated: 9/16/2020 10:51:35 Page 5 of 7
INTERNATIONAL
ASBESTOS TESTING LABORATORIES
CERTIFICATE OF ANALYSIS
9000 Commerce Parkway Suite B
Mt. Laurel, New Jersey 08054
Telephone: 856-231-9449
Email: [email protected]
Client: EBI Consulting Report Date: 9/10/2020
21 B Street Report No.: 619258 - Lead Water
Burlington MA 01803 Project: Newport Marriott
Client: EBI753 Project No.: 13200a294
Appendix to Analytical Report:
Customer Contact: EBI Consulting
Analysis: AAS-GF - ASTM D3559-08D
This appendix seeks to promote greater understanding of any observations, exceptions, special instructions, or circumstances that the laboratory needs to communicate to the client concerning the above samples. The information below is used to help promote your ability to make the most informed decisions for you and your customers.
Please note the following points of contact for any questions you may have. iATL Customer Service: [email protected]
iATL OfficeManager: [email protected]
iATL Account Representative: Kelly Klippel
Sample Login Notes: See Batch Sheet Attached
Sample Matrix: Water
Exceptions Noted: See Following Pages
General Terms, Warrants, Limits, Qualifiers:
General information about iATL capabilities and client/laboratory relationships and responsibilities are spelled out in iATL policies that are listed at www.iATL.com and it our Quality Assurance Manual per ISO 17025 standard requirements. The information therein is a representation of iATL definitions and policies for turnaround times, sample submittal, collection media, blank definitions, quantification issues and limit of detection, analytical methods and procedures, sub -contracting policies, results reporting options, fees, terms, and discounts, confidentiality, sample archival and disposal, and data interpretation. iATL warrants the test results to be of a precision normal for the type and methodology employed for each sample submitted. iATL disclaims any other warrants, expressed or implied, including warranty of fitness for a particular purpose and warranty of merchantability. iATL accepts no legal responsibility for the purpose for which the client uses test results. Any analytical work performed must be governed by our Standard Terms and Conditions. Prices, methods and detection limits may be changed without notification. Please contact your Customer Service Representative for the most current information.
This confidential report relates only to those item(s) tested and does not represent an endorsement by NIST-NVLAP, AIHA LAP LLC, or any agency of local, state or province governments nor of any agency of the U.S. government.
This report shall not be reproduced except in full, without written approval of the laboratory.
Information Pertinent to this Report:
Analysis by AAS Graphite Furnace:
- ASTM D3559-08D
Certification:
NYS-DOH No. 11021
NJDEP No. 03863
Note: These methods are analytically equivalent to iATL's accredited method; USEPA 40CFR 141.1113
USEPA 200.9 Pb, AAS-GF, RL <2 ppb/sample
USEPA SW 846-7421 - Pb(AAS-GF, RL <2 ppb/sample)
Regulatory limit for lead in drinking water is 15.0 parts per billion as cited in EPA 40 CFR 141.11 National Primary Drinking Water Regulations, Subpart B: Maximum contaminant levels for inorganic chemicals.
All results are based on the samples as received at the lab. iATL assumes that appropriate sampling methods have been used and that the data upon which these results are based have been accurately supplied by the client.
Sample results are not corrected for contamination by field or analytical blanks.
PPB = Parts per billion. 1 µg/L = 1 ppb MDL = 0.24 PPB Reporting Limit (RL) = 1.0 PPB Dated: 9/16/2020 10:51:35 Page 6 of 7
INTERNATIONAL
ASBESTOS TESTING LABORATORIES
Client: EBI Consulting
21 B Street
Burlington MA 01803
Client: EBI753
9000 Commerce Parkway Suite B
Mt. Laurel, New Jersey 08054
Telephone: 856-231-9449
Email: [email protected]
CERTIFICATE OF ANALYSIS
Report Date: 9/10/2020
Report No.: 619258 - Lead Water
Project: Newport Marriott
Project No.: 13200a294
Disclaimers / Qualifiers:
There may be some samples in this project that have a "NOTE:" associated with a sample result. We use added disclaimers or qualifiers to inform the client about something that requires further explanation. Here is a complete list with highlighted disclaimers pertinent to this project. For a full explanation of these and other disclaimers, please inquire at [email protected].
Matrix spiking is performed on each client batch to determine if interferences could impact results. When spike recoveries fall out of acceptable range matrix interference is suspected and samples are diluted until acceptable spike recovery can be achieved. Reporting limits will increase by the same degree as the dilution required.
Note: Sample dilution required due to matrix interference.
Water Sample Turbidity greater than 1.0 NTU does not meet Federal and NJ State Primary & Secondary Drinking Water Standards. * ASTM D3559 (D) calls for the addition of acid at the time of sampling. Unless so noted on the chain of custody by the client iATL acidifies samples to a pH of <2 at least 24 hours prior to analysis.
Dated: 9/16/2020 10:51:35 Page 7 of 7
hns(a
'
Asbestos Bulk
a mffirrV
Analysis Report
Environmental Hazards Services, L.L.C.
7469 Whitepine Rd
Richmond, VA 23237
Telephone: 800.347.4010
Report Number: 20-09-01587
Client: Enviro Business Inc.
Received Date: 09/10/2020
21 B Street
Analyzed Date: 09/10/2020
Burlington, MA 01803
Reported Date: 09/11/2020
Project/Test Address: 1320000294; ACM Sampling; Marriott Newport Beach; Newport Beach
Client Number:
22-4564 Laboratory
Fax Number:
Results 845-498-9075
Lab Sample Client Sample Layer Type
Lab Gross Description Asbestos
Other
Number Number
Materials
20-09-01587-001 1
White Granular; NAD
100% Non -Fibrous
Homogeneous
20-09-01587-002 2
Gray Powder; NAD
4% Cellulose
Homogeneous
1 % Fibrous Glass
95% Non -Fibrous
20-09-01587-003 3
White Granular; White NAD
100% Non -Fibrous
Paint; Inhomogeneous
20-09-01587-004 4
Gray Powder; Tan Fibrous; NAD
15% Cellulose
Inhomogeneous
10% Fibrous Glass
75% Non -Fibrous
20-09-01587-005 5
White Granular; NAD
100% Non -Fibrous
Homogeneous
Environmental Hazards Services, L.L.0
Client Number:
22-4564
Report Number:
20-09-01587
Project/Test Address:
1320000294;
ACM Sampling; Marriott
Newport Beach; Newport Beach
Lab Sample
Client Sample
Layer Type Lab Gross Description
Asbestos
Other
Number
Number
Materials
20-09-01587-006
6 Gray Powder; Brown
NAD
20% Cellulose
Fibrous; Inhomogeneous
80% Non -Fibrous
20-09-01587-007
7 Tan Granular;
NAD
100% Non -Fibrous
Homogeneous
20-09-01587-008
8 White Granular;
NAD
100% Non -Fibrous
Homogeneous
20-09-01587-009
9 Gray Powder;
NAD
4% Cellulose
Homogeneous
96% Non -Fibrous
20-09-01587-010
10 White Granular;
NAD
100% Non -Fibrous
Homogeneous
20-09-01587-011
11 Gray Powder;
NAD
12% Cellulose
Homogeneous
88% Non -Fibrous
20-09-01587-012
12 Brown Powder;
NAD
21 % Cellulose
Homogeneous
79% Non -Fibrous
20-09-01587-013
13 White Granular;
NAD
100% Non -Fibrous
Homogeneous
Environmental Hazards Services, L.L.0
Client Number: 22-4564
Project/Test Address: 1320000294; ACM Sampling; Marriott Newport Beach; Newport Beach
Report Number: 20-09-01587
Lab Sample
Number
Client Sample
Number
Layer Type Lab Gross Description Asbestos
Other
Materials
20-09-01587-014
14 Gray Powder; Brown NAD
20% Cellulose
Fibrous; Inhomogeneous
80% Non -Fibrous
20-09-01587-015
15 Brown Fibrous; NAD
15% Cellulose
Homogeneous
5% Fibrous Glass
80% Non -Fibrous
QC Sample: 47-M22018-1
QC Blank: SRM 1866 Fiberglass
Reporting Limit: 1%Asbestos
Method: EPA Method 600/R-93/116, EPA Method 600/M4-82-020 Analyst: Christian H. Schaible} (�
Reviewed By Authorized Signatory:
1 11X� V-10-'n ° J42_
Missy Kanode
QA/QC Clerk
The condition of the samples analyzed was acceptable upon receipt per laboratory protocol unless otherwise noted on this report. Each distinct component in an inhomogeneous sample was analyzed separately and reported as a composite. Results represent the analysis of samples submitted by the client. Sample location, description, area, volume, etc., was provided by the client. This report cannot be used by the client to claim product endorsement by NVLAP or any agency of the U.S. Government. This report shall not be reproduced except in full, without the written consent of the Environmental Hazards Service, L.L.C. California Certification #2319 NY ELAP #11714 NVLAP #101882-0 VELAP 460172. All information concerning sampling location, date, and time can be found on Chain -of -Custody. Environmental Hazards Services, L.L.C. does not perform any sample collection.
Environmental Hazards Services, L.L.C. recommends reanalysis by point count (for more accurate quantification) or Transmission Electron Microscopy (TEM), (for enhanced detection capabilities) for materials regulated by EPA NESHAP (National Emission Standards for Hazardous Air Pollutants) and found to contain less than ten percent (<10%) asbestos by polarized light microscopy (PLM). Both services are available for an additional fee. 400 Point Count Analysis, where noted, performed per EPA Method 600/R-93/116 with a Reporting Limit of 0.25%. " All California samples analyzed by Polarized Light Microscopy, EPA Method 600/M4-82-020, Dec. 1982.
LEGEND: NAD = no asbestos detected
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Contact Information
Client Company:
Office Address:
City, State, Zip:
Fax Number:
Email Address:
9000 Commerce Parkway, Suite B • Mount Laurel, NJ 08054 Phone:877-428-4285/856-231-9449 • Fax:856-231-9818
Chain of Custody
— Environmental Lead —
Project Number:
Project Name:
Primary Contact:
O�fl"ice Phone:
Cell Phone:
-
iATL is accredited by the National Lead Laboratory Accreditation Program (NLLAP) to perform analytical testing of environmental samples for lead (Pb). The accreditation is through AIHA-LAP, LLC and several other nationally recognized state programs.
Matrix/Method:
Paint by AAS: ASTM D3335-85a, 2009
Wipe/Dust by AAS: SW 846: 3050B: 700B, 2010
7Air by AAS: NOSH 708 ., 1-994
❑ Soil by AAS: EPA SW 846 (Soil)
Water by AAS-GF: ASTM D3559-0 3D, US EPA 200.9
Other Metals (Cd, Zn, Cr) by AAS
Toxicity Characteristic Leaching Procedure (TCLP) by AAS: US EPA 1311 Other
Turnaround Time
Preliminary Results Requested Date: _ OVerbal 0 Email 01 Fax S ecitie date / time
EI10 Day E15 Day E 3 Day n 2 Day l Day* 0 12 Hour** 6 Hour** CRUSH** * End of next business day unless otherwise specified. ** atrix Dependent. ***Please notify the lab before shipping**'^ Chain of Custody
Relinquished (Name/Organization):
Date:
Time:
Received (Name / iATL): _
Date:
aI time:
Sample Login (Name / iATL):
Date:
Time:
Analysis(Name(s) / iATL): —
Date: _
Time:
QA/QC Review (Name / iATL):
Date:
Time:.
Archived / Released: QA/QC InterLAB Use:
Date:
Tune:`
9000 Commerce Parkway, Suite B • Mount Laurel, NJ 08054 Phone: 877-428-4285/856-231-9449 1 Fax: 856-231-9818
INTERNATIONAL
Sample Log
—Environmental Lead — lb
Client: Project: 0 0-?
Sampling Date/Time:
Client Sample #
iATL #
Location/
Descri tioa
Flow
Rate
Start
End
Sampling
time (min)
Area (M)
Volume (L)
Results
( )
7 0 5-9 9 5 9'
. OW-
072
70599'L 0
a '''
.
7 0 5 9 9
99�
—�
70599E3
1 , 0599.6
-
'70'59965
G' t I�O7
d6
959960
G
'70599 :'s
r r6
"059�,*''.
79 5 9 9'
0 Uri
.059972
tA
o"111pie i 1—mu" lu reiJurrn Vk, neana�pets t�[vurng/
** = Insufficient Sangrle Provided to Analyze (<50mg) *•*= Matrix /SubsErate Luetferenee Possible FB = Method Requires r,5e submittal of blarrk(s). ML = Aftilti Layered Sample. A9ay result in inconsistent resu(7s.
These preliminary results are issued by iATL to expedite procedures by clients'based upon the above data. iATL assumes that all of the sampling methods and data upon which these results are based, has been accurately supplied by the client. These results may not have been reviewed by the Laboratory Director.
Final Certificate of Analysis will follow these preliminary results. The signed COA is to be considered the official results. All EPA, HUD, and NJDFP conditions apply,
iATL
INTERNATIONAL
L
ASBEs`I'os TI STING 1. MBORA'P't?I2IFS
Client:
Sampling Date/Time:
9000 Commerce Parkway, Suite B • Mount Laurel, NJ 08054 Phone: 877428-4285/856-231-9449 • Fax: 856-231-9818
Sample Log
—Environmental Lead —
Proj ect:
Client Sample #
iATL #
Location/
Description
Flow
Rate
Start
End
Sampling
time (min)
Area (M)
Volume (L
Results
059973 `
059S74_
95997 ;r
fA ("1 .rig 3�
70599
�-
"'9'59S'7a
P'� 191 C3k IsF
Zz
'"0599S"QQ
7 959SE,' I
70599U2
z
'Z
g 959S03
y r�
"^543` r
* = Insufftcient Sample Provided to Perform QC Reanalysis (<lQOmg) ** = Insufficient Sample Provided to Analyze (<SOmg) ***= Matrix /Substrate Interference Possible FB = Method Requires the submittal of blan/c(s). AIL = Multi Layered Sample. Ma'3, result in inconsistent results.
These preliminary results are issued by iATL to expedite procedures by clients based upon the above data. iATL assumes that all of the sampling methods and data upon which these results are based, has been accurately supplied by the client. These results may not have been reviewed by the Laboratory Director.
Final Certificate of Analysis will follow these preliminary results. The signed COA is to be considered the official results. All EPA, HUD, and NJDEP conditions apply.
INTERNATIONAL
Ast;n s`['t s TESTING ING L„ABO t?`['OME S
Client:
Sampling Date/Time:
9000 Commerce Parkway, Suite B • Mount Laurel, NJ 08054 Phone: 877-428-4285/856-231-9449 • Fax: 856-231-9818
Sample Log
—Environmental Lead —
Project:
rkh
Client Sample #
iATL #
Location/
Description
Flow
Rate
Start
End
Sampling
time (min)
Area (ft2)
Volume (L)
Results
`9599
ILD`�� �
'*7n59SSE;
Z
,
7059989
7059SRO1
_
i
195gS,
t �.o5.9S C 2
5 '""59Sv3 .
-31
``,�"5.9:a S 4
�
i
1, 5 9-
59C , -
(1 4,0` -Cs�
CAO'�cdif.'A
t
1� V;3 0
* = Insufficient Sample Provided to Perform QC Reanalysis (<200mg) ** = tnsti icient Sawple Provided to Analyze (<501)1g) ***= b4atrix I Substrate Interference Possible FB = Method Requires the submittal of blank(s). VIL = Mttlti Layered Santj.)le. AIe{v result in inconsistent results.
These preliminary results are issued by iATL to expedite procedures by clients based upon the above data, iATL assumes that all of the sampling methods and data upon which these results are based, has been accurately supplied by the client. These results may not have been reviewed by the Laboratory Director.
Final Certificate of Analysis will follow these preliminary results. The signed COA is to be considered the official results. All EPA, HUI), and NJDEP conditions apply.
A r
,.
L
INTERNATIONAL
Contact Information
Client Company:
Office Address:
City, State, Zip:
Fax Number:
Email Address:
9000 Commerce Parkway, Suite B - Mount Laurel, NJ 08054 Phone: 877-428-4285/856-231-9449 * Fax: 856-231-9818
Chain of Custody
— Environmental Lead —
Project Number:
Project Name:
Primary Contact:
Offiee Phone:
Cell Phone:
5 2 06? ou.) -, f v
iATL is accredited by the National Lead Laboratory Accreditation Program (NLLAP) to perform analytical testing of environmental samples for lead (Pb). The accreditation is through ATHA-LAP, LLC and several other nationally recognized state programs.
Matrix/Metliod:
Paint by AAS: ASTM 133335-85a, 2009
"Wipe/Dust by AAS: SW 846: 3 ) 050B: 70013, 2010
"Air by AAS: N10SH 70827, i 994
F-1 Soil by AAS: EPA SW 846 (Soil)
❑ Water by AAS-GF: ASTM D3559-03
"D, US EPA 200.9
F� Other Metals (Cd, Zn, Cr) by AAS ,
Toxicity Characteristic Leaching Procedure (TCLP) by AAS: US EPA 1311 H Other
vAl/7-c" <7
1)
me
Preliminary Results Requested Date:
Verbal F! r ; r_1
ma Fax
S ific date / tuneE310Day E)5Day B3Day EhDay 1,, ilDay* 1Jl2Hour** 06Hour** CRUSH" End of next business day unless otherwise specified. ** atrix Dependent. 'Please notifv the lab before shipping*** Chain of Custody
Relinquished (Name/Oreanization):
Date:
Time:
Received (Name / iATL): DateCa ne:
-
Sample Login (Name / iATL):
Date: Time:
Analysis(Name(s) / iATL): la�TnE E_ Date: Time:
QA/QC Review (-game / iATL): Date:
Archived / Released: QA/QC lriterLAB - Date:
Use:
i ..
INTERNATIONAL
'SBEStC1ti l�I r t C; l.,r` tsf`?I�',<1'�I't) �?FS
9000 Commerce Parkway, Suite B • Mount Laurel, NJ 08054 Phone: 877-428-4285/856-231-9449 • Fax: 856-231-9818
Sample Log
—Environmental Lead —
Client: Project: 0 6 1 — -'
J �2r
Sampling Date/Time:
ChentSample #
iATL #
705-9959.*
Location/
�escriptiol
Flow
Rate
Start
End
Sampling
time (min)
Area (ft2)
volume (L)
Results
( )
70599. 0
1A
iv
'0599W
7059 9
P%I tk
O599(3
1' 0 �
0599t.
,
7H9965
, IyTO z
i9599�'70
'vJ
o,q
?0599C''
Ise jsocd
�0'
l
nt;
w
-
7 0 5 9 9 �'
",95997��_.
* = Insufficient Sample
Provided to Perform OC Rennolv,ic
is 2t;n,,i
* * = Lzsu icient Sample Provided to Analyze (<50mg) ***= Afatrir /Subsirate buer/erencc Possible FB = Method Requires t'ie submittal of blann(s). ML = Afultt Levered Scruq?le. Afay result in inconsistent resuits.
These preliminary results are issued by iATL to expedite procedures by clients rased upon the above data. iATL assumes that all of the sampling methods and data upon which these results are based, has been accurately supplied by the client. These results may not have been reviewed by the Laboratory Director.
Final Certificate of Analysis will follow these preliminary results. The signed C)A is to be considered the official results. All EPA, HUD, and NJDEP conditions apply.
m
M
)
ki
�]��IATL
9000 Commerce Parkway, Suite B * Mount Laurel, NJ 08054 Phone: 877-428-4285/856-231-9449 * Fax: 856-231-9818
INTERNATIONAL
A BEST s TFSTING L,\I3C7I:A"I"C7IZII'.S
Client:
Sampling Date/Time:
Sample Log
—Environmental Lead —
Project:
Client Sam le #
iATL #
Location/
Description
Flow
Rate
Start
End
Sampling
time (min)
Area (W)
Volume (L)(
Results
)
959973 .
' r
O595:'7 41,
-
59975
. V
1 7059S'"S
ZJ
.
",959,977
10 "' S 5 9 S' S
1 9►, 13P,ISfr�.��,
c
ZZ'
7959:
`►��-
�`�
'Z
r059S03
z >
'Z
959SC1
A'RS54S
r
* = Insufficient Sample Provided to Perform QC Reanalysis (<200nig) ** = Insufficient Sample Provided to Analyze (<50mg) ***= Afatrix I Substrate Interference Possible FB = Avfethod Requires the submittal of blank(s). NIL = tbfulti Layered Sample. A1q-v result in inconsistent results.
These preliminary results are issued by iATL to expedite procedures by clients based upon the above data. iATL assumes that all of the sampling methods and data upon which these results are based, has been accurately supplied by the client. These results may not have been reviewed by the Laboratory Director.
Final Certificate of Analysis will follow these preliminary results. The signed COA is to be considered the official results. All EPA, HUD, and NJDEP conditions apply.
row,
;3
j�ATL
INTERNATIONAL
Asi'3i-s'j'()s TrS3`IING 1.,ABO ."OOR! S
Client:
Sampling Date/Time:
9000 Commerce Parkway, Suite B * Mount Laurel, N7 08054 Plione: 877-428-4285/856-231-9449 * Fax: 856-231-9818
Sample Log
—Environmental Lead —
Project:
Client Sample #
iATL #
Location/
Description
Flow
Rate
Start
End
Sampling
time (min)
Area (W)
Volume (L)
Results
( )
K_bnA,_
9593
059989
NOVI, 3f4-
-
705 1.�
-
j
5.9 3
--- -Z
�''t C_
3 "59S(,3r1
1 >"
3 61959.$ 4zl
n59;5Cc
°t 6
�i
"I n 5`9-S 9(a
t
YT
, cldli ej IA5
IA19 f 7;3Y
* = Insufficient Sample Provided to Perform QC Reanalysis (<200nag) ** = Inserfficient Sample Provided to Analyze (,50rng) ***= zbfatr&/Suhrtrate hrterfer•ence Possible F& = Method Requires the submittal of blank(s). LfL = lfzzlti La} eyed Sunrple. May result ill inconsistent results.
These preliminary results are issued by iATL to expedite procedures by clients based upon the above data. iATL assumes that all of the sampling methods and data upon which these results are based, has been accurately supplied by the client. These results may not have been reviewed by the Laboratory Director.
Final Certificate of Analysis will follow these preliminary results. The sign:.d COA is to be considered the official results. All EPA, HUD, and NJDEP conditions apply.
.. s s��x s�. �. - i a, mac.-aa�_✓.. ::�: ,.
-9-
Appendix H
Terminology
TERMINOLOGY
The following provides definitions and descriptions of certain terms that may be used in this report. Italics indicate terms that are defined by ASTM Standard Practice E 1527-13. The Standard Practice should be referenced for further detail related definitions or additional explanation regarding the meaning of terms.
Recognized environmental condition (REC): The presence or likely presence of any hazardous substances or petroleum products in, on, or at a property: 1) due to any release to the environment, 2) under conditions indicative of a release to the environment; or 3) under conditions that pose a material threat of a future release to the environment. De minimis conditions are not recognized environmental conditions.
De minimis conditions: Conditions that generally do not present threat to human health or the environment and that generally would not be the subject of an enforcement action if brought to the attention of appropriate governmental agencies. Conditions determined to be de minimis are not recognized environmental conditions or controlled recognized conditions.
Historical recognized environmental condition(s) (HREC): A past release of any hazardous substances or petroleum products that has occurred in connection with the property and has been addressed to the satisfaction of the applicable regulatory authority or meeting unrestricted residential use criteria established by a regulatory authority, without subjecting the property to any required controls (for example, property use restrictions, activity and use limitations, institutional controls, or engineering controls). Before calling the past release a historical recognized environmental condition, the environmental professional must determine whether the past release is a recognized environmental condition at the time of the Phase I Environmental Site Assessment is conducted (for example, if there has been a change in the regulatory criteria). If the EP considers the past release to be a recognized environmental condition at the time of the Phase I ESA, the condition shall be included in the conclusions section of the report as a recognized environmental condition,
Controlled recognized environmental condition(s) (CREC): A recognized environmental condition resulting from a past release of hazardous substances or petroleum products that has been addressed to the satisfaction of the applicable regulatory authority (for example, as evidenced by the issuance of a no further action letter or equivalent, or meeting risk -based criteria established by the regulatory authority), with hazardous substances or petroleum products allowed to remain in place subject to the implementation of required controls (for example, property use restrictions, activity and use limitations, institutional controls, or engineering controls). A condition considered by the environmental professional to be a controlled recognized condition shall be listed in the findings section of the Phase I Environmental Site Assessment report, and as a recognized environmental condition in the conclusions section of the Phase I Environmental Site Assessment report. NOTE: A condition identified as a controlled recognized environmental condition does not imply that the environmental professional has evaluated or confirmed the adequacy, implementation, or continued effectiveness of the required control that has been, or is intended to be, implemented.
Material threat: A physically observable or obvious threat which is reasonably likely to lead to a release that, in the opinion of the environmental professional, is threatening and might result in impact to public health or the environment. An example might include an aboveground storage tank that contains a hazardous substance and which shows evidence of damage such that it may cause or contribute to tank integrity failure with a release of contents to the environment.
Material impact to public health or environment: A substantial risk of harm to public health or the environment resulting from the presence or likely presence of an existing release, a past release, or a material threat of a release of any hazardous substances or petroleum products into structures on the property or into the ground, ground water, or surface water of the property. An example might include a release of a hazardous substance in concentrations exceeding applicable governmental agency standards under conditions that could reasonably and foreseeably result in substantial exposure to humans or
substantial damage to natural resources. The risk of that exposure or damage would represent a material impact to public health or environment.
General risk of enforcement action: The likelihood that an environmental condition would be subject to enforcement action if brought to the attention of appropriate governmental agencies. If the circumstances suggest an enforcement action would be more likely than not, then the condition is considered a general risk of enforcement action.
Data failure: A failure to achieve the historical research objectives, even after reviewing the standard historical sources that are reasonably ascertainable and likely to be useful. Data failure is one type of data gap.
Data gap: A lack of or inability to obtain information required by this practice despite good faith efforts by the environmental professional to gather such information. Data gaps may result from incompleteness in any of the activities required by this practice, including, but not limited to site reconnaissance (for example, an inability to conduct the site visit), and interviews (for example, an inability to interview the key site manager, regulatory officials, etc.).
Appendix E
Building Permits
Blvd. -RR` OF NEWPO'RT BEACH, CALIFv NiA
DEPARTMENT OF COMMUNITY DEVELOPMENTph*" 4n-V to
APPLICATION FOR
BUILDING PERMIT
.PLAN
N UMBER
ASSE/
PARC4,L NO,
15791
,.
' DATE:
N
LOCALITY
A CAN O FILL IN AREA WITwIN
N/ARbfT
' 'NbAVY LINES ONLY
fii4LbiP16
"CROSS ST.
BOBS c, fr' ",- ;r,.,.. '0�14Jy
STAT, AREA ( GROUP -TYPRE YY
,
REINFORC. STEEL
MPINATURE
APPLICANT i
---�—
SHEATHING
cAL:r OanlA srwTE Llcervs Eo c°rvrw wcroa
FRAMING
wl
° LLF P F NAL C i
TN. L c EASONrwE `'<e RTRACTow REeV °wEMENrw
�culF earyiA
srAre Lww
� _..
v TwE OwryER or rnE wa°vE
rvrEN° ro Pear°ww Al,.woRe P^OPeury wwCERT. OF OCCUP.
r .G-LOrEEY°W TN ..'SE P. C,
' 3 mw s w sgrnn Fu r M{., ir-. ,yam'. OTHER PMT.
4 ^ovosEo srw`CRT a w° FEE $ [ !FEES $ FEE
,+9
"NEEDT sniea ELl °w
eEwcE
r-LA.P«MP " T`E' I aF;'�5. T
' - wwmwry's nory n•.0
E
R°AncE CeV EAIwG i
ewnEa - --. we A
PgorE Wrr A oese alE —� eo®.
._ ove O P °
n
aK u..T1 Ev c Irons L_
E
' ` w Less L
$. Paa qnO ACT....Ory
eF p V TO A T MGI iiv 6
C
MARRIOTT_ CORPORATION_ Ne ""`
LT
SIGNAPERMITURE
EE
_
'p�60
WORK MUST BEINITIAL
STARTED WITHIN PERIO
NULL AMU DAYS FROM THE DATE OF VALIDATION
- ORIDAT
VOID.. - THIS PERMIT BECOMES
PLAN CHECK VALIDATIONrv7�,�
PERMIT VALI
�-
y
u {u y
{s
r+�f•1 t-' �'+sE?1«�,''/+Es°Lr-'ga,� D-•,NS{'�-�^�'rG°'r`�i rGt.?t+" I�,• �.�� go„�� , s�'+zuPr;�`t�'�•� z,eso opt
H"= ;t?..8f#ea4tl re
uj
�'®.'.��7L.! fv"+�`, 't»."�`}s+�f.®' !�•�, i'S` ^��.''E,�'e,.t„r�•l�TG L- F';i,ii.8lr;p G"e�b.,, �°-"� ' lSji ®?... �3"'�`� • ,�f1 1°+4J� Y� �'�� + 6�e,e £ �fr�'C `h"�/IL'6- a 3`"� �G+�.% �•7°aRw1 �.�-"?�JJa^xa gr��'�,;�%�A�;:�`+�5� oti t��:13'aa.� $�,+i4+d•�e>�G� �..
rsF � ot,
?.
(6r Pre -a'biVAI7` f14,e ';. i i1 FS rOVA,�L`ilF lc'
it
airy Poo.
City of Newport Beach Building Department BLDG Permit No: B2005-1883 -Pd-Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644.3288 Inspection RequestsTelephone (949)644-3255 M
Job Address: 900 NEWPORT CENTER DR Floor: Suite:
Bldg: 1
Description of Work: INSTALL (2) ILLM SIGNS "MARRIOTT'
1453-2005
Inspector Area: 7
Legal Description:
P BK 75 PG 33 PAR 1
Owner: HMH PROPERTIES INC
Contractor:
P S SERVICES INC
Architect
Address: 1 MARRIOTT DR #938.0
Address:
316 E DYER RD •B
Address:
INSPECTOR
WASHINGTON DC 20058
SANTA ANA CA 92707
Phone: 949/842-7632
Phone:
7141513-1870
Phone:
State Lic:
Applicant: LUCY/P.S. SERVICES
Con State Lic:
614676
Engineer:
Address: 316 E DYER RD #B
Lic Expire:
10131/2006
Address:
SANTA ANA CA 92707
Bus Lic:
BT30002467
Phone: 7141513-1870
Lic Exp Date:
0413012006
Phone:
State Lic:
Code Edit: 2001
Worker's Compensation Insurance
Designer: CHANDLER SIGNS
Type of Construction:
Carrier:
STATE COMP
Address: 12106 VALLIANT
Occupancy Group: U2
Policy No:
1741063
SAN ANTONIO TX 78216
Added /New sq.ft. Bldg:
Expire:
0410112006
Phone: 210/34M724
Added /New sq. ft. Garage:
No of Stories: 0
Building Setbacks Rear: /
Special Conditions:
No of Units :
Front: /
Bldg Height: /
Left: I
Bldg Sprinklers:
Right: I
Flood Zone:
Use Zone:
APF
Issued:08/02/2005
Parking Spaces:
FEES
Construction Valuation: $16,000.00
Building Permit Fee : $247.60
Microfilm: $21.50
Haz Mat Disclosure: $0.00
Planning Dep --
Plan Check Fee: $178.27
Excise Tax- Res:
$0.00
CA Seismic Safety: $0.00
Plan Check: $82.50
Investigation Fee: $0.00
Excise Tax- Com:
$0.00
Other:
Counter Rev.: $0.00
Clean Up Deposit: $0.00
Supplemental PIC:
$0.00
$0.00
OT Plan Check: $0.00
Disabled Acess : $0.00
Fair Share:
$0.00
Fire Dep - -
Demo Adm Fee: $0.00
General Sew DMO
$0.00
Public Works Plan Ck: $0.00
Plan Review. $0.00
Fee Increased $0.00
Refund DMO Dep
$0.00
Inspection: $0.00
70rAL FEE : $529.87
TOTAL PAYMENT :
$178.27 TOTAL DUE: $351.60
PROCESSED BY:
I '
OTHER DEPARTMENT:
PLANNING APPROVAL:
0^
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
PERMITS EXPIRE 180 DAYS AFTE ISSU
CE OR LAST VALID INSPECTION.
APPROVALS
DATE
BY
COMMENTS
OWNER -BUILDER DECLARATION
1 HEREBY AFFIRM UNDER PENALTY OF PERURY THAT I AM EXEMPT FROM THE CONTRACTORS LICENSE LAW FOR THE FOLLOWING REASON (SEC. 7001.5. BUSINESS AND PROFESSIONS CODE: ANY CITY OR COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT. ALTER IMPROVE, DEMOLISH, OR REPAIR My STRUCTURE. PMI POOR TO ITS ISSUCE. ALSO REOUIRES THE APPLICANT FOR SUCH
PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PIIOVISIONS OF THE CONTRACTORS LICENSE LAW (CHAPTER 9 (COMMENCING WITH SEC. T000) OF ON. S OF THE
BUSINESS AND PROFESSIONS COCED OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMPTION, ANY VICIATION OF SEC. 7001.5 BY ANY APPLICANT FOR A PERMIT
SUBJECTS THE APPLICANT TOA CNLL PENALTY OF NOT MORE THAN FIVE HUNDRED WLIAHS ISSXIT ❑ I. AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR$ E COMPENSATION, WILL CO THE WORK. AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC. ADM. BUSINESSAMD PROFESSIONS CODE: THE CONTRACTORS LICENSE LAW DOE$ HOTAPPLY TO AN OWNER OF PROPERTY WHO BUILDS OF IMPROVES THEREON. AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES. PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED ONOFFEREO FOR $ALE. IF, HOW ION ER THE BUILOING OIt
IMPROVEMENT IS SOLO WITHIN ONE YEAR OF COMPLETION, THE OWHERBUILDER WILL HAVE THE BURDEN OF PROVING THAT HE O R SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE.L ❑ C"OWNEROFTHEMWERTY,mu] usN YCMN TNGMY uC NSED
CONTM TORS TO CONSTRUCT THE PROJECT(SEC.iW. BUSINESS AND PROFESSONS CODE: THE
CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF THE PROPERTY WHO BUILDS OR
IMPROVES THEREON, AND WHO CONTRACTS FOR SUCH PROJECTS VRTH A CONTRACTORISI LICENSED
PURSUANT TO THE CONTRACTORS LICENSE LAW),
OWNERS NAME: DATE:
FOUNDATION:
WATER QUALITY BMP'S
ROUGH GRADE
LINE & GRADE CERT/SETBACKS
ERECTION PADS
FOOTINGS
SLAB ON ( GRADE
FRAMING.
DECK SLAB
SUBFLOOR
ROOF & BUILDING HT
EXT. SHEAR/HOLD DOWNS
GENERAL FRAMING
FIREPLACE THROAT
LICENSED CONTRACTORS DECLARATION
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSED MOM PROVISIONS OF CHAPTER 9 (COMMENCING WITH SECTION 7000O OF DIVISION 0 OF THE BUSINESS AND PROFESSIONS CODE. AND MY LICENSE IS IN FULL FORCE AND EFFECT.
LICENSE CIAS LAC. NO.
Are 0��40 .aJTRACTOR _ . SP/y (c eS
WORKERS' COMPENSATION DECLARATION
I HEREBY "FIRM UNDER PENALTY OF PERNRY ONE OF THE FOLLOWING DULmAOONS:
I HAVE AND WILL MAINTAIN ACERTIFICATE OF CONSENT TO SELF INSURE FOR WORKERS' COMPENSATION, AS PROVIDED FOR BY SECTION 01W OF THE LABOR CODE FOR THE �FORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.
T_Ar I VE AND WILL MAINTNN WORKERSCOMPENSATION INSURANCE, AS REWIRED BY CIC TION S1W OF THE LABOR CCOE. FOR THE PERFORMANCE OF THE WORK FOR WHH
THIS PERMIT IS ISSUED, MY WORKERS' COMPENSATION INSUMNCE CARRIER AND POLICY NUMBER ARE:
CARRIER
POLICY NUMBER
ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (510))ORLESS).
1 CERTIFY THAT W THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.I -SHALL NOT EMPLOY ANY PERSON W ANY MANNER SO AS TO BECOME $UWUr TO THE WORKERS' COMPENSATION LAWS OF CALIFORNIA. AND AGREE THAT IF I SHKJLO BECOME
WORKERSSUWECT TO THE COMPENSATION
CODE I SHALE FORTHWITHTH COMPLY WITH THOSCnW lIW Of THE E PWISX)Ns 1AB011
WARNING: FAILURE TO SECUIE IWORKINT CCMPFNSATION COVERAGE IS UNLAWFUL. KING $HALL SUBJECT AN EMPLOYE.: TO CRIM"JAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IT 1WA'ISI. IN /a,C.T.JN .0 THE COST OF :OMPENSATION. DAMAGES AS FRWIDED FOR IN BECTON S]BB OF THE LABOR �00c IN. E.IE ., AND '.TTORNEYS FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY "EARN UNDER PENALTY OF PERNgY THAT THERE Is A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED ISECAWP.
LEI
LENMLSAIDRISS _ __
1 CERTIFY HNT I MVE N Z THIS AFXKATICW AND STRE THAT THE ABOVE WFORANIION IS CORRECT. 1 AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION. AND HEREBY AUTHOR¢E REPRESENTATIVES OF THIS CITY
TO ENTER UPON THE AHOY UENTIONEO PROPERTY FOR INSPECTION PURPOSES, K
PEHMIIIEf NA'IE (PH'NI �/�
INTERIOR & EXTERIOR
INSULATION
DRYWALL
SUSPENDED CEILING
SHOWER LATH
EXTERIOR LATH
SCRATCH (PLASTER) (2 DAY)
MASONRY PRE -GROUT
MISC. INSPECTIONS:
PERMIT EXTENSION
1ST EXP. LETTER
2NO EXP. LETTER
L,
BUILDING FINAL
},706
CERTIFICATE OF OCCUPANCY
TENANT NAME:
OWNER BUILDER AGENT INFORMATION
NAME:
ADDRESS:
TYPE OF BUSINESS USE:
DRIVERS LAC. NO.r�%i�-----
<i. Ati IN T
Shared%Permits DeplBIdgPermit(Back)8/04
9 City of Newport Beach Building Department
PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Job Address: 900 NEWPORT CENTER DR Bldg: 1 Floor: Suite:
Inspector Area: 7 Code Edit: 2001 Legal Description: P BK 75 PG 33 PAR 1 Owner: HMH PROPERTIES INC
Address: -1 MARRIOTT DR #938.0
WASHINGTON DC 20058
Phone:
Issued Date:
Processed
Contractor:
P S SERVICES INC
Address:
316 E DYER RD •B
SANTA ANA CA 92707
Phone:
71415134870
Con State Lic:
614676
Lic Expire:
10/3112006
Bus Lic:
BT30002467
Lic Exp Date:
04/3012006
New ConstruAJZn Receptacle/Switch/Outlets
Residential _ Receptscles/Outlels: 0 $0.00
Multi -Family: 0 $0.00 Fixtures: 0 $0.00
1.2 Family: 0 $0.00 Sep Circuits: 0 $0.00
Service Signs
0600V up to 20OA: 0 $0.00 Branch Circuit: 2 $46.00
0600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00
Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00
ELECTRICAL Permit No: E2005-1046
Inspection Requestsrrelephone (949)644.3255
Description of Work: ELECI(2) ILLM SIGNS "MARRIOT'T"
B2005.1883 INSPECTOR
YSPECTOR
Inspector Notes:
FEES
Motors7Transformers (HP/KVA)
0 to 1 HP/KW/KVA:
0 $0.00
1 to 10 HP/KW/KVA:
6 $0.00
10 to 50 HP/KWtKVA:
0 $0.00
50 to 100 HP/KW8(VA:
0 $0.00
Over 100 HPMWMVA:
0 $0.00
Piggy Backrremp Power. 0 $0.00
Temp Power Pole: 0 $0.00
TOTAL: $81.00 PAYMENT: $11.50 BALANCE:
L)6! - FED CONTRACTORS DECLARATION
ereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions code, d my license is in full force and effect.
License No: 614676 Class: Date: Contractor: P S SERVICES INC W ORKERS' COMPENSATI ON DECLARATION: I hereby affirm under penalty of perjury one of the following declarations:
have and.11 maintain a cenifcate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the labor Code, for the performance of the work far Mich this permit is issued.
have and will maintain workers' compensation insurance, as required by Section 3700 of the labor Cade, for the performance of the wmik for whim this Permit Is issued, My workers' compensation insurance camier and policy number Is:
Carrier: STATE COMP Policy number:1741063 Expire Date: 04/0112006 (This section need not be completed if the pe^rlt is 'or me hL idr.d docars ($100) or less.
I certify that in the performance of the work fa which thin pemm.t is IsY'ed. I shall not employ any person in any manner so as to become subject to the waxers' compensation laws of California, and agree that if 1 should bYomr sut;Cd IL Mc wori compensation provisions of section 3700 of the labor code, I shall forthwith comply with those provisions.
Date: Applicant Signature :
blaming: Failure to secure workers corrpensafon coverage is unlawful, and shall subject an employer to criminal Wallies and civil lines up to one hundred thousand dollars ($100,00(0), in addition to 11hw cost of compenstion.earges a; p ntde: far in Lacuon )106 of the labor code, interest, and attorneys fees.
I hereby acknowledge Ma. Ih`ve.lad this aopli.alion, that the infr Uor giro t-cf r:h and that I am the oviseq aduly authorized agent of the owner. I agree to comply with aty and state 43w rerula"ng ocnstrictir n: .no ir, dd..g d.e n.mrk nutlionzecl thereby. no person will be e0ployed in violation of the labor code of the state of California relam, to workmai s corrJensation insuran e.
XPemnittee Name (Print) T(k^ Ar I/ 1 S-la PG CA-P Address '(Signature Of permittee� � ^ _ _ Oate:
Temp Underground:
0 $0.00
Sub Panel:
0 $0.00
0 $0.00
0 $0.00
Record Mgmt Fee:
$0.50
Plan Check Fee:
$11.50
Investigation Fee:
$0.00
Issuance Fee:
$23.00
Supplemental
$69.50
^ �, I -$t1,U0
(]�w�j 0
Approvals
Grounding Electrode
Underground
Under Slab/Floor
Rough Conduit Walls
Rough Wiring Ceilings
Rough Sevice
Inspector/Date
Temp Power
Utility Company Notified
Final Y
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR
LAST VALID INSPECTION
City of Newport Beach Building CIpartment FIRE COMBO Permit No: F2004-0327 PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Job Address: 900 NEWPORT CENTER DR BIdg:1 Floor: Suite:
Description of Work: FIRE ALARM/ "MARRIOTT NORTH TOWER ""IN PROGRESS" 2242-2004 (B2004-1823)
/
Inspector Area: J/��/1i Legal Description: P BK 75 PG 33 PAR 1 _
I1IiYr'^.!`
L-.rJ ui\
Owner: CCMH NEWPORT BEACH LLC Contractor:
PYRO - COMM SYSTEMS INC
>,3i
Architect:
Address: 6903 ROCKLEDGE DR #1500 Address:
15531 CONTAINER LANE ^
_ Address:
BETHESDA, MD 20817
HUNTINGTON BEACH CA '
Phone: Phone:
7141902.8000
Phone: State Lic:
Applicant: PYRO-COMM SYS Con State Lic:
612153
Engineer:
Address: 15531 CONTAINER LN Lic Expire:
0212812005
Address:
HUNTINGTON BEACH CA 92649 Bus Lic:
BT95002555
Phone: 714.902-8000 Lic Exp Date:
11/30/2004
Phone: State Lic:
Code Edit : 2001 Worker's Compensation Insurance
Designer:
Type of Construction: I -SPR Carrier:
CALIFORNIACOMP
Address:
Occupancy Group: Rt Policy No:
808-0000129
Added /New sq.ft. Bldg: 1231 Expire:
01/01/2005
Phone:
Added /New sq. ft. Garage: N
No of Stories: 0 Issued Date: 1011312004
Special Conditions:
No of Units:
FEES
Construction Valuation: 150,000.00
Fire Plan Check Fee : $843.84
$0.00
Fire Permit/Inspection Fee: $1,172.00
$0.00
Records Management: $27.50
Counter Review: $0.00
Investigation Fee: $1,172.00
Zoning Plan Check Fee: $0.00
Residential Issuance Fee $0.00
/�—�OTAL-FEF; : $3,215.34
TOTAL PAYMENT: $843.84
TOTAL DUE: $2,371.50
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
9 OTHER DEPARTMENT:
PLAN CHECK BY::
... . z. , .... .
• • • • • • • • � �•� APPROVAL TO ISSUE:
PERMIIT EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECT • •• •• ••• ••• ••
.......... .
APPROVALS-�� -�- C
D ROUGH PIPE
CS EXCAVATION
HYDRO TEST
BACKFLOW APRV.
HYDRO TEST
FLOW TEST
ROUGH PIPE
HYDRO TEST
FLOW TEST
-M SYSTEM FUNCTION TEST
-M SYSTEM APPROVAL
'SYSTEM APPROVAL
200 FUNCTION
P CHEM SYS FUNCTION TEST
e CHEN SYS FUNCTION APRV.
-ON SYS FUNCTION TEST
.ON SYS FUNCTION APPROVAL
DID SYSTEM APPROVAL
DK PROTECTION ROUGH
DK PROTECTION HYDRO
FUNCTION TEST
. STATION MONII
FIRE MISC.
K
K PIPING PRESS
L MODIFICATION
COMMENTS _ __.
i& x1- 1 ESTI ti
ChaY�ge
eY� I Sr n
Ski Fi_- IrGv
k �S
Lt-os 4th-FL -S
OWNER -BOLDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LICENSE LAW FOR THE FOLLOWING REASON(SEC. ]W 15, BUSINESSAND PROFESSIONSCODE: ANYCITY - '-
OR COUNTY WHICH REOUIRESA PERMITTO CONSTRUCT.ALTER. IMPROVE, DEMOLISH, OR REPAIRANY
STRUCTURE, PRIOR TO ITS ISSUANCE, ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A �I V
SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LICENSE LAW (CHAPTER 9 (COMMENCING WITH SEC. ]B'JO) OF DIV, 3 OF THE EUSINESS
AND PROFESSIONS CODE)) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE �J
•(''`L
ALLEGED EXEMPTION. ANY VIOLATIONOF SEC. ]031.5 BY ANY APPLICANTFOR A PERMIT SUBJECTS THE 3 5 wL
APPLICANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS (SSW):
I. AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE t
COMPENSATION.WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC.7061, BUSINESSAND PROFESSIONSCODE: THE CONTRACTORS LICENSE LAW DOES NOT APPLYTO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVESTHEREON. AND WHO DOES SUCH WORK HIMSELF
OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES, ROVIDED THAT SUCH IMPROVEMENTSARE NOT INTENDED OR OFFERED FOR SALE. IF. HOWEVER, THE BUILDING OR IMPROVEMENTIS SOLD WITHIN G
ONE YEAR OF COMPLETION, THE OWNER BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR J
SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE.).
I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED 7r
CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. 7014. BUSINESS AND PROFESSIONS CODE: THE
CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF THE PROPERTY WHO BUILDS OR IMPROVES THEREON. AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTR)CTOR(S) LICENSED PURSUANT TO THE CONTRACTORS LICENSE LAW.).
I AM EXEMPT UNDER SEC. BA P.C. FOR THIS REASON
DATE OWNER
LICENSED CONTRACTORS DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT 1 AM LICENSED UNDER PROVISIONS OF CHAPTER 9 (COMMENCING WITH SECTION ]CW) CF DIVISION 3 OF THE BUSINESS AND PROFESSIONS
CODE, AND MY LICENSE IS IN FULL FORCE AND EFFECT,
WORKERS' COMPENSAJION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURE/ONE OF THE FOLLOWING DECLARATIONS'.
I HAVE AND WILL MAINTAIN CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' --COMPENSATION, AS PROVIDED FOR BY SECTION 37W OF THE LABOR CODE, FOR THE
PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I HAVE AND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE. AS REQUIRED BY SECTION 37W OF THE LABOR CODE. FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. MY WORKERSCOMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE:
'S1AW\t]f✓S CARRIER
POUCYNUMBER
ID1 ° Pr DUa F
�.� 0 FIS .111 lON NLLU NO tltINMYLtIGURIHE Y[HMII IJ FOR VNL NUNUHLU UULLAHtl � CP VV• Pcl} letlDN' (SIWI OR LESs).
I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.I
SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE
S COMPENSATION LAWS OF
NIA
D AGREE TH
l SHOULD BECOME
SUBJECT TO THE WORKERS'OMPENSATIONPRO��jjI6I10N5(1F B:C COON ]�OF THE LABOR ♦Cel en'a Ae.._ A CODS. I SHALWORTHWITH COMPLYVB0 tHOSEPROV6 N5 ,/ /'•(�(l` ) l-x 1I� Fr �rvy rwrtpaC•IV Ji✓:VH[ WtytttN I:VMPENSATION GO RACE IS U LAWFUL. AND SHALL
$OBJECT A••HPLOM•R Ti CRIMINy PEnJ3,'LTIES ANOCIVILFINESUP TO ON HUNORE0 THOUSAND OOLIAftS•(tyl W,lG0)�IN RJDITION TOrtHE CAST OF COMPENSATION,OAMAGE AS PROVIDED FOR IN 1 SECTION 3iC6If TA LABOR COIL INTEREST, AND ATTORNEYS FEES.
ICY 7-Y4.5 CONSTRUCTION LENDING AGENCY
'(V • I HERWYAFWWWNDER PENAL OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY .}. • • F(VTWPWFCF%%NCEQFNF#I hPFORr AjH TAI,l'e-RMITIS ISSUED (SEC .3W], CIVGJ. • • • • • • • • • •
1I" • LENDER'S ADDRESS ••• •• • • =•
I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO COMPLY WITH ALL CITYAND COUNTY ORDINANCESAND STATE LAWS RELATING �+ /mom TO BUILDING CONSTRUCTION,AND HEREBYAUTHORIZE REPRESENTATIVESOF THIS COUNTY TO ENTER jIAOO TIIETS0V6RMTIONElPRO•E•TY4OR INSPECTION PURPOSES. to1cu1 le- I IMNI p;y-P`W•. • //lu(t2
kj-
City of Newport Beach Building Department FIREALRM Permit No: F2001-0435 PO Box 1768/3300 Newport Blvd., Newport Beach, California 92658-8915 Permit Counter Telephone (949(644-3288 Inspection RequeslsTelephone (91 Job Address: 900 NEWPORT CENTER DR Bldg:
1 Floor:
Suite:
Description of Work: UPGRADE FIRE ALARM IN COMMON AREA
2674-2001
Inspector Area:PIRE Legal Desc.:
Owner: IRVINE COMPANY
Contractor:
GREATER ALAR
Architect.
Address: 550 NEWPORT CENTER OR
Address:
17992 COWAN AVENUE
Address:
NEWPORT BEACH CA 92660
IRVINE CA 92614
Phone:
Phone:
9491474-0555
Phone: State Lic:
Applicant: GREATER ALARM COMPANY INC THE
Con, Slate Lic.:
469046 Engineer:
Address: 17992 COWAN AVENUE
Lic Expire:
02l2812i)(03
Address:
IRVINE CA 92614
Bus. Lic.:
BT00001337
Phone: 9491474.0555
Lic Exp Date:
03131/211
Phone: State Lic:
Edit Code: 97
Workers' Compensation Insurance --
Designer:
Type of Construction:
Carrier:
STATE FUND
Address:
Occupancy Group: B
Policy No:
046-01 0009476
Added INew sq,ft. Bldg :
Expire:
0110112002
Phone:
Added /New sq. ft. Garage:
No of Stories.:
Issued:
Special Conditions:
No of Units:
FEES
Construction Valuation: $18,000.00
Fire Plan Check Fee: $172.51 $0.00
Fire Permit/ Inspection Fee: $239.60 $0.00
Record Management: $6.50
Investigation Fee: JI $0.00
)TOTAL FEE 418.61 TOTAL PAYMENT: $172.51 TOTAL DUE 246.10 PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
WORK Mt 1.4r
11 J
OTHER DEPARTMENT:
PLAN CHECK BY:
APPROVAL TO ISSUE:
APPROVALS DATE 1 BY COMMENTS
FIRE PROTECTION F _
:UNDERGROUND ROUGH PIPE ;
:THRUST BLOCKS EXCAVATION
':UNDERGROUND PIPING FLUSH
UNDERGROUND HYDRO TEST
UNDERGROUNDIBACKFLOW APRV
;SPRINKLER HYDRO TEST F _
SPRINKLER FLOW TEST
a ^
SPRINKLER ROUGH PIPE S
_.. ..... 1 .. .. ....... ----------- .--- ._.__.
STANDPIPE HYDRO TEST gg°
____ .. _. .6—.... _ .... .. .,_.,....._..
.-STANDPIPE FLOW TEST
'.STANDPIPE ROUGH PIPE
CHEM SYSTEM FUNCTION TEST
----------
CHEM SYSTEM APPROVAL
FIRE ALARM SYSTEM
ROUGH WIRING SYSTEM FUNCTION) TEST �'�� _ %� �� ......... --
CENTRAL STATION MONITOR
..... .... __ __ a..... ,.......
FIRE MISS
;TANK REMOVAL"....._ ..... _... _ .._ __
.TANK INSTALLATIONJEST
.TANK PIPING PRESSURE TEST -
_.. ---
(MEDICAL GAS PIPING TEST
'CROSS CONNECTION TEST
OWNER -BUILDER DECLARATION
I HERESY AFFIRM UNO£R PENALTY OF PERJURY THAT I MA OREMPT FR0M WE G6, .....I, LICENSE LAW FOR THE FOLLOWING REASON ICES SINT 5, BUSINESS AND PROFESSIONS CODE: ANY CIT.
OR COUNTY !NHICH REQUIRES A PERMIT TO CONSTRUCT. ALTER, IMPROVE, DEMOLISH, OR REPAIR ANY STRUCTURE, PRIOR TO ITS ISSUANCE Al CO REQUIRES THE APPLICANT FOR ELI PERLIIT TO FILE A j
SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LICENSE LAW (CHAPTER 9 ICIJMI.IENGING WITH SEC iOWj OF DIV 3 OF THE BUSINESS A AND PEOFESSIAR S CORE II OR THAT HE OR SHE IS EXEMPT THEREFRCL; AND THE BASIS FOR TH'_ ALLEGED EA EIr1 PTI CUT ANY VIOLATION OF OTC 70115Bl All Y APPY CANT FC-R A PER MIT SU BJ ECTB THE _ APPLICANr TO Amvu. PENALTY CF NOT MORE THAN FIVE HUNDRED DOLLARS (4500) 1, AS COPIER OF THE PROPERTY, OR MI EIIPLOYEES WTH WAGES AS THEIR SOLE COLIOEN5AT1ON. `MLL W THE WOR2 AND FILE STRUCTURE IB HOT UNTENDED OR OFFERED FOR CALIF. FF (SEC -10" BUSINESS A.ND PROFESSONS CODS THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO k ON OWNER OF PROPERTYWHO BUIL95 ORN.IPROJEB THEREON. AIID'ITO 00ES SUCH'fIDRKHIMSP F V OR HERSELF 09 TMROLIGH HIS OR HER OWN E1IPLOYEES PROVIDED THAT SUCH IMPROVEMENTS ARE NOTINTENOEDOROFFERED FUR SALE IF.HOWEVEft, THE BUILCINGORAARROVEMENTIS SOLD WTHIN F
ONE YEAR OF COMPLETION, THEOWNER BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE
LID NUT BUILOOR IMPROVE FOR THE PURPOSE OF SALE) F
1, AS OWNER OF THE PROPERTY ANI EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS i0 CONSTRUCT THE PROJECT (SEC 7C66, BUSINESS AND PROFESSIONS CODE'. THE 6 CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF THE PROPERTY WHO SOILED OR i IMPROVES THEREON, AMC WHO CCNITRACTS FOR SUCH PROJECTS NTH A COMRACTOR(S) LICENSED d3 PURSUANT TO THE CONTRACTORS LICENSE LAN.
!L I AM EXEMPT UNDER SEC._ BB PC FOR THIS REASON
DATE G"vHER I•
LICENSED CONTRACTORS DECIARATION -
I REMEDY PFFIRL. UNDER PENALTY OF PIFFLES' THAT I A.M LICFHSED UNDER PREVISION OF CHAPTER 9 (COAMENGING'MTH SECTION TOOC OF DMSION 3 OF THE BL151NESS AND PROFESSONS A CODE. AMC FLY LICENSE IS UN FULL FORCE F IC EFFECT.,
LICENSE CU19S LIG NO
r �� O�LI ` CONTRACO
-
WORKERTCOMPENSA NOECLARATION
I HEREEV AFFIRM UNDER PENALTY OF PERJURY ONE OF THEFOLLO`MNG DECLARATIONS, EEE I HAVE AND FRILL MAINTAIN A CERTIFICATE OF CONSENT TO SELFINCOMEFOR WORKERS' i - ---COMPENSATION, AS PROMISES FOR B'! SECTION 37M OF ME LABOR ODE FOR THE r� PERFORMANCEOF THE WORK FOR WHICH THIS PERMIT 15 ISSUED. 1 HAVE AND 'MLL MIN IN AC RKERSOONFENSATION INSURANCE, AS REQUIRED BV "SECTION 37LO OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR NMICH THIS PERMIT IS ISSUED, MY WORKERS' COMPENSATION INSURAIICE CARRIER. AIID MLICY 3 NUM9ERARE:
CARRIER
POLICY Ni I
T WS SECTION NEED NOT SE COMPLETED IF THE PERMIT 19 FOR ONE HUNDRED DOLLARS 3
ISIOOI OR -
I CERTIFY THAT IN THE PERFORMANCE OF THE WURR TOR AMEN THIS PERMIT IS RELLED, 13" --.---SHALL NOT EMPLOY ANY PERSON IN ANY MANNER EO AS TO BECOME SUBJECT TO THE WINE NEED COUP ENSAT1ON LAWS OF CA.LIFORNIA, ADO PEREE THAT IF I SHOULD OECD HE s SUBJECT TO THE VARY FES CONPFACATION TROY Cl ON ETO CTION 3700 OF THE LABOR F CODE H LL FOPTHWLTH COFIPLY WITR THO OF { 3 / 5
ATE U�
o WAP.NING FAILURE TO SECURE WpPKEdS OOLIPE.SA (ION ,pVEftAGE IS UNLAWFUL, AND SIIA_L 5 SUBJECT AN PIr1RDYER TO CRINIINN PPPNALT(F§ ApP CIVIL FPIT�B UP TO ONE FIINDRED THOUSAIJO a COLLARS ($I W. COC), IN ADDITOON TO THE CC^,i Cl EOM^ENB6�iON. DAMAGES AS PROVIDED FOR IN T 9EGTION ]'OE OF THE LA.BOft COD'c.IF:Cl" AT. 1ND A TORN;X: FEES
CONSTRUCTION LENDING AGENCY
I REPEBY 4FFIRM LIN DER PENALTY OF PE LUFNY THAT THE RL I A COIJSTRUGTIOII LEi4DIM1 AGEIJCY FOR THE PERF11,A11110E OF THE LNLAK FOd,YC CH THIS PERl,11T o4NAFEL'(oE+i ]C=i. C, C ) LENDEFFMA.IHE-- _
LENDFR'S ANAFEr l -
JE TAI READ THIS _ PGnITLICFlTIONGAND aTFTE N SHN<YF DAHBOI}IPF.WOIS 11 - DN 13
CORRECTIACRNL ICC LAV
TDRPIDIRGCOCTnUCTION AILS HcRcb! AUTHORIZE R=I`ReCFWHTNFCOF THY', GLUN Y TO ENTER -
�-
IJCJU I HE PDOVVA�I�EJ{I/T�I D%NE/"jGY1(((=��F'((i%%I FC�ll N-PECT' J' PLIRr `)—F "
(9)
City of Newport Beach Building Department PLUMBING Permit No: P2006-1185 PO Box 1768 Newport Beach, California 92658-8915 Permit Ocunter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Job Address: 900 NEWPORT CENTER DR Bldg: 1 Floor: Suite: Description of Work:PLUMIREPL 3-COMP SINK "MARRIOTT" (OK PER DM)
Inspector Area: 7 Code Edit 2001 Legal Description: P BK 75 PG 33 PAR 1 Owner:
HMH PROPERTIES INC
Notes:
Address:
1 MARRIOTT DR #938.0
WASHINGTON D!F 20058
Phone:
�� \
Processed
Contractor: TROY PLUMBING AND REPIPE INCORPORATED
Address:
1261 NORTH LAKEVIEW AVE STE K
ANAHEIM CA 92807
Phone:
714-777.1526
Con State Lic:
864542
Lic Expire:
09/3012007
Bus Lic:
Lic Exp Date:
INSPEory
Inspector
FEES
I
Bathroom Fixtures Kitchen Fixtures Misc. Misc.
Other
Toilet: 0 $0.00 Kitchen Sink: 0 $0.00 Water Piping: 0 $0.00 Roof Drain:
0 $0.00
$0.00
Bidet 0 $0.00 Garbage Disp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap:
0 $0.00
$0.00
Urinal 0 $0.00 Bar Sink: 1 $9.90 Water Heater: 0 $0.00 Grease Interceptor 0 $0.00
Bath Tub: 0 $0.00 Vegetable Sink: 0 90.00 Gas up to 4 outlets: 0 $0.00 P-Trap:
0 $0.00 Record Mgmt Fee:
$1.00
Shower Stall: 0 $0.00 lce Maker: 0 $0.00 Gas over 4 outlets: 0 $0.00 Sewer Investigation:
$0.00
Wash Basin: 0 $0.00 Dishwasher: 0 $0.00 Backflow up to 2': 0 $0.00 Sewer:
0 $0.00 Plan Check:
$0.00
Hydro -Mass Tub: 0 $0.00 LndryrFrap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair 0 $0.00 Issuance:
$25.50
Floor Sink: 0 $0.00 Regulator. 0 $0.00 Hose Bibb: 0 $0.00 Sewer Abandon. 0 $0.00 Supplemental Fee:
$0.00
Floor Drain: 0 $0.00 Lawn Sprinkler: 0 $0.00 Drinking Fountain: 0 $0.00 TOTAL: $36.40 PAYMENT: $0.00 BALANCE:
$36.40
DECLARATION
NCONTRACTORS
y affirm under penalty of perjury that l am licensed under provisions of Cha er (co ncing withSedian7000)of Uvision3o/the Business and Professions code, Approvals
Inspector/Date
license is in full force and e0 d.
o: 064642 ass: Contractor: TROY PLUMBING AND REPIPE INCORPORATED Soil Pipe (ground)
WORKERS'COMPENSATION DEC L RATION: I hereby a under penalty of perjury one of the followirp declarations:
Sewer
I have and will maintain a certificate of consent to selMnwre for workers' compensation, as provided far by Section 3700 of the labor code, for the performance of the work far which this permit is Issued.
Water Pipe (ground)
I have and will maintain workers' coniperisaeon insurance, as required by Section 3700 of the labor code, fa- the performance of the work for which this pemot is issued.
My workers' compensation insurance carrier and policy number is: J Gas Pipe (ground)
Carrier: STATEFUND Policy number:1606736 Expire : 0812412006 (Phis section need not be completed if the permit is far one hundred dollars ($100) or less. r Plumbing (rough)
r s s to Deco sub jetl ers' wmpensation
1 cenity mat in the pertammn of to for which mis permit is issued, shall not employ any p/oftion laws of California, and agr t i should became wbject to the workers' compensafon provisi000 In bar egC 'th comply vnth moss provisions.
Gas Pipe (rough)
G. try_ c<xlt lignature :
Water Heater
ming: Failure to ure v rkrys' cargensahon mveraye 5 urjl '�ndn subject an a Dyer to criminal penalties and tlw ones up to one hundred thousand ddlars IS .000l. in addtion m mecoat of �n�er3atignpamayesAs pr yedifor n Section 37M a the labor code, interest, and attorneys fees. •
Gas PSI Test
r
I hereby ackna vedge that I have read this application; that the infoonstion given is correct; and that I am the owner, v duly aumodzed agent of the owner. 1 agree to Gas Co Notified
comply win city and state laws regulating constiudion; and in doing the work aumorizetl thereby, no person wall be employed in violation of the labor tale of me state of California relating to workmen's cor"gsahgrF5uragce,, r , ,vf vA I / rk i r I v
Final
z4- V
rmittee Name (Print) r// v I % Address: 161t2 / a A, Or/ PW "PERMITS EXPIRE 180 DAYS AFTER ISSUANCE �/CG� ! 1 OR LAST VAID INSPECTION
f
lure of pertnidee: /% L ' ✓e 0 3 of)
f 2
I I
WORKSHEET FOR MECHANICAL • ELECTRICAL - PLUMBING PERMIT APPLICATION
CITY OF NEWPORT BEACH
BUILDING DEPARTMENT
Check Aooromrlate ox for Aoolicant PLEASE PRINT OR TYPE 11 BUILDING PERMIT NO.
ISSUED TO THIS JOB
1. PRO ECT AD ESS NO I G DRE
FLOOR
SUITE
❑2. OWNER'S LAs FIRST
OWNER'S E-MAILADDRESS
PHONE NO.
ADDRESS
/BOG' ILL Gw �Zi rtf
CITY /
✓' ii�
STA;�
"T
P
03. CONT CTOR'ZI
ME LAST FIRS
BUST ES LIC.
STATE LIC.
No. P&'12 Class C.?
ADDRES6
Z 6 ram;' •v e.
CONTRACTOR'S E-MAIL ADDRESS
CITY .Y /li ST ZIP G
OPLUMBING,
PHONE NO. Z
MECHANICAL
ITEM NO.
ELECTRICAL
ITEM NO.
ITEM NO.
FURNACE:
up to 100,000 Btu
NEW CONSTRUCTION jONLY :
RESIDENTIAL 1 & 2 FAMILY
SQ. FT
RESIDENTIAL MULTIFAMILY
SQ. FT.
BATHROOM:
Water closet (toilet)
over 100.000 Btu
Bidet
wall/floor heaters
Urinal
HEAT PUMPS & PCKG UNITS:
up to 100,000 Btu
Bath tub
Receptacle, switch &
lighting outlets
TOTAL OUTLETS
Shower stall
Lavatory basin
up to 500,000 Btu
Hydro -massage tub
up to 1,000,000 Btu
Lighting fixtures
TOTAL FIXTURES:
KITCHEN:
Kitchen s' — -
up to 1,750,000 Btu
over 1,750,000 Btu
SEPARATE CIRCUIT:
G a e dis osal
BOILERS &
COMPRESSORS:
up to 3HP
'Bar sink p EpLac-f
MOTORSITRANSFORMERS:
HP
0 - 1
KVA
Vegetable sink
Ice maker
over 3 HP to 15 HP
1 - 10
Laundry / washing trap
over 15 HP to 30 HP
10 - 50
Floor sink
over 30 HP to 50 HP
50 - 100
Floor drain
over 50 HP
over 100
MISCELLANEOUS:
Water piping
AIR HANDLING UNITS:
u to 10,000 cfm
SIGNS:
one branch circuit
Water softener
Water heater
over 10,000 cfm
add'I branch circuit
Gass stems -
VAV box
SERVICE:
0-600V not over 200A
up to 4 outlets
REPAIR / ALTER I ADD'N I
HVAC
No. of zones onl)
# of outlets over 4 "
------
Backflow device - ---
0-600V over 200A
up to 2" diam.
over 600V
over 2" diam.
VENTILATION:
bathroom fan
TEMPORARY POWER POLE/
PIGGY BACK
Regulators
Lawnsprinkler s stem%
Roof drains
exhaust fan
SUB PANEL:
Hose bibb
attic exhaust
Drinking fountain
residential hood
Grease trap ---
commercial hood
0 E�
{ ��I
` 1
Grease interceptor
down -draft exhaust
P-Trap
METAL FIREPLACE
SEWER:
New sewer
G/^SLINE
Sewer alter/re air
FE DAMPERS
Sewer abandonment
fIRarms) application
(9)
City of Newport Beach Building Department PLUMBING Permit No: P2006-1185 PO Box 1768 Newport Beach, California 92658-8915 Permit Ocunter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Job Address: 900 NEWPORT CENTER DR Bldg: 1 Floor: Suite: Description of Work:PLUMIREPL 3-COMP SINK "MARRIOTT" (OK PER DM)
Inspector Area: 7 Code Edit 2001 Legal Description: P BK 75 PG 33 PAR 1 Owner:
HMH PROPERTIES INC
Notes:
Address:
1 MARRIOTT DR #938.0
WASHINGTON D!F 20058
Phone:
�� \
Processed
Contractor: TROY PLUMBING AND REPIPE INCORPORATED
Address:
1261 NORTH LAKEVIEW AVE STE K
ANAHEIM CA 92807
Phone:
714-777.1526
Con State Lic:
864542
Lic Expire:
09/3012007
Bus Lic:
Lic Exp Date:
INSPEory
Inspector
FEES
I
Bathroom Fixtures Kitchen Fixtures Misc. Misc.
Other
Toilet: 0 $0.00 Kitchen Sink: 0 $0.00 Water Piping: 0 $0.00 Roof Drain:
0 $0.00
$0.00
Bidet 0 $0.00 Garbage Disp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap:
0 $0.00
$0.00
Urinal 0 $0.00 Bar Sink: 1 $9.90 Water Heater: 0 $0.00 Grease Interceptor 0 $0.00
Bath Tub: 0 $0.00 Vegetable Sink: 0 90.00 Gas up to 4 outlets: 0 $0.00 P-Trap:
0 $0.00 Record Mgmt Fee:
$1.00
Shower Stall: 0 $0.00 lce Maker: 0 $0.00 Gas over 4 outlets: 0 $0.00 Sewer Investigation:
$0.00
Wash Basin: 0 $0.00 Dishwasher: 0 $0.00 Backflow up to 2': 0 $0.00 Sewer:
0 $0.00 Plan Check:
$0.00
Hydro -Mass Tub: 0 $0.00 LndryrFrap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair 0 $0.00 Issuance:
$25.50
Floor Sink: 0 $0.00 Regulator. 0 $0.00 Hose Bibb: 0 $0.00 Sewer Abandon. 0 $0.00 Supplemental Fee:
$0.00
Floor Drain: 0 $0.00 Lawn Sprinkler: 0 $0.00 Drinking Fountain: 0 $0.00 TOTAL: $36.40 PAYMENT: $0.00 BALANCE:
$36.40
DECLARATION
NCONTRACTORS
y affirm under penalty of perjury that l am licensed under provisions of Cha er (co ncing withSedian7000)of Uvision3o/the Business and Professions code, Approvals
Inspector/Date
license is in full force and e0 d.
o: 064642 ass: Contractor: TROY PLUMBING AND REPIPE INCORPORATED Soil Pipe (ground)
WORKERS'COMPENSATION DEC L RATION: I hereby a under penalty of perjury one of the followirp declarations:
Sewer
I have and will maintain a certificate of consent to selMnwre for workers' compensation, as provided far by Section 3700 of the labor code, for the performance of the work far which this permit is Issued.
Water Pipe (ground)
I have and will maintain workers' coniperisaeon insurance, as required by Section 3700 of the labor code, fa- the performance of the work for which this pemot is issued.
My workers' compensation insurance carrier and policy number is: J Gas Pipe (ground)
Carrier: STATEFUND Policy number:1606736 Expire : 0812412006 (Phis section need not be completed if the permit is far one hundred dollars ($100) or less. r Plumbing (rough)
r s s to Deco sub jetl ers' wmpensation
1 cenity mat in the pertammn of to for which mis permit is issued, shall not employ any p/oftion laws of California, and agr t i should became wbject to the workers' compensafon provisi000 In bar egC 'th comply vnth moss provisions.
Gas Pipe (rough)
G. try_ c<xlt lignature :
Water Heater
ming: Failure to ure v rkrys' cargensahon mveraye 5 urjl '�ndn subject an a Dyer to criminal penalties and tlw ones up to one hundred thousand ddlars IS .000l. in addtion m mecoat of �n�er3atignpamayesAs pr yedifor n Section 37M a the labor code, interest, and attorneys fees. •
Gas PSI Test
r
I hereby ackna vedge that I have read this application; that the infoonstion given is correct; and that I am the owner, v duly aumodzed agent of the owner. 1 agree to Gas Co Notified
comply win city and state laws regulating constiudion; and in doing the work aumorizetl thereby, no person wall be employed in violation of the labor tale of me state of California relating to workmen's cor"gsahgrF5uragce,, r , ,vf vA I / rk i r I v
Final
z4- V
rmittee Name (Print) r// v I % Address: 161t2 / a A, Or/ PW "PERMITS EXPIRE 180 DAYS AFTER ISSUANCE �/CG� ! 1 OR LAST VAID INSPECTION
f
lure of pertnidee: /% L ' ✓e 0 3 of)
f 2
I I
WORKSHEET FOR MECHANICAL • ELECTRICAL - PLUMBING PERMIT APPLICATION
CITY OF NEWPORT BEACH
BUILDING DEPARTMENT
Check Aooromrlate ox for Aoolicant PLEASE PRINT OR TYPE 11 BUILDING PERMIT NO.
ISSUED TO THIS JOB
1. PRO ECT AD ESS NO I G DRE
FLOOR
SUITE
❑2. OWNER'S LAs FIRST
OWNER'S E-MAILADDRESS
PHONE NO.
ADDRESS
/BOG' ILL Gw �Zi rtf
CITY /
✓' ii�
STA;�
"T
P
03. CONT CTOR'ZI
ME LAST FIRS
BUST ES LIC.
STATE LIC.
No. P&'12 Class C.?
ADDRES6
Z 6 ram;' •v e.
CONTRACTOR'S E-MAIL ADDRESS
CITY .Y /li ST ZIP G
OPLUMBING,
PHONE NO. Z
MECHANICAL
ITEM NO.
ELECTRICAL
ITEM NO.
ITEM NO.
FURNACE:
up to 100,000 Btu
NEW CONSTRUCTION jONLY :
RESIDENTIAL 1 & 2 FAMILY
SQ. FT
RESIDENTIAL MULTIFAMILY
SQ. FT.
BATHROOM:
Water closet (toilet)
over 100.000 Btu
Bidet
wall/floor heaters
Urinal
HEAT PUMPS & PCKG UNITS:
up to 100,000 Btu
Bath tub
Receptacle, switch &
lighting outlets
TOTAL OUTLETS
Shower stall
Lavatory basin
up to 500,000 Btu
Hydro -massage tub
up to 1,000,000 Btu
Lighting fixtures
TOTAL FIXTURES:
KITCHEN:
Kitchen s' — -
up to 1,750,000 Btu
over 1,750,000 Btu
SEPARATE CIRCUIT:
G a e dis osal
BOILERS &
COMPRESSORS:
up to 3HP
'Bar sink p EpLac-f
MOTORSITRANSFORMERS:
HP
0 - 1
KVA
Vegetable sink
Ice maker
over 3 HP to 15 HP
1 - 10
Laundry / washing trap
over 15 HP to 30 HP
10 - 50
Floor sink
over 30 HP to 50 HP
50 - 100
Floor drain
over 50 HP
over 100
MISCELLANEOUS:
Water piping
AIR HANDLING UNITS:
u to 10,000 cfm
SIGNS:
one branch circuit
Water softener
Water heater
over 10,000 cfm
add'I branch circuit
Gass stems -
VAV box
SERVICE:
0-600V not over 200A
up to 4 outlets
REPAIR / ALTER I ADD'N I
HVAC
No. of zones onl)
# of outlets over 4 "
------
Backflow device - ---
0-600V over 200A
up to 2" diam.
over 600V
over 2" diam.
VENTILATION:
bathroom fan
TEMPORARY POWER POLE/
PIGGY BACK
Regulators
Lawnsprinkler s stem%
Roof drains
exhaust fan
SUB PANEL:
Hose bibb
attic exhaust
Drinking fountain
residential hood
Grease trap ---
commercial hood
0 E�
{ ��I
` 1
Grease interceptor
down -draft exhaust
P-Trap
METAL FIREPLACE
SEWER:
New sewer
G/^SLINE
Sewer alter/re air
FE DAMPERS
Sewer abandonment
fIRarms) application
(9)
City of Newport Beach
Building Department
COMB Permit No: X2008-0338
PO Box 1768 Newport Beach, Califomia 92658-8915 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Combination Type - CIP/ ELEC/ MECW PLUM/
Job Address: 900 NEWPORT CENTER DR NB Description: NEW FOUNTAINILANDSCAPE "MARRIOTT" Project 0538-2008 Inspector Area: 7 Legal Desc.: P BK 79 PG 33 PAR 1 0538-2008 ,NSP�CTOR Owner:
MARRIOTT CORP
Contractor:
MC GUIRE BUILDERS INC
Address:
6903 ROCKLEDGE DR #1500
Address:
3299 WALNUT AVENUE
BETHESDA MD 20817
SIGNAL HILL CA 90755
Phone:
Phone:
562-42&3636
Applicant:
CUTNER ANN
Con State Lie:
759960
Address:
2500 MICHELSON #125
Lie Expire:
0313112009
IRVINE CA 92612
Bus Lie:
BT01082902
Phone:
949-250-0023
Lie Exp Date:
07/3112008
Code Edit:
2007
Type of Construction:
I - A SPR
Occupancy Group:
R1
Added /New sq.ft. Bldg:
0 Added /New sq. ft. Garage:
0 No of Stories:
9 No of Units :
0 Bldg Height:
0 Bldg Sprinklers:
Y
Flood Zone:
Construction Valuation: $400,000.00
Building Permit Fee:
$2,591.00
Plan Check Fee:
$1,865.52
Overtime Plan Ck:
$0.00
Investigatin Fee:
$0.00
Record Management:
$95.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$400.00
Fee Increase: Fee:
$0.00
Additional Fee :
$0.00
Hazardous Mat:
$0.00
TOTALFEE:
Worker's Compensation Insurance
Carder: STATE COMP
Policy No: 1356407
Expire: 07/01/2008
Building Setbacks Rear: /
Front: /
Left: /
Right: /
Use Zone: APF
Parking Spaces:
San Dist: $0.00
Excise Tax: $0.00
NMUSD Fee: $0.00
Grading Permit Fee: $0.00
Grading PC Fee: $0.00
WQ Insp. Fee: $0.00
Electrical %: $453.43
Mechanical%: $388.65
Plumbing %: $323.88
FEES
Architect:
Address:
Phone:
Engineer: XIAO QIANG
Address: 1300 BRISTOL #260
State Lie:
NEWPORT BEACH CA 92660
Phone:
949-261-7740 State Lic:C-066510
Designer:
CUTNER ANN
Address:
2500 MICHELSON #125
IRVINE CA 92612
Phone:
949.250-0023
Special Conditions
Planning Department -
Plan check Fee : $225.00
Fair Share : $0.00
SJH Trans : $0.00
Public Works Department -
Park Dedication : $0.00
P/W Plan Check: $0.00
Plan Check Fee: $2,033.94
PROCESSED BY: ' • • ' • •' ' ' "' PUBLIC WORKS APPROVAL:
ZONING APPROVAL: m'�► • 1 PLAN CHECK BY:
••• • • • ••• ••
GRADING APPROVAL: ' i i i APPROVAL TO ISSUE:
•' •' : �' f�fV/TS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. ••• •. •• • • ••• ••
Fire Department
Fire Inspection:
$1,813.70
Fire Plan Rev
$746.21
Demolition Fee
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $6,868.45
--�? - q3 -7 0
DATE: BY:
OWNER -BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LICENSE LAW FOR THE FOLLOWING REASON (SEC. 7031.5. BUSINESS AND PROFESSIONS CODE: ANY CITY OR COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT, ALTER, IMPROVE, PERMIT EXPIRED DEMOLISH. OR REPAIR ANY STRUCTURE, PRIOR TO ITS ISSUANCE, ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LICENSE LAW (CHAPTER 9 (COMMENCING WITH SEC. 7000) OF DIV. 3 OF THE BUSINESS AND PROFESSIONS CODE) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMPTION. ANY VIOLATION OF SEC. 7031.5 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO A CIVIL PENALTY OF rl NOR MORE THAN FIVE HUNDRED DOLLARS ($500):
I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUC- TURE IS NOT INTENDED OR OFFERED FOR SALE (SEC. 7044. BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS LICENSE LAW DOES
NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE. IF, HOWEVER,
THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLETION, THE OWNER -BUILDER WILL HAVE THE BURDEN OF PROVING o THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE.):
I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. 7044, BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF THE PROPERTY WHO BUILDS OR
IMPROVES THEREON AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTRACTOR(S) LICENSED PURSUANT TO THE CONTRACTORS ❑ LICENSE LAW.).
I AM EXEMPT UNDER SEC , B. 8 P.C. FOR THIS REASON
DATE OWNER
LICENSED CONTRACTORS DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER 9 (COMMENCING WITH SEC. 70DO) OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE, AND MY LICENSE IS IN FULL FORCE AND EFFECT. .08 . nuTR4nmG &466ulRe 6WLVt3?..S- 04C,-
WORKERS' COMPENSAXION DECLARATION
❑ 1 HEREBY AFFIRM UNDER P LTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS:
I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, AS PROVIDED FOR BY SEC 3700 11 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.
I HAVE AND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE, AS REQUIRED BY SEC 3700 OF THE LABOR CODE, FOR THE PERFORM-.
ANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, MY WORKERS' COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE:
POLICY NUMBER
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS). 1 CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I SHALL NOT EMPLOY ANY PERSON IN ANY MAN-
NER SO AS TO BECOME SUBJECT TO THE WORKERS' COMPENSATON LAWS OF CALIFORNIA, AND AGREE THAT IF I SHOULD BECOME SUBJECT TO THE W�O�t310ERS'COMpPPENSATION PROVISIONS OF SSEEC.1V OF THE LABORC OO�E,(SHALL FORTHWITH COMPLY WITH THOSE PROVISIONS.
WARNING: FAILURE TO SECUREWORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP70ONE HUNDRED THOUSAND DOLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SEC. 37 F THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC. 3097. CIV.C).
LENDER'S NAME
LENDER'S ADDRESS
1 CERTIFY THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO COMPLY WITH ALL
CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS CITY TO ENTER UPON THE ABOVE -MENTIONED PROPERTY FOR INSPECTION PURPOSES. �fn.:�urr
PERMIT EXTENSION
PERMIT FINAL _p'
CERTIFICATE OF OCCUPANCY
TENANT NAME
TYPE OF BUSINESS
FOR OFFICE USE ONLY
• • • • • • • • • • •
• • • • • • • • • • •
•• ••• • • •••
• • • • • • • • • •
......... .. ...
,��, e17�rt �
City of Newport Beach Building Department GRADING Permit No: G2005-0009 ,,
PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 � n�{tY•:eMR4"
Job Address: 900 NEWPORT CENTER DR BIdg:1 Floor: Suite: Description of Work: PRECISE GRADING/SITE WORK "MARRIOTT" B20044144 -
Inspector Area: 7 Code Edit: 2001 Legal Description: P BK 75 PG 33 PAR 1 Owner: HOST MARRIOTT CORP Contractor: CLARK CONSTRUCTION GROUP CALIFORNIA LP Architect:
Address: 6903 ROCKLEDGEDR Address: 3100 BRISTOL STREET SUITE 100 Address:
BETHESDA, MD 20817 COSTA MESA CA 92626 /
Phone: 7141241-0606
Phone: 9491729-6963
Phone:
State Lic:
Applicant: KIRK MATT
Con State Lic: 839892
Engineer:
KIRK MATT
Address: 3621 S HARBOR BLVD STE 100
Lic Expire: 06/30/2006
Address:
3621 S HARBOR BLVD, STE 100
SANTA ANA CA 92704
Bus Lic: BT30005434
SANTA ANA CA 92704
Phone:
Lic Exp Date: 07/31/2005
Phone:
714/241-0606 State Lic: C-051619
Worker's Compensation Insurance
Designer:
Geo Tech. Engineer:
Carrier: HARTFORD FIRE
Address:
Address:
Policy No: 43WNQU0110
Expire: 04/01/2005
Phone:
Phone:
Valuation: $0.00
Issued Date: 01/1112005
Special Conditions:
Yardage FILL: 0
Yardage CUT: 0
FEES
Grading Permit:
Y
Drainage Permit:
N
Plan Check:
$267.50
SJH Trans Corridor
$0.00
Permit Fee:
$535.00
Park Dedication:
$0.00
WQ Inspection Fee:
$0.00
Records Management:
$0.50
Investigation Fee:
$0.00
Fair Share:
$0.00
Fee Increase:
$0.00
$0.00
WQ Plan Review Fee:
$0.00
$0.00
�•••
:•TOTAL FEE: $803.
TOTAL PAYMENT:
$0.00 TOTAL DUE: $803.00
.
•.
•.•
PROCESSED BY:
Other DEPARTMENT:
PLANNING: • .••
-:-r
PLAN CHECK BY:
TRAFFIC: • •
•,
.• .•
•
+ • • • • •
APPROVAL TO ISSUE:
SUBDIVISION
... ...
i • • • • • PERMITS EXPIRE 180 DAYS AFTER ISSUANCE
OR LAST VALID INSPECTION
Planning Department
Counter Rev: $0.00
Zoning Plan Ck: $0.00
t
APPROVALS
DATE
BY
I COMMENTS
OWNER-Bj"LDER DECLARATION ,
I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRZ YHRA LICENSE LAW FOR THE FOLLOWING REASON (SEC. 90315, BUSINESS AND PROFESSIONS CODE ANY
CITY OR COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT, ALTER, IMPRME, DEMOLISH, RJR
REPAIR ANY STRUCTURE, PRIOR TO ITS ISSUANCE, ALSO REQUIRES THE APPLICANT FOX SUCH
PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LICENSE LAW (CHAPTER 9 (COMMENCING WITH SEC. ]COO) OF DIV. 3 OF THE
BUSINESS AND PROFESSIONS CODE)) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMPTION. ANY VIOLATION OF SEC, 7031.5 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO A CIVIL PENALTY OF Nor MORE THAN FIVE HUNDRED DOLLARS ($5W ). ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATOR WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC. 7046, BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS LICENSE LAW DOES NOT APPLY
TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO DOES SUCH WORK
HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE. IF, HOWEVER. THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLETION. THE OWNER BUILDER WILL HAVE THE BURDEN OF PROVING THAT HC OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE.). ❑ I. AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CON FMCTORS TO CONSTRUCT THE PROJECT (SEC. IOAd, BUSINESS AND PROFESSIONS CODE'. THE
CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF THE PROPERTY WHO BUILDS OR
IMPROVES THEREON, AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTRACTORS) LICENSED PURSUANT TO THE CONTRACTORS LICENSE LAW.).
❑ I AM EXEMPT UNDER SEC. B a PC FOR THIS REASON
WATER QUALITY BMP'S
b
PREGRADE MEETING
GRADING INSPECTION
A Q 0A'
AREA DRAINS
ROUGH GRADE REPORT APPROVED
ROUGH GRADE APPROVAL
PREPAVING MEETING
CURB AND GUTTER
L d/
PAVEMENT SUBGRADE
{
AGGREGATEBASE
7%
..,r- ii — i9`iG
DATE OWNER
FLATWORK
LICENSED CONTRACTORS DECLARATION
HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER 91COMMENCING WITH SECTION JWO) OP DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE, AND MY LICENSE IS IN FULL FORCE AND EFFECT.
E CLAs LIc. No
-. — — -
LICEN7/7
DATE , Ll CONTRAS
///' WORKERS' COMPENSATION D ARATI N
EH RE BY AFFIRM UNDERPENALIYOF PLRJURYONE OFTHE ING DECI.T10NO.
I HAVE AND WILL MAINTAIN A CERTIFICAFL OF CONSENT TO SIT FINSURE FOR WORKERS' COMPENSATION. AS PROVIDED FOR BY SECTION 3700 OF THE TAPIR CODE, FOR THE PERFORMANCE OF THE WORK FOR W HICH THIS PERMITS ISSUED.
I HAVE AND WILI, MAINTAIN WORKERSCOMPENSATION INSURANCE, AS REQUIRED BY SECTION 0700 OF THE LABOR CODE, FOR ME PERFORMANCE OF THE WORK FOR WHICH
THIS PERMIT IS ISSOFO MY WORKERS COMPENSATION INSURANCE CARRILK AND POLICY NUMBER ARE:
CARRIER
POLICY NUMBER _.
HI].`.tI:IIUN NetU NUI El I:UMPLtI IIJ IF IIIL Yt11MI I IS tUK UNt 1UNL IHLLI AJI )$10J)ORLESS).
CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I _SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE
WORKERS COMPENSATION LAWS OF CAL ANREE THAT IFI SHOULD DECOME SUBJECT TO THE WORKERS' COMPENSATION PRO NS FSECHON 3]W OF THE IAUOR CO EIS ALL FO=THWITO COMPLYWITH S.
CIA AP (CANT: _.
W RNINO FAILU LO SECDRE WORKERS' 00 SATION C VFRAGE IS UNLAWFUL AND BNALI suBJwT AN EMPLaY To cI1Zggg�IAIIA�R PLNALTes'A ES UP TO ONC HUNCE rHoU A s�cr oN was oF�lFiE�aaoRCNro�T cosTbDCoMDPlN �nsrlorES AMACEs as PaovloeD FaRw
STORM DRAIN
CATCH BASIN
EROSION CONTROL
OTHER
PRECISE GRADING INSPECTION
DOCUMENTS
FINAL GRADING REPORT APPROVED
FINAL
q
l�Zs��'
C
G ✓ itS%L LLQ%%65
CERTIFICATE TYPE
NAME OF ENGR. FIRM
RECEIVED BY oai�/
ROUGH GRADE REPORT
FINAL GRADING REPORT
CIVIL CERTIFICATE
SLAB ELEVATION CERTIFICATE (FEMAJ
ftgtRR4TI8j LENDING AGENCY
HEREBY AFFIRM UNDER PENALTY OF PERJURY•*THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORN FOR WHICH iX15 PERMIT 10 ISSUED (SEC.3097,
CIV C),
LENI • • ••• ••• ••.
REVISED11/6/03
LENDER 'S•A"E _ • • • . . _
1 CERTIFY •HAS I H•VE•REW TWIS aPPLIOA V AN RATE TAT i A�VE INFORMATION IS WIDECORRECT'I II TO COMPLY H ALL CITY AND,,UNTY:010PAYS AND STATE LAWS
RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTHORIZE REPAFSENTATIVES OF THIS COUNTY TO ENTER UPON THE ABOVE MENTIONED PROPERTY FOR INSPECTION PURPOSES. .�� 4 T
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City of Newport Beach BIJi'ding Cep2.lnTent CIP Permit No: B2004-4313 PO Box 1768 Newport Beach, California 92658-8916 Permit Counter Telephone (949)644-3288 - Inspection Requestslrelephone (949)644-3255 ' dsr+r8i
Job Address: 900 NEWPORT CENTER DR Bldg:1 Floor: Suite:
Inspector Area: 7
Owner:
CCMH NEWPORT BEACH LLC
A: idress:
6903 ROCKLEDGE DR #1500
BETHESDA MD 20817
Phone:
301.5296036
Applicant:
PRADHAN RAJAN
Address:
999 TOWN & COUNTRY RD
ORANGE CA 92868
Phone:
714-567-2781
Code Edit: 2001
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories:
No of Units :
Bldg z;prinklers:
Flood Zone:
Issued Date: 06/21/2005
Legal Description: P BK 75 PG 33 PAR 1
I-SPR
A3/B/Rl/A.J .dq
4242
Description of Work: T.I. & 4242 SF ADD/PH 2/ "MARRIOTT-HOTEL SOUTH TOWER" 0012-2005
Contractor: CLARK CONSTRUCTION GROUP CALIFORNIA LP Architect: TABB JAMES Address: 3100 BRISTOL STREET SUITE 100 Address: 999 TOWN & COUNTRY RD COSTA MESA CA ORANGE CA 92868
Phone: 9491'159-1100 Phone: State Lic:CO20426
Con State Lie: 839892
Lie Expire: 06130/2006
Bus Lie:
BT30005434
Lie Exp Date:
07/31/2005
'Worker's Compensation Insurance
Carrier:
ZURICH AMERICAN
Policy No:
WC489553601
Expire:
04/01/2006
9+B Building Setbacks Rear: I
Front: I
Y Left: I
Right: I
Use Zone:
Parking Spaces:
Construction Valuation: $7,168,000.00
Building Permit Fee:
$22,342.40
Record Mgmt:
$646.00 ..
Plan Check Fee: $16,086.53
Excise Tax:
$890.82 i
Supplemental:
$0.00
Park Dedication:
$0.00
Investigation Fee:
$0.00
SJH Trans:
$0.00
Energy Compliance:$311.00
San Dist:
$4,454.10
Fair Share:
$0.00
CA Seismic Safety: $1,505.28
••••
: : :••OisabledA
ss:
$545.00
•��•
:• ; UgrALF E
$69,26142
PROCESSED BY: •
•
•••
•••
..•
• •
• •
•
•
•
• • •
GRADING APPROVAL
:
FEES
Engineer:
YOUNG ROGER PAUL
Address:
18400 VON KARMAN AVE #100
IRVINE CA 92612
Phone:
9491252-1022 State Lic:S-00362;
Designer:
Address:
Phone:
Special Conditions:
Hazardous Mat:
$23.00
Add Fire Dep HMO:
$0.00
Other Fee:
$0.00
Planning Department
Counter Rev:
$0.00
Zoning Plan Ck:
$330.00
OT Plan Ck Fee:
$0.00
TOTAL PAYMENT: $23,486.94 TOTAL DUE:
PLAN CHECK BY:
APPROVAL TO ISSUE:
• •• •• ••• ••• ••
: • • • • ::: • :: PERMIITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION • •• •• • • ••• ••
Fire Department
Fire Inspection Fee: $15,639.68
Fire Plan Review $6,434.61
APPROVALS
FOUNDATION
QUALITY BMP'S
ERECTION PADS
SLAB ON (
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THROAT
LATH
TCH
INSPECTIONS:
EXP.LETTER
TENANT NAME:
TYPE OF BUSINESS USE:
�1 /
COMMENTS
OWNER -BUILDER DECLARATION
I HER EBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM T�ONTRAC .ORS LICENSE LAW FOR THE FOLLOWING REASON (SEC. AMIS, BUSINESS ANG PROFESSIONS COO E ANY CY ON COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT, ALTER, iXIPROVE, DEMOLISH, OR
REITPAIR ANY STRUCTURE, PRIOR TO ITS ISSUANCE, ALSO REQUIRES THE APPLICAT FOR SUCH
PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LICENSE LAW (CHAPTER 9 (COMMENCING WITH SEC. TOW) OF DIV, 3 OF THE
BUSINESS AND PROFESSIONS CODED OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMPTION. ANY VIOLATION OF SEC. 7031.5 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS I$5001:
'❑ I,AS IOOWNEROFTHE PROPERTY , E T EMPLOYEES WITH WAGES Of THEIR SUE
THEBTHUOTUREISNOT INTENDED NSELAOFFERED SNOTASALE
(BE 70,W, BUSIESSAN WILL PROFESSEE WORK. IONS CODE THECOPROVENTHEREON, LICENSE DUBSUCHW APPLY
TOANOWNEHOF RSELF OR THROUGH HIS SO RIMPROVEBTHEREON,AND WHO BOAS SUCH WORK TO
OCAN OWNER NEBSAERTYWHO
OBUILDS OR IMPROVES
PROVIDWEVER T THAT SUCH
TS ME NOT THROUGH HIS ORHER ft ERED FOR SAL, EESIF. HOWEVER
IMPROELF ORVEMENTS
IMPROVEMENT IS SOLD TTHINOINTENDED E YEARION. IEOME -BUILOEBWLL NG OR OF COMPLETION. HAVE
IMPROVE MENTISING T WITHIN OR SHE 01 N TBUILD OR PROVE FOR THE PURPOSE OF S THE BURDEN OF PROVING THAT HE OR SHE BIO NOT BUILOOR IMPROVE FOR THE PURPOSE OF SALE.).
MOPROJEC (SECL7644, BUSINESS AND
WITH COL
OAS TO NER OF CONSTRUCT HCODE. THE
CONTRACTORS TOCONSTRUCT THE PROJECT(SEC.NO OWNER OFT ANOPROFESSIONSWHO
LY FOR SUCH PROD OF WITHHE CONTRACORE)BUILDS EN
_CONTRACTORS LICENSE D.0C CONTRACNOT TS
IMPROVES TOTHEC CONTRACTORS LAW SUCH PROJECTS WITH ACCNTRACTOR(S)LICENBED
ACORS LICENSE
PURBUPNT TO THE CONTRACTORS LICENSE LAW),
OWNER'S NAME. DATE:
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LICENSED CONTRACTORS DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER 9 (COMMENCING WITH SECTION TCW) OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS ANO MY LICENSE IS IN FULL FORCE AND EFFECT.
LICENSE CLASS
yy LIC. NO.
CONTRACT C�a
WORKE�SATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DEUMATIOVS'.
I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF INSURE FOR WORKERS �OOMPENSATION, AS PROVIDED FOR BY SECTION 370 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.
I HAVE AND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE, AS REWIRED BY -SECTION 3TW OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH
THIS PERMIT IS ISSUED, MY WORKERSCOMPENSATION INSURANCE CARRIER AND POLICY NUMBERARE:
CAgHIER
POKY NUMBER
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($10010fl LESS).
I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IB IBBUED.I
SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE
WORKERS' COMPENSATION LAWS OF CALIFORNIA, AND AGREE THAT IF I SHOULD BECOME SUBJECT TO THE WORKERS' COMPENSATION PROVISIONS OF SECTION 37W OF THE LABOR CODE, I SHALL FORTHWITH COMPLY WITH THOSE PROVIS114NS.
NING: FAWRE TO SECI•Rf YIOW.ERS'•COM4#I�SATION COVERAGE IS UNLAWFUL. AND SHALL ECT AN EMPLOYER T! CHIMVAUPENNOED AND CIVIL FINES UP TO ONE HUNDRED THOUSAND $1W COO), IN ADATIONTO ME COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TO5 OF THE LAH C tR DA RNEY'S FEES.
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CONSWRUCTION LENDING AGENCY
HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC.3097, av c.l.
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LENDEOSNDR11% •.
I C jj��F,' T HA f A 1ST APPLL •N 1 STATE TI T F BOVE INFORMATION IS CORNE.L A RE� TO CdF.1PL0 WIYII ALL CITY Pf� COUNTP ORDINANCES AND STATE LAWS
RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTHORRE REPRESENTATIVES OF THIS CITY TO ENTFgpPM THE AW VE-MENTIONED PROPERTY FOR INSPECTION PURPOSES. ••
ADDRESS:
DRIVERS LIC. NO.
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0 Shared%Permits Dep\BldgPermit(Back)8/04
COMMENTS
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City of Newport Beach Building Department BLDG Permit No: 132005-0017 PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection RequestsTelephone (949)644-3255 Job Address: 900 NEWPORT CENTER DR Floor: Suite: Bldg: 1 Inspector Area: 7
Owner:
CCMH NEWPORT BEACH LLC
Address:
6903 ROCKLEDGE DR #1500
BETHESDA MD 20817
Phone:
301.529.6036
Applicant:
PRADHAN RAJAN
Address:
999 TOWN & COUNTRY RD
ORANGE CA 92868
Phone:
714-567-2781
Code Edit:
2001
Type of Construction:
I-FRSPR
Occupancy Group:
A/B/R1
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories:
0 No of Units :
Bldg Height:
/
Bldg Sprinklers:
Y
Flood Zone:
X
Issued:10119/2005
Construction Valuation: $450,000.00
Legal Description: P BK 75 PG 33 PAR 1
Contractor:
CLARK CONSTR GRP CALIF LP
Address:
3100 BRISTOL ST #100
COSTA MESA CA 92626
Phone:
9491759-1100
Con State Lic:
839892
Lic Expire:
0613012006
Bus Lic:
BT30005434
Lic Exp Date:
0713112006
Worker's Compensation Insurance
Carrier:
ZURICH AMERICAN
Policy No:
WC489553601
Expire:
04/01/2006
Building Setbacks
Rear: /
Front: 7
Left: I
Right: /
Use Zone:
APF
Parking Spaces:
Building Permit Fee :
$2,672.00
Microfilm:
Plan Check Fee:
$1,923.84
Excise Tax- Res:
In lestigation Fee:
$0.00
Excise Tax-Com:
Clean Up Deposit:
$0.00
Supplemental P/C
Disabled Acess :
$0.00
Fair Share:
Demo Arm Fee:
$0.00 ••
• • •••General Sery DM
Fee Increased
$107.41 ; '
; ; ; Qefund DMO De
•
• •TOTAL FEE $ ,5
PROCESSED BY:`.
PLANNING APPROVAL: •••
GRADING APPROVAL:
• •• •• .•• •w• ••
• • • .
• •• •• • • ••• ••
FEES
Description of Work: PH 2/"MARRIOTT HOTEL AREA DEVELOPMENT" 0014.2005
Architect:
TABB JAMES
Address:
999 TOWN & COUNTRY RD
��Grr7
ORANGE CA 92868
Phone:
State Lic,CO20426
Engineer:
YOUNG ROGER PAUL
Address:
18400 VON KARMAN AVE #100
IRVINE CA 92612
Phone:
949/252.1022 State Lic:S-003623
Designer:
Address:
Phone:
Special Conditions: SA2004-009
$198.50
O
Haz Mat Disclosure:
$0.00
Planning Dep - -
$0.00
CA Seismic Safety:
$0.00
Plan Check:
$660.00
$0.00
Other:
Counter Rev.:
$0.00
$0.00
$0.00
OT Plan Check:
$0.00
$0.00
Fire Dep - -
$0.00
Public Works Plan Ck:
$0.00
Plan Review:
$0.00
$0.00
Inspection:
$0.00
.75 TOTAL PAYMENT:
$663.84 TOTAL
DUE: $4,897.91
OTHER DEPARTMENT:
PLAN CHECK BY:
APPROVAL TO ISSUE:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. e -(O�"l.�'%Z,
4 APPROVALS
DATE
BY
COMMENTS
OWNER -BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LICENSE LAW FORANBFOLLOWBHG REASON (SEC. 7001S. BUSINESS AND PROFESSION'.% -ODE: MY CITY OR COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT, ALTER, IMPROVE. DEMOLISH, OR REPAIR MY STRUCTURE, PRIOR TO In ISSUANCE. ALSO REQUIRES ME APPLICMR FOR SUCH
PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO ME PROVISIONS OF THE CONTRACTORS LICENSE LAW (CHAPTER 9 (COMMENCING WITH SEC. ]BOB) OF DIV. ] OF THE
BUSINESS AND PROFESSIONS COOEH OR MAT HE OR SHE IS EXEMPT THEREFROM ME THE BASIS FOR iXE ALLEGED EXEMPTION, ANY VIOLATION OF SEC. 703I.5 BY ANY APPLICANT FOR A PERMIT SUBJEOTS THE APPUCANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS JI SAN,. ❑ I, AS OWNER OF THE PROPERTY. OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK. AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC. TOIL BUSINESS AND PROFESSIONS CODEME CONTRACTORS LICENSE LAW ODES NOT APPLY
TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES. PROVIDED THAT SUCH
IMPROVEMENTS ARE NOT WENDED OR OFFERED FOR SALE, IF, HOWEVER, THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEM OF COMPLETION. THE OMER'BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE.). ❑ I. ASOWNER OF THE PROPERTY. AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. 70N4, BUSINESS AND PROFESSIONS CODE: THE
CONTRACTORS LICENSE LAW DOES NOT APPLY TO M OWNER OF THE PROPERTY WHO BUILDS OR IMPROVES THEREON. AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTRACTORB) LICENSED PURSUANT O THE CONTRACTORS LICENSE LAW.)'
OWNER'S NAME. DATE.
FOUNDATION:
77 77,7,; / {_
WATER QUALITY BMP'S
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LICENSED CONTRACTORS DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY MAT I AM LICENSED UNDER PROVISIONS OF CHAPTER 9 (COMMENCING WITH SECTION }000) OF DIVISION ] OF THE BUSINESS MO PROFESSIONS CODE AND MY LICENSE IS IN FULL FORCE AND EFFECT.
LICENSE CLASS uc. N0
DAT CONTRACTOR n CoI
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INTERIOR & EXTERIOR
INSULATION
DRYWALL
SUSPENDED CEILING
SHOWER LATH
ORKERS' COMPENSATION DP6LARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS'. 1 HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERT COMPENSATION, AS PROVIDED FOR BY SECTION ]]W OF THE LABOR CODE, FOR THE
PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I HAVE AND WILL MAINTAIN WORKERS COMPENSATION INSURANCE. AS REQUIRED BY SECTION 31W OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH
THIS PERMIT IS ISSUED, MY WORKERS' COMPENSATION INSURANCE CARRIER AND POLKY NUMBER ARE:
CARRIER
POLICYNUMBER
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED OCLLAAS ISI00) OR LESS).
1 CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I _SHAM NOT EMPLOY MY PERSON IN MY HMNER SO AS TO BECOME SUBJECT TO THE
WORKERS COMPENSATION LAWS OF CALIFORNIA, AND AGREE THAT IF I SHOULD BECOME HHWIrR coyly WITH THo E$ PTKWISIOOVISIONS NSBECTgN ]IOU OF THE LABOR CODE S"LgfTO OWORKERS
INNf W Y
WARNING. FAILUR/ TO )••[..CURE WI}RNR15' COMPENSATION COVERAGE IS UNUWNL, AND BNML SUBJECT M EMPLOY€j yo j ENALT S MO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IStW.OWj IN`AaplT FF F•COB OF COMPENSATION. OAT.UGEB AS PROVIDED FOR IN SECTION 37M OFM R 0. TER AND ATTORNEY FEES
EXTERIOR LATH
SCRATCH (PLASTER) (2 DAY)
MASONRY PRE -GROUT
MISC. INSPECTIONS:
PERMIT EXTENSION
1 ST EXP. LETTER
2ND EXP, LETTER
BUILDING FINAL
q&'og -
CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH MIS PERMIT IS ISSUED (SEC](N1, �� ) • • ••• •• ••• • • •
r:NDER6 x: E:
CERTIFICATE OF OCCUPANCY
TENANT NAME:
OWNER l BUILDER AGENT INFORMATION
NAME:
: •• :••
LEMBERIS ADURMS• • • • • •• • • ••
CERT Y THA I HAVE EAO RFIG APPLIC ION MD TAT'. MAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS
RELATING TO BUILDING CONSTRUCTION, MO HEREBY AUTHORIZE REPRESENTATIVES OF THIS CITY TOEN R ONTMEABOV� NMg�+ TIONE RCPERTY FOR INSPECTION PURPOSES. ^ y� • G Cd-:� C j72y�
ADDRESS:
TYPE OF BUSINESS USE:
DRIVERS LIC. NO.
P IT eEV • __IF
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Shared\Permits Dep\BIdgPermit(Back)8/04
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City of Newport Beach Building Department CIP Permit No: B2004-4311 PO Box 1768 Newport Be ch, California 92658-8915 Permit Countcr T; lephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Job Address: 900 NEWPORT CENTER DR BIdgA Floor: Suite:
Inspector Area: 7
Owner,: CCMH NEWPORT BEACH LLC
Address: 6903 ROCKLEDGE DR #1500
I BETHESDA MD 20817
Phone: 301-529.6036
Applicant: PRADHAN RAJAN
Address: 999 TOWN & COUNTRY RD
ORA14GE CA 92868
Phone: 714.567-2781
Code Edit: 2001
Type of Construction: ISPR
Occupancy Group: R1/B
Gilded /New sq.ft. Bldg:
Added /New sq. ft. Garage: N
No of Stories: 3
No of Units :
Bldg Sprinklers: Y
Flood Zone:
Issued Date: 05/23/2005
Construction Valuation: $4,842,000.00
Building Permit Fee : $15,829.60
Plan Check Fee: $11,397.31
Supplemental: $0.00
Investigation Fee: $0.00
Energy Compliance: $0.00
Fair Share: $0.00
PROCESSED BY:•• , �•��
ZOI gPROVVO
GRADING APPROVAL
Description of Work: T.I./PH 2/"MARRIOTT HOTEL SOUTH WING" 0011-2005
Legal Description: P BK 75 PG 33 PAR 1
Contractor:
CLARK CONSTR GRP CALIF LP
Address:
3100 BRISTOL ST #100
COSTA MESA CA 92626
Phone:
9491729-6963
Con State Lie: 839892
Lie Expire: 06/30/2006
Bus Lie:
BT30005434
Lie Exp Date:
07131/2005
Worker's Compensation Insurance
Carrier:
ZURICH AMERICAN
Policy No:
WC489553601
Expire:
04101/2006
Building Setbacks Rear: /
Front:
I
Left:
/
Right:
/
Use Zone:
APF
Parking Spaces:
Record Mgmt
$241.00
Excise Tax:
$0.00
Park Dedication:
$0.00
SJH Trans:
$0.00
San Dist:
$0.00
CA Seismic fety:
$0.00
Disabled ss:
$545.00
TOTAL FVE/. $44,058.55
FEES
Architect: TABB JAMES
Address: 999 TOWN & COUNTRY RD
ORANGE CA 92868
Phone:
7141567.2400 State Lic:CO20426
Engineer:
YOUNG ROGER PAUL
Address:
18400 VON KARMAN AVE #100
IRVINE CA 92612
Phone:
949/252-1022 State Lic:S-003623
Designer:
Address:
Phone:
Special Conditions:
,Hazardous Mat:
$23.00 Fire Department
Add Fire Dep HMO:
$0.00 Fire Inspection Fee:
Other Fee:
$0.00 Fire Plan Review
Planning Department
Counter Rev:
$0.00
Zoning Plan Ck:
$330.00
OT Plan Ck Fee:
$0.00
TOTAL PAYMENT: $16,402.18 TOTAL DUE: $27,656.37
PLAN CHECK BY:
APPROVAL TO ISSUE:
• • i i i PERMIITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION • •• •• • • ••• ••
$11,080.72
$4,558.92
APPROVALS
DATE
BY
C MMENTS
OWNER -BUILDER DECLARATION —!
AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM TI'L CONT11;1'.RS ICENSE LAW FOR THE FOLLOWING REASON (SEC. 70315. BUSINESS AND PROFESSIONS CODE: ANY 'ITY OR COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT, ALTER. IMPROVE, GENII n'PAIR ANY STRUCTURE. PRIOR TO ITS ISSUANCE, ALSO REQUIRES THE APPLICANT FOR SUCH
PE OMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF :HE CONTRACTORS LICENSE LAW (CHAPTER 9 (COMMENCING WITH SEC. ]1300( OF DIV. 3 OF THE
USINESS MO PROFESSIONS OOOEI) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOI THE ALLEGED EXEMPTION, ANY VIOLATION OF SEC. 70315 BY ANY APPLICANT FOR A PERMIT SU-IECTS THE APPLICANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLIARS($500F
EDO OFFERHEIR ELE
❑ LASOWNER 00 THE WOW. AND . ORTHE STRUCTURE ES IS NO INTENDEDD
THE STRUCTURE IS NOT INTENDED OR OFFERED LAW DOES T A SALE COMPENSATION WILLNESS AN THE WORK. PROFESSIONS APPLY
kSEC THEREON, LICENSE DOES SUCH WORK
WHO BUILDS THE
IF AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, RO WHO DOES SUCH WORN
TO OWNER OF
EMPLOYEES, PROVIDED THAT SUCH
FIMSELF OR HERSELF OR THROUGH HIS OR HER OFFERED
IMPROVEMENTS ARE NOT INTENDED RE E OFFERED FOR SALE. IF, HOWEVER, THE BUILDING OR E THE
IMPROVE MENTISSOLD ING THAT HEITHIN OR SHE DI N TBUILD ION THE OR FOR BUILDER WILL OF SALEI BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE.(. ❑ ORS OWNER CONSTRUCT THEPROPERTY ROJEC (SECLUSIVELY CONTRACTING WITH IONS CED CONTRACTORS TOCONSTRUCT ES PROJECT SEC.N7044.
CONTRACTORS OWBUSINESSANDPROFESSIONSCODE'.THE
IMPROVES THEREON NAND HO LAW CONTRACTNOT TSS FOR LY SUCH PROJENER CTS WITH F THE HA COPIRACTORSOPERTY WHO I)OCEENNSED PURSUANT TO THE CONTRACTORS LICENSE LAW.).
OWNER'S NAME. _ _DATE
FOUNDATION:
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DECK SLAB
SUBFLOOR
ROOF & BUILDING HT
EXT. SHEAR/HOLD DOWNS
GENERAL FRAMING
Gb
FIREPLACE THROAT
LICENSED CONTRACTORS DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER 9 (COMMENCING WITH SECTION ]WO) OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE, AND MY LICENSE IS IN FULL FORCE AND EFFECT.
CLASS __ uc R.
DATE_. 23 O LITRACTOa
ORKERS' COMPENSATION D C �TION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS'.
I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELFINSURE FOR WORKERS' —COMPENSATION, AS PROVIDED FOR BY SECTION 3700 OF THE LABOR MOE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.
I HAVE AND WILL MAINTAIN WORKERSCOMPENSATION INSURANCE, AS REOUIRED BY SECTION 3700 OF THE LABOR CODE. FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. MY WORKERS' COMPENSATION INSURANCE CARRIER AND POLICY
NUMBER ARE
CARRIER
POLICY NUMBER
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (SILO) OR LESS),
I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.I _SHALL NOT EMPLOY ANY PERSON IN MY MANNER SO AS TO BECOME SUBJECT TO THE
WORKERS' COMPENSATION LAWS OF CALIFORNIA, AND AGREE THAT IF I SHOULD BECOME SUBJECT TO THE WORKERS' COMPENSATION PROVISIONS OF SECTION 3700 OF THE LABOR
CODE I SHALL FORTHWITH COMPLY WITH THESE PROVISIONS,
WARNING'. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNUWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI•SQiD WIL RAPS b} }CLONE HUNDRED THOUSAND DOLLARS ($100.000). IN ALDRICH TO THE SCOT OF EOKRENS IOf, DA•14GES AS FROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTERES* EY FEES.
INTERIOR & EXTERIOR
INSULATION
DRYWALLL#ldy'�LICENSE
SUSPENDED CEILING
SHOWER LATH
EXTERIOR LATH
SCRATCH PLASTER 2 DAY
(PLASTER) ( J
MASONRY PRE -GROUT
MISC. INSPECTIONS:
PERMIT EXTENSION
F.
1 ST EXP. LETTER
'Y
PND EXP, LETTER
BUILDING FINAL
Q
--
j
CONSTRUCTION LEINDINS:4,0 •ItCY
I HEREBY AFFIRM UNDER PENALTY OF PAM THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC.3097, DIVOT
LENDER'S NAME .0 • •a•
CERTIFICATE OF OCCUPANCY
I':' !
Sr
1 TENANT NAME:
/I,/( /(n L)
OWNER/ BUILDER AGENT INFORMATION
NAME:
••. : . • • • • • •� —•
LENDER'S ADDRESS • • • a
I CERTIFY THAT I HAVE "D MIS PP CA OL M%STATE' HAT E J90VE IN ORMATION IS CORRECT. 1 AGREE TO COMPLY1AA Ak.lrV •AIip COUJ�Ty PIRDILyNCES AN•6L• TATLAWS
REUTING TO BUILDING CONSTRUCT N, ANO HEREBY AUTHORIZE REPRESENTATIVES OF THIS CIFY TO ENTER UPON THE ABOVE -MENTIONED PROPERTY FOR INSPECTION PURPOSES.
Aae, •• •• ••
ADDRESS:
TYPE OF BUSINESS USE:
G'7IJ (p/i
DRIVERS LIC. NO.
FERRET E RI T)
- • • • ` ' ' •' z O
Shared\Permits Dep\BldgPermit(Back)8104
City of Newport Beach Building Department CIP Permit No: B2004I-1823 PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Job Address: 900 NEWPORT
Inspector Area: 7
Owner:
CCMH NEWPORT BEACH LLC
Address:
6903 ROCKLEDGE DR #1500
BETHESDA MD 20817
Phone:
301.529-6036
Applicant:
SMITH CRAIG
Address:
999 TOWN & COUNTRY RD
ORANGE CA 92868
Phone:
7141567-2710
Code Edit: 2001
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories:
No of Units 1
Issued Date: 0712212004
I SPR
R1/A3
1231
N
Floor: Suite: Description of Work: T.I. &1231 SQ FT ADD TO"MARRIOTT HOTEL NORTH TOWER" 1448-2004 NORTH TOWER
Legal Description: P BK 75 PG 33 PAR 1
Contractor:
CLARK CONSTRUCTION GROUP - CA
Address:
3100 BRISTOL ST #100
COSTA MESA CA 92626
Phone:
714429-9779
Con State Lic:
839892
Lic Expire:
06/3012006
Bus Lic:
Lic Exp Date:
,Worker's Compensation Insurance
Carrier:
HARTFORD FIRE
Policy No:
43WNQUO110
Expire:
04/0112005
15 Building Setbacks Rear: /
Front: /
Left: /
Right: /
Use Zone: APF
Packing Spaces:
Architect:
TABB JAMES
Address:
999 TOWN & COUNTRY RD
ORANGE CA 92868
!'
Phone:
7141567-2710 State Lic*.0O20426
(•�`
FnO�
Eng neer:
YOUNG ROGER PAUL
Address:
18400 VON KARMAN AVE #100
IRVINE CA 92612
Phone:
9491252-1022 State Lic:S-003623
Designer:
Address:
Phone:
Special Conditions: Phasel ; SA2004.009
NO CHANGE TO FOOTPRINT
OF BLDG
FEES
Construction Valpation: $5,700,000.00
Building Permit Fe$17,486.00
Record Mgmt:
$365.50
Hazardous Mat:
$22.00
Fire Department
Plan Check Fee: § 589.92
Excise Tax:
$258.51
Add Fire Dep HMQ:
$0.00
Fire Inspection Fee:
Supplemental: $0.00
Park Dedication:
$0.00
Other Fee:
$0.00
Fire Plan Review
Investigation Fee: 0.00
SJH Trans:
$0.00
Planning Department
Energy Compliance: $2 00
San Dist:
$0.00
Counter Rev:
$0.00
Fair Share: $0. ;�
,
• .CA Seismic Safety:
$1,197.00
Zoning Plan Ck:
$105.00
•
Di*bled Access:
$518.00
OT Plan Ck Fee:
$0.00
•••�
�•
ifNALFEE: $�50,164.10
TOTAL PAYMENT: $17,625.89
TOTAL DUE:
$32,538.21
PROCESSED BY: ••• �•`
•
` •
PLAN CHECK BY:
ZONING APPROVALi: : �•
• • •
L/ APPROVAL
TO ISSUE:
GRADING APPROVAL:
-�
• •
•
i i • i i IERM//TS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION v(-W4�
$12,240.20
$5,035.97
APPROVALS
FOUNDATION:
ER QUALITY BMP'S
3H GRADE
& GRADE CERT/SETBP
;TION PADS
PINGS
ON GRADE
FRAMING:
C SLAB
'LOOR
= & BUILDING HT
SHEAfdHE*B"86KIN3
ED CEILING
LATH
PERMIT EXTENSION
ILDING
TYPE OF BUSINESS USE:
DATE I BY 1 COMMENTS 1 OWNER -BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM IHE CONTRACTORS t'N
LICENSE LAW FOR THE FOLLOWING REASON ISEC. 7031.5, BUSINESS AND PROFESSIONS CODE: ANY CITY OR COUNTY WHICH REWIRES A PERMIT TO CONSTRUCT, ALTER, IMPROVE. DEMOLISH, M /
REPAIR MY STRUCTURE, PRIOR TO ITS ISSUANCE, ALSO REQUIRES THE APPLICANT FOR SUCH
PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LICENSE LAW (CHAPTER 9 (COMMENCING WITH SEC. TOW) OF DIV, 3 OF THE
BUSINESS ME PROFESSIONS CODE)) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FCR THE ALLEGED EXEMPTION. ANY VIOLATION OF SEC. 70315 BY MAY APPLICANT FOR A PERMIT .cAt.
t
/ ly
SUBJECTS TIE APPLICANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS IWO), ❑ I. AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE TT�D3_§Ta�
COMPENSATION, WILL DO TIE WORK. AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC. TWI, BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS LICENSE LAW DOES NOT APPLY i F t CF.T iO:L
ISvT
TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO ODES SUCH WORK
HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH P
IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE. IF, HOWEVER, THE BUILDING OR
IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLETION, THE OWNERBUILDERWILL HAVE THE i i1C.AT' V Nut
NoT
ALROEN OF PR W ING THAT HE OR SHE 010 NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALEA ❑ I. AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING W M LICENSED A;-1- "w{ �
CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. 71FW BUSINESS AND PROFESSIONS CODE: THE
CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF THE PROPERTY WHO BUILDS OR
IMPROVES THEREON, AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTRACTOR(S) LICENSED PURSUANT TO ME CONTRACTORS LICENSE LAW.).
❑ I AM EXEMPT UNDER SEC. ,B.& P.C. FOR THIS REASON
LICENSED CONTRACTORS DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER 9 (COMMENCING WITH SECTION TWJ) OF DIVISION 3 OF TIE BUSINESS AND PROFESSIONS CODE,.. MY LICENSE IS IN FULL FORCE AND EFFECT.
LICENSE CLASS UC. NO
D I CWTRACjIiR
/ WORKERSCOMPENSATION DEC{ RATION
�IHEREBYMPIRMUNDERPENALTYOF%RJURYONEOFTHEF U WINGDECIARATIONS'
I 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 THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.
I HAVE AND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE, AS REQUIRED BY SECTION 31W OF THE LABOR CODE. FOR THE PERFORMANCE OF ME WORK FOR WHICH
THIS PERMIT IS ISSUED, MY WORKERS' COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE:
CARRIER
POLICY NUMBER
NLLU NUI BE LUMYLL ILU iY I HE YLNMI 115 FUN UN[ HUNUK[U UULLAK9
I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I
SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE _ WORKERS' COMPENSATION LAWS OF CALIFORNIA, AND AGREE THAT IF I SHOULD BECOME —3 EOTSO THE WORKERS' COMPENSATION PROVISIONS DISSECTION 3700 OF THE LABOR WARNING: FAILURE TFI S"%E 1"wRKE�g{,$�� CQ�H� N^S4 CN COVE GE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYEJbTO CWMIVL P' "X ; CI FINES TO ONE HUNDRED THOUSAND DOLLARS ($1 W,OW), IN •DOITWI TO THEaCOST OF `'OMPENS ION, DAMAGES AS PROVIDED FOR IN • i DN8TRDgTIdWADIMG AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR TIE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC3097, • ••• ••• ••• • •
CORRECT. I JbREE KA COMPLY WITH ALL CITI•lW0 CMMM ORINNANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION. AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE ABOVE -MENTIONED PROPERTY FOR INSPECTION PURPOSES. % ITTEE �RINT • • •• •• • �77 I�Y1
Monika\FormsUNdgPL it(Back)10503
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DEPARTMENT OF COMMUNITY DEVELOPMENT Pse" 573.2!IO
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INITIAL APPLIrASLE BLOCK
SIGNATURE OF
-PERMITTER
DATE
IWORK MUST BE STARTED AiT44tN A PERIOD Or, GO DAYT
FROM THE DATE Or VALIDATION OR THIS PERMIT BECOMES
NULL AND V01U,
PLAN CHECK VALIDATION
PERMIT VALIDATION
' CITY OF NEWPORT BEACH PHONE 4n2110
DEPARTMENT OF COMMUNITY DEVELOPMENT
� ..:. APPLICATION FOR PLUMBING PERMIT
Lqljm TO flu Ni AREA WITHIN Hm WKS OKY ;
rvn. oa FSYwIK eR aBEM EACet_ PCE
SUILOtN6 //��
WATER CLOSET fT68lEY1 t{9.50 t�t
"—.'."
����yy
LOCALITY e_tJ^ O
^ RATH TUS 1.50 I
NEAREST
9 ; SHOWER STALL i1.50
T-�rt
CROSy ST.
` DW NER R i2 d O %0_im
.LAVATORY (WASH SASINI 1.50 j
1 —~MAIL
p}
ADORE
�" Y( �E''i^fC�XEX EENK—CAE�i^a-Gf ®iBlpE'A'EI 1.50
d LaUXRRY' T WY OR aUTp. W Asm-m, vq'�I1.50
�`p f/ Al
1 CITY tys I y ro {� TEL. N0.
,
[r (Y9e5HWA8HER a -CONTRACTOR
1 1.50
' C a'a l✓! d^ .C_¢� 'W .
ZZ
'WATER SOFTEH£R9�51.50
--..
ADDR'ES8 �r0 1¢ a�f�(„�/�L (%
t WATER HEATER 4.50E
(CITY .jJ O 6+ N TEL HO.e(}^LTG
OAS SYSTEM (j'y�'(^fly' a Y.SPE'i
tYAYE LPCWMSE Xvl0.RER CA.aM MO. CITY LdeLMIE NURB.fR
6 (- Oi.iT ETS OVER S PER SYSTEM �30
$ { RESIDENTIAL _-- 1 —; 1
LAWN $PRINKLERB 2.00I
GROUP I ZONE PROCESSED BY
I
WATER PIPING, + 1.50f
H.ggpECTIO!, RECORD
a
` iPERMIT S', 3: 00
APPROVALS DATE sRanccroR•f E�ayaruRE
N I t
.7I FEE
ff
UNDER SLAB WORK 1
n f troebY uc.a cJo At-hA.
1 tiara road ✓la app!iu ; that 4ha
RaoGN PLczMEINa Yi'-/ - }-�
it
r rtti cao 9 s o nct; artI Maf € m H. aRnen, Me duly
GAS PIPING
r • N I%m'rand agar at fh awnar ! i d'; la ranptFyY �r:Ns ciky and Stall y
€aRi eagvlaHnS c sh chon eiad n e-,ng wa .a, aokwind+harab•,
GAS VENT
p,,, Ea panaaa 11 iII a Pion of t11a -.oar C-dO of 60
- ida4 d C. dorm® nlal.ng Ia Wa'k",I, Cempamufion
—
HOT WATER HEATER
PLUMBING FIXTURES_ 1
ZtGNATURE
_
GAS TEST
OF PERMI'ME /"'�'a' "F'�
UTILITY' CO. NOTIFIED
E` ADDRESS
FINAL"`*--
v _ ._ •, <. a �9�VALIDATION
/lee N.O. CASH
''kfew�et Baud CITY OF NEWPORT BEACH, CALIFORNIA Prom 673 YI IA .. DEPARTMENT OF COMMUNITY DEVELOPMENT
=. APPLICATION FOR ELECTRICAL PERMIT
TO o .,arc.EeANT NT FILL an AREA wavnaw mU¢l #$_Zvi
_ IN 9 €ifv�q
roetsTBt cT 6N 6EE O /^Y r�' 'SC. s� �..[
iLL
1'-
RMI W. Ne.,Or4 Blvd, CITY OF NEWPORT BEACH, CALIFORNIA
DEPARTMENT OF COMMUNITY DEVELOPMENT None
APPLICATION FOR BUILDING PERMIT
p dS8E880R's PLAN CK -.___
o, 8 4 PARCEL NO. NUMBER
LJ DATE. LOCALITY Newport Qe g"te 3
APPLICANT T FKTL IN ARE IA! V ��� -- �-^
�c :EASES- Newport Gente'r Drive
SUP, DING YIDv' *-- STAT. ST. L�
ADOREss 90Q a Drive SiAT. AREA BRO P Y-FROce"a
_ �` 4
ZOT NO._ RLOCY. TRACT STATISTICAL C ASS PIC�ATI i0 VACANT S WEE OF LOT vq ca 64UGS.
,NOR qV :qY CLASS No.._�OWELL UNITS_
F-E'5Y6M. 1 U ZONE
STRUCTVRS �.. YwLD a%eON s � � r ;MAP . PARf6P
_ NO.
OWNER 11rr10tt HOte1 TEL fi PECEAL
CITY Newport Beach
-
.POy' PaOA. uYE qF_
IeYR8ar1 -`
DESCRIPTION Or WORK
NEW ADD ALTER REPAIR DEMOLISH
Z _- P Pi O{/AL
SO. PT. S DG, NO. OF NO. F
562E -. GAR.. E CR:'eS ==<,RI Ias
C G 1
WORK TO BE DONE SIGN
F Fr APPP.p441
sLB fry M J �a „,
I _ %� LPL_
F+EAL'H DE APPROVAL:
Sm C a -._- -_
_ �
X%v
f
.A'. PCHECKED [iY
'W r Co n
a"
...
NCMLTCL R TEL
E
EN NEEPmR Ehrlich Np. 221-6I41
CCNST.
1100 N. TJ.�T
LE Ep. ---
aDER ss iia.li Angeles
ADORS_
_ Fcderal Sip e Signal Cor _
CONTRA ^'GF _4,_ _
aaPagY L lE
_
` �f y��pMAL
6gi /tNALDwTeONB
r
ADDRESS 11�0 '-�STP Lvlai n. CTN_E N,.217730
APPPgv ALs
II.iE INSPECTOR'S
�——---
--
SIGNATURE
--// A LICENSE �.
CITY y0$ Awe le .'-,
.._ cLAS� C-43
Ol. CATIOY'. LOGiIOM
Fq ns. MnTEaIALe
_ , __
r _ "�
TEL 221 -6141 N c PORT2IR
_ _ -
--
-
AP PLKCLRE
APPLICANT
6-7
Al
I
P C
orwEa PMT.
FEE S
.FEES S
IFEE S
1 o ele a
nee crl ensca mnxwnci°a .I w¢L s.r® m T A
�••
usce ow erz
i, • o� ALL !l.
.. 3 A,. c.
_
A-1,
INITIAL APPL CR BLOCK
o nvo I
SIGRATU PCO J�''J''�'n
PEFMITTE£ ((//�^ Y /
�<—C
l
Jr.
/
++"ii
OATEerT��
WCFK trN. I�+�/' ST NR p ill.,N A pcp10D OF GO CA'r'i
FRCV 'HE DATE
OF VALIDATION OR THIS PERMIT
HULL APIC l,�C
BECOMES
75r't
IT
PLAN CHECK VALIDATION
PERMIT VALIDATION k ��
7--
CITY OF NEWPORT BEACH CALIFORNIA
DEPARTMENT OF COMMUNITY DEY9�.#WM04T ,.
APPL ICATiON SCAR ELECTRICAL,�i�M,
+
MOT",N AN.EA:T IN 8 �y •.' .
al li
Lf A�ti..�eNEB CkFiF_Y' AUPNSt3 T
gyp^.
STRUCTICN *„y $Yw'r
e-OCa�t ITv i @W�Grt ,
NEAREST W rt �y
cRosssr. � A,aG��"$ Drive"
+ww.wiwemserar.rnm�a= ;.
owr«R hlarriott I-TOW1
OWNER
mm�
5 SO SR apER SQ 4A {AR4GEi
agDltEss 900 Santa Barbara J)kjye..
SERVICE mA1 °O `— CITY Neewort floaeh TEt rocs +
AR P$E'S FO& WHMR THAN NEW MSIMNT[AL
Ho _
ALt, an lseAANs A.0 A0a 7T ELECTRICIAP7nF°n@4a�t't,„.yt. galy P
"TOTAL __ N8 �A4N ADORE"
:YY's.�,aiu wA�`.�gt
�99ry •.._`Y
i
.ry T$L, ND• 64 ®V
RI ii1�46W ww3+.,6„� ��yy
EYS eras'+ 20 t CITY A.aJ3 ,,AA
.eaeatF AZ
I.Ifv - 4
„ _iawaw 20 t0 NFT.:L/C. NOt -o TY
_
{ TOTAL
. R k v�20 20` �R
x tF f am�t i'_t_�
OYER 20 to ISM"
r+ +YS
IG AND. HOME APOLiANCES I ,_Go, --
1 is
is so 3W —L
•-
Cc O'Goov-Noi Ow ER 200A '^n!� 1.00
UNDERSLA® WORK
—
b"ICE 4-f+00'!-OVER 220A. Ev! 200
ROUGH CONDUIT+
ROUGH MIRING
TEMP. POWER
t--�—
Cw
ICE ER aDOM OVr
,.esEe cuupv.eTE P'EE scucouter�.
a ..
+
F:XTU RES
UTILITY CO. NOTIFIED
i
T07AL FEE FINAL
�} t I Meeb+f .ctraa+wtadgs Ht. ': h.w. ^.ad fi, aecl�ca}eeo, that A. %fmma>wa 4 as n e }- and }haf Me nvn.r or tha duPY SIGNATURE gvttrffi<vM m4 ! o?'Pe o na. i A,,.a em,I, �fh fy and it... O oERMiTTF y Serra :ior�,sahn4 ans}re can and irs da<`rt4 Ma Moak autho..xr' `n.rebT, me o.rso 1 be .�+e! ymd �rs .ivisi er. at `ha Lab.Cod. c' the -Awe'Of La +?orein re at Tq It Wartnen's CDTpMsa}ier irtwravca_ A�7RESS %�� R`� .__{/ j}.__Cl[ _
�G f1NTI�N -
�' O CASH
s CITY OF NEWPORT BEACH, CALIFORNIA
f¢Veaeport ®QY9. DEPARTMENT OF COMMUNITY DEVELOPMENT
None 6n.2110
APPLICATION FOR BUILDING PERMIT 19 8 2 PARCEL NO. I NUMBER p_ r..../ yes+ DATE: ®®� LOCAUTV !.w`1eW nrt Qnter Y
SgNs
900
NO.®LOCK
OF LOT
—
�A`
ICTURL
ER
Marriott
FT.
ADDRESS
Drive
TRACT
NO. OR e40Ge.
NOW Ox LOr p
IM.
U ATl
IO"r S
L TEL
NO.
Dara Drive
Newport Beach
DESCRIFTiON OF WORK
ADD ALTER REPA
NO. OF
?AGE STOEI£S
BE DONE SIGN
_R_D_,ReEhrlicta Ho
1100 N_ Mpin - Lc
LOG. SC .AcOR -Ik FROM
FROVT PROF 1®21MLTY
'
Verde:
r,
221-6141 eo sT.
$ Aia[C hCS ADOR-5
CONTRACTORFederal Sipn & Sig;nal Corp,
ADDRESS 1100 N. MaijTATE" NO. 217730
ICGV5E
CITYZUSiiR_�{ele:Las— C-45
TEL
22 b141 NE� P°Rr
�SiGNATJRE OF .
'APPLICANT
J
1 SHEATHING
I A CAur ORN
RRMIM1^_
t C=RT = OCCJP
vc a PROPERTY c �.
w _ wu nu Ymww. OsIT RYveo -
P.C.OTHER P-
I.E I
FEE $ ;FEES $ FEEEE $
1.11 w oN Yuso
rweLAA
Al T.E L-1— L' -.E A..'� PROPERTY. ALL WO A WILL BE COME MY CALIF. ___ A 1
c v ITI-. ucRNscO <v craRs.l WILL
cea -' x ., 0 i zr aF Au Sam eow rw An Tews anmm + .v.
- .E as swo - PRO, cT T i_ +., a.0 - c rue ace• a4 cOuuanlYY Omv. "G. - v yei.^.tF O Ary 5 A COI 41 f f
-,-,INITIAL APPL Cepo�E BLOCK 2 �. � i.
SIGNATURE OF `` '
P L.RMITTEE DATE
/ +t
WORK MUST flF 94.RTEO vu Hl^I A PEP10D OF 5M DAYS FROM THE DATE OF VALIDATION OR THIS PERMIT BECOMES NULL AND VWJ/�
PLAN CHECK VALIDATION PERMIT VALIDATION CASH
ALs ` % MATE
w�ox
NAL
�, .CITY OF NEWPORT BEACH, CALIFORNIA
[ - DEPARTMENT OF COMMUNITY DEVELOPMENT No" 673.2110
APPLICATION FOR BUILDING PERMIT
�. 19033
J i Ld t 3 C FARPIC Nc UtR
dd., -
.i _ . J - lID
SU IL4ING n •
ADDRESS
LOT NO. jOLOCK iTRACT
NO, OF SLOGS.
S€ZE OF_OT ON LOT
[ D SY
STAT. ARVA GROUP GOT
.
STATISTICAL CL FSCATIO ;VACANT 617E
CLASS NO. OW[LL UNITS r Y[S . O
— _Naw
CTURE VALUATYON S CU
_ ,_.
!MAP ',Nb, PARWNG SPACES
OWNER .�.0
TEL.
SPECIAL
R ONE CONDITIONS
CflTY 1 IFi f'
S'R TM Te PC FROM r
DESCRIPTION OF WORK
FRO\T PROP. LINE OC •®YRQQYI — I
-"'-„-
�:
Yards; Rear R $ LS_.
ADD ALTER R PAiR DEMOLISH
= ROVA �—------- --�
SFT. SLOG. NO. NO. OF
C rb CW
- -- --- —+ ,�
I
' SIZE GARAGE SGR:
RiES FA°f.!L!ES
FIREA b__s1 TSx �-
mrooaK Ta
.vYAE __._-._
___-5
HEALTH OEPT APPROVAL Se.or Cor' ---- -- b
�e 1, tea. f Bf
Jl1 ( �vp_ F
PLAN CHECKED BY Cora
�_
ARCYlTECT OR ?EL
ENGIhEER ® .
PERMIT VALiORTION
a1
r�
F NT€ALUCTfON [ F£E.
LOCALITY MWOrt fitter _
r' Q
SO, :41 it PEk a FT Res i
..•.
NEAREST pp� - •_._.��,
t CROSSS8x :ST. &1'.TiOrt Center Drive
,....___�.�.._ �__-_____
c .;
OWP6EFA jy�aiT,EFtt 13�aie1
_
- — ADDRESS 40Q SanG� Barhara I3rive
.`a{c SERVICE 1-D[i
�_
_ MIES ro. OTR£R TNAN NEW RE5ICENTG2
wd ©rt TEL. NO.
'
4YL AP^f
ALTSk.`OP s AND Ol T 102
f ELECTMCIAN 'y y ( [+
�1i '
1 l' QE{Seral fY13 �.s -l$ ria,1
;{+
j TOTAL T� RO. ¢ACH
ADDRESS EYn..,
i
[
y, OUTLETS i6
_ .,meet:
aa
5 L,RS> zav a°s---
c1Tr Log Aia¢e1e8 Tm No. 221-6141
;. �• , OVER VER a a [
kEr .Y�0 � 4p I
4 ffiT A
•MPS. LIC. MO. NO V LAEEN
aN
TOTAL
r J'� �FJRsv.2O t .20i
GROUP ROC99mul, My
•__ ysock +
CYEft 2O }Q
a
&N6 0.Sv0 HOME APPiIA.NCFS
v[ l6aenas9'vcOFtp% �
__
rseER mor avaR w P
—
a
! 130
II 13
... 3 50 3,oc,
SOS,OC
a
9FR'1YLItT'GTi
�
¢OE 0-60QV MOT OVER 200A t.00
UNDERSLAB WORK
_
flCE O GQOV�CYZR IWA, ZD� 2.00
ROUGH. CONDUCT
_�
ICE OVER 6QOY 6 21 : 5.00
ROUGHWIRING
1 {
•SE@'OMPCEBE FFE 9CXE0t1LEJV
TEMP. POWER
_
t
--.----
FIXTURES t
UTII_tTY CO. NOTIFIED
ABtT ISSUING FEE—_..._---
�^
TOTA[_ FEE 'F[NAL ,tl
t Y.EiabY acklw fedc }hat ! hn a read fh s app @, that Yale nel. duly
R@Fy9 wyeien H E 5 e.t' I'd fhn! am ORn@* cvIV Ind
Ito".kd ag } a rta crane { n !o complyy with city aeld rtafe iYbaa req.ss3a1 ng ans aInd 4ong the
$!GNAT❑RE
O' PERMITYEE
- -- —
o ecnh Cod.
,,pl. n ;
paaar, v'fl he ereiat d + faYan a Me Lobor Code ai tRe
fhy
p€ Cal>*amia
re4a!ng tc Wo-k"! C.Mp2P5Ati m frvvrnnac
� y �
kOCRE55_ �_E✓� _— Y_LS_L.,� _
_
VALlOAtiOM
CK
MO CASH
y�
575 1320
CITY OF NEWPORT BEACH, CALIFORNIA
DEPARTMENT OF COMMUNITY DEVELOPMENT Phone 673-2110
APPLICATION FOR BUILDING PERMIT
A
PARCEL, NO.
o. 18809
MAN CK.
NUMBER
.DATE:
APPLICANT TO FILL IN AREA WITHIN
NEAREbT
HEAVY LINES ONLY,
CROSS ST.
T-
I TYPE $TATREA A P F95clsag my
ADE01%
CONST. I
ISLOCK
I
STATISTICAL CLASSIFI A I VACANT SITE
GF
SIZE Or LOTLa^
CLASS NO.-..- UNIT!
DWELL yes "0
VALUATION S#=
USE ZONE 1AP PAPVU� SPACES
L
Y�—F E71j
OWNER 6
91ECIAL
CO'O'TIONS
AMORESEL-5, 14A, I
1,
CITY [roc i
-WILQG. SET .. K FRO
PR"OP. LINE 01--I.TRINITI
DESCRiPTf6N OF WORK
NEW ALLER REPAIR DEMOLISH
ZbN -------
APPROVAL
SO. FT. a F NO.
C.,b DO
SIZE GARAGE c70R!ES FAWLIES
III A POVAL T.,t
WORK TO BE DONE
HEALTH DEPT. APPROVAL: Is.., CSOR
P CHKED BY fW f
ARCWTECT 0 TEL.
T.fOl 0.
COhGT.I-ENDER---
ADOR
AFFrOVALTO ISSUE
COP47RA� 70P4t' z-
I FINAL
��, " � �-� - i - " - -? , , VALUATION
ETATE
ADDRESS LICEN5E NO.
APPROVALS
SIGNATURE
I
LICENSE
FOUNDAT•OW LOCATION '---
CITY CLASS
FORMS. MATERIALS
TEL NEWPORT
NO. LIC.
SIGNATURE OF
APPLICA NT
HIT
77" 1,
REINFO C.. STEEL
—OF
SHEATH I Tj-
I AI A, lAI.I'OOl— "AID LIOSNSO. cow Tww<[OR
FRAM I AS 3
Alw 1. INS D.SSLISANCN,A
IS TS ��LLDWING APAl-- STATA LAW 7011.51.
FINAL 7,
-- - - I I
' A" T"L OWNER OF THA ^BOVF PRD�.�Tl AN.
CERT OF OCCUP.
(NTE 10 TO PENFOPm ALL Af.I. .1SOII.AO I -
SELF O� THIOL�H �l '.PLD'A.S III .�Dl� AS
OTHER PMT,
—�.A 1.11 IOI,1.�SAIII. I lLDVNDF 11IL
FEE $ !FEES $ 1 FEE $
T.Al INF 1IFIOS.
1-1. 11 IF IF .1
ITATF Ll (47044).�ILI IIJ.mIl —O
DENCE �
V
N�V
11.11A II
,,,, I- IF NSANeA ODUA.,
l."'
I Am rwE �.I.N �F —. ASIV. ISASIPIIIEP
r-- I'PA.AN.. D�IA. OF IN. A.DlT . . A �ISNININO
OF T1. ALI 0.. —11 A . ..14S .� �.LIP.
�LANA ISIAS11F. LNC�S '�DTI C I
AN) 7—T lL �1—, IAII.I
IL 11 L 11 1 -S-1 ll-- 11.A. S
"LL
STITS IDIJI.All. A 1. 1 WILL 1L.." A
LIST OF ALL SLA ORA SA. ON .W
III —�T TO T.1 0.". D F I.N . .11 1 11 ..v-
11 l 'A 1 '0'
INITIALII�PPLICAEL�NBLOC�mEcr
SRI�. TO AID AS A CONDIT— OP FINAL In
On
SIGNATUTHk OF
PERNHTTEE�
DATE. L.
`MORK MUST SIT STAPILF, 'WITHIN A PERIOD OF 6. 0.01S FROM THE DATE OF VALIDATION OR THIS PERMIT BECWMES NULL AN� Ca,�
5 OF
i LIS,
PLAN DIM VALIDATIONPERMIT VALIDATIONSASH
x; CITY OF NEWPORT BEACH, CALIFORNIA -
Na.Part Blvd, FRI DEPARTMENT OF COMMUNITY DEVELOPMENT he" 672.21ID
APPLICATION FOR BUILDING PERMIT
',,'No.
PARCF NO.
~ PARCEL NO.
�:
PLAN CK.
NUMSffR
-ry �,.
fr.%
LOCALITY Newport
Center Ilj
cd ..t
DATE:
APPLICANT TO FILL IN AR W
NEAREST
CRCSSST. Newport Center Drive
STAT. AREA ORSUM I-"�Y��-"'�'� IF
a rive
ADDRESS
LOT NQ^_®
-�
iRLOCK 1TRACT.
STATISTICAL CItASSRFILFj,1 V CANT SITE
-NoYES
_
No. OF BLOCS.
y SIZE OF LOT
Naw cH LOT
CLASS NO..r.? . DWELL
UNITS
Lm3r- -. .sriT�M.
USE Zo E MAP
PwRXBPM SPACES;
INTIRUCTURE VALUATION 5�
/ +ENO.
:No.
TEL
DINNER Marriott Hotel NO.
SPECIAL
IRE 2QNE CONDITIONS
Jl BEES 00 ntaSarLbara Drive
1-
'y$
CITY Newport Beach
SLOG. SET®ACN FRO4
FRONT PROP, LINE OF
----�I
IBTRENTI -
DESCRIPTION OF WORK
Yards: Rear
RS L5.
—
`
.NEW ADD ALTER REIR DEMOLISH
�4_
Y ROYAL
FIRE APP OPAL
--"-
,.IC° rb Ca}
t.S
JEf�se T.`WORK
I
SQ. FT. BLDG. NO. OF NO. OF
SIZE : GARAGE STORES FAMILIES
TO BE DONE r
SIG
H DEPT.
Sewar Carzn7-11
I �-
Cenn
I
PLANTCHECKED BYROVAL
—Total
DN.
-�
I' ARCH TE TEL
11 ZZ
C..
4NCINEER EJ t[-IsF+11r CD2 -(J141
CONST. L R __
AOOR
_NQ.
ADDRESS 1100 N. Nfain - Los Angeles
G..
eQNTUAcrcR Federal Sin & Si nal Cor—
?�__l C
APPR . E
� vwE UAT1oN 5
f.
hh'' A
ADDRESS 1100 N. Ivlaln LICENSE NO.211 1 30
APPROVRu.
,_
DATE' INSPECTOR'S
SIGNATURE
--
t
CITY LO6 Angeles CLASS Vi-4FJ
CLASS C
FOVNOATION:RIALS ON
FDRre s. MATERIALS
C- j
-"�
4 TEL -41 NENP`j RT
2211
E
No. LIC _
REINFORC. STEEL
.--1
j�
1.- SIGNATURE OF r%
}
APPL[CANT
SHEATHING-
nu a c �Rwia srn Te ucaw sev c..TRAc-..
FRAMING
I.m
To Two 'cvw' Rnc rOR' weauREmewx raw
He .O� Iwc pens o.v (ae a=oR1m. .rn re curt Toat ='
FINAL _. _.__
- :.• _—
ewr. t-_e Or o�R ASOve aacae ary wnv
CERT. OF OCCUP.-.j�
ILL RIORa.—
j =wrLo•ees w Tu ways ws
P. C.
OTHER PMT.
- T
o CR sA (CALIFORNIA
FEE S
FEES S FEE §j/j/,r
�'!
u-
L WILL .vaml cvly-
�;,.-,o,
vroRam„a . OmRc Rs.R-Rcc cap
-- - I nm rwc owNR, oR THE nv R o.E
o" ve scalaev I Ray.cwr. ALL .vww ..tu RE v�Ei.
R wvr , IIA T RI- .r.rc Llccws v vwrR.cxoms. I L suemsx n 71- cn 1 oaR an -ea L.sr oC nLI. au 11 cowxay.1 C v.ev ow >.. EE.: ..-z, T..nw slop-�1 _-_ I.I.
Awv � -- rRvrecT TO raa. vEPT oP m.. mu wtx. C.N.
RaIOR ro nwv ns n cowmnow m PIwnL I
INITIAL Aoo LICARr EIOCK ae Tlon
ti.
SIGNATURE OF I 1
PE RMITTEE OAT
WORK MUST' OE Rl FU WITHIN A RER100 OF 60 DAYS FROM THE DATE OF VALIDATION OR THIS PERMIT BECOMES NU-L AND V6ti
SIR
PLAN CHECK VALIDATION PERMIT VALIDATION C.
m:) C.3H
"7 A '9 :N ILL- (N AREA t
'1NEAVY .FNEB ON�.Y
ti ( (y A .. A
AD @K371 a �y '. yve
:1
ry^ FEE
} T,TRUCTION
aa� =res.........� -
LOCALITY Ne w sort tetr
8 *,
g4 m 41 to PER SQ..FT "S
fi
_ .". ..
CROSBBT W vrt rater Drive
5 ..�n.....�.. _...
♦gg�� �,���,yy
® NER SYd�rriod 1
rj.
fr
SQ "T V PEW Sp, 6T G4RArsE5
—
MARL"
RODREs: 900 Santa.Barbara Drive_._
Nevv Dort Beach Yet-no.4
�+ q y R r
ELECTRICIANFederal
SERYCE_r too
IcfTr
FREE FOR OTHER TwRN New RESIDEMTfAL
AdfA *It A41`ER
z+
m
_
E.ii :ffi£2 COMhdEfEi ESCHEOV IF '•c p r
" I
FIXTURES
UTRJTY CO. NOTI PIED
9"a$RMaT ISSUING FEE
� roraL Pee ���
FINAL
f r amity a.inewiad4e fhaf I h read rh;e aPG' at on bhat the aad +h d! t am the Dune w fh duly StIGN TURE
f?e:TTEE
'rsy{n q.f 1 )6f }fl! O ein eGree rfl C'STLIv vilh c�M a n claia lII l yuvxrsq wsttzce�on; aotl i t Coimq :he ..It a0fit'iced MerebT, um iFl be employed Ho{a}ion o4 }he Labor Code of Ma
i{ C.WII-:a relating to SYcAmeri s C.Saficn insurance.
Mn CASH
i�(
CITY _ J.,os—
TEL. 221 -
No_
SIGNATURE OF
APPLICANT
NE+Pparrf Blvd. CITY OF NEWPORT BEACH, CALIFORNIA
DEPARTMENT OF COMMUNITY DEVELOPMENT
APPLICATION FOR BUILDING PEF
AESEi86R'B
19386 MRCKL NO- NUMBER _.� ....--.. _�.
BUILMINGa !��-' r
aDOREss 90 Drive
COT NO. IBLOCK .TRACT
NO. 0194009,
ME OF LOTNoON LOT
use or - TI�E'i M.
STRUCTURC I VALUATION S 1
:WNER VVarriott Hotel TEL.
_ —NO.
aeDRESS 900 Santa Barbara Drive
cor• Nev.—port Beach
DE.CRiPTION OF WORK
NEW _AQD ALTER REPAIR D
SO. FTBLDG. NO.OF NO. OF
SIZE GARAGE STCR!ES FAd1 IL
WORK Tr' BE DONE SIGIN
ARC M'T.E:: F-OIV 'Ehrlich
ENGINEER . _-_-
ADDRESS 1100 N 1.4ain
CONTRACTOR Federal Si€
ADDRESS 110O N. Ma1PliCENIE NO 217
eles_�LAss LfcENSE
;�C-45
}1 NEWPORT
LIC =
'No="Z21-b141
Los Angeles
RhaAa 673.2110
r
r Drive
-SOsr PROP, LINE OR ISTWOETl
Yards: Rear
LEMDER
y/ — ✓ FINAL
VALUATII
AP9BE, AL3 CAT[
SHEATHING
M w uurOwv,w sTAre uc_NSEc mNrw qc roR.
FRl MIND
E ' TION TC THE 'enrvisgt:O.e D EMEnr CR FINAL
rLE �0�, n� ,.Epson Icwu.onv:q zTA -E
..
—_ I ww, .,.E p EE AEO PERry cERT. OF OccuP
nTEem TO vE pe ns DIHTH Eo —_
E.
_
.PME
_. E;wrr� P-.—._.__—
OTHER
_ rnEn FEE $
THAT THE �AO�Q�EO STFTLIF� Aw
FLEA F, g
ICFFC
I
CY E x c v I
W^. CMw .Isw ,Oa nz..aq•ac[ v E<+IN..
"
, AM TnE OVXEP Ov TUR RpOV£ OE .®4D
S CTOW 1
•S a. 4�� WOP x, mniE n�-
ads e.- �c sz S,:" _...
"n wrvo
I�T of ALL gCTOwY C3ep Cn T HIS
oE_
..<a Tmv w w O qNC <a rNAE
1NITf At [APPLICABf4' BLOCKu
..E T, u_
c o
SIGNATURE
PE RMITTEE
tf �j A
//L
� �
,1ATE ✓•/
`}I
WORK MUST BE '/•TAR [O '.YIF iIN A PEF?OOC OF 60 DAYS FROM THE DATE
OF VALIDATION OR THIS PERMIT BECOMES
NULL AND VO!(Y
55 ]a
75 �--k¢
PLAN CkiEC' IALtDATION
PERMIT VALIDATION A m IA]N
I
t ,YS'; P`.mecart Elyd. CB Y OF NEWPORT BEACH, CAI tFr`RNiA Fhena 47H•8€t0 DEPARTMENT OF COMMUNITY DEb�'_OPMENT
APPLICATION ICATION FOR ELECTRICAL PERMIT
�k APPLs,.ANT TO FILL !, AREA WITHIN : RVILpf' [}
_ HEAYT i.tNE3 OhvLr. ____ AMDRLiS ✓00 Serm
C* SkATRUCraPI --r--y LOCALIFY 'w x" ort Cente
s
- f
,c {ER , �e_a cwoessT Pbev port Center Drive
_ ...-
7 OWNER MarriOtt Hotel _
•"�.."`.—
Pa
904 Santa _actssraDrive
$ SERVICE r 56RI _ CITY Newport Beach T6e1_NO.
i»"+" `1}1p"=nkt'i BYk {EC4 4n p}NEk 'fM44 N£W £_ CENTIAL � .�W®ymmcs auw ILL a ErenTlowS All wID:- 01s ! ELECTRICIAN Feder, Sign � U7.�Rc21 Corp TOTAL No. —; —T-' .AODREss 110_0 No Main Street _
OU FTS ��
�Ik=,ao s zo:_ _ CITY Los Angeles Tee NO221-b141
.i xafcM �- STA4 Lt...EN}i6
won. T$G(�@� A L
OYE0. 24 fO'. NPT. LOC. NO. NQ.LP P 7 50 - = — —T� YPE -45 rR R r
a.I*, TOTAL - .,E r
.__..... _--_. o}sa pa TO
[N i G1iON REC6P.D AN
D AD:: ES ICIO
Q2vs
T
so
D_ MSo. rkzm'S Fit
y #rm: __ PYttoy g'yuS_ c^. Tom' aye:-q� s; wv w
(. SERVICE O 66 V No• E .3 20GA A : OO �� —�— --
-- -_— UNDERSLAS WORK _.... _._
BMiJIK3GlE GGOOVGveR 200A. t�r-- 2q0. ROUGH CONDUIT I
"iA"YICE- R dOUV
g E ROUGH _
ROGH WIRING T--
.'� OTHER r"3 Y' GCMi EYc E 9 COI: LE>`y � -
TEMP. POSTER
FIXTURES I
_ U _ IN CO. NOTIFIED
TOTAL FEE
INAL ,1 €
dye that s'e e c s aFL:' ah
fvrr^a`'' 9 a* a FN h re c P dv'.q 5' tiA ' RE
thc+..ee ya of .he e e a,.ers o'Y"` rr and r }e v= PERMiTTEE "v✓�,f� ¢*°'% ¢N� 9 scf a d dc� g he �o.k an•h a F.erebr —
S nplcP d pCIf -he
$< xa of a c r:a r¢tat c K'cr'sme s Ccmpxn sa ar Ira, rancor 0 -° v5 q % 4DbnESS ""4 A
_ .-MlIDATION
CA.Syj
h.Awr /
6 9 r `a 8 4 1! 4e4 '�
e CITY OF NEWPORT BEACH, CALIFORNIA
7166 W. 'rANBeeport Rlvd, DEPARTMENT OF COMMUNITY DEVELOPMENT Phone 673.1110
APPLICATION FOR BUILDING PERMIT
¢#qp p'}, ..q ('� ,.9 ASSESSOR'S PLASi CK. - E"7 -.P
6 o. 1 `'l 'i 8 3 PARCEL NO. NUMBE.'d _'i �^ !.•"+P
.A. Ed T�.ii� F _ PATE: LOCALITY .� ,. port �waonier
APPLICANT TO F LINES
AREA WITrK;N NEAREST 5tp 'q Center
HEAVY (.INES ONLY, ._ CROSS!3T. Ne`Rpol-t _Drive
BUILDING 900 �— SBAT. AREA i GROUPV� PR9CEOaCO BY ADOREVffi BiiE CIF :CST IO. OFBLOGS.
_. tiOW 01 LOT
OWNER Marriott Hotel TEL. W
CITY
_ DESCRIPTION OF WORK
4YEW ADD ALTER REPAIR OEM OLP SN
SO. FT. RL DG.
SIZE GARAGE_ _ 5 'ES_
WORK TO 3E DONE SIGN
EtRaItI c,-".QRR/ Ehrlich u�r'
A�cREss 1.100 _"v• Main_- Los
AOcREss 1100 N. Vlaint'��„
CtTY Los A}ICJPSPC LICEN
TE- LGl-J 41 ^�`NPORT
ARE O APPLICANT
PPLIC
A PFLI�A NP
• c ..MAP
NO.
' (SPECIAL
�Oti ' CON pITIO1
BLOG. SETBACK FEO.w
FVOvs FPGP. LINE OF
Yards: Rear q
E,$G�/ IPI OVAL
;INc APPA.OVAL
EAVH CEPP AP@BCVAI
LAN CHECKED BY
CONST.4EMIdER _
ageles
AGO SS
APP` V T/@r—..
SSrJE
al copes
217730
_
APPROWALS
-_-
C -4D'
FOVNCAPrcN LOCAYiC
FORHSS MATERIALS
REINFO
STREET
C b C•t
Es o T.,
@ C
"atal •
I
_
I s
C .ArE SIGNATURE
E
SH gy+ING
�
/ 4 fIN�
.n
,:_•,.
Y
-
R OF OCCI P
r
- P COTHER
PMT,
---- FEE $
FEES $ FEE $
ITITE
nl
nnu
PERM( rc
DATE
FI-'ICO ,gip gO GAYS FROM THE DATE OF
NUILLL HNr \ 41,
VALIOATION OR THIS PERMIT ftECO ME$
75 PLAN CNvCK VAPIDAT?ON
PERMIT VALIDATION ,H
Yl. MJc+@port ®6vd. CITY OF NEWPORT BEACH, CALIFORNIA_---�.�.T.�. .. DEPARTMENT OF COMMUNITY DEVELOPMENT S°honn 6T3-2df0
APPLICATION FOR ELECTRICAL PERMIT'
q� APP'.ICANY To FILL IN ARE, M•CTH NI
LINES
ONS;Y.}9!1/1.;Y%'�/..
Yt PEE
V OLW COwSTQUCTiON �."'-1
S'$SSN a h=�CALIXY
PAL: E
NEAREST wwzz..,,.. ,,rr++..�. }�
CROSS ST. cVcwpl'�rt Center Drive,'
OWNER Marriott Hotel
s .11.' a FEa AQ F .A aaet¢- k1A[L.
— --ADDRESS a. a.900 Santa Drive
.1-� fTY TOfP, iLr j2 Qrt Beach TEL PFb
YA$1;:4iLlt..a PCCT & OTe EA H>N NEW IGE4411t ii x'
Psssr ..,£Ra.ro•asA., Aac;T _ s I ELECTRICIAN Federal Sign-k_.q.'9ffii^-._l___C_._r_J�® E�_._. wi A_,.f _
. TOTAL �
_— F'O_ I El en:u AD6ft C55 1100 iY sva R '
__Street
FfR3i © zc CITY Los Angeles TEL Ago 2Zi -6141
i --�
ADDS STATE qg` L�GEN
cv£R 2Q _-.tG NPT.. L"C- NO. NO. G / f TYPE �49
'.HT4 Kr TOTAL T 20 2Q. G CSUP to
-' YFL*ES I aco L � f
y
2O
1'3; LT�VN —F L 4 AtG AND r.ONE AP L.ANC£5
s -- 50
e.DG.__- `
LL GNB
�
h0. L4vpS
;_
VICE 'J S.. V.N, Ore- 200A �^a i, on UNDERS AS WORM 1 i ' �.•--+_ �_.....—-_+
-. -_- _. --_
9NV 8L;E O DOY.fSv'.a GGAROIyGR CONDUIT
ROUGH WIRING 1
' OTHERSEi COMFC£'.E F ..HAG:: L£!� TFVP. POWER
- - - __ _ L t U L TY CO N rfctE9
3 S
T0dL FEE FINAL
o-#fa ta* e RI-HPTi„RR ^
q d i th re o the C+I
M'C 1@U p h e p t ag. a CTy hcify d.d AtFl-
� •.
+!ae 9 '._':o d da n r k au'u• s d +hereaY. - -_ _ i _._ 'h 1a1 Cob t tfre
VALIDATION
44KII MC,, iASII
94 J, 4.4
f
33 W� ��leknari gild. CITY OF NEWPORT BEACH, CALIFORNIA DEPAR TMt1E`:T OF COMMUNITY DEVELOPMENT Phone 6734110
APPLICATION FOR BUILDING PERMIT
P� — —
ASSESSOFV PLAN- .._._._ .'+�..7. I.:'....
PARCEL NO. NUMBER _1A"`
DATE:
APPLICANT TO FILL. IN AREA W;;H(N 4...0
HEAVY LINES ONLY, NEAREST
CROSS ST. (L' ✓�L^,/q' ��l
SV _DtNG '� STAT. AREA GR@U Y ti 1 f
AD REw.s _ -.2�hi I ,T PROC aae9 A8r
�, Oa�
STATISTICAL O&1- CAiP VACANT SITS
AIZL OF LOT NO."aLDGE.
NOW ON LOT CLASS NODWELL UNITS
£STIM
-CTURE VALUATION S Zr-, MAP INC, PARlGNG SPACES
TEL NO.
a-.NNER ,fl. s`''k.''16 'SPECIAL
— h COND. NONE
-----
LRO4�PAOP.�IV£�F fTPCET)
DESCRi PTfON OF WORK --"......-- —_-
--- _ `cards:
NEW. ACID > TEq p PA DEMOLISH ZO aPr vAZ..
SO NO. OF +.:� r�' - C4 b CAI
z GARTC-E F:Es '".;M -,I_c :RE APPROVAL -• E c;e Tax
WORK TO SEE DO!3E --- — ---
... San Die is
i{® ,,/ y [8 FF� A7,
f .+EACH UEPP_APPROVAL: f-
I / A /.4® 9 � �4 PIT �•4 r' % 6f lP $, l '^ -� :5mwer LAnn _.. — Yeraf Uue AIR H—EOR ^^}}�� �� —
PNGtNEE'Y
—_ COPoST.
0.PPAD4--—
ADDRESS ADOR�DF
WAL
s_—y KAI
IVALU,
ADDRES-57A
/
�&LIC NSE NO, aj) F, G/
CITY_ 1-;CENSE - _ NDATION LCCATI."
--,-Ass
t. `- F'J4.!5. MATEAAL
TEL ---� L ( J YE'vPSRT
sf hATJOE 09K �� I''g �� — RE NFORC. 5TEEEL
i
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p q
CE?-. OF OCCUP
—
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-
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ATTIrc
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•
F.^
mTf.
jINITIAL ArIF I q 0L<CR
.
�✓r °O aoeo' va�rn-
r F Jj
y"
DATE
_ -i -
WORK MV F 5 S A4 cL C.i T'�r a A 'EH'00 IF
r6? OAVS PROrt TE DTFNIJL_ PNG
OF VALIDATION OR THIS PE RAET BECOMES
PLAY Ci1EGA ALI6ATlOid
PERMIT VALIDATION «L,
NL'wpa:t $fvttl,
pp�� q7 �a«.yp ppggA P PU
LAm .& v .. PARCEL
CITY OF NEWPOR T BEACH, CALIFORMA _..
DEPARTMENT OF COMM JHITY DEVELOPMENT ?$an® 643•711p
rATION FOR BUILDING PERMIT
�r _--_C __.___....
a. : NUMBER
LOT NO,.—...—!SLOCK( :_t= `TRACT
SIZE OF LCT > 0. OF a *Gh.
NCX GN LOT
t' i THL
De>GFIPFfiAN GF WORK
ADD _ALTER_ 'EaAiR DEMOLISH
JIZi G4RAG` Sin. ES P r{
i
_ ATE
Apb?c55
----__-- _.
SE NO.
NSs
CITY
�'_.55
TEl
N APCRT
APPL:CA\T
-
YES
' USE YQIrE MAP
3' OG. LPEN 9A K FhO+°.
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y
ADDRESS
FINAL
VAL�I AT QPS
VALU
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kV O`: ALS
pAT£
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i
51GPiATURZ
l `I L`4T 6L LOCATIOY -
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Nc
c.. _ .. -e 11 I,
OF OOCUR
PET
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5 ..
R
1 I ILI 1
.., ,.. �. T..e ,o..
�RC`:U THE oHTE OF 1.0UATIGN OR TH.S FLWAM T BECOMES
NULL75
PL461 CHECK VAL DATION
a �,
;,,., 1 IERMIT VRL1*1 �,
.,.. CITY OF NE'NPORT nEAC6-!, CALIFORNIA _.
EPA,RTMENT OF COPAMUNITV DEVELOP E-3N, phone 6734110
APPLICATION FOR BUILDING PERMIT
R y q ASSE99OR'S PLAN-CY -_-. )
aARCCi NO. NUMBER 16 y �. ��>e_�lu ._.. ........
DAM
APPLICANT , FILL A !f'
_ V. LINES CN EA Rrg'CROSS ST.
4 )1c:£c.as.... ^ 'j ST0.T. AREA GROUR FYP�
LOT NL-1—.J—®L_CK =j tTRACT
$tZE OP> L . _ _f A,_C6
Z. CN LET
MAP
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FIRE ZO'.E
' �^90.CK 5R0Yv
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VALUATi_C_h$
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`- PERMIT I
-
CITY OF NEWPORT HUACH, CALIFORMA
DEPARTMENT OF COMWUMTY DEVELOPMENT
APPLICATION FOR BUILDING PERMIT
ASSESSOR'S PLAN
PARCEL NO. NUMBER
0II R I' -
DATE: LOCA TY
CA� �C C IC 11
A�PPLIT TO FILL N AREA W777,11I�N
L NEAREST .
HEAVY LINES ONLY.
A I
'TRAI
vzz CF 07 NZ, CF EL 7GS.
_7E�l —, I., ol _oT
C 9
KTU'REE R
"RES
DESC_RiI7�3N OF V/ORK
NAA ALTER E p A I R ➢2
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C,
cAl_
Al =7 0R 711
=_1 Y
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---
CLASS NO, -.DWELL U
USE ZONE IMAP
NO.
77 C',��r��SPECIAL --
IRE RON€ CONjDMONS_
I.-'- I`iCF.LcVF
IONINIGAP"OVAf-
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WI Cr cc�ll
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PHONE 640-21931
. MEET
FINAL
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VALUATI
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IN Ay
SPECTOP
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77 0'.
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4_
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PERMIT VALINTION
pq
vvv"t R�'4' C�TY OP NEWPORT HFAC�J, CALIPCMIPPA PA".
RUTUNG; DEPARTMENT
APPLICATION FOR GRADING 13EEFZN41T
An 100 Gi
A Sivy"S
nr,
OIL PR5 s-0
ASS
------
7£L�
P&A S19=22
S74TZ
REG,
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ry
DIV , '-PiPT�CIN OF
Fill for Fads for
GRATING
SsTSAC'g IIAI.
En wn OAK aM
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TWL REPORT
AKOLOGICA�ErCk-
CCWPA�. 1-1m REPCR.
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CON CUR MAP
DR,iNACE C HAN4WS
A= FAMLIAS
wAMMED FIEVAT xis
4GRACES ANCT &
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156570W AREA
&AOL MOUTES
ATURY, A?1x
PLAINS DE P"A-H:MG NoAJ-
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w4m, "aw
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WORK TO BE ZONFIT-ED
IV.
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G14,7-;�u
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117 ,
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LAN WHA VAHADVIN,
U-40 5 V 9 W-4' 2 71
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IYUMU YALIDAMON
3 to A 0 A yt'
12[b W. S',c CITY OF NEW$±ORT[BEACH, CALIFORNIA
DEPARTMENT OF COMMUNITY OEVELOPMEN'f-
APPLICATION FOR UIL ING PERMIT
N;?��'{ n ASSESSOR'S PLA d CK. q
o. .A 2 0 �:.! � PARest No.a`a`�/, �C` g•���,i
DATE: LOCALITY
APPLICANT 4p FILL 'vN AREA WETHiN NEAREST / �^ y
HEAVY LINES ONLY. r-onan — l.A a ei A M d r 87 s1 VA
SIZE GF LOT
NO. OF®LZG3.
MA+
Ca'! 1-
NITS rJ
Phone 673.2 IQ
OW NER f'7,e�fL'�'�(rd f E:i.E'a NC.
F. "`••.•••••
ZO�'E '�. OON RATIONS
ADDRESS �f ./r" AV}'�e`fdY ,q' .f`tC
LiTY q„p-.i� 1/+yI ,Cg,pm. A
9' = C. PZT3ACN FROM
—�� •� �
- —
RO.- FROP. LINE OF__.___
ITRCET'r
DEWORKRiPTION OF WORK
- _
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NEW AGv ALTER '?ER4:+? DEMOLISH
ZONIgA ABPRpV AL
�
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y �,4i._ C b CJ-
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ARCHITECT OR _
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ADDRESS
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NEWPORT
NO.
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P RMIP VALIDATION
Na.e,ra.r t:i..,i. CITY t3FNEWPORlT SFACH,CALIFORNIA
DEPARTMENT OF COMMUNITY DEVELOPMENT
APPLICATION N FOR ELECTRICAL P
A Re.... u 11,140 F.LL iN AREA w:rnir'a a* •��GI`+G �',�`fi}i effr'�Aaa _ ft 4v '_I PdES TLY. -acc�
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IMPECI'ION RUiiRl,
W. Newport Blvd. ''j�� d� r CI '(Y OF NEWPORT BEACH, CALIFORNVA ,70' DEPARTMENT OF.COMtdUNITY DEVELOPM_ F PHONE 640-298t
APPLICATION FOR BUILDING PERMIT
OO. PARCEL NO.
NUMBER
. DATE'
LOCALITY
APPLICANT TO 11L6 FN AREA WITHIN
N AREST 4
HEAVY LINES ONLY
ROSE ST,
fUfLDiND �6p' r
- Aptl REff iiaS G !$�
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CONfT^///�333"'CLCC
LOT NO.
ISLOCK TRACT n
-
STATISTICAL OLAgii ICA !ON Yq AN SITE
SIZE OF LOT No. OF SLOGS.
- wow on s.oT
CLASS NOUNITS ^
F !j� STIM.
.DWELL YSq
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CTURS I VALUATION $ �'
USE ZONE
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SILOS. SET6ACKI FROM
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DESCRIPTION OF WORK
Yards: Rsar__R S. L.S.
N8'W AD ALTER REPAIR DEMOLISH
_
-
SM FT. SLAG. NO. OF NO. OF
ZONING APPROVAL
ICurb CO -
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-
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PLAN CHEC KEQ BY WaiPr CO"
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APPRov ALs ..-E j I$ SIGNATURE I
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L NpATWN LOCATION - -
STATE
ADDRESS Q32S'�,.f$ (ja a$ LICENSE NO.26 4
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LICENSE
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F-R-S MATERIALS
.TEL NEWPORT
NO. 2Z. LIC.
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SIGNATURE OF
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s.'� -7
DATE . ,y [
N56RK MUST S- - Si A R"!'(!O WITHIN A PEFIIOO OF I?G LAYS NULL AND VO.O
FROM THE OATE OF VALIDATION OR THIS PERMIT BECOMES
.
PLAN CHEU V,ALIDATioN
PERMIT VALIDATION H
CITY OF NEWPORT BEACH, CALIFORNIA
DEPARTMENT OF COMMUNITY DEVELOPMENT Phcna 673.2110
P,PPL ICAT[®N FOR BUILDING PERMIT
WI6'
22 4„ 9 n TIFA.F�L NL3. NUMBER 11
OF :.OT : !! i No. OF ®LOGY.
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Yards: Rear.._
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% F°,}� NO. OF
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PERM VAUDATION
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NovrPOrt RL.ti, CITY OF NEWPORT BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT PHO E 6402161
APPLICATION FOR PLUMS-
PERMITAPPLWA
W T Fill IN AREA MMN'HEAVy LINIM DNIy. j F/k? i
.5,. PTf'S GP PSnv� oR fTEN EACN PER OWLPANG
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WA TER C¢OS6i C` NEAREST
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RATH TUS 72 00; _ _
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iAVATDAY. (WAS" ®Aelm t 12.00 OWNER
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I LAUNDRY PRAY OR
s WASHING MACHINE TRAP 12.00 ITT a TEL, NO
k" :DISHWASHER 2.00! ,I
CONTRACTOR
(WATER SOFTENERS 1 F
ADDRESS
WATER NEATER 2.00
'--- --{--_ CIT SIP rEl NQ
t fs'A$ SYSTEM ®uriET4 .2.001 /j STA EN9C NtfUSSR MASS N0 y ____,^.__ SLY. �+ CITY LIC''EryNSE NUMKR
rI. OUTLETS OVER S PER SVETEM .501
RESIDENTIAL
LAWN S"INKLERS 18.50 GRO41P.' ZONE PROCESSED BY
! ROOF DRAINS 2 09 ~- INSPECTION RECORD Y_--a~' •E
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gE<"lER SDDITlON. REPglg
. .eJ_TERA TION, A®ANDONN£Nt 3-So Ad'
a; PERMIT S 3� 00 APPROVALS _ DATE INSPECT04�
'.TOTAL FEE I'.., SOIL PIPE GROUND 7..�-�
P kw*br erkna Iedge that i Aare road sp1 ePPle an that if a SPw ER -� �umation art s reoef;--' s-^ ' 4�r anti that ! am the aw a , P, the duly WATER PIPE GROUND j ' agent of the oxner I agraa to complyy rIM tilt a d I.A. GAS PIPE �- IeaoI egejafioq eot•sfr.eef or and is dolnq the erk authovinad then y GROUND + rwn p be empfayad '� v'aletian of the 'Labor Cod of fha o Gyl�farnia raAting to WorkmSrii Cam PLUM SING F!OUGH ? f PIPS ROUGH
SIGNATURE m �ASSERVICF
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OF PERMIT
ADDRESS , GAS
_ FINAL
PL UN SING FINAL
VALIDATION
CK. N.O. CASH
M'
CiTY'OF NEWPORT 89ACH, CAI,iPORWA
aacs7 .ry uan r�vT &L.V^v: DEPARTMENT OP:COMMeINITY DEVELOPMENT ,.He*ne sxa:%esn MOTION FOR 9C'iY9
HEATING, REKTIlAfIK REFRi6ERVION & AIR E TIONJNG
APPLFC.Mr TO FILL IN AREA ',WITHIN (jo �Drive
HEAVY LINES ONLY AJtl R£SS
a a�£a oesc a+ue nPl aw '"E NE,aKESK jiKa.o6. —�
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®t Fans e, 6.0aa'aEss 900 Newport center Dr:,
�� AkR CFSNA:fT10ypN5 -
Condenser 10 taxis 3. 0€� �m 4ewport Beacli TEL HIS-
----------�(�+ti-
CONTRACTOR Louie Schmetzer Go. s ZEI' BERATION _
ADDRESS185 S. Prospect Ave.
__
YRi-STAF:6AMi _— CITY t 4:.EStin TEL XG 544'666o
RANGE HOOD F _ ..__
STATE NEW P'f,}R' ,
' - -- _ C. e 1T739 �� c-2 -. 560C:
--'DUCT SYSTE§F.
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P-30TAGE FT. -- dK PF<'TfOK RECORD .,�:..
_. METAL FIREPLACE 1__ ai f.. ".
d
PERMS 7 .55L)HiG FEE $3 � � ..... ...
-OTAL FEE 825.00 APPRCVALG DATE INSPECTOR
attn o++'vgd9E thM I `av@ leld fhz aRPl cahap f^'at the HEATING GROUND 'tirR'+b.-4fF ".I f Cf L:+d Mhet I ant }'@a 4M'ReT e, !I4@ xFAa+i:@c ge_f a, Oe agre@ 'o c malt a't .!'y arsd
vc vcq to ,_q frucf and in dcliq the '...rk i pe-:c w t hez@m.. Dyed -;e ceed to@rn of the Lab.r lade of "A}@ af-:'ornia relaY'�n9 is kYorz'-*a'S Cpmcerzaf=ys Irviura GNAT OP• P£IRN 'f"FE:
RANGEHOO❑
ROUGH
AIR 'kNU VENT.
ROUGH
HEATING
ROUCH
GAs`
RANGE Icon
FINAL :
AIR CDN O.V £P1T.
FINAL
HEATING
FINAL '
O. CASH
V, vea onr: Bill, CIT'( OF NEWPORT BEACH, CALIFORNIA PRnot 640 2 16 1
OEPARYMENT OF COMMUNITY DEVELOPMENT
.APPLICATION FOR ELECTRICAL. PImRMITrO'-.
APPLICANT TO FILL .N AREA L*JFTHiN UILDING ..... .s.r A.. _ rW CONSTRU TIQN
Sa FT 9:r. n£R Q j^and CC
SERVICE & ax
GtbLdR F$£S FUN CT [A T R i L C
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{ DTAF. Tao ewCtf'
-! CU .ETS
P} �4
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TOTALGHTING 2O '/�pGl '30
XTURES
4 KMG ANO ti N_ ARP!""GFS 200'..
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i4T9a$ 4CT 0 "_R _
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0 _—_ 2 3.00:
' c 4,00
1 6.30
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wv€CE 0-600, Nc
RviCE 0.6004'-0ren zocA tt'` 3.00.
R1tCE OVER ECOV _____.0" f; 5.00:
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ADDREAn A C
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RC'UGH CONDUIT
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TEMP. PCINER
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CITY. OF NEWPORT BEACH, CALIFORNIA
`zsaa w. NEWP0WT'."'Q. DEPARTMENT OF COMMUNITY DEVELOPMENT
MISCELLANEOUS APPLICATION
s APPLICANT_ AREA {��. .
WITHIN
HEAVY LINES ONLY
.DING Newport BeaCta .
Marriott BUILDING
?
--
R£ffiT NEAREST I'c�-"I....
C%1R
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fS.BT900 AIe6LrrpO PERM CROSS ST PERaLDG.
ALevvC(:'.dlterlVea i�eWFfOrt BChY .LOCALITY
:___ .._T. ____ _._—__. ____ __:_ _ _ _ __.
.EGA4 - P[RE ZONE I CROUP TYPE 'Pp CES RV
:R€PT ON ,;LOT NO. BLOCK NO OF ®LOGS
N t04 MAPPAGE N� NOW O_ GNWAY
' USE OF. c!ACLn STAVE MAJOR SECOND LOCAL
OF GOT i EXISTING BLDG._. _ _ USE ZONE Lg CIAL CCNDI4:ON9 ten
EXIST.___..__
RED
RESS REOBACK YARD HWY- STREET NAME IDTH
SETBACK � WIDTH
TEL-
NO. FRONT
ascAcraRC. F. BOLSTER nvnL'7R�A l lr7 SIDE �.
3DRES58515 B GarveyA49 192155
_ —_- _-----
8 heleby a,rnowiedge thet I hate reed ,fits aPPliez9ion; II,at the tt Yx,�IC
Ty ifaO$eIileade Ca 917% VL:-ASS C 35
.__...___ _.__
- given is C re f, artI q, t am 1hn 4 net Gr F .
iniormaf mn the dvl
author agen} nF the net. i
dol f® rem,.,}Yt Ih a Y and ,fete
lays regulatin4 cona9. c4�.on: and in dti the
CITY BUSINESS
APPLICATION FOR 'LICENSE NO.
q0 l nq wore aanc.xed eherabb
mo Person will be employed in •ioletlon of NO Lobo, Cade of Zhu State of Califoenia taIH mq to Wo§wrfl'e Comw.flan In ve"e.
OCCUPANCY
' .. .—
SIGNATURE /�.{) /// y
E4.ir
OF PERMITTE LO 1,� Le
1F�X1
�. !F a Pies.
aooftgss _„ 5!, S..E....-Garve3I _.Aua,--Rop—QFR
( DRY WALL
YARDAGE
440
LATH AND PLASTER
_613.yds
E.t _390 yds
Tot 450_yds.
INSPECTOR'S
APPROVALS DATE SIGNATURE
OCCUPANCY APPROVA,.
GROUP 000. LOAD
FOTION
FORMS. MATERIALS
FORMS. MATERIALS
LATH EXTERIOR
PEWIT LATH,
INTFaIOR ,DRYWALL)
FEE $ 3.00
FINAL APPROVAL
APPLICATION VALIDATION 8.90
NOT A PERMI r) CK M. o. CASH PERMIT VALIDATION✓ cx. 1 M. D. CASH
X:'f uwa /-)1-
mo pe"�et� 64D 2 1351 CITY OF NEWPORT BEACH "'tp�cno,, E40 2161 BUILDING DEPARTMENT .5��
APPLICATION FOR BUILDINIPERMIT
TUC ST
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WOAKERS COMISATION DVC'-ARATT
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APPLICATION FOR BUILDING PERMIT
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Ve,,tI 6402130
APPLICATION FOR BUILDING PERMIT
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CITY OF NEWPORT BEACH {R44N CHECK wa.' --'-j nx a'gsras �.64A 213'+
BUILDING DEPARTMENT
APPLICATION FOR 8I11!__D1N[`; PF MIT
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APPLICATION FOR BUiLDING PERMIT
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NEWPo+t e+:a. CITY O� NEWPORT BEACH
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DEPARTMENT OF COMMUNITY DEVELOPMENT
".' ----- APPLICATION FOR PLUMBING PERMIT
TO Ru IN AREA YRTFgN HEAVY LINES owy.
}, 1tlp& OF FIXTURE OR ITKM EACH PEE. BUILQ
—_.__.—
fA9D4ES5�'m.'+Y.r��f __mbdCJ—�
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—_
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LOCALITY
SHOWER STALL.
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LAVATORY f NASH OASIK© : 2.50
.. _ MAIL---
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fIAAOAct o63Pc}4t_: Q PFlt� ADDRESS a �
LAUNDRY BRAtl OR j CITY / y p"�!. ETA t'h. EL. M1'p.6-
I CASHING MACHINE TRAP 2.5Q /
tx[sHwA;rER 2.50i f�'CoctrRAeroR
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WATER SOFTENERS 2.!s o i_ r ADDRESS
WATER HEATER 2.50 ,,F/ _
CITY. J eJ[� TgL NO. (� G
] GAS SYSTEM OUTLETS 2.50 scare tsc£u9E NVwaeR� c SE�gi>P/F/_. i:ITT l.lC 14Ubr �OLFTLETS
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+ RESIDENTIAL + GROUP ZONE pR0.- p g
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LAWN SPRINKLERS 3.00
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THOUS£SEWER T.50
SEWER ADDITION.
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T'ION. A6AN[$)NM£NT
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. TOTAL FEE �i �F SOFT PIPE GRCU NU' f M ��CP4F�(�
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9 hereby a<kTo .edge that 1 have read this. fhat 1=`7T f kfe Ftatwv
gran Is grrec4' and that WATER POPE
am Pha ovn®r or fha duly GRq UIN D'
aeltkor"rnd Aga" .1 the q++ner ! agree t. complp vifh city and sfab---------`- "-"- - -- -"'- - tms raqul Lng mn[`mcf ar and in doing fha .qtk aufharlud thereby, "AS PIPE GRUUN❑'� ao'paaxon v+kl bs .m cored m relation o4 fha Labor Ceda of fha PLUMBING ROUGH 5#efe qr Ca forn.-a relafmg fo Workmen's CgmEaAsa}ian {asvran<e. ---- ....
GAS PIPE ROUGH I
/ GAS SERVICE SIGNATURE
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VALIDATION
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APPLICATION FOR BUILD IN PERMIT
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PLAN& CHECK VALIDAT•.'TN ",. PERMIT VALIDATION
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i
To.
feu P.`P"" Q1ve1 CITY OF NEWPORT BEACH PAN cHs INNS, Pe,m,i" 640130 640
21t; BUILDING DEPARTMENT
- APPLICATION FOR BUILDING PERMIT
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A, PLICA ON FOR
BUILDING PERMIT
,..
RRE d 900 dewport_Cnt_r Dr. W.-Newport B
—
Irvine Subdiv. j SS rk r
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6wVt. CITY OF NEWPOR7 BE A CALL FCORNeA ���1 66t}_pt67
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Ci F,.PARTMENT.OF COMMUP TY OEVELOPMENC
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VALIDATION
CITY OF NEWPORT BEACH, CALIFQRWA
OEPARTMENT OF COMMUNITY DEVELOPMENT
APPLICATION FOR TRICAL PE
LOCAUT
OWNER
7ERVICE
IAN
AO -
All
CITY
.30
NPT S. C tiD
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� 4 -: nySRfrinrt Aea�b, �MENraLATUON — OWNER MARRIOTT CORP. INTO wANONAL MAIL' .-_ _... .. _.-. _
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Mar= ot—drive ,IR LO#DYTEONIFH.S ' ODREBt
t carry}ashi�ton �„ 2t12_wo . __ ,
{REFRIGE94TtON '— — —•-�CONTRACTOR GRAYCON, INC.
ADDRESS
2213-15 N-aRosemead Blvd.
m..� I RESTAURANT
RANGE HOOD j So. El .Monte TL "Q21 283-_945_1 W.
s aucTs rEw — -- I LICE 255068 cuasS�-3 ":€ - "000884
ONE s OCCSSED qyGAS UNE
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f/ y;
FC30Th6E FT r INSPECTION REGORO
DRETAL FIREPLACE: '- f
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4 Air Handling Units 36' 00 --- - - `
NJ
21 Inlets & outlets - 10+ 50
—
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PEP}{!' ISSUING FEE
I
TOTAL FEE !•
d 1 Slj 5a APPROVALS DATE NSPE— CTOR
- _- — — 1
E kerebT <5. vledge Ohm 1 have read fhi, ."JEa.fEom that the HEATING GROUND ia€a-ma4ion gee. 's correct aid ahaf 1 = the ahe, . the durn — --- {` aetrkatiaed agent of the oweer I RANGE HOOD ROUGH i
Brea ye amplT wiM city antl sAf®
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wart author Cod.
t "-
rem parsan w' 14e employed ir. vmtatiars.W the Labor. Ctsda of ytiQ AIR eOt D vENr. ROUGH �.. Saafie of Caf': crud rela- ___.
4 t0 Ylcrkm@f52 i'IXnp;n Sdi an InS...... HEATp'JUGF+ l OF 8P R3 r/ . Y' /,mot
OF Pc RMITTEE B-3y d Y`-� f 'iR RANGE HOOD FINALES - -
AOORE552213-11 ti• Rosemead .Blvd. AIR CONDVENT. FINAL:
HEATi!' FINAL'. _-
VAL1DAT10t.
CK. V., O. CASH
dam!z >''49 CITY OF NEWPORT BEACH PLAN CHECK N -
' cEna 6`s:a-2s&t BUILDING DEPARTMENT I,.m
APPLICATION FOR BUILDING PERMIT
N.#94N6 v
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PLAN CHECM ItAHDATWN _.
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PERMIT VALIDATION _..
1 FOUND
MATES
REINFF
SHEA i
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fM1SU,-,
CERT.
aewPrre slid. -._. CITY OF NEWPORT BEACH`. Law ew ECK
P,Im 640-2139
6-„eac 2161 EUiLDiNO DEPARTMENT `'/jRTJ.�
APPLICATION FOR BUILDI MIT
1 TA. _.r �OCAur. icnasssri ,_„
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CONSTRUCTION LENDING AGENCY
FES 7TO PERPOIEMANOT
O TIII,uwN FOR —11H 9.. . E—T Is
ec. I,ALL CITY AND COU E" C7 El AND STATE LAWS �E-ATHNG TO ESTIMATED '�y
INAL
V ALUATIONS��Q�(j
VALUATIONS
PLAN 11_
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PERMIT VALIDATION M.-.
APPROVALS
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SIGNATUH`c
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�S DEPOSIT RELEASED
IFOR REFUND ONii _-------.-_--
10..
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BUILDING PERMIT
P© Box 1768
Newport Wi
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APPLICATION
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.wy Innlw.„o s 64p 2161 p�/ �, g p� ® �y,� p/// p
APPLICATION FOR BUILDING PERMIT
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I be,." ack. lsdSe Mh 1 have read this spplicNAon; Hvat Pse HEATING GqC JNO' _ imfnm^aka+'+ 9 .a c a^r.ct and Haat f am Ma wwr, or th. dulp RANGE HOOA kouGH aatharixtd gecrt of th. aw�R I Agra. fo n nth city sad s!ata an
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ADDRESS--' �'/ M�_S, G�OG'n� A4R CONE N ! F➢NAC
HEATING
VALIDATION
CK N.O. CASH
: set N port uwa. CITY OF NEWPORT BEACH PHkONE� 640 7161
DEPARTMENT OF COMMUNITY DEVELOPMENT
APPI_ICAT'kON FOR PL.UIMBING, PERMIT-'_ __-._____
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APr"jCW TO Flit IN-ARFA WiTwN RM LIKS OKY.
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LAWNSPRINKLERS 3001
R�-P-�_ .mot
WATER PIPING
-' --- �-- � fNSPECTI N RECORD
ROOF DRAINS
O
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I TAT[ F,'OA85NOONME`tT �
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-SOIL PIPE GROUND'
TOTAL ---�—
SEWER I
f hrab ek d4that I he.e road Ohs ap lr'CV n; that the --- "'--- --'—'- -- - Fdenaxatimm g ¢ rrtcf, and that I am the P.req or fhe duly WATER PIPE GROUNDI 6YAh®rzed my i t -,e• I aS'ae I. .am ptr rith city and stafa G� gR 4aNs. a9 latin9 - it on, ai m dom9 fhe vorh aufhoraad tharpEY,— aa pWsO.. v . t prayed valatian at the labor Cade of fha P UMe1NG ROUGH Sba a 5. Ca .m _a rela!`NI .o Workmen s Oomponsatoa Insurance. - Y _
' GAS PIPE ROUGH
GAS SERVICE
34GN'.TU RE �
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VALIDATBnH --
CY.. N. 0, C[,SH
w n4it al'd CITY OF NEWPORT BEACH a 0402161
DEPARTMENT OF COMMUNITY DEVELOPMENT
APPLICATION FOR PLUMBING :PEIRM-fi
M'KWT TO FILL IN AK.A VITRUN HEAVY .LIN S OKtl.
[ F I of ITEM EAa..( FEE ADORE ..
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`I ALYERATPON. A@ANpDNMENT ' 3.5U --
;FERMIr E 14. APPROVALS DATE -- 1NSPE;:TQR
-----�--�-'^SOIL PIP GROUND I i.
_ 1Tc7TAL FEE 'T'��QU SEWER _
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Pre rey 1 h. 9 entfr Ana i•. la;o the wa La o+'Tod }htrthY.
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IGNAIURE---�--
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VALIDATION
Ca. �At
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DEPARTMENT OF COMM 1A,ITY DEVELOPMENT PHONE s<a 2PeI
APPLICATION FOR PLUMBING PERM:T
rvo-¢ or TixYUWE an IT¢M I[ACH PE[ BUILDING
AOGRESS 'kbtu °i 'f e'l /_� e. ''v�R+isaya.+ �T@
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LAWN SPRINKLERS 2.50 f
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'ROOFORAINS
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—
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DATE
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CITY OF NEWPORT BEACH ..AN HECK No.
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APPLICATION FOR BUILDING PERMIT
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' LICATION FOR BUILDING PERMIT
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PERMIT VALIDATION ...�. .._. r.A�.r
APPROVALS DATE
ows
S.1-GNATURE
FOUNDATION: LOCATION FORMS,
MATERIALS
I REINFORC, STEEL
SHEATHING
F R A,,A I Ni G
I
I IPSIJLAT,04.q'
Z-H —OloccU-p
DEPOSIT RELEASED
FOR REFUND ON
TO:
Nevport BI,,d CITY OF NEWPORTSEACH PC —AN qWe—
pen,i(, 640 2139 12� —4
milct c,l �� 6402161 BUILDING DEPARTMENT
APPLICATION FOR BUILDING PE
1,1h1
I WORKERS
PE'A-.E O_1N —
, .- -y _, -- . . . L '4 ........ I, Z ' I — —
_
I L I C I ll
CERI IrrCATE Oi IT;QN IRCIII lil
se
--`Rs
COMPENSATION INSURANCL
L, IT
RUILDER OE.1-1..TION
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PLAN NIS < t F LH1.T-' 05,'
PPIM1111 v A L 0 TI I Ij
?
ROVALS
®ATE
BNSPECTR
SIGNATURE
FOUNDATION: LOCATION FORMS,
MATERIALS
tNF.ORC.STEEL
SSHEATHING
FRAMING
INSULATION
�FINAL
CERT. OF OCCUP.
O
mt
k` S '-v
"FEARE9T +t^
c F• t n , o �-cs "CROSS ST�'
—�CwNr��E
� -
rro b}•I ' =•
vvi R� FRL v.rs F� T. 4N YE.^t ,`3£3 C h" v. •r�i 'i wrpa»xm '� � i ELE TRiCIAN d
OT [Yta r
-Nn_ cwcH ADDRESS
O
x r201
I
>nR C7 �cNS
i 4i9+ uv�w gf3
cp
bPT: LiC NO
- [ TOTAL I
~AL
}OAa':
!"A O . 'M1rt 6
�:
k{' S P @ -•
�, r Y.4�d i{ail
'_ M1: iF'c ...� ♦
€CPORT BRACH, CALIFORMA Phone 673.2t,0
W COMMUNITY. DEVELOPMENT
?R'ELECTRICAL PERMIT
f R OL(YtNG .a J�g-yam- ,c
G4NHTRUE"EPON_—T---I
bE'NTSAE_
.5 LOCALITY
c ' [ r P sa. - PCs;
C%04S ST SA /ea.
hb� OWNER
aT
CITY
I.MR.6EE}
�n
LTER..,w-
F8R A hLTE 0.T C 15 16 AOp!T gfry v.
� ��e_ECTR(C IFkN J N,ps*..,.
Ntis
TdTAL �'- ! a
,Each 17 4O DRE54 -' y
ws-TO
_..a-a'2
_
5.27 _-t--. VtTY_�. TaL No, ,... .,�..._
M .,.Ek 20
�--
I. 4YZTE CC3ttT L:!EMSE
ta. }.. F€FT...LP C-h0 riC TYPE
T.dTRL
LL ?RCup ZON P fl
TING :zET 20
20 •••BY
3RLS
-----
!a - INSPECTION RECORD -
.L.WG AND HOME 4P uANGES
cor
.(Dan ns .wS?
pT.ai FEE
_—g -
� mac. ISAL
19rv13e 5 p�Cef.' .. 1 ].[I Vry
E nI.Y for
'cC e'ObY. efU
13 �.
44�.'Nwpmf skvd. CITY: OF NEWPORT BEACH, CAUFORWA phonm 6T%-21ff DEPARTMENT OF CO@»4fv9UEViTY DEVELOPMEN F
APPLICATION FOR ELECTRICAL. PERiv° I
APPLICANT CC FILL IN "EA WITHIN r •tLDIKG en en
a Gam"^`^^^—"—_ HEAVY _N-E CNL.Y:_ �Ad)SJRL59 L4 y,�,. , I^ai'RU CTIv]N Re.E r LOCALiTY� ~y
VChITOAL
CROSS S .
Fr E ara t 1 MAIL
nn - pp
mysecc.ie— SERVICE O t u TEL Nn �4/ E)rcrti
±• PEtw ArevsT me s vc wtie i s ELECTRICIAN aV E
aocREss
20 tTY TSL_NO
if Aco_ -_` Y— ETsi`E On#P IfCEEE55n.
y O ea D D _ 4P'T L.C.NO
g
t._ o
TOY L C 0 u p ZON _ WiTHOCESSSE`J By
AkGbS\NO A O H0 _— — D + —
4 Cii RE o
ME kP ,�,. A��i._S . pry y ...
g t50
203
.. 3 —_ 15 I.a 50
ED
f,."er ce sr-xAiva€_
a£:AYYfGE O 8DClV NGT 6Je. 20C4 r'' 9 D JNOERSLAS ACPK I �$ FiE 6004TJ[R 20tr x... .
L 2CO -�+ ROUGH CONOU�T
UE.YiV}CE OVER 500V E 1 ROUGH 'WIRING
1THERlrsee vc.='e i cu.-- v TEMP, POWER
UTILITY CC MOTIF LO
�RMIT SS NC 'E -_._--
zl
__ _
TOTAL PEE s
J4�:Y Y - lz "IY tC 7,
`KK. .Ors
x
sre =•w�s.wrz Ravw. CI1 T Ut iNCWFORT REACH, CALIFORNIA Phone 664 T561 ° DEPARTMENT OF COMMUNITY DEVELOPMENT
1 `k APPLICATION FOR ELECTRICAL PERMIT
APPLICANI TO Ft LL IN AREA :W H4N
s ,,,,,._� IiEAVY LINES ONLY_ _DIY A46RETg
'!E✓.=...AC
NSTRUCTiON I{ PEE NEAREST OLDGs
NTIAL f g —"'T^L <RQgg STD .. PEfRMIT r
33 S4: .FT. ®Ee PER S4. FT. (WES.) 1 LOCALITY '
fI
6Q PF ®It PEW 94 PT,{GAFAG£t 4�- �C^Fi
MA{L
ADDRESS
SERVICE R
_— CITY T6 „NOw
�&ARR BEES 'OR GTN£R THAN NEW RiSI]£NT!AL rm
$4IT ALL ALP£RATIONS AND AOEITIONfi. kELECTRICIAN—W M
9/�/!aer
NO EAcn AOiSREvS a6"°..L/ t�
Yr —� 4t1TL£'t6 OTALr- 7--
µ
g FIR3T 20 's ,,,f -�}
sy CITY - TEL IN
IS 20 .2fl I NINE LIf NO. % TAY C T, 'ry egg
4v2—
----�--- ' —T—.� TYPE Gr' d Gl
TOTAL
G UP
FANG } i ragRT 2D 30 I
am L 1
i OV EW 24 .20 .
WG AND HOME APPLIANCES— INSKMONREMO
C]J£W tfOT6vC �— dK ° 4pi Icy
'.f.
V._—
iay.Pg
5fE 0-5rYJV.N6Y OVER 200A i1f .2001 _ �. @___. _.._.__..... .__... _.__. a 7 UN bERSt AS a'OP_K
ICE 0-600V OV11 20L'A.
C'yl : 3.G0 POUCH CONDUIT
.RY1fE OVER 600V ROUGH WIPINa
.p£'SieERseC ccuFi£TC E£SL'cpvyEr`�+: -
TEMP. POWER
------__._—_ : UTILITY CO NOTtr tE0
$E"ftM9T .55UING rFc
t .. TOTAL FEE.,�(` � .
i Aw.b a 6 a ledge h I MIDve ad fh s aPPI a4 a 'ea! Ike »tmmato A a t' and flat I A h_ Ow' _;e duSIGN- UT4E
ab#'h /!Itd f
Q@ O Rt O p. I d9+P t CTPfY wf <'y d Sraf@Y
w reg a J rzsbucfn and Ie do —
e
ra aa•^ 9 .@A, werk ab. CSe Ihof the
e! eh. lahc+ Code ei the
'
#a+a of Ca 'c'n;x •el !:-q ra Wart. en's CamE@nsai an Irawa^ce. ,/�^' '�ice' „L + „`_.. � lk
ALIOATION
110 CASH
pCrc,"
i W;tY*Wplc�*116 CITY OF NEWPORY BEACH, CALIFORNIA Ph o,,o 640 2161 ¢ DEPARTMENT OF COMMUNITY DEVELOPMENT '.
APPLICATION FOR ELECTRICAL PERM i l�loglzG
APPLICANT: O FILL EN. AREA WITkBM ; 'N
HEAVY .ONLY i `
LINES _ ADDRESS
-, 1 €EE `[EAREST LOli
ayr p CONSTRUCTION �--8—�--LL
i __T�PERMtY x
SM. P'T 021 PER $0. FT. (RES.) } LOCALITY
AR
0" PER -w- FT. (GARAvE) MAIL
OR
ADDRESS
_ — _��.:.—• —_
' ARV ECE V z ma
CITY
'4.A2F F[C5 fiOR Q1FIkEW TN%< f'E RES bENY RL t I w�
rrm[ s ¢RA^ en,s AIC ao IT:r`MS 7LEC.TRQCIAN g
Y
ADDRESS
' OUTLETS CITY
STAT� �tICE9:5
_ OVER 20 .za NPP uc. NCO ra D. TVPr m
TOTAL I GROUP FIE PROCES :0 Y
RAF&.
F .¢=z .20
_20
&M{Y .AND HOME APPLIANCES 2.0a — ----
-'
64 O e2.00.
4o .n.Axery t
$RVICE.O-QOOV Nb Ovse 2OOA ^i - 2.00 .r UNDERSLAS WORK
hrRY.rYCEO flOOV-OvcR2GCA. 5i 3.00 1— ROU GH CONDUIT
�
P�n'4CE. OVER BOOV L Ei— 6.00 ROUGH WIRING
T•k'kER.rsEE comPtETE rc —�_— __ ___T—_ _.___
TEMP. POWER
^TQQi'T Cif A�A —{
"bP.�✓ FI%T 'RES
_ Lve 01
•Tea UTILITY CO NOTIFIED
-- _._._____ �. __—__•.___-.____—__—i
RNtT dS IW RtE
---FEE�}ll---•I
TOTAL r EEFINAL
ke aSY sek d4 !ha! Ad @ read tb- aAAI<af on fh t the 3 `) / ` rlhw a p s o..a C tX 1 am fhs o a@r c .the duly SIGNATU PFRII
.h Ct}r 8nd h O: F'EP.XITTE _"-
ibf CaIBF s4 - bn d e 'ng the 0 4 au«ho @d thereby,
AHI sea . i b qt Yad r o. }i¢n thP Laacr CadI, f the / P Ka8 Ca afar a relaren¢ q W¢rkmee s C¢m nstfr i s anu. �e_r/^L S % J All-1 ° _
_ _ i
VALIDATION
r / CK MO CASH
r
( fe Y+l*
L pt
i
RE
_ HEAVYV .Li N.ES 61±4y _
hE
ewmTR.cTION I .FEE
Nd
:vEcrtne.
yy
54. FT. * M PER SQ. FF, yRR.Sj I
I c
89. PT: Fx¢ P[N Stl. FE. IGAR0.AiQ�
Oil
SERVICE a x,sn
AO EELS WJA PR fG M h MPW DFN IAL
ITR AC 1. 7FRhT 6Ns All bJv T S
.l
� GI
V �a 'a each
_. QUOTAL
FIRiT 20'g
00 r0.0
CY
40 37% im
i/.I
A1A
e,--1
aie_26. 90 .G07..".�1
TOTAL —
4. " S rtn.sr 20 i0
F ��— _
ai
1 ➢:&F � -.,c a
i�
P 101ea 640-2 i61
'ERMIT.;
6SSST Santa Barba v m;T
-At.ITY i �}
ANER tqt(M(��12/]iy4#TTT9',j�j8v f�. ��-'v�� • yy
6RES5 3VY_;F�4{h1
Y Newport Seach TF,L ND7I4/640
eerRictnni
FrankC H sz� _= 4& 0
CRESSAA1 7 W: 77*h C4-
NG AND HOME APPLiANCES
aG es+z iJn3yp --_-
-
2. 50,,
r __ 3
i350
..
3 ._.
.._
8 _._.
14..".. ._
6,25
5o
_..
_ 59
so 1.00
....
. ayp5
x�:E O 6GGV 1101 osER 2GOA
250'
UNOERSLA6 WORK
ICE 0 603V OIFI 210A.
Soai 600'
1 __. 1.
ROUGH CONDUIT
wi-r
-. _.
_
"CE OVER 660Y
..__ _...__.___. ___.—_.__..
W
F—,__•]00
_ ''
ROUGH WIRING j
Rs s. F, sreF g_pyLP,d
TEMP. POWER
FIXTURES
----------
UTILITY CO. NOTIFIED
41T ISSUING FEE 3.04' 3 V — TOTAL FEE �{]_V `�fl FINAL
areby c� aCge t a R rezd dpClicate 4hat the
nano _ c - ec a'a 4 t dm f_¢ crna o. the duly SIGN'ATU
deep aq=o! o' tFe ow+sagree v mmplY rieb city it'd
'd state OFPER
r¢9uiaGng=ocskudio^.' acdl�� deing ehe w,k du4boricedthe•et;y, P'to^ v I Yje g{rtploYE(I CId}ip!! o the I.d�Or COflC of 1 cai'lmela re'.:In� to Wc:Kne,.lr eomLe E..atice. Irtsmdnce
VALIDATION
CK MG CASH Y
1 a�~�'NAwpore@!aq l CITY OF NEWP(`RT BEACH, CALIFORNIA Pn�ype saSlaa69 `' DEPARTMENT OF COMMUNITY DEVELOPMENT �dfj6
H '> APPLICATION FOR ELECTRICAL PERMIT
} APPLICANT TO FELL IN AREA WITHIN
HEAVY LtNES ONLY. PgRESS r • �i 4
v CONSTRUCTION FEE MARES._
IZENTlkl- �r.wMOY a z a
ld Y 40- PY P PER Sq. FY. RES,!I f9G LALITp
off
I OWNER
FT ASd PER m. Pt {G0.RAG&) NAIL
ICE --- - 50
`_- _ __� CfTY e TE4 hO�e.
x A.hC F££S FOA O HEk N N£1 pC5 nEv ilAL -
Fd9}i at'GR AEt AITE war � ANP ao cvs ELECT RICe�tAyNM('� TOTAL--n`EAr H! A10ft
g OUTLETS ..,.
.,....'Cy j <^J?Q 'F OVER ZO 30' NPT. L!C Nb 5' YPpE
TOTAL p Z
.. I avea 2Q __3tt.-. , ype pp��yy��py ty—k3FT — --
or• �YNG AND HOME APPLIANCES �,£ �A$IcnoE We
2 50 _—
"'"'2 M1 ¢IiCfn ES}ef Ohl:{ I __ _
CM
3 so
a 5 25
n
50 —
.a.00
--
k�erws [N PFita:Qx•s
vV4C 6 _Y:KpT cvcR 200A 2 50
� GNDER5LAS NDP.K '
4 00 POUCH CONDUIT
S99VfEE OVEP. 660V 6 _ .
v00 I ROUGH YdtP!NG._. _
bY£Rs - atE tc sc nso.,_v v TEMP POWER
y---------.--_.-__—___-_ UTILITY CO NOTIFIED I
P'ERMtT 55_ NO FEE I. 3.0C
TOTAL FEE -.. 'I
+ arebY k o ledge \af @ • d t appl <a}a rFa. -F<e
kt<a<naK 4 < O eci d } a e 4w fn@ duY G`: 1TL�RE
amah z<c q 1 c rie a g'ee ! cn :y w 1F � }Y d to �SPM!TTE 'ems ., at . g emfrv<t P ; - d do k m h ec they@may,
+� Pe•..eee 6 be emcl Yetl k,,fiOII f }he Lat.ode ci III, 2*a+e: of �xi:?crnia e!a r Wb.k,, rs Conpc .. suracce.
VALIDATION
CK MO CASH
max;, N, NAwpo't wva. CITY OF NEWPORT BEACH, CALIFORNIA PNona 640-2141 "
DEPARTMENT OF COMMUNITY DEVELOPMENT
APPLICATION FOR ELECTRICAL PERMIT
AFP SCAU.TO F4LL INAREA WLTf¢N SNtohNG I}t3 {,[_ ,tr
ONLY ADQPES$
_ FEEEST S NEARc ;fliE'YY C✓NRTRl1CT GN �— Y RQ.
"? SMQE TfA_ r$. CROSS P6RAAiTe ♦ ...
59 FT R &4 vER 5&. WT. (Na") ..�_-.� LOCALITY
0svNE a —
a Ya] F^ 914 vHw Xi FdIGAR46El MAIL
SERVICE ® 5 aot9-�.—_
�.sxiBLAW s£FS llk pT uE! T 11C1H RLS ..F4^.IGt �— —ITT9pYn � yi EL R6J F{AA' t EaR' �+rS !N nCTrC 5
ELECTRSIC[A e�1 cc CCss'aF ��
TTLE7TAL I ADDRESS
R {.20 S:4Q. i a CITY 14 41yo
43'esx vE¢20 .36 NET. LIC.NO Na T`pS[ M`3,,}�[. •F. SGiZ✓ __ _
t 'ZHTING{ TOTAL GRCUS ZONE ,PROCESSE Y
20 USES-
Ia i
— — . 30 * £)OKONG. AND FOynE AFP ,iAY�ES INSPECTION RECORD 2,5a /._
�� sal. iYSn Y P tiC C E4 11.E � � p
2.50 %Cs #r
soac
so U
ov ER haG 00 ILI- r
—�1aYEBS2YAcc
51 Ls _.. .'� OnTk _fiM FGCTOP'S j
m�.raV!cE0.s»1. N 2 oA l^I 5.oa i .i •- Z - !r / j_) ._. -I IDCRYIGE. 060 J OEa A 2wl _ J � _'taA D` 'dGLGH GONbUI __ l ,rn OVER 600V ROUGH wi R!NG
Ern -.._ Fh Y. ORES I
v ..gg '__ / - _ i _._ _._..._ .�_ UT "Y CO OT IEC
TOAL FEE
T$ _. t
:. FINAL
! aaC a G eh o hhal be
S 7 d C O 1C.e 5,G\,1 TI.4E
a, c e eo FII W t to PERM.rT EE_
9 1 4 f>• ed + e6y. -
_ _ < e5
VALI4ATlON
Newport afvo. CITY OFNEWPORT UEACH, CINUFORNIA
DEPARTMENT OF COMMONITY IDEVELCIPMENr pfia�*
#
• APPLICATION FOR ELECTRICAL PERNOX,71,,
APPLACANT YCS P?" IN AhrX WITHrK-- - --mu�
COI;STRUCTION CROSS
PWR (RES.) j LO
T I �Vl
ow'RER 4
T-
SERVacE
�T-&-Jft
,-,A
ELEC RfCg,AN
TEL 110
ILI, 11, SrAT CzNs
�112
- - -- 'NO,. ,PE
'40 ZONE --r-p—o S' to ay
---- ------ 30
ArqG HOm' APPLIANCES 2.50
10 5 00,
le so
ru IGO
ovc� IGO
30 00
IRVICE 0 201A
5.00 UN.�ERSIs W",
VICE 0 E-ov'o,n 2,,A la 00 RCLGH CONDU�T
4�iVfC� OVER 60�V
PoUrH WIRIN,
TEMP POWER
U7U--0 IICTIF17C
L'ac
TOTAIL PEE uoc'
vh'y ...... �
Ru �'P S4, b, Code
rl r 's Avo
VAMOVION
10 c Is,
r- •. •.. ••. •-,. u.+ ..vv. rrosn'a oc.Hwn,gti HL.t Ye;If4tWFA
DEPARTMENT OF COMMUNITY DEVELOPMENT
R5.rz L45MCa �`
,,,,,,,�„ 6+EAYY itNE5'ONLY I ADC3RES5
W CONSTRUCTION FEE NEAREST
CR053 ST yj PERMIT m )`v
Btla@'NTfAL �� (ftt,�t,
' SG FT.. C0 It PER S®. FT (RES.) '
gyQTtel_,,j
LUCALI:Y yashion y(`yyand
- - - -
- OWNER New rt Beath Marriott
SQ- P4 &ne PER SQ. PT. IGRRAG6)
_
MAIL '.. ",•
_._
AOORESS_ pM Ne Tort C Y AXiYe
SERVICE v s ao
.t
I
_— _:.— ._:4-� CITY
dIELFR ALES OQ 'JC .T IRI
ATWON: nCI .0
ate u+. a Ern* oras a axra+rays
j ELECTRICIA
r —
_
dr + TOTAL o [acri --T—"
AD04E55
— € OUTLETS
P+RSA 20 .60,
a+9 J e�
_ C(YY T£i NO
_
ETAr ,'* LICEN '
NPT L9C. NO 40 TYP
__`
scraL
�$RTkhG � arsT 46
20 GROUP ZONE. : rP CESS O
V 1
T4`RES y COL
20 p
�- PY� ` ) s 1r
€
JR -__ -
Sp&k5NG:.AND HOME FRPL ANCEc 2.5a
_ _ L
-- INSPECTION RECORD '
--- I-- -------
�� (Dnmusfic Omyl _
__....__.. J
— 50
OVER 900
RA
e3
—bP_FSZSVL �
A.iej FINAL I
eac afio
'h t +le ce..
he $tj NA�tRM
9 e': q t d:cn d a 9 he c hor xed
ye'.
Yl
Tr{�-'-
, Jr PERM T. 1 `_.-�-
i e t --_ _--
r 4 Plaved rO0 h
6�i0Ydamt,b,
f � rGa a .e:atieq Wm'mev CPtrce mUS F^2
R=ss_----C-o_sta-%Iesa,-£a., '92627
VALIDATION
CK MG CAS,
=nawsart `d. '� CITY OF NEWPORT BEACH�...,_PI-E4N5 673.21t
DEPARTMENT OF COMMUNITY DEVELOPMENT
APPLICATION FOR PLUM13ING PERMIT
CANT TO FILL-IN AREA WITHIN RUW LINES —ONLY,
&Y No C"L OY FIXTURE OR ITEM EACH FLE. BUILDING J
L
WATER CLOSET fraaer,sa. 616�5C�-ADDRESS-
-----t---; LocALery Newport Beach
_--
BATH TUB , soy. 565 15 :.NEAREST
q; !� wER STALL _ is a Ross sT. Santa Barbara Drive
_ —
{RR e�O-rt,OWNER Marriott Corporation
LAVATORY WASH BASIN/ ! 9 50! 6CrJ 5D MAIL -L- --.
vr. Px' GARBAGE DISPOSAL i.g0 9'+p Newoortr Center Drive r� _yC_iJLd.—j—.—
ti GltAURPax isSr ORA. U!C_ W—NACNIF50i 3 0 CITY Newport Beach TEL NO.
DISHWASHER ti (�/�t r COVi iRAC:OR�Rd.
1 :WATER SOFTENERS _ 150' F 5U .'DDREsS '. 536 E. Dyer Rd. - - i— --- , A — 1iTTnn •yy�/ -yy/�
' WATER HEATER_ 950_ Santa Ana TEL, NO. JIJ-///0 -_
-. QFY
GAS SYSTEM Y-LET '1 SQ ,rArE LICENSE NUM1£8ER �T CiASS ND. CIIY LICENSE PaU¢@ER I OUTLETS OVER 5 PER SYSTEM-
"s. GIRD RESIDENT{Al.
(: - ZONE PROCFS9.ED BY
t„ LAWN SPRINKLERS 2A0;
.'A.' I r G.
I rWATER PIPING 4.SOi 1 i50 -- ..----
C
h. 1
J3 Floor Drai_nsjSin
—Siftk -- - .L_5 33 III"
15 lurinal f /�
+. 8 !Misc. Sinks L.5 _1�
® "disc. Drains
�- — -
PERpA:; I � CFQ APPROVALS DATE I speI, ssIOUATwRE g'
'.TOTAL FEW.: ,2�Q831 JNDER SLAB WORK !
--i ROUGH PLUMBING
farn3Gen 9 C c ant {hat ! aep -MY ewe r, C• thY duly G45 IP!NG °amfhC zed avert C the awcm.. ! grme to-t.n,O yy wdh it, m14 It.!. - - - - — — - - --- r - -- mv, reyu!mifra cor:4ucrian mod C daing Phm wark autnonsed thereby GAF VENT — I Ce, cn .1 I by em Played —.—
miation e! thm Lab eCdY of the HOT N'. :ER HEATER
Cfafe of Cal:fc•rm rYlatin9 ortrmnn's pe
PLJMSfNG FIRTJ REA3
SIGNATURE GAS TEST
OF P£RNITT E _CO_. NOTEPIED
ADDRESS536 E. Dyer Rd_, Santa Ana
—
_ _ { a' _.
4 3#s3 Ne ADM BYd. CITY OF NEWPORT BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT PHONE 673a110
_-- APPLICATION FOR PLUMBING PERMIT
M RLL IN AREA WITHIN HEAVY LINES ONLY.
m tYPE OF FIXTURE OR t4EM pro ghGH P'EE 6UiLDlN
.—_.._ ADDRESB _rfi _c.
WATER CLOSET fTOILETJ �— 1_.� f4 .4.
I _ NSA FtESTL-L._L ._
LIT
BATH TUB
CPO" ST
4HOWER STALL _ i t 3a
T!——T— ,OWNER. fl t,t=.c E-
LAvh'eQRY iw.LSH BAS[N> v.�Q, l %
1y
--T--+—..I MAIL f°} �S L� `MITCNEN a `K-6ARRA66 DI•$pOyA 1{
j LAUNDRx xwwv aR auTo.waEH HAGHI i.sp OtTY e (/' 1, L' e^Tgl NO. tDFS'HWASHER T SQ; CONTRACTOR _
P'NATER.SOPTENERs 1 150j ADDR
'WATER HEATER
—_..��
GAS SYSTEM OUTLETS64D ! STATE CiCENSE NUM®ER CLA95'yN6 CF41 LrrENi NIiM@qER OUTLETS OVER S PER SYSTEM .30 4��./ a.l.
RESIDENTIAL GROUP Z PROOFSSEO BY LAWN S PRI N i<LERS 2p{t! WATER PIP?N _. t EO''
i NsPECTION RECGRD w
{
PERMIT fib .4PPR0','AL6 DATE INSPEGTpR'S 816NAYLLRE,
TOTAL FEE UNDER SLAE WORK
$ S t _
A herihy ackiraxmtlge !hxt i have nad fhs appiicakan' ihm4 the �-L r-'H FLU MaING___ nahm Ration gven 's cerred; and that I arr M. 6xnr ar ffim dulp GAS Pf PING aR4henaed agent a' the owemr. 1 agra f o .plq with c.tl and sfmta""-- Amws rgafaf q cc sir�cfror acd in dc'ng to t au'nc W !herby, GAS VEVT' - '4Sa4a rove MII nm emPloYad 'r v'olalio Wa
of th L.car Cad. of ff, NOT 'WATER HEATER —!-- — Cal cn a rdatinc to s CcmnxnaaPwn insarn<e. — ---- �— _
—- PLUMBING FIXTURES
SIGNATURE
OF PERMiTT_$_. UTi LlT CO NOTIFIED
VALIDATION
CAIR
3300 Nu.ryart ®lye.
CITY OF NEWPORT BEACH PHONE 67331 iO q
DEPARTMENT OF COMMUNITY DEVELOPMENT
APPLICATION FC?f2 SEWER -PERMIT
APPLICANT TO FILL IN AREA WITHIN HEAVY LINES ONLY.
RIPTIO4 _JT t.O. AuiLOrNc r-v C
�Y ?PACT
—'-
t
EnREST
OF LOT HOw ON LOT ', CROSS ST,
OF
s•":C..^—QOREs4
`7tr Lfsc , t .r ✓d . , u','- _ _ st B //�
LF
W.RK - FEE
N OJSE SEW oR <p EC�NG TO
FJBL CSCWER __ S 506
6179 kNCiQP OFAI F _LO 510.00
k0 SE SL V:Ep CO £-?'C+1 TC
CCv TO AOQ'T:OtiAi OL]G OR
WOFA TO O 5£NE4
AE ER, OR=REPAIR QS L SA E7 NpLI SE
9EWER QP Q!cp05Ai SVS�£M
Ol'ERF�J'N 'sEEPAGc? pp0.;tiF1£iC
£#T.\., CESSPOQi. MAN.n CiE
FE
GROUP RAP pvO- S.tv BY
ggq
CON NECTIOtr 4ATA
CAUT ,iN LOCATE LATEIRAL BEFORE eXQAVATI^6m TRENCH
P R'JFSR-"' LINE
AE VEflEYrE___ fEET ----- Ct E-w-M.5
vvE O.-CORhECTION i
cu.. P.L. GADDL'
TRUNK PERMIT NO. ...I +V 1
RWY. OR ST, vn IENING
4-A T E £I: CROACNMEM1T
' PERMIT NO.
TOTAL FEE -
--� -_.,
i ne by }hi ___ _
k or!edge fha` have read }his... that 14
'-° maM1cn 9we^. Is co•re!. and May 1 am tha awnaP or tho duly au.hor ed 9 of Me o e ag ee to comply with c }y and state t s ^ag laf g coa t �o. q ih nark Coal h
^_Ot•;NECTION
' a per '.I be'elBc d e on of thn Labor ;f
.b., CIR I of }he
q ok..@ns Compensat IFsuranw.
AG LIA_ —FT OF STATION SHOWN
an
APPROVALS MATE INSPECTOR S slevATURE
SIGNATURE
OF FERMfTTEE--^f < _
..��^^
r+Ew HCJSE SEWER.
n CORESS /`, c �'"= 4
CONNECT TOfi4L AD'. -- ----�
SCPT C TANK, SEEP, PIT9i
' 0.NOiJR OpAItiFIELD
CESSPOOL [' DRYWELL
{LTCR. REPAIR, SEWER pR
!: SEWAGE
- ABAND N TPSE SEWE
�. ABANDON HOVSE $EWER '
r SA
dACKFf LSEPTIC. TANKS
rP rc•
VALIDATION
M, C C5! .=ASH
h v
CITY OF NEWPORT B CH
Nowporf. Blvd.
BUILDING
DEPARTM T PHONE 6n.21lo
APPLICATION
FOR PLU BING PERMIT
NT M f1LL M AREA WITHIN Vet LINES T. OV
YVPR OR K£xTURE OR ITEM
EACH .FEE
BUILDING
AOfSRfiS3 r7p1
ADDRESS
WATER CLOSET (miLET)
j 1.30;
LOCALITY �f--122rt
B.ATH.,TUB _
i.BOi
NEAREST
ffiN,OWER STALL
f--'-'tl'
i 1.50"
CROSS ST r c #
'
OWNER
LAVATORY {WASH BAStNI
i�;.g-
�� -- --
KITCHEN SINK -6AREA , _ _ TEL NO.
yCAsaN9
GAS SYSTEM OUTLETS
1 1.501
STATEE, LICENE NuwtEP cTYLICENSE NUM®ER
76 OUTLETS OVER 5 PER SYSTEM.3D
AWN LSPRINKLERS
2.00 GROUP II ZONE PROCESSED BY
1 WATER PIPING
i_RO
tNSPECTION RECORD
i
C:
4' 1
6 I —.— — _
I'ERM1RIT APPROVALS DATE INgpECTOR'S %.GNATURE
h' - �%A m M�a"•� UNDER SLAB
TOTAL FEE - -- -
__ ROUGH FLUMBSNG
ladgm hot I have read this appl catimc; thai the ---- ---------1---- — mdmm:mat n 4v crk aOhm•fined the aby G. S VENT
#m ammo ill Ce emp'ay d in
aman as s ±ahempLaanbsatr aC�dm 4 te
of Ca'an a mlaf ng to H.T WATER HEATER }
E • dnsurancm _ t_
IIn)" PLUMBING FIXTURES
" 3USNAT'RE j' (, `>� GAS TEST
E j r— OF PERM=EE 4 p� �- a UTILITY CO,GO NOTIFIED
FINAL
VALIDATION
K. C. CASH
a 7 0 7 d 874 73.75
CITY OF N!EWPORT BEACH PHONE oas_zsio
DEPARTMENT OF COMMUNITY DEVELOPMENT
APF "LICATION FOR PLUMBING PERMIT
T TO FILL IN AREA 1107HIIII HEAVY LINES- DRY.
"MLor PU[TLKa ITCH BACK FCC BUtLpEN6 - p,,,
— — ADDRESS Qon N wnnri Ge
PATER CLOSET fTOPLET) I.Sp I
LOCALITY Newport Beach
PH TUB
1.SO
_.I,_.—._�v,
CROSS ST. .__......
NEAREST
]WER STALL_
'- f.50+
NER
OWNER Marriott Hotel
OWL.... ------
YATORT (WASH SAS4Na C.SO
;N@M BINX-6ARBAGR pt4POBAL I.So
Aao 90® .IN. _._r&ptP-r --DTi V
NpRTTRAY0RAUT6.WA6H.MAC ISO
ICITM -Npwnn rt Rear•h TEL. --NO
LCOPETRACTOR ayton g6Oi t YYaty'4��.y_'g_
}— --`—
!!WAGNER i 1.50�
—
FER SOFTENERS
I 1.50I
AOORESS �y (�7 C[}!3�'I1 I VnY1 S•f
FER HEATER
1.SOj
�.
C4TY' Sdnt a �nd TELNO...
S SYSTEM OUTLETS
1.30 BTATB L[CENatE NUMBER 4Y.ARR MCI. CIYY.LYGENRt MUM"* 2C'9983 C55 0543
TLETS OVER B PER 8YH'TEM
.;G!
ZONE PtIOCESSEO ST
®U/GZL
ji
CAMENTIAL
aN SPRINKLERS
2i..0SO0
TER Pi PING
i
{ �T
PERMIT S! 3
_TOTAL FEE i
&'hweby a<kr..Iedge that I ha+n read thic appjk.Nee; th FBfam N- gir" ix correct; and fret I am the ownwt or M:
Awtheeimed 'gent of the awnv. I agree to complyy r6h of aad Limragalatinq eonstructwn• end m do nq the eark a.the.,a46 xrepeeson 'FI be arnp7oy.d in vioiatiaa of the Labor Coda $a'e o} California :elafing to Workmen's ComperrsNian Inm Layton Soft Water,Inc.
SfGNATURE
OF FERM9?TEE�_ _ '�tra.r�r.r
A®DRESS _� �--
APPROVALS
UNCER SLAB WORK
ROUGH PLUMBING
GAS PIPING
VALIDATION
SCR , M, O. CAYU
✓13 3 675
4._ a
INSPECTOR'S t16NATURE
I
`.$�'i4 NeW rf B`vri CITY OF NEWPORT BEACH
PHONE 640.2161
DEPARTMENT OF COMMUNITY DEVELOPMENT
A4l'PLICATI0N FOR PLUMBING PERMIT
APPUCAff SO FILL IN AREA MTHIN H&W LINES ONLY.
PYf^c OF RIMYV RE Oft IT[M �f FEE BUILDING /yhy� `♦ �/fr �'. ;
j'dYATtR CLOSET (T6[LFT} 2.501 : 'NEAREST
BLDG.
ST
I PER s
- 4dC ALITY /r¢�
C5N64fE^ STALL
y/�]
r4AVATORY (WASH BAG[
V�j
MAEL �gA a3. /Lyq
ADDRESS.
KiFcraEN 51pK-GArttlAGE QYSFCtf Gi 2.5()I •i.e.
:itAUNDRY TRAY OR—�Yt-"
'MASH I NG MACHINE TRAP !. 2, 501 TEL.NO.
€ffiHWhSHER 1750�_ CONTRACTOR. , �1 A�"�
+WATER SOFTENERS 2.50� ARDREE5 nr/
;
. WATER HEATER a 50 CITY LsT%re.ilf✓d.Ya NO
ws�'/—TEL
GAS SYSTEM (j(j E7S 2 50 STRTn �ICE45E NVM®ER LA !!O CIT`.' LrCK '! Imm 4 ;OUTLETS CYER S PER 3V>T M 1-00
__---
—AL
:LAWN Tit GROUP ;DNE
a LAWN SPRINKLERS 3.00
pRDCEfiSEC By
'WATER PIPING
.___-• ____.—_..._.._—� __-- _._—
2.50'.
! ----- kN9PEC75Db: RECORD —
r-..
ROOF DRAINS
' HOUSE SEWER ..sG
; I! ER IREPAIR
ALTERAT-EN. ABANDONMENT
''.PERMIT APPROVALS �— DATE INSPECTOR
SOT, -PIPE GROVND:
TOTAL FEE
'f s .F/
J eere6v a.Mnawi.dge that I have nad fh's a4p!icetiea that the '"-' ---' — ------------, ffMrow}iOn grren il CO•reci iild fhO I aT fhe owr•Jr N the dnry WATER PIPE GROUND' u"eL I ...
u>9rarixa6 agerti ci the agree is camp!Y with city slate n.a GAS PIPE GROUND',
?i;R construct am and in doits the th ___-
author mad th.8
e',oh la the
v'pltsaA will be employed '-0 v' la?ion of Ina Lobar Code e? the PLUMBING ROUGH the
Soh at a iFan'.a vela?ing ?: Wcrkmeo's Compeasaficn !nmrance. —`--- -----T-------- GR4PIPE ROUGH '
_
r GAS SERVICE
OF PE R!dl^E
11 GAS PIhNI
d
RDRE55 ✓ - `38/ /T. Pi, MCI NG FINAL /C^jZ�iS
F
C1I VALIDATION
00 Ne no,t sled. CITY OF NEWPORT BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT P °NE 6402161
_ APPLICATION FOR PLUMBING PERMIT
APPLICANT M FILL IN AREA MTHIN HEAVY LINES ONLY. -
r. fv f. OF FIXTURE nR 1T ; IEACH! EEE RUILDING
WATER CLOSET ;TOILET)
r— 2 sn' NEAREST - 'L
SLOG -
CROSS .CROSS 3T. PER o �,. � >
_ _...
---- LOCALITY %-
SNOW ER STALL -1 2 —0'
YA ORY t WASN BASIN) 2 591 OWNER
" - --4-- MAIL
KfTtNEN SINK—CAR9AGE V65Pp4/.L� 2 S(I f'A DDRE54 �L:i�.i'i%" '6 (WLAUNDRY TRAY OR
WAS
—�[ AMB_NG MACHINE TRAP j 2.SOj CITY ZtEL. NO.
... _._ 2.SD� '_�_z _....d.
'i DISHWASHER 1CONTRACLO _ ^•�.,
I WATER SOFTENERS �
- Ab❑RESS
WATER HEATER Iz �— CITY
' y
--f H0
' GAS STATE LICENSE N•t14tR gAY4}t40( -(CITY y W/ i P c FRESI[ ENYIAER S PER SYSTEM
LAWN SPRINKL-R3 T3.00i j
WATER PIPING —1
2.50-- _—_—_— _
ROOF DRAINS _T
--
I i
1 `! HOhSSE SEWER 7 pQ j
�.. SEWER ADDITION. REPAiR
----_
._.___ _.--_
_.
_ALTERATION. ABANDONMENT
j PERMIT i.' s;ao
aPPRO VAx.S DATE
--._.
INS._ —OR
' IIq byOTAL FEE
SOIL PIPE
..
-- _—__
GROUND
.'.
I hweby a k o !edge Cher ! hasa nap this Yppliufios fhal tha SEWER
-
s _
alwiae gree. •orreC; and Ihal 1 im the ownY, Or the duly }hmnxd a9 the owner. I
WATER PIPE
GROUND
_
agree 5o cam0.t
PIy with city and m
'1Y Nagelat 4 1io d n doing the w k authorized thereby,
GAS PIPE
GROUND
"'-s 1 pe em Played n oVaYen of the Labor Coda of the
IN of Ca+,o n of a'in9 r W�rF'miei s ComP<su'ron
PLUMBING
ROUGH
y
GAS PIPE
� y
9NATURE
GAS SCRVICE
GAS
FINAL
®"
PLUM EING
FINAL I
VALIDATION
-
GK. M.O.
CASH
OF
uO Nmw H {SIvd. CITY CF NEWPORT'BEACH PHONE 640-2161
DEPARTMENT OF COMMUNITY DEVELOPMENT
APPLICATION FOR PLUMMING PERMIT
----- CANT TO FILL IN AREA VRTHIN HEAVY LIMES ONLY.
PYPQ OF PIYTUMIC QR ITE. EACHI FEE BULL( ING ((`�� ���j. —�-------NAADDRESS C1 _ A
"WATEF: CLOSET (TOILETS 12. Sol EiEILDG.
' i SATH TUS ! 2.50
LAVATORY (WASH BASIN}
i2.561
NtTG'eFE4 34NK.._GAR84&F 0111
r
LAUNDRY TRAY 6R
JWRSHING MACHINE TRAP
2.50�1
j®ISHWASHER
2 80T—
IW-TER SOFTENERS _.
2.50. —
e WATER_HEATER
2_500
_GAS SYSTEM OUTLETS
2.50"
OUTLETS OVER 5 PER SYSTEM
100'
RESIDENTIAL
LAWN SPRINKLERS
3.00 WATER PIPING
2.501
ROOF DRAINS
2,50j
t is t4 r
7• SD Z
CROSS ST.
I PER, x I`
LOCALITY
OWNER
MAIL
A ODRESS
-
A\
CITY
CONTRACTOR
ADDRESS
CITY mot ` LjL I,'-^' �— E N
ST4TE L CEI:a ,I..c MA44 VO [ITY E49E 1d VI
_s_3 "fit
GROUP ZONE p3yt:yC,
I "
INSPECTION RECORD
HOUSE , l4'£R I
r SEWER AREP kIR
AN,
'. ALTERATION.
ION, A9ANpONMENT
',PERMIT b•'. 5 00
APPROVALS _. _ pAFE hSPEGT'OR
TOTAL FEE
SOIL PIPE
GROUND
;�
SEWER
rpby a<k a led?• t. of hate read 'he
aP�on. ? 4 curd a_d !hat ' a^r t }ha oaur ar /hB dui'
WATER PIPE
GROUND
fixed a4e1f the owe a?ree "a comply wYh <ty and state
--
GAS PIPE
GROUND
syula} -S crtruc!Ic a p '^. do:o? the p
--,k authnr¢ad th.Nb
rian t � em.o:cy d a6iaF ai iha to ..
PLUMING
ROUGH '
CAS PIPE ROUGH
GAS S Rvl
t _ / AS FINAL
ax Y PLUMBING FINtf
AL
VALIDATION --
,_rc
o -�
TOTL i
. ♦.¢ l a W R`6Y#yYV¢i,JaS t [email protected]{1,y 4A4f t43Y(1YIIA W. NcwPoer Arun. DEPARTMtHT OP' COMML*t*? DiEVEL.OPMENT rNa ags'vaf / p"
Imo{ &RJR COWTOW Tel
APPLECAMT TO FILL AN AREA NATHtN
ffLINES{
ERYY LINES ONLY,
Af iS.d1.1 7_ _
4w fbE'}.r L `
NEARt
5k. PER
31tR tr&sv--fiasCRf96 �iow
_ _FCE
r+"Fr.Tie� �
.`96fiG.
LOCAA.itt
OWNER MA f l4 Y 7 1
vENT} Ar xa
3 ADDRESS 900 Nev=rt Ceeat r Drava=
-__
--
A}0. CONQiYtCWN6 'i
c TYico �s
N}po_y�b4D :_449g4.
x
. �REFRf6ERA786k{
A44R ' 2900
RESTAURANT
O
i RANGE.Hfl04 I I
CLTY . TEL::NO.
. isayi ..
LTCS6 UC. NEW YORP
' DUCT SYSTEM
It4040
1 GROW
I ZONE PROCESSED BY
4 [ LINE
FOOTAGE
FOOTAGE— __ , I
FT.
INSPECTIECT[ON RECORD1
>y •. _ ✓r^' _ '! ..__ f
tt
hd ETAi FIREPLACE - —_.
"ISSUING
PERMIT FEE 4
--- $GOr�3 I C
�
TOTAL FEE iF z
APPROVALS DATE INSPECTOR
--:
1 hseby acknowfadge }haf 1 Ram read this a,plkailen; fhaf fhe Ixfwmatien give is correct, Dad that I am it. ewrter; er fhe duty
HEATING GROUND
RANGE
'-Ifiorfled agent of the awnar. I agree to comply
Ib regvlefing <omirvcfion; end in d,o; gq .work ¢hereby,
HOOD ROUGH
AfR CON®.VENT- ROUGH
authorized
. person wil; be employed 'n lafion of the Lebo, Coda of the -- ---.�
HEATING ROUGH._
StAft Pf Cafifornix re I.N"9 to Workmen', Companwfiaa lr 'aRca.
SIGNATURE -
GAS
---
-- —
RANGE H000 FtNA
OFPE
Oo-FERMiMdTT(tEl1�� — ._ �
AOORESS��Q�_�Pf'iT11P AGE' nri, _
AIR CONO.VENT. FINAL.
HEATING
-VALIDATION
CK. w M. O. CASH
�# IyEal—fFn3a;ReeL Ecxow ::� NYARTST fI SLOG.
CROSS ST_ �._..._ LOCALITY
f YiNTICAFKShI : "" OWNERADDRESS
y�/ll%� �� �••
MAIL
Y AIR CONDITIONER NOY
w-
i CONTRACTOR '
REPR'.6ERATfON T^�..._y
RASE HOOD --—� CITY TEL NO
1 STATE
L7C. CLASS
NEW9ORT I
y DUCT SMEM « Q71 (,3 CGA53C LIC. ;P l
z I GROUP 1 ZONE PROCSSSEO BY
GAS LINE—-
FOOTAGE- ___: FT. INSPECTION RECORD
. --- -__ ..._. _� r..:_
-T METAL FIREPLACE .._.___ .- :..—.-
( �- --
PERMIT ISSUINGFEE 00
DOTAL FEE APPROVALS GATE INSPECTOR
i beroby ack'.Wge P.at I hallo r6a4 this app lice}ion; that the HEATING GROUND WsAe Nicrt give. s -orrech and that I am the omnar,.% Poe d0y RLNG E. HOOO ROUGH aeWxixad anon! .,s the aWner. I agree to comPiy With city nd slate _ y a — taws ro¢ulat a¢ omstru<tipn-, and in doing the WorF authasised thereby, AIR COND.V ENT. ROUGH ne poison i ba eMPI.yod in olalian of the Labor Code of the — -- — SkN ef.Cat ss ,a rglet n¢ t WpFkm."s C/ogjnnw"tion Insurance. HEATING _ ROUCt1 ,SIGNATURE tj/ SqI�',� ,✓7 GAS__ ... FI .—_
OF PERMITTR�" 1J•",/- RANGE HOOD FINAL,
/[yy
"'4'€ , ` r., P2 AIR COND VENY. FINAL �$ t/ p
ADDRESS !f
FeEATING � FINAL
VALIDATION -_ ...._-
CK. u, C, CASH
P06 RNA. CITY OF NEWPORT REACH, CALIFORNIA rh1114a 6Aa.2ib'
BUILDING DEPARTMENT
APP [CATION FOR rPftollmm
ASPINJ PERMIT
APPLICANT TO PILL IN AREA WtTNIN PLAN
HEAVY LINES nNLY. ECY
_)c LCCAPkEARLE$T p )`.'�,,.�
CROSS ST l i
csNsus tRAce— —rvnaArrr �rrE
R 4 -.I PR�tlCCSffiFO
YES_rl
_ MAP
L• _ g NO.
CL o a
FIR zoNE��PEctAc.
P$E%R 7 �fEL. S?O RrROcac. seTn.icre Pseo --
TE1.. Hx PROP LIwR OF'� y�T (sxRE@xt
ta _
A E NO C t scvmncrc PRO, -_ I
bP PROA LPNE OR
STATE - r8i'R 6T
�.d.; REG. NoDOCUMENTS
rcuro,eee AP Rovs!v— T:"�
TEL --y�,rl- y ✓- TO ACCOMPANY APPLECATION!
FQ�3L'` Art• :Amon cuecweO
a1`6 GRb�}�a 6. a 1 %-�g PLOT PLAN _J
kBZER$gd'p .� aq¢vI_jp�F' -STATE
iYIC?NITI ASAP
` "�m�A3�aqres / Cc r* 'aA.°'6374^Fb}Y=EyB dZfaf�._ •. G�„(, ;��NjO. � // —a .— '�' `� w _ CONTOUR MAP VING qz pTYPt AL CRo%S SinCTr,_,iRACTnR ELF.
v rIONSfYwtl NAL
3 — DRAINAGECN.ANNELS E•
Iy f.- 66 rt l�.S APPP6VE[I ', AND FACILITICS
CLA NEE 4 < !PLANNED ELEVATIONS —� d
j _--
APPLtCATtOw APnR�VEO GRACES AND SLOPES
N EWFORT
x ( 0: a =S `9 !'SPEC. FOR GUST CON-TAcP
DESCRIPTION OF WORK -- AnFROVAL TU 59t,E MORROW AREA R OW AREA _M n @n3 L,
--�
KACiL ROUTES
" 504E REPORT
I
---
catccx IF susERvisErs GRAna Nc, it-t'u.,
GEOLOGICAL REFTORl
'k COMPACTION REPORT—___
I
81G#,4hTURE � - PLAri50F RETAd Nit'i, XALL3 In
-a� iderat o of --
CF Qoa!C k AA PNDLED Further aq,o- by
?� �— e ppi- that 5F C'r 4 Nn•co•` Sa t andoy o'f <a• c Pfayca " =`T. FHE L de h P halr e ha s by + a aP I as. om rr tG v c• _ po fb y o ay dens ru o d aka -oar cn ar pro •rfy
rt MLL a• S ba pe n - c - r C /f. (/ T 1,-o..rnat¢ t f nn work u der I t t na th r a of 1 a^pl ¢a! rd ? 4l p -nit r. P m is i
gcrab r< n .edgy h -va a h Y b g.anfed s c_sa Nar fc ., h_ xa d f;ab Lt4e. 4s5Prmaf:a n CP- e 4 :hai n M aPC` ! n tnar the ereby a n•eo by aPPI t.
I wPohv' d 9a f t4. re o: tha d•1
x N pe Po-. ;!g pe aamplo ed do nS o.k a [� ¢ h eby WORK TO BE COMPLETED WlTH.Y — .Ie! ¢ _ DATE
_. i.AY_°.
�.3te c Ca. to _eiaf o Wwkn@r , /C meaty of ti' FIwAt [f ilruStR r SP TC RS 5lC4ATU RE - i Ra ar,e HA rf LrD
Sfcohr.4R __—
QF PtiRMV; LtL A... L �a.'b lL FA SEC, £1
it C p :
PLAA
1 CIIY.'M, UPUDATIVrR ,.p. R: •f 3tJl e ..- _ Y,
�_h3Y FLLEA 9£ik I'
T �ygp Y �p Se®pgpl-ae_
rj 4 P}IM! l VILIDATION iC p;) .5 CA5w I2 I� i� _� _ 1) ij
�,s
CITY OF NEWPORT BEACH, CALIFORNIA
8900 W. RTWPORT BUILDING DEPARTMENT pI4".e .Tx.Alko
MISCELLANEOUS APPLICATION
ES ONLY.
-DING ^+•±± f }�'� �^' J" i Bull —DING
TRESS ADDRESS
REST LOCALITY
NEAREST i••
SS ST. CROSS ST.
-EGA" F{RE ZONE GR P TYPE OCE<SEC Eie
CRP i"+ NO BLOCK . - , CONSTA
NO OF 8_CGS.
CT i0 V ON LOT t.1AP RACC H cH.aM ®}
USE OF RG GR2E) ,,.. CONO LOCf
_OF LOT ..............._-.-. EXISTING SLOG. US E ZONE! SPECIAL CC NDIY;GNS MAIL, p+�E ` � g$ itEQUtRECTT T KiST.
ADi3RESS �i tF'J ( x R� YARD HWY STREET NAME
_ .__ SETeA K WmTH.
cfTY4
J� pp
),, Td ., C'(� FRONT
COC'FTRA ADDRES"S T�O° R37!._SIDE
�I(P��a
._xa,w_ �dq
iha ! n .e -aad t«: aacl ca - :oat m.
— ---�y
�J /^io4rtZad q.ve a am f•. a- the o. d ecly
GPTY le6 �/�•�. / --/gK _-.-� A,, C. " 7 1. o ed gent r. I aq ee a cam a ^a1a ----- .av '^-� -- -. _— laws re9•iatir9 cons u, ,r and t, do eq rbe .voe a� o. -ae. rheebv.
CITY PUS N SS - no panto w'I G e. proved 1n I e4 I4 • h Coca + the APPLICATION FUR LICENSE NO Pgeff� $tat. of Ca'4orna eet.tilq I. Wo'manb C.o- Ce at I— OCCUPANCY
INBPECTEGN SIGNATURE
6F FERMIT-CEAj&�'...-
A➢DRESS &_d �/_ ±Rr�P3r C�_� �/V a•✓-. a..
INSPECTOR'S
APPROVALS DAT£ SIGNATURE
[�CIU�IINCY APPRJV 4LROt1P OCG LOAD
i=
.DRY NA._ LATH ANC P-A;%R PERMIT
YARDAGE
To,._.
FEE
APPL!CATION VAL:DATION
NOT A PEP.MIT. CK M.C. CASH
FOUNDATION. LOCATION
FORMS MATERIALS
LATH EXTERIOR
LATH
INTERIOR IORYtWALL,
FINAL APPROVAL
PERMIT VALIDATION CI ? :.t C CASH
f I_
AfPitueelR �> iiAfE ; IH ,YEf,TOH:4 — -- _ ,
ANATURF
HFINFURCIN!. .; Tf Fi.'
R4iE5LAR � ..
L
SHEATHIM
FRAMING
INSULAYMN
SUSP=NUE fi r.41! Iw,
LATHING
T DRY WALL
KA.S(ERI4:3 -
FINAL
CERT. OF (N;L'11't.t1GY — --
I
_
I I
j
[APO'W NUFASEW
RHUND ON
i
City of NowPort Hoal�h
Budding Dopartmwit BUILDING PERMIT
P,o Box 1768
J,ipwport Beach, CA 1j2,T"1'APPLICATION
f3 RWJe
P,Jrniit: (714) 644 'Q88 IniWtiory, f7i4,P,443255
/01 cl.
7-rxm ?AV(4
I I I
A (-I, " I
IAIIJIl Rk,IJ,
1 AI I 1.AI
%II1VA1
JI
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,#%I APTI,fl NJ Hill A I-F 010c, 00 191 LAYq I TM J,Js - Ll — DA Tf1,A - (>p T — AN CHECK VALIDATION "CIOMEU N1,111 AND V010,
PERMIT VALIDATION
City of NPo,l elR.h BUILDING PERMIT
Br,�6tiv ,� DHP�.rin nr t
P orf Hpa APPLICATION
Do* 1M8
Newport Bnar!n, CA 9265i3-8y1`,
PFFrmit9: (714) 644 :1288 If/}n/x"�rtilni (714) 6443255 ar 5m F1f.Nt NA' 15 y'r 1 a rrn nV,��%➢�
I I�3 Y Y T
J hPR. GT/I. tIta ayp 11 rIG...
nuHr 59 ffc- IpFl/l I0vi Ej"IR P/
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I,RF 17
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Nv
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nl�„i�rn r,r "'-
ISHe $ /
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-L L � � ✓
nrrl at 1 [dAi��X �'`Gh y t
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gam' h f f
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Pmrnn 31
Adj. Po,
F+Nr i
... .. _"
PLAN
NM M4igt F3N e3TA NTlD
PtAi01 Y11ia1 A WV019 v OF 100 OAf% FROM TIAY GASF 15p )bl P1A4uf}M IJN rrUffi PMXMir NCC YiIASN MU4S AN, V4ftl, CH
VALIDATION a o. Wlr PERMIT VALIDATO N
APPROVALS
PATE ..._. IN3KCTOR S $
___ _ ,iGNATORE 4
' I
FOUNOATIOFi E
._
�REINFORCENB STEEL
...
fPRESLAe
- I
SHEATHING
t
INSULATION
SUSPENDED CEILING
LATHING.
DRY WAIL
_..r� •�lJ'', �/ �._._%�J
Scratch
_. _ _
i
FINAL __.
.._.._.. /�•/l-_/ r„7/'Y .. _...
�CERT._ OF.o000PANCY
�" f �/%i?f%�
fdyGUmZ
- 1
DEPOSIT RELEASED
FOR
RER ND ON ..�
T0:
1N.
ELECTRICAL
A, 15M 1q11151 H M A
owl,
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vro,
uwrk" son on
WPM W,
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i
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MAfttssalE llIlT617 it
l01WO It YBISI v Kra{
r� xsRaxc� boll Ill$ lim"4lA4ll
Wig 111JAV to 460
K
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� e renaa 114-80.670
raE rniiPr
e leelaa€ca} $en€r tees ` $ul Nm lee s
c6 serdal lacl
t APPf7GPlAL4 (SATE _ _ W9FEugi S,
C UTlE:.6i5L.AB 7 FL"SSlStlilL of uelaued °eee
HVAcrrxxM soar H, 11 $Lll Cum M ugrite6?
F€WI-AAM € OUGIi FEMIT 1889[lC M
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GAS TEST azx x z - z s.._z•-.. ••_,..;_._.
t.ilG ldCdlllCdG $l$li4 $$$8 21.47 k
t1VA(; / klgf7Cr FCWAr A? Ig U
WORKEPO3 VOMOIN"TION DECLARATION
NF NeBV {(4K'MY »M krHY n A•I 6p .ngleAl[I Y1flY VMUIIGgF� YNiN �� C.fiYtl665fNMF�vypyfENflYippXa4rt: at4AlhryL5 W1 AC9kfffi�glkgry CYlwI91Y1t6p✓.Fg1.1 �(� ;M#110.8 iGYCdWt Iq lY 11Y lY1l
BRA N 1YJ C Mk,�'Ye i y
A tt6 f � yO
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t w
GERTISICkTE (rf tA6 6-M ERb' _..
€:OMP8m5Arm :n
I
i
it Ihu KyeF MW4tg TWlnw W1li A6[rvd .&IMa FIDn amfgnbtxnpvrnl 3 ( tge Yq p/rM1 IY hW'I 1PWfsHiftyl1A J111W Mx Is{j'em IP Mlh R' J.pY Uryp jfA,y!fdf �MXYIue. M(t M {hlMd IMJ wpk) M fi*1 rrtaMNW +P wS! ✓.+pwspai lry O0gg 4a&x <. MU1tlw1 M L erMurt �erav Mr PI � q Mawn?'a `
r�7 F
City Gi Newport Beach
3 I BDlltlmg DepENmoot
Box 1768 BUILDING PERMIT
Newport Beach, CA 92659.1768
CYA H COURPIm PFnn<NO 17141 A44A9PRI
Permit No
B920041 S
I EURPI- CRE RPn Psis Ph— NO. 17141644 3255
OWNER BUILDER DECLARATION
JOB INSP
DESCRIPTION
ALuHE55: 9OO 16aPONi CEIi6R DR
AREA'. _ @
Of WORK: CIP IBtENI09 di,P ITC �l8.921
iQl1UTWMGNE 90NISICA1S C59USFeSSAM1 R1.1O51ON5COSDE A=NTICHY'JWq pyNry SRIUCTURE,PPOR TO ITS SSUANCE, AL50PLUTIRES THE APPL PNT OFs UCn PEPMI TOO Nl BLOC: FLOOR SUITE:
CJNST.: ALT RAISE FLOOR LEVEL ATRIUM
COsICNETSTATEMENT TENTATIVE UCFNSEDPUNsuaxTTO THE PROVISIONS C11FE ON FACTOR PTER5CO WITH ON
OWNER: XARIOTT d CORP
TYPEOF DODO. NO OF
SLICENSE L ICH
BOPS N°E INS OR THAT HE SECTION THEREFROM
OR THAT HE
vvaLATINOFskcrloN
-. - N
..
CONBTRTCTON. UP STORIES
A°ORO NEW
ALINO
BASES fOHT THE roaisev ANY APPLE
FOR
gDOREss. 900 RfiAPORT CENTER DR
SOOOTH B T G. SE IR
FIT LOT A F M T SUBJECTS THE APPLICANT TO A CIVIL PENALTY OF NOT MORE THAN uxD
AFYING
FIVE EODOLLRslss om."
NEWPORT CENTER DR •. PHONE:
714 640 1100
.1E SPACES1 .
UN s
AS WNER I.ITOR.
WITH WAG. A. IFFFREO
THE PRIDEFULLY, OR MYLL
Sire �,�° FRONT ROAR LEFT RIGHT
WI
XMPEN4HON. BO THE WORK, AND THE STRUCTURE I5 NOT INTENDED DO OMPLOYEES
CONTRACDAVIA TONY INCORPORATED
SALE SAD SINESS THE TRACTOR THEREON
APPLY TO7044
LAW DOES NO IFOR
AN OWNER Of PROPERTTY wHIIE
B NILEG OF IMPROVES
ADDRESS: 241`18 AIGLON RUN ROAD
DO'SAND WHO SUCH WORK HIMSLF OR THHOIGH .'A OWN EMPLOYEES, ,ROVIDEOTHAr SUCH nq NOT INTENDED OR OFFERED FOR SALE. IF. OESPOT THE XORERO VALLEY CA 42557 PHONE:
714-242-0745
LTC I
DESCRIPTION.
Sft LUNG 08 RAFELTOMMENT5 SOLI WHEN ONE YEAR Of COMPLETION THE OWN OE W A k! - 0. OPROVINGfH EOONOi BUILDOR MPiOVE FOR E
STATE CLASS
3I2171 OLASS'. 0 IF^f' mVS EAV�L LpT
6074
PURPOSE 0 SAL `'.1
. 5° E 0 E O ER Y. - EMC USI EL CO TRACUNG W MLCENSEDC x
ARCHITECT
/JI
TRACTORS O O ROSINESSAND 0ES ONS COOS
LEE O C E LAW GOESNOT ER Of PROPERTY W1 0
ADDRESS'.
B s ° IMPROVES THEREON, AND WHO CONTRACTS FOR SUCH PROJECTS(' PHONE.
SPECIAL
CJ EPURSUANTND LONTP GS FO LICENSE 1
C.dn OITONS
L I I AM E FROPT UNDER SET 0&PC FOR THISPASO
LIC. NO.: I,
DATE- — CARTE- --
ENGINEER Y
ADDRESS ',�./Ah
6`Y'\ PHONE
PROCESSED BY
ATION
LICENSED CONTRACTORS DECLARATION
AFFIRM MAYI AM ROVER O SON"S IFCHAPIEN9 CODE. AND
WI I SECTION! DIVISION LICE SED THE BUSINESS AND PPIESSER 9 CODE.DMY LIG NO: IIVV••
ZONING " DTHER
APPROVAL DEPARTMENT
ck sE is TIC RCE AND EFFECT. CF
c sE ss Lc No. 1`IC 7i-_
��
APPLICANT DAVIA TORY (MARQUISE ENT)
ADDREss. 21605 CALL6 XONACO
1/d��3/
f'Re PLAN CHECK
APPROVAL BY
O q OP _ DATE /
(N
XOBENO VALLEY CA 92SS7 PHONE:
71y 969 3011
WORKERS COMPENSATION DEL
SIGNATU
GRADING APPROVAL
HEREBY AFFIRM MAT I HAVE A CERTIFICATE OF CONSENT TO SELF INSURE, OPACEMRI- CATE OF WOPKFRS' COFFEE REACTION INEVBANCE. OR A CERnFIEG.,I THERE OF SEC. t.00.
ATTIRE
APPROVAL TO ISSUE
LAD C I
E CIP Building Permit Fees m
1090861-90 FUND
COMP v _STATE
— — --
DDGPY Is IRS., T..IE°.
��/
ERYER» Final Project U1uce imn
21500 Payments: OAO
IS lDI1B ARTM
Cf 'Credit D.DD
:RTDPDPY
Regular PLAN CDEPUSI HECK
11648 attended:
D d 1'"�"'l�
EErm40lrfdT
Total trended: 0.00
F EXEMP
CERTIFICATE FIRERS'
dDD.CD YS
ENBATION INSUR
I6IaDCLfiANEDP(Y)
THIS SECTION NIFO NO, EDCOMPLETE°IF THE PERMIT IS AND ONE HUNDRED DOLLARS _--- --------------
- -
------ Balance 847.98
SHOT ON LEss,
S116tatal CIP BUILDING PERMIT FEES
847 98 Adjustments 0.00
rCMNFYTHAT INTIE PERFORMANCEOFTHE WERE FOR WHICH HITS PERMIT IS RESTED, I SHALL N01 EMPLOY ANY P=qwN IN ANY MANNER 5o AS TD DEEMME 50B,ECT TI THE __,_,,
------ __:___-__--- Balance cue 847.98
WORKERS' COMPENSAI GET LAWS OE CALIFOTEMA
847.48 --- -- ----
DAIS APPLICANT
TOTAL TIP BUILDING PRRXIr FEES
NOTICE TO APPLICANT. IF AFTER MATINS THIS TERI OF ENEMPTION. YOU SHOULD F[ SAHON PROVISIONS OF ME LABOR CODE,
YOUMUST FORE WI THTLOVELLY WITH SUCH PROVISIONS OR THIS PERMIT SHALL RE DEEMED
REVOKED
rAvllr ,�L N B
LONEAGENCY
999
CT ION LENDING AGENCY FOR THE PERFORM
BY ION EDGING
'A A CONSTRUCTION
®F
O WHICH T To DEEPLY
TREE OF TIE WORK NTHIS PERM EDISEC. All C
PROF THE
LENDERS NAME
NDFN $ADDRESS
F E 9 1 8 1992
CERTIFY < UYATTHE ABOVE INFORMATION
SC F A 1 NO COUNTYOO NCES O STATELESEW
CTION AND AUTHORIZE
LIVES THEABOVE MENTIONED PROPERTY FDA FLY IER
VES OF THIS COVNO TO ENTER UPON
N T- n
Cilr Of NlrQRI B
HIGH PURPOSES
�S
SIGN U�f MInEE DA
--
--�
PLAN CHECK VALIDATION CK. MO. CASH PERMIT VALHURY I RUN (0 M.V. GAS"
„TY _
APPROJA
INO.uro*Ig,.
IicJr,
PLAN CFR.
6PPROVAL
1 @
O ER
y
+TOTAL
`SvNfi`V1 AOp A. EK kEPA IR OEMOV 5H
._.
TT IE
v
WOPKE I S'” ACA COMPENSATION C= EARA-
REWE9r gG> s'eE -'_ n
E. C 6 '.'S'URE. ORA
(/�//j�
YV`^E
� }
P C.-SA F OR £NS' l-O P :t 5 E, pA s GrEO CORv
11A1I
'd t . ILOdry$ IiC7i(Jd _ oecoc
:SEE SEDC -.¢_
CE E. E011l IS •ERF¢ 1
ceR..vrEO CL` v'E G 1P.0 .11 Tt BJrLDrnG OEatq-yErvT
c cv cani..
TE
—
LIC 'LASED C^N RACTORS DECLARATION
`I CERTt FICAtE OF EXEMPTION FROM WOPx.:rRi&S
EP w' .a E o c .ER z
COMPENSATION INSURANCE 1
C E 3 5>.vfi55 hop
l7hiS NORE
Fy5 3.G1J S t i. GON E EO
-- 5 CO E nAY .-.c �E 3 5 'gC EGGEC
'SSOJ O EffS
S
-
f 5
f C£Rt N 1 f0 E O[ wE O O G P E RyiYrT
C ' --
SSEO. 3w p E P.01 Y .., E ,R
SU J CT TO E WORNERS'CO PE 9& ON LAWS CA CAL ACP.n
v ap_i6R
OWNER BUILDER DECLARATION
p pu
E ¢ ' O O S E
O EC ME 5)E ECT ,O E E'C S 11, Sf SG nE
O G 3 E S 5 'S CO E
E C COE. C M S O C g O SC C ¢?E N T
EC E 5 - O OR
E DE 4E £O
s 5 E - -cE E RE, -11 All-CAIT
CONSTRUCTION ENDING AGEN.
E E E E O
3.0 5 E E 3 CG E nG
R la
a R E
O' E C E OJE' OR
OF,G N- - -- - - 09T. v C.
E. .. 5 PE e
E E G B 5S EE C G
£ El 'S •a. E
M1 11; F 1, 4.,RE tea♦ c - .. ., -J �A NOAE v 5 43]CE
e... RE55��.
C GE
-E T Ol'E
C CE
C 1.1_O OM COVMv
E -ESE C
O E^ E E 08U +EaEBv
'+PCRE, _C
'FOR 2E E C�Tai aES CC. C ] .Ill -a
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EniU E+c Rx� OC'c_ A 'EE
S NOZE
�J
—�
E
e c u
IS — Aoi F C Cc,_ IS
�
F -_
_lR- MAST 1z I , A PE. ' C OG 160 GAYS FROM LIE DATE OF `/ALIDAI IOI OR TMIE PERMIT HECC'nE-'L. AND VOID, P1AN CHECK VALIDATION _ -„ PERMIT VALIDATION I I I, _ _- , 49 J' _ n ip all'.
1`
9-d-t�
APIPROVALS
I DATE:
—�
—
`INSPECTOR S
r- ---- ----
----�-- ----�
SIGNATURE
.FOUNDATION:
,
_ _
I, REINFORCING. STEEL
' SWrATH'NG
FRAMING
� DRY WALL
-----
SUSPENDEDCEILING
--
-- ----- i
BATHING
Scratch
PLASTERING i
----r--
Brown
-_—
INSULATION
--r---
FINAL-
CERT. OF OCCUPANCY
--
_ DEPOSIT RELEASED'
FOR REFUNi" ON
" CITY 6F' NEVYPORT BEACH, CALIFORNIA
¢^ asaa w wewaoxP RLvo DEPARTMENT OF COMMUNITY DEVELOPMENT : "our 4a aeet
UPOCATION FOR
11"TIN, VEPl UT€K REFRIMTWN & AIR 7 9NG �(% Ls ✓
APPLICANT TO FILL... IN AREA W,THIN RritY,kfNy
HEAVY LINES ONLY.
ATI-pE5CN1AE 8£L6W —r PEE NEAREST 6! LI G. t
6AttNm CR055.SP. _
�,. LOCALITY
VENTILATION - - � OWNER p%���1si'JC/C5y-l`�
Ab9RF55P(-
a14 CON4tTYON4N6 -- - CITY. fj t!%d,}�g /-��% kJjl TEi NO qv - REFRIGERATION -- — �CCaNTAl.CTO Cl7 Z ri ',�✓o d_l_*:2
I.
ADDRESS
f�^tf R.�d✓
! RESTAURANT - -- -_r
RANGE HOODI. JTT�2=d1l..G',�iCfy_T NO.
U T i ;2 7 L.•
1__ L7CT d O Z
RY
CLAS�L:C.6UCTSYSTEM If
. ! q GROUP f ZONE PRO(/jjESS BY ^
GAS LINE 0
FOOTAGE __FP, l tN ECTtRk REcoRa f
_ G
I P.tETAC. FIREPLACE
7—
PERMIT ISSUING FEE
,. i, and Yh OPA dmEfh¢ own! Or Sn¢ APPROVALS RATE INSPECTO_-R~ ._ +qy- - t bnrcLy achr ledge Ihaf I have read this apple ton; ibe She HEATING GROUkO hatormaf an en is
ne13o1ieed agent of the owner. I agree fo comply with city and xfaf¢ RANGE H000 ROUGH f¢ws "goiahb ng c0tltrecor and in doing the work au°hor'xed thereJy AtR CONK VENT. ROUGH x¢ pezon will ha emp.oyadf n v'ofation of the Labor Code of the state of Celiforra relat'^g to Warkmens Campensat'on Insurance HEATING ROUGH^ SIGNATURE GA5
OF.pfRMITTEE RANGEHOOD FINAL r__.
kDORESS - _ AIR CONVENT. FINAL
— a ...__ _._ HEATING
VALIDAT16 V
CK, M.O. CASH
00W Newrn Bi CITY 6F NEWPQP$T BEACH
AN CHECK NO,
cn� Perm t: saa 2139 InsG.11-2161 BUILDING DEPARTMENT �c,o
APPLICATION FOR BUILDING PERMIT
g£GNTRACf— D— I_S Ra I�an� c�.: ..r`.au _ I..n ..,
LIc NO 1 I- W?- ��
Z.A NEW PORT �a—A_. -.
Etc
.C1S.T N Ar•r. �W z —^Mf
D`cSCF ION OF VIOPK j W KF_ ' COMPENSATION OEC AR O1J
C M•C O.pG _ A E REPAIR OEYOL.SH/yp Tcr/'r
exro. — , -ILI�. ��.c�7.Po+n4Y l{5 �4[ 6s1 ten,
7_Fle-
1 £ SEO -A, TRr\CF 5 £C LARATfON rA If
r
l u
r cc�E CERTIFICATE OF EX EM PTV'ON FROM IJOR KFRS J
COMPENSATION INSURANCE
E
hid-T _L i�
i OWNER -BUILDER DECLARATION m_ eo TO a sr. w+[i. a ac xoa 1p RIA
1. Af
s
i AHO eA. .vns ccc Auv ry oe 10,"", w ps Oc
E n _ ov x Tnv e
E ,�TIL
1 n.eo vorl.on s. o. s .a Tez.s a •�n.T .v Ac.. or
0. TAT
CONSTRUCTION LENDING AGENCY
En AT�s.A
I A H. na vn cn Tn r..m l_ . 5
r[ o I E
q
¢ - .c._ _ t
- - E
i
4 IL�.. ,.,r .rVp r, cAIi,
fI I, I Tr ESTIMATED FINAL
( VALUATIONS 'JALUATION S
E
g..._ ... •e .n T
PI AN OTHER IPk.RMIT
ri K. FEE b ,1 EE S ,FEE
AC']TOTAL +
P _ Ftt $ F
_.._
`NORL`. M T _ aTFl .li WITHIN A VHRIQU OP' I80 GAY_. Fie OYd TiiF ClgTld 01- VrtLIDATIO'+ OG Taf ld I f .11 HE::OM LS NULL. pt I'
PLAN
i.PLAN�Ht@FFK 1'rdL41]A"fItJN ,- FES.^,- [71h. ii!)ATIOiv .-r _
t181 W. to seYpa.t Biqa. CITY OF NEWP4RT BEACH, CALIFORNIA Phgn® 649-2901 _ DEPARTMENT OF COMMUNITY DEVELOPMENT �r
.il APPLICATION FOR ELECTRICAL. PERP41T
A PPIiCANT TO PILL IN kRE4 WlTNlN ' VIL fN
�a__,»�'M AYY MINES CNLY ': I q0 pRE5S m�
`Eyq` eCONSTRUCTION 1 FEE NEAREST 41:...
#E03GENITIAL ii i CR+SSSPK PIMIT::{..
i '
36 FY 0EB PER SQ.GT. RES.1 I LOCALITY
.. OWNER
SQ. PI, » PER So. FY `6awkU&tl MAIL
v -- T-�0.pDRES
SERVICE � 3 69 V
` 0 - — CRY Y TEL Np
Tl'
CG`JLAR FEES FOR TNER ry h„w (..i AL -
Rn Fc�e x A r�Rn.* a aooII w ELECTRIC!
.2P±. OUTLETS—�— o .E-`=C-` -R^'�RE FI�I I
YHT F.Rs ZO $ 66i Y +"TTELF®W 3'VbF
STATE CF)NT FCEASE
n.ER 20 E0 NPT LIC NO rNO : TYPE' ?s
TOTAL �— GR
o ZONE PROCE 5ED BY�.Y ..,
WecTeNa 4 -Rg a9�
iXrR3RE3 � ' . Aco L
- — _—� INSPECTION RECORD
r'NJKiNti AND KOF+ APPLIANCES 2.50
; IDOTQS!IC Only)
0.00 _ 21.00
OVER 100 +. .. J:.
S aC
—-- --" r RVI 8.,... NnI :DER 20DA �� ^erg pry UNDERSL.AH WORK
RV ICE O S
.
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5.00 TOTAL FEE
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"fREfi• a -IINDTI APOIIABIONS 'OF CPn PIER
5E C O .1 G: d I.,E BUSINESS A'.
»Pe z s o E _...._ A'. Nl . C6..6 I . F...L FORCE ANC EFFECT
OWNER-EGILDER DECLARATION
-
EP£YY AlI IltA O t CANTFIAC-lRl LICENSEA,A FISR T-E
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CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
E wEEC 10' 6E CINIE'EC rf -LE PFPr 5 I-L Fr
COLLtpS RIpO. OR L ONCgEC
EPTrFY 'A' IN TXE eF m[OPNn4CE pA TAC µ0AFL F rrr5 P..Pp, R EVpSE.: T ENP'.G� A S EROv 14 TO 9E<bNC
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9349 2 . 41191 "fix, :Se+iG
APPROVALS--' -- INSPECTOR
s .ATE
----------
FOUNDATION:
MATURE
.�+' - •,sue_ --
I REINFORCING STEE'.
PRESLAS ^
.
i
SHEATHING—
;
FRAMING
DRY. WALL.---
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j SUSPENDED tc'iLtND
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Brawn
!.INSULATION
-I
7�— -.-fir--.-
FINAL
4 _y+
-, DEPT. OF DCCUPAHCY
>6S--s3'-
8 66-Ys� F/,t/44 oK -*R
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Coevj, ElOUS /+USAEe7
$�Ep� NoZ PP �Lr� tss2Q1iat1
J '
n li�7PUTi $tc4 M144 Q�
CITY OF NEWPORT BEACH
PHONE 5802191
DEPARTMENT OF COMMUNITY DEVELOPMENT t
EO fi:;f. IM YNTH(NHE/A�YIY 11k�5'e �f
' :vPe aP FiSTV ¢x Jfereld: IEACtIi KEE 6UILQIRG / ¢8.�.�L7`. ;j�r�'�,.... 4'�e "WATER CLOSET <TOILETJ 2 Sn (p:y NEA kE5Ti ps.UCp
BATH
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i r n �O^N.q LAVATORY
ORV (WASH BAS"' n $i�s¢tt !XER
f
-AaDf yy ' " xlzcasal arnw.--cnwaA�e cardaAc'f 2 50 i .. ADDRESS
LASJRORV TRAYMACHINE
WASMiNG MACHiCEE TRAP CITY �.q G' w�.n�
4�WSHWASNER 234+-- �-s-COI;6ACYOR }Y ¢¢.G!'° (,.y�' .J.S.", ,.-
lea NEATER SOFTENERS Z.b3b .i •. �..A p 5s
<_
� ._E6 H .�iFA f✓�'.5�r-4`-7
GAS SYSTEM/ k —� S�aTE LICENSE N JMSER I;a:Ags NC. CITY ucru.E M11M\[R OUTLETS ,2 34, „
=:OUTLETS OVER PER SYSTEM 4.64
xsm•----•--_-
LAWNEP IAL Gk0 ZONE
�
,.. �WATdEkPiPVNG SPRINKLERS 256' yPk�SE5SEE 8'Y
c7-
y ROOF DRAINS
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SE SEWER - 7.50
SEWER AQOdTION REPAIR -� / # ^ —
. ALTERATION. Aegrlp� MFNT ' 9O i `',Y� � a t �� �. ..
-t`pt_'t_ —� "P
ALTERATION.
A ION. T�T�MEN 1 sy00 �PROVAL GROUND
DATE INSPECTOR
_
SOIL PIPE
AL F __.
----- - J. / sEWeR
E t»rabY ack r9. pp }ion; that '.h¢
sbd6STns4ion g p ec4, aidd 't Sao aP Al the duly WATER PIPE_ GROUND igiQtC E¢d aQ O®2 i aqe OtrvpiYr' wfF1 CifY dlld ifaff GAS PIPE GROUND ! kapa W atinq an; a ing 1ha ,.k aWhor'x¢d ri¢---- na Pe soft it oYAd' Olalicn r a Labar COd® of4 ffia PLUMBING —ROUGH
i8&!¢ Cf r•a: c ¢d'�+g .c W rkmen's ofI`.Cbnsdtion lnsGra�:e ----- — _..,_ — -.___� y
GAS PIPE ROUGH
BrGMATU RGASSEFViCE
E -�..r Y'T
OF PZRmi=.
GPIA.us VI GING L
ADDRESS S IFINA
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VALIDATION
p CN M.0 (_ASH l
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t `�
CITY OF NEWPO-RT BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT PONE 6401161
_ A B LicA"T ON FOR PLUMBING PERMIT
APKOK TO BILL IN IAEA IVITHIH HEAVY LINO ONLY.
LY➢E or F'IRTuw OR ITEM EACH PEE ®U!LONiy
r` ADDRE'B P 'dAarw;
_
.-._ !WATER CLOSET ITOILETI 12.50, 1 NEAREST ~-�—
{
CROSS ST. PER s
F l6A_TN TUB_.—..__!4'/.—
LOCALITY y
SHOWER STALL_ L2:50' ` - y
OWNER 4 A®p
12,50
tWASH BA$!N)
I KIKNEN SINK—GARpA6C OPBPObI. ly j_;$Q� An6R£gg L°L+ L �—
LAUNDRY?RAY OR
t WASHING FNA�RINE TRAP 12 5fli CITY✓ pJ TEC NO
�OlSNWASHER
2 a0� CONTRACTOR
:WATER SOFTENERS ADDRESS '}'..- �. �•
WATER HEATER 1250—` ITY
"TEL k0
7 GAS SYSTEM_ OUT TE •y SQLIh STATE LICENSE NUM$ER SO CI:Y LICE/N CNUWfvERJy OUTLETS a' - i ��
OVER $ PER SYSTEM 1.00s -✓✓
^^ f )
l
LAWN PRIM — GROUR IZONE BROiESSEO BY
1 LAWN SPRINKLERS 3.0a1 i
f
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_F_DRAINS __ fN$PON_ RECORD .j E_YTI
ROOF __
HOUSE SEWER l 50: I
S£OVER A0 TION REPgIR T I—
ALTERATON.ARAM mv— 1 500'
PERMIT _ �L. 5•'.00 APPROVALS DATE �—INSPECTOR
__—
_ TOTAL FEE SOIL PIPE GRCUND.. j
and that m the cane tteo/r fh'�'36 -- -_�
!�
6 M abr a k 9 lad" the 1 'h ramd t s A aE fhR SEWER_ — - m$wmaf on q art rra Cada nt fha PLUM RING ROUGH
cf Cm ..m a a•'..g }o WerLman
GAS PIPE ROUGH
GAS SERVICE
SIGNATURE
OF FERN E _
A OGRESS '�`✓• Y'4 [ C".�}P.'{<l�.:e ezf /mex"' rP5 - INA—1L 4 i
PLUMBING F, N A L
X VALIDATION
CK. M. J. CASH
9334 C32
1".%'.0 T0,.L.
l 3560 Ne.p.,l 81,,. CITY OF NEWPORT BEACH ot/v Jl� 55, DEPARTMENT OF COMMUNITY DEVELOPMENT PHONr
APPLICATION FOR PLUMBING PERMIT
APPMRT TO FILL IN AREA WITHIN HEAVY LINES ONLY.
FIXTURE OR 71:m EACX Fee BUILD,"
'WA TER ^LOSCT (MILLI')2.50 NEAREST BLDG.
CROSSST.
RATH IUn Z 501
LOCALITY
FHOWER STALL i
NER
R,41o rr
;LAVATORY (WASH S^S!N)
MAIL
ADDRESS;
2 $0
LAUNDRY TRAY OR ... HIS _A _ I NETRAP 4 2.50i CITY TEL. NO 50 CONTRACTOR
1 WATER SOFTENERS ADDRESS ADDRESS
WATER ".EATER
------ CITY
T L, NO
1_1!SYSTEM) ETS 2 5 S' STATt LICENSE NUM8 0
OUTLETS
�VER 5 PER SYSTEM 1.00;
LAVIN SPRINKLERS GROUP ZONE RR �Eqoco BY
3.00 WA
ERPIPING 2.56
ROOF DRAINS NSPC—CTION RECORD
T
HOUSE SEWER
SEW' P ADtHTI ON, REPAIR
ABANDONMENT
iPERMIT $5 10 APPROVALS DATE INSPECTOR
r(DTAL FEE sDIL PIP GROUND
SEWER
t,d 4h4 IDn th. 1.1 .1 th. CI,WATER PIPF _-GROUND
C:�� a"d 5*at. GAS PIPE GROU.,ID
and dplrg th.,.b,
the Lab, CId. f ¢h.
Ste.® r,, W2k'R)I,l ROUGH
_94
GAS PIPE ROUGH
GAS 13CRV ICE
st� P
'
OF PCPM'TTEE _.I
Z�G, A 5 -WA
FIRAI
ATION
9 - .. 4aST'Y OR�M14POi3T BAGH, CALIPQRNIA ".v.acuk..
Dr hHsnruxtwr ss.Yo; 2-
DEPARTMENT OF ItOM MONiTY DEVELOPMENT eROPCE aP«��
MUCATIN FAR
NFAffM I JffiiAfPR I RE€OG"10fil & AIR Cta OITI4t NG e r APPLICANT TO FILL AREA WITH{N
HEAVYLIES ONLY.
WILDING
AjNtROp N�d4t,r
es eu '� rreee—oEscw�EE nsww —
F
NUN FST�
CRb65_Si,.fbllar/ AM
_
IOCALITY
— YE[ddliAPe Ole — ` —P---1
OWNER ;--
MAIL
ADDRESS
k I AIR CONDITIONING �
-- ------ _
S
CITY i _-- TEL NO.
�RE`pReGWAucN --
_
_ rML4"v osc
ADDRESS
RANGE
. _. NO ea.a
CITY. LQa'�G
'
HOOD
.�%Pf/TEL.s
:_ OG'' 27ZI
—
'DUCT SYSTEM f `—
LI
LIC. II y`B� LASS LI8EW9ORF '.
_
I
GROUP ZONE P27 SEO RY
6A$ LINE -�
' FOOTAGE FT.
_
IN/y]gyCYION R r'ORD.
FIREPLACE
Y4fMETAL
n ,
Pf
I
d PERMIT ISSUING FEE
00 e TOTAL FEE
APPROVALS DATE 05AEC TOR
-- - ---
HEATING GROUND.
_ _
N F he eb aekro li fba I have red tSl aPPh<aPonl that fhe 's'f¢rma ^ 9
green is <o ec and eht 1 am the
Owner, ¢r the dale
eethor4aod agent of the owner I afire¢ Po campla '!h city and ifaf. favrs regaRafing c¢nsiru<fmn and 'n do mg the srora aufhoria¢d therebyAPR no p¢rs' v,itl be aen '
RANGE HOOD ROUGH'.
_ __
COND V -�'
ENT. ROUGH
o ad v.tartan of h s
P r n the Lb., Code o. the
S±ate M CaiifarniL r@fat, ng to Warkmen'a Comp¢nution
Inwren<®.
HEATING ROUGH
SIGNATURE
6F P£RMITTEE __.
GAS — ---
--
RANGE HOOD FINAL
_—_
'
....
A R - ND 4ENT. INAL'
—
HEATITiNG FIM1iAL
�D
VALIDATION
CK. M.O. CASH
10152 5M : 1 14.00 TOTL
z TAUT E r .� _ aoo E9�' ew ✓ `
d>+2XSTgUCT1ON IEM1 NEAT, 84KSf6
_G * v
n G EN yT .' LRO$3 5F
„
{ A 7 _ -;PE#i1s2YrF"
a 3a Pea sc. vv. [-as.) LOCAL Tv
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tMili -e aO %L�.. 40
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r€ac AND HcbE 4PF'I :t, €sz54 f '.�. EIiSPfC +tnu-' - ----— '.
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V F-1 5 i
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^--TO
T+.'_ FEE ,,,9+. �• C'� �IwnL e✓' %F r //�� _.-^
mfmfl¢raCy a `4 a t a l pl c €� he ^
m3 • a _ m. 1 d' fy 5: F PER E
fiti>YL �Y4C � QF y. b C Q � - q
t
VALIDATION
CK ..� CRSM
e.
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r
0" 0 4is, NVJ,s0,x 6lid.CITY OF NEWPORT
BEACH, CAUFORNl;3A Phcn
t
a`
A DEPARTMENT OF COMMUNITY DEVELOPMENT
APPLICATION FOR ELECTRICAL PERMIT
APPLICANT TO F;LL IN AREA WFTHIN g ILDINGfj
_2!EAfv_LENES ONLY _ ADORES ,lAae.
FEE— Y�yEAREST r®3aAG
b¢Ea'8 4UNSTRUCTfOA!
LR3'd?kN. tAL g _-i"I CiQ53'S PERMIT...(,
S@ FT; a3Y 'MR SOFT. (RE5 ' LO ALI"fY a♦ _—
t fig, e.w9iR
OWNER lbw .
EO PT mz<PSR Sp FT G {6ARpE( ) MAIL '_ —'"--
".r,
ADDRESS ...
SERVICE R 5 09--
:. - - _—L CITY
_. --� TEL. NO.
,k£EE834R iEFS fOR 3 HER THRN EW R SIDE L `���
fi `Ft ALL ALTZaATiONS ANDA9xsir 1s f ELECTkICIA
k_r E CUOTLELET -- kc �qp DRESS A
iYt RST. 10 5.40y i C_ITY C�
r
i
sr
TeV Ea_20 __30 NPY L:C. NO NO, p PE L;cENg�,
TOTAL
IGP 'f PFOCE_aSE S2.. 20 .AO -
..
¢cpVmE6 eca'L Il sue+ t
— _ iNSPEGTtOei R€GDRD Gam+, Kt
AND HOME AP L(AN_ES 2.50
O 2.50
Y9 so 10.00 —
@ OVER 100 __ — ..— ---�IN
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IC
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,4"VICE 0 GE Ov-NUT �^` ovER SOUA 5.00 ! UNDFRSLAU WORK I l
S£RW§CE-0b00'J-OVER 20CA. KW! 10.00[ ROUGH CGNOUIT
yx q y
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TEMP. POd✓ER
yy Ga-- f✓ ��'YL< N Jai'. _ ZJ_ FIX,..RES
UTILITY CO NOTIFiWC _
r
--
ftNfT ISSI Ihy SEE
n!�
_.- OTAL FEE Y-10
I u ebY o IehG Ina eaa �s apD t fns -re
EFIA:YTEE_
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VALIDATION
CK MO CASH
Bea
_Fwewpart elt BUILDING PERM! 1
n®cyar4me�t
} gpvl Box 1766 .
al*ORSeri 94558-8915. APPLICATION p4 AN OMB N
.
.., +NR (71446a,bi28g
1416"32
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4 BAN?'2 --G C< S G..l. rvE 9_.].G +F MC...
1 SEO CON71RACTOR5 DECLARATION CERTIFICATE OF EXEMPTION FROM WORSE35- Ea Ec LEF nn :ons c C F- +F yi COMPENSA-. .ION INSJRANC GO EiC9 3P `E E51cnC F O RE EL NDFEG - a E+.. ..0 Ell
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OWNER 3 O R DECLARATION
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C L ,EF E E E ¢ CONSTR 'C ON LSNOING AG=NCv
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KMI:G h k".. n a:, Pr q,Op OI 150 pA G `d TwF .APE OG\AL DATION OR YSPERMfi FJLCO.d E=_ _..N;i VOIp M -
E-AN CHECK VALIDATION PERMIT VALIDATION
C�.
APPROVALS ( DATE
`------_......-..._--'
-----1NSFFCTORS
----- ----- ------
_SIGNATURE
FOUNDATION:
REINFORCING STEEL
------.__.
SHFAFH}NG
--- _.._—
�
FqAMING
&ram
-i
DAY WALL i
SUSPENDED CEILING
LATHING
PP.ASTERING r—
i
INSULATION
FINAL .
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City of Pti BeACM Date
Qepartment of cf1COLtiJF, Anr� FU Enforcing Official iQ MAP. _SCU !rreject Name d&ig &&# /i*Xlorr Permit Number
Address g^a Alw/car �72tsAgAWRereH.
The above named project has been granted .an exception from the requirements of the Mate of California Title 24 accessibility standards, based upon the following criteria:
1. The -cost of the access feature(1) is,- k14
fi. Thet ,t of ati'construction:contemplated is WIA
3. a. The impact of proposed improvements on financial feasibility of the project is _ PNA&.ClAL UAIF6ASI&
b. The access feature increases,the cost of, construction by A
4. The accessibility feature(s) which would be gained ur'lost is SEE $ELoccl
S. Type of facility under construction is 90MIL• EXFAWSIo,J It is used by the general public for the purpose of L.OD&AJ6 DIIJIA16 The following persons provided information on the above section:
MA?uicr`i evgPOr-A4i1on1 -
FIRM
qao AJE�J�rr �:�
DRESS /((q�J/eoRT_�{Gt#... r-ADDRESS
SIGNATURE SIENATURE
The determination of unreasonable hardship and this documentation do not allow a blanket exemption from the access requirements. The exception provided for by this form applies to the following item of the project:
C—U2 (�J T1FE Ef�NT /I�NOlfgp 6d£ST 3 wrCC FAR [ t�
a- 64_ r�4: T> x L34) 1.ye-116 P�cxpemD,
A � GLost AnJ rode- l q) WfcL 'tic MtAWc- `/o f=eo^;i
_WAZ4 &-c5f' : -nj r5 WILL. ALt.6uJ F^e- -7WO - Pe3
1. Equivalent facilita,�Ion will be pr4vidiC as specified !A Section
2. Equivalent faeiIItation will "tie provided. as determined by this enforcing bony.
Sea Section yZ-ICSS- -t1-L
), 3. No provision of equivalent -facilitation is necessary. See Section } 4. The approval of an appeals board is necessary to ratify the determination of unreasonable hardship: Sie Section and Section
2-105 (b) 1-1D.
This documentation and determination of unreasonable hardship was developed in consultation with: e. 514m Df#),r.b.
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artment of t .JA d* Enforcing tiff cial
#ect Name Mw1 .& b/ 04#emi-r Permit Number
V n.
'he above named {project has been granted an exception from the requirements of the Rtate of California Title 24 a.ccessibility standards, based upon the following :riteria:
E. The cost of the access feature(1) is
The cost of all construction contemplated is AIIA
I. -a. The impact of proposed improvements on financial feasibility of the project is �
b. The access feature increases the cost of construction by LA X. f. The accessibility. features} which would be gained or lost is SSE BEt�
4.',.Type of faciIity.under construction is._ ///D TE L It is used by the general public for the purpose of Lop6/.J6 The fallowing persons provided information on the above section:
_�?ARR/oTi CaRP- .
FIRFi r RM
yoo ,i/&Vibe r C'z _'QVJ�
AQC)s s ADDRESS. _ GNA U�— SIGNATURE
The determination of unreasonable hardship and this documentation do not allow a blanket exemption from the access requirements. The exception provided for by this form applies to the following item of the project:
C.
aiQ�i-ff�NO/C4P GUfSi�com� Aef AJOT LL@J18L/, 7-D YAJE LfOte /{MOLL �/leQ6,JtdAQ� DAl �ITk.-y D% $�¢1'1{�bOnq j�i�.y.
3 1. S�uivalent facia.�atio4G fik"�e-�rovtd�td a•,s�l���#id tp.�„eet��sn-'
2. Equivalent facilitation will be provided; as deteraained by this enforcing body.
See Section
---------------
J 3. No provision of equivalent facilitation is necessary. See Section
4. The approval of an appeals board fs necessary to ratify of unreasonable hardship. See Section the determination 2-105 (b)'1-1D. and Section
This documentation and determination of unreasona le hardship was de in consultation with: u r TR T? N4,Ci veloped
C ur- 7)0w/
r
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•E 4 JE Oa 6 EEe
E.A,CE E. 54. ECGP "�
5 E 55A,
21O OOO
cF $
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M G'nK u�5' BE ST a.�TED wiTHIN a vti'R O: t6i •S FRbW Tr/E DATE+P9.VALIp pTJ6a OR TNiS PERMIT 4EQS8MES IMIALL:lTNp V,OIO riM CHECK VALIDATION ,., PERMIT VALIDATION p, cne1
C;rY OF
Pe ew pa:f 94ud. D EPf PTMENT OF CCiMMUNITY DEVELO MENT i-k. ! 7--1 �s6.2s53 APPLICATION FOR ELECTRICAL PERMIT t#ZvAvw
4O FT AA, 9£1, $G. Y . (RES.!
l`Y ...asv8 M+. T�+Y -..£y
EL ELTRI CIA=N Qmc J". li' sow
Rd PY
� C0.LX
.d-G£d
1-._• ASG _ESS�CON
F 9 .^.4fi.r f.
29 46
Y p�L'-�^fa�L:�f6
X !�}l Ftl /✓f}'d{
P
'+" � —a��
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I S a4£c 17 /
� � .NT eC h�. D ) �5 �-SY ���:FYAEJS�"✓.:f�!
�-•`
.. f�� __
3*'; R7'�.7P ZONEPROCESSED BY
3N-PECTION RECORD
MKav INC .,
NOSS z sG
M. _._ . _..
2.10 5.00
Gc
to
SERVILE y_ - oa
ow
"A 300
._...
SERVICE OVER t
_..
RZIGn, r. P GG ` (
TEMP POWER
T Fi.. ..ry I
!
Y RES
.t 6
cc z
_
Zir
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{
s
APPROVALS DATE
INSPECTOR'S =
_... r _ ..
S!GNATUHE
HEMMING STEEL
I
-- -
i PAESLAR
SHEATN:NG
P
DRY 'WALL
SUSPENDEC CEiCiNC---------
-
-.---
PLASTMNIG
9NSU A CN
NAL
C`RT 0, OCCUPANCY -
_ -�-
- ---1
P
-,
5 CiT
-- - _. - J
Beac,1,
CA Sd'�`.,... r°M
U4 Ut& I
BUILDING PERMIT rW i�-
APPLICATION I HL.AN cHE16738
C%ti
Lrtr p E^F
R
aRE Tr.R r ivPc ��,Ro s o�
4"ACA WT •vRE y
E E. uG F p�41. HE 6 wfi5 MO VP$ � NO
Inn
S
r.fia i �
OTAL, S
- -'-- -
_- --
b"4ORKERS C MPCNSATION D£l' APA N
f
J
C.:- ri Y"�W@!✓ LLd.i C�L'_b_�d.p^}
_
� LrtJ A-�
f
14 m
C ..cam u _
r _`G✓+ r;,gcA-. _
CERTIFICATE OF E6EMPT:ON PROM WORKERS"
`
COMP£NSAT ION I1+5URANCE
It .AAED
fi`_...L-Y�^x�.d_...__E
--ZER v CLARA 1C4
--
TEA r h .Ou
-e-
FLG C' O L YE
111 TV _- '-
CONSTRUCEr ON LENDING AGEN",
nE
r ov - < v.v ca.
_.
B
..AC TIE
•t4K ^-'_ .,
_ a ... 1_
JAB£Or .AE CA ON 04 Tr5I.C. MES `. .. EnNp.'OID.
t'LAta;,HE'-K-?'�Tf9N
_. _ ....
PERMIT VALIDATION L.. 11 �.,.
1%a*vvt Beach
BUILDING PERMIT
CA KA56-891�
714, 644-328,� APPLICATION
t
TOTALI S
AQW RS { FA ESA7,ON ZE(LARA'11,1,
CA?E b XEMP ON FPCM AORKERS
rFPEhSCN 15S -RANCE
---
co
---- ----
A',L
PERMS? VALIDATION , EM, 1.
s�UND ON -- I pEa scrJF:c-ED
7777
CITY OF NEWPORT BEACH�7_,Vvo
BUILDING DEPARTMENT
-APPLICAT!CN FOR BUILDING PERMIT
tpr Dr. Neugort ch.
ne r
9 u"dit"' Parce sTA TF1 I "IT ...... IT
c
9 re Hotel Add.
_2
Corp .
r - r.�tt C - IOr
fr , i6au;1
_-ALIT
171-E
L,1 10
iz
Ij ene Bret'iauer
r L
TI-11, AT C,
Yl_�
11 nil-
ATlI
----
-1
-
-FRAN
I
yin
C - 13 7
.7
0 CPo
WORKERS COMPCATSAIITIGW o&&Ag� `ON
1 A FIST,, Ir �;_.
"-TIATIF"111 I ITIII�AIS 11SI,N1 1.
-
A
on
o
l F
tjc7lL.a
Arct, i -L e ct
_-.71 11 U I TIl
al.
FIN
I
R
CERTI FICA, E OF CASIAPTION FROM WORKERS
COMPENSATION INSURANCE
T A',
, I 1� _ ml 7.- T-L
I�IZAIT TT7:l.1IT1 S�
ITA7 T
I I.FL IT'S', �IAI TIPI� lIllT1-
11T
SEC 7'11�
T T-T' Il'S" ll AWftMIT 5HALL TIE
u-oS .
CQUSTRJCTTICN LENDING AGENCY
A,
'TTS "A �112 11 1.1•
T.I llv T
11.1 IT
T
ITT I, I
tDQJ%IA
"ALUATION SJOB/ALUATION S
YT
R.IT
IC"K FEE 5 ES%j4FLE s36,433
--
00 JpOU
Oj STrO
1� rFT
8 _
IAL11AT III 11P T fll'. III I,Illl- TIF Cl
I.
VALIDATION
PERMIT VALIBATILIN
APPROVALS GATE �— INSPECTOTS
SIGNATURE
FOUNDATIK., LOCATIONFG ,�/y `®//- a G �
MATERIAL-.Q/LL NIL
I
`i INFORC. S T =cl = .
I � i
-,NF�ATM--IN�G,-��- _
4RA4
M+NCiPER6—YW Y
�tl-8
S
Fi F'S.l
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�¢rnPo�cA >e I tm r All, Vk
I -PT OF
7-/¢ f'.i'^ C{fCc CTjn1G ICC R_ L/ifS CCci is .C/ if'E6i`JRYC�TS.0 Y-29 -L13 GHE CC �4aGQr1 7' �
rN ur Jul Iv-ST4'E'3iJA7F 2'v`�'LP✓ef tcy17. �Ji.Gs'�o�= y-i2-Y� f�cn /'�a�Gk�rs
iGoo kS k,+! Tiy drvesr R/'+ s . i.v Nac jrA-(
d•�cL�oo GZPy AND eec.•clGe ou lPasF
Pf�TE�f G STi9P cv cn Ex E' aR A-b4J F6*RlAl6
20 kb f%D (/lrBO Go tI TP/K� R Ta See p� yam' ch°EG KE+? FotRf Io-t7-YC eouRlt7� d
> Sy !r!/S/c2Tiol/G�F v«w GouuGr SR�sC
-30
- — c I /� •,Fo 0*/00 /nfG Aw� ,.
:F ND ON -- JERO517 RELEAS.t} p NNi ✓G i7E� 7-�FP�P2ov, `.
INSPECTION NOTES (Cont)
-T,
31 1 1 'IT C CITY CF NEVVPORT BEACH
00rkDEPARTMENT OF COMMUNITY DEVELOPMENT PHOIJI 6402161
0 APPLICATION FOR PLUMBING PERMIT
A"WNT TO FILL IN AREA WITHIN HEAVY LINES ONLY, L
FEE DUIL DI Nn ' 4 ADDRESS '221L; IV&jZIAL e,'
lDt' LOSCT .TOILET a � 5 c NEAREST
SL
ST_ 'ED
aA-H TUB 2.50 ---- --- --
51'JNER STALL 2 50i
OWNER
VA CRY WASH SASINY
MAIL
.5G
�AUNnPy TRAY OR j
ASHING MTRAP ACHFNE CITY NO
DISHWASHER 2.50 ZONTRACTOq
SO—EIERS ADORE
-ES c
w.-Eq YEATZR
C17Y NO
GAS SYSTEM OUTLETS 250
--fiz
40 5 OUTLETS CVER 5 PER SYSTEM 1.00 -5-
pis;DENTIAL
-N
PPOCE98FO By WN SpRiNwtiRB
ATATEP PIPING 2 ITO
-OOF DRAINS 2-0
7--
-IOU, 95 SEWERSO 7, 7
SEIVER ADDITION REPAIR
00 - -� r7-
Mfi7?
—R r
� � rd APP 'ALS �iNSP:
TOR
TOTALSOIL PIPE NFEE
-- !7 D
- 51-- SEWER GROU
'T"10. �,d I t4. opo dIt, -�.ATER PIPE GROUND
7 to Pty it)—d
t"' G Alpt q.ITq d , d d "'.b, GROINI
PLJMS;NG
to. �Zlk, ROD G
GAS PIPE RO
OF PFRM11TTEr—
U 11 S I N G
C-04 4jy VALIDATION
T"
CITY OF NEWPORT BEACH, CALIFORNIA
aa;o' W NEW PORT BLVD., DEPARTMENT OF COMMUNITY DEVELOP ,.ENT .HnNe aa!-xlsl
APPLICATION FOR
62562 HEATING, VENTILATING,'REFRICERATION & AIR CONOITIONING 4 O e f"l f APPLICANT TO FILL IN AREA WITHIN
HEAVY LINES ONLY
BUILDING
ADDRESS 900 Newport Center thrive
1 ITCM -.pE RIBE aEIOW
r
CLOG:
CROSS
CRO$$ $T. PER a
E
2 , boilers - BHP 18.'0LOCALITY
Newport Beach
21 �YY&it`.ilfltion fans 105.00
OWNER :Sarr-ott Corp.
? ventilating 495.00
ADDRESS one Marriott Drive
yµyy
21 _ JJ 1 O�llP1O.
CITfr_ZQD.
4O
L i0000_ 18.00
_
CONruE=ORSouthland Htc, v .11T Co al Inc/.
Y ,+t'�oo�1?T�i_j._- -=�5.
'� _—T.�67, �_ • —
,�4AGE FT.
INEPECiIOh RECORD
- - hSETALFI REPLACE.. T�"•—
«�L_ _ �J �(
20 rnisc. eq1Sl�rit f
f 120100
0 _
_00 fire danpers-
5 flan check -50° 1057,50
�4xcxa�yy
`
TOTAL FEE / 3177.50
•
- � I �� _�_
..APPROVALS 04TE INSPECTOR
adge Na} 1 hav8 aad this alpil at art ?ha! }he
at an x w ech add tltA; aI' th! wrx w he duly
_
H£AT(NG GROUND
-- - —
a,N agM Of 1M larx T R4reP 5p 6pmq�$Yy'vlh <fy d d`':!af! a+s 4 alsfrad '�npd!
RANGE HOp[� 3R000 H.
g rt and g }}le vgri do he ed i lbY
�e.. al4 bt!PlaWcp'!d ffi' "Nyfley lS, ihq.tgL. r fode et_. the 5�a`e 0T ajrAd
AIR CONO VENT. .ROUGH-sF-
-- r-_N-a(,4'
.a ;!!d�09 fD WarknelFI Ceinpek..;d, jRSJrdOCa.
HEATING ROUGH
RANGE N000 FINAL - --_
s ORES 1y61 'E. StT 1f-11a� IJCC�.C�i
A�tR CONL] VENT. FIIiAL
_32nd
—'- """
HEhT!NG RIVAL, y
+` 11, a as t, 317 .30 T
... L J
CITY OF NEWPORT BEACH PHONE 64C 2161
DEPARTMENT OF COMMUNITY DEVELOPMENT
�NPPLICATION FOR PLUMBING PERMIT
APPLICANT TO FILL IN AREA WITHIN HEAVY LINEi ONLY. e- l� 1E OP FlXTURS OR !TEM [EACHi Crr I BUILDING
ADDRESS
Xk-ER CLOSET TOILET) Z'50! [NEAREST
-us -acss
0,
LOCALITY
�OWFRSTALL 2,50
_VATOR YIWASH BASIN)
All-
50i A .. ES-S
-A JNORY TRAY OR
MACHINE TRAP 2.501 CIT LY 1. TEL NO
22'SHWASHER 2.50' CONTRACTOR (t
A ER SOFTENERS
2,50�: ADOR
-___.haTER HEATER 5 CITY
- -- -!!!G� TEL NO
LGAS SYSTEM OUTLET. 5 2 50 --sT A —�E 17- EwSE kUZI-. —rR O--lL-ETS OVER 5 PER SYSTEM 1.00
DENTIAL GROUP ZONE PROCESSED BY
-AHN SPRINKLERS
NA�ER PIPING
DL?�INS
n02SESEWEP 7 5,,- --75c,
�E TER ADDITION, REPAIR
ALTERATION, ABANDONMENT
PERMIT __APPROV A� - 5 GATE-
INSP11TOR
TOTAL FEE S011-PIPE GPO"NO
SEWER
that I ha•.
a
re- ih. ..r.r tee dcI WATER PIPE GROUND
o' .;H <iy aod itdf
d.i, tIm. F'k thv.lb, GAS 1111 GROUND
b! "'glo ad A d110, of #!`4 Labor Cod, f the PLUMBING ROUGH -a W. kl.rl C".p.o'0m,
GAS PIPE R 0 LIGH
GAS GFRVICE
—RM;77EE - Z!
"NAL
VALIDATION
'Al
CITY OF NEWPORT BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
APPLICATION FOR PLUMBING PERMIT
APPLICANT TO FILL IN AREA IVITHiIi- Hun Llws ONLY,
110� fi�_
E OP Pl.TJP. 0. ITBY EACH FEE BUILDING
NA ER CLOSE TO[LIET) Z 50, NEAREST
CROS; ST
3--� TUB
LOCALITY
-�NER STALL 2,50,
OWNE
_AvATORY ;WASH EAS{N) 2.50
MAIL 1
-ADDRESS
�A.AGE 2,50
tJNOPY TRAY OR CITY L.
TE,NO,S,ING VACHINE TRAP
2_50` CONTRACTOR
I !-ER SOFTENERS Y 5
LATER HEATER TEL NO
I
STATE LICEI.0 C _1TiL:CEIISE
�-S SYSTEM OUTLETS 2.501 7... BE
IS CVER 5 PER SVCEH 1 00
GROUP jZONE By
_4?/N SP-INXLERS 3 co
WA_ER PIPING
____ p E CT P ON RECORD
F:'__CF DnAINS 2.50
SEIVER so
ITION.
E A 1 R ADOREPAIR
PERMIT s
APPRL_ -'-S OAT' INSPECTOR
TCTAL FEE :4
SOIL PIPE GROUND
SEWER
—ATER PIPE G-ROU- Nothat
f 'Ac e f w tie < y a I'Att
GAS PIP GROUND
d.i, h. .*,k asstbc d
I th. L.b., C*d. .1 tr.
PLUMBING ROUGH
t8 W,k,
GAS PIPE ROUGH
EE
SERVICE
PAS
FINAL
LUMBING FINAL
VALIDATION
M.O. CABR
n.. Paea rYER=DEe<PIce OEtpw FgE :.
m4 tower --
_4 ui aLirg fcn 1C.pC
NEAREST
CROSS ST.
`OCALITY
���m—
OWNER Q�T77.Ott(lJC'J.
—,—
vE(w(T7u7ION SySta`tt
bvttery
_ __
AIR CONDITIONING
ADDRESS Q� Q°HI'910tt .lkklVP.
- — -
f
CITT yy.�p �.TEL NO.
REPRFGER14iON — - -- - �-:-
CONTRACTOR Gnth.j.,
_
ADDRESS i661 r..32nd.5'Q'X'CE:
. — � . .
CITY I� BEaCh CA ryrwr TEL. NO 71G-&y? Z722
STATE �GRLPIC
UC. t 11ZO(it7 �{S Q LIC.'j749SYS4E_7 „s
I RWAUVANT
RANGE HOOD
—S—-caleter_22i& .. —
DUC_
P d
I
SNEWPOR
ONE ' PR Svn —Bff
i
I Cr0'`-
I
_i
LI
GAS NE -
R)OTAGE_ -------- FT.
INSPECTION RECORD
METAL FIREPLACE--
.4
Fr^nMIT ISSUING FEE $.@ M
- —
TOTAL FEE
nerebf a<knawiedgt }Mat 1 F.ava -read }b,f dPPii ahon' fh`af �*he fc oration Qrv¢n a cornst and that I am the own. .the du P. p•iZed qeM of the pv2er..I agree to{plmp ,. with cit, rd s.a,e laws re9pPat'nyy p.Oructbn; and m dain9 tfie rock authoi xed thereby oerua 't! be empWYed in violation of the Labor Code of fly Sate Of`GlYornie nia}IA Orkmen's COmpansat pn Insmanu
APPROVALSSATEDATE INSPECTOR
_
HEATING
RANGC HOOD ROUGH
--"---
------_---
AIR O CON
_ na /-OUGH
HEATING _ROU"
SIGNATURE 'j//Y{�-
6F PERMITTEIfbL '\_ _.
ADDRESS Y .� �� 'lwvi Ct i r`.7
GAS
RAYGE HOOD FINAL
AIR COND `✓ENT.__FIN ALA �— t
MEAT Y6
VAUDAT{JN
_.FINAL_`��f-
CK.
M. O. CASH
DE
Pu ca-
rr,�ne
AREST
OSS sr n�ard •.,,+ ""' a' ;:
n
...
sq IT. a u FE2 so gr fRMls j � • � t CJE.ALfTY
OWNER��.7lSl�L'JC_..., --
y fO Yam, 4< ER SC FT j 1 MAy},�
nDORE55! �e�o
SERVICE S 5 30Yy F.�i -
_ CITY TEL G �F
.•. £ FA ni NFR YAr. nE:1. Fay 3E•.i c:_ � .'��..�^^ �{p .— q�.� .p <a� �s +��xao •a.s ELECTRICIAN! IVAI� 1. FF.FIQW4 CO.�Cf!_.._ �1 y i:TLET -A— RJDRE54 �� '��yl
yt s•6O1 � �y .} --
�_/SJ.'`t 1O_+qy (V� DITY 4)&r'. ,4u�g- TEI Ntr - -.
T a—� EP o�-3R VY MPT Llf hdAgar STRT" TYPFV�
[ F 0_
i-'i!ve, �. Fi RST atr yaf Q GRO U? ZONE rPROCESSED FAY. a
L'✓ nvew z0 jjlA 30 ��.� _
a oM ApPE A_s _z` 50 fN$PiiIOPF ftEC06t0 —^
.c Orly) vix)
a 11T 0V@R v s'r4a.�Vil.- er „a 'lam WieG° Otrg7LGp C-" — — --- - —
0 _.a all
—'b L`—TNSPEC y
..--_i 10 _... UVDEP LA3 WGPK
0T
d
P~PCJJGR
.4 fa z� ass �u .,,.Tl:ats .. ,
00. a r<
F�^ tl aa:o F .gat. a 'he
r , ct v��eoar9
CK M4 CAS'.
max., •J. ,,. ,-..
S 'E,�C )hChec .5z,
�o / I'f G.i9 .,5�� �� ,(��' Cs-!,A•r t1R11^ a t " $ . ;,�7.a //�lij •- • � a- 7 t'd��� ,ti+ -t `��t lb/S At.= as �b'� ►++� 37 � ' Ole s - E+ICY
II Y� 1, f' ) .RtGi rfc.c-r'„c. lt,a,•r
6+--A4
z a `� Kt, F - 7 �('c +� �N .� ��e:.�G �` � /-�, Z. day 9 w��` e e•'t�t np
e ry
j-44rpjA-?7 - t
Ce
Q+ 3 c� • - .�6r/6% Cv%f4'Lr` 4"MiS) OH /¢ OK Ile* 12 V to e - :'IAr /w6 S/.fNr9L1'YS'.r��/15 ��ir�BlF} s�G �,F _ -' f-'q;c�s ", qc : E X� U� ♦ :J7 r. LtTs+l� f%J•✓�. a
p,•.. -� ,.,t //l..e'77fttlsE_ A-- LAS-,�y/
f,
s q y
. �L�, �c.L /'.e k os �l �• b Mk ISIi' F' P ". tf ./� b 4,- -. ..
I iN Ypi _ 1J1..VI,
t . 9�Y✓w Oe /�=�c'r._ <2. � 9!`/1/�'�c t.,,y-Rt'a,) fn v
�.•..'^ .,. ^a^•"*•^••��. ucranr[ImCiYP VP CUMMUOYtTY aEY�QPMEtafi PHaNq ieek(ei AfftaTION FOR
'562 HIEATI 4 WXTRATIIK REFRHMTMN & AIR CMITIONING !fi r'- P°% DEAERi6G 8ELON. FEE
NEAREST
f
CROSS ST[ 1�53
IPER. c+!'
_ .'•
f
:.
LOCALITY
Z.. N�'idT10S�t, ...,
-L--
YENT-LATION -. -`—Otti_._.
OWNER Marriott Corp.
-
=,AIR
ADDRESS One Marriott Drive
—
CONDITIONING
-- -- ,.
"
CITY T14s aN.d.41 NO
�• �y g-
-"REFkIGERATFON ..._-- _ --
coHTRAcaoR Southland Htg & Air vond Inc..',.
ADDRESS 661 E. _32nd StPeet
C__LCL7F. Beach -90801 tF_ NO
RA2E MOOD
-
uAC 114�i�T0. L;1& £_CQ NEWPORr 5i4'3
D4: a SYSTEM
�,�I i •i�
GROUP ZONE PRO�E4. Ohp
ISSUING FEE
S ! 00
TOTAL E
.dL 40Q
gOPROVALS
�
that 1 have read thisappiica cn that the
-=iIh, atv
HEATING
GROUND
q @p is c.
s :O dnd that 8M ttM Ovne! the duly
Ad Is.,
'i=a agent of fih'•. o rte>. [ agree io c@mply wity city and state
RANGEHO OD
ROUGH
ola. q cnrtstruc AOn and in do ng the wO•k aathariud thereby, AIR COND VENT.
ROUGH
well he @nspmyed II viola i-II a± the Lab., Cade Of
--
-OUCH
.the
c. C Ifen relatng I. W •kmens Compema 'en insarance.
HEATING
ROUGH.
'tiATURE y rr_✓'
GAS
..—_--
_-----
-= PERMITTEE„_<, a"_ -
RAN GEHOOD
FINAL
Beach 90IRCONOVCNT.
,=.16i 1E 12no_Str8U
A,Long
FINAL.
HEATING
.:
FINAL
VALIDATION
------
CK.
M, O. CASH
DATE I
1), Fit9 t1.�1t DEPART— ME#+i'c" '
APP41C1k IeN VOR: ther �. E .�bC
>rac i �rage_iSlopeRepa,t
..-
cc },.(k t1 L....a fAz, 1.%i�%� � _ _
IM .UNI@NF AG oAMkA6viHG Aatu[ATTON,
.5
'.
>Wl SRn rrs x nd `
PLO? PLAN .-..
iFOiS SEC➢
LA `".'.,.�
.l ��_ Llls3 '..r i.0 FP[r. j�''•ry'��f� �r1 `S __��+�rvT ��PO.. aT{� �
y.
:HAILROv
Zh
u/"-�>"C.T
P, ,j;Qt+t '. C9f4) 2� (- Z �_-Z �-.
..Lw CA REVG r
g"'/ �
s
i
IF T
C. s e'
n
�<� ' t � � ^ •,'�9J�
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�
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BO VE MENTCYED PRDME R PECI.O uRPOSAS.
M S OWN EMPLOYEES, PROVIDED SUCH IMPROVEMENTS ARE PDT OED OA OFFERED FOR SALE IF O E E T BUILDING OR IMPROVEMENT 3 SO D N E ONE YEARO COMPLETION:THE OWNER SUIL..W L E I.0 BURDEN Of PAOVKXG
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BREB ID RqF, Z` N-" '^cY r .fJ ,
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1-7
DEPOSIT RELEASED
[Tn-,—ig:RUuILI.ON
City of Newport Beach
Building Department
P.O. Box 1766
Newport Beach, CA 92359-1768
Pertnd Counter Phone No. (714) 644-3288/3289
OEMEWaUN RDECLARATION
BUILDING PERMIT
poll' JVUJUU
sts Roane No. ]14 644-3255
ADOPESS.
IBILVAP �� VN
INS,.
AREA: B
oESCRIPnON
OF WORK
I'oA,7I1I E���{�� 1a
lair ufff(m- }
I HEREBY AFNRM MAT I AM EXEMPT FROM THE CONTRACTORS LICE SE IAW FOR THE FOLLOMINGREA50NI5EC 0]15&ISNESS MI OMMSSIONSCOVJANYC,TYOPCOUNIY WKCHREOUIRESAPERMRTOCONSTRUCT. AMR. WFAOVE.OEM.]LMN0"OVCIR ANY T
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T
PILE A SIGNED STATEMENT THATHE IS LCENYO PURSUANT TO THE HIMISIONS OF THE CONiHKTOW'SDK£NSELAWICHe R41MI .CINGWRNSERION7CWIOFDNISION ]OFTFCSUSWESSANDPROES51CNGOODEIONTNATHEICx MET.NPEAOMAN.TNE- OWNEF
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NO
1 BAYS FORTUC '.E➢E%fMPMN. ANN' NOLATHW OF SECTION 70315 BY WY RPEU -
ADDRESS
-- UYY IF
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'`I
pp0E07 NEW
STCPIES)
' CAMFORAMONTHEuBIECTS TEAPPLI TOAcVILrtNNTYOFNOTMORETNAN FNE HUNCflEO
LItBLYB P11138/1
F
813/688-7700
GO. Pr. BLOG
IS4 CO FT GAR
7pA
WLLAflSIfW0001.C..
PHONE'
NN, OF
USE
Kf PARKING
10 f Q 1. AS OWNER OF THE PROPERTY, OR My EMPLOYEES VIITH WAGES AS THEIR CODE CONTRACTOR:,
- STUFF VIEW B1CB16
UNITS.
EOD.LOG
ZDNE
FAOM
SPACES.
REAR LEFT
RIGHT
COMFENMONLWILLDGI, WORK AND THE STRUCTURE IS NOT INTENDED OROFFEREO FOR ME ISEC MN,OUVRESS AGO PROFESSIONS CODE: THE MNTRACTOR'SLCENSE HIS TUTU,?Sf�OM
l)) AYW YIAYSI
SETBACKS
... NOTAVVITO AN OWNER OF EYWORTYWHO SUGGS OR I MPflOVES THEREON,
ADDRESS
5S
AMWHOODESSUCNYARK HWSEIEORMpOUGHHIS OWN EMPIOYEES. PROVIDEOTHAT iY 1
8Y 8388U C6 92188
I
SHIM IMPROVEMENTS.AIE NOT INTENDED OR OFFERED FOR SALE, IE HOWF.H THE
BV LONG
31171E � 8'
PHONE
LEGAL
OESCEiPROH
Be MFAUJ EMEM 15 BUD LNTHN ONE YEAR OF COMPIFLON, THE OWNER-- SUILDERWILL HAVE THE BURDEN M FRONNG THATHE OW W rFUJUDGNMENOVE FOR THE �
CLASS'
NEW➢ORT
- -
EEC
FUFFOGE or ME.L=. -
DOH
DO ND
WITS 1181911E L `.--
'S LG
IDS. LIC. LIST
04 AS OWNER OF THE PRORPtt.ANTE%CLVSIVELY CONTRACTING WITX LICENSES CON- ARCHITECT:
12d STi08C01C1 If.
-
Tea 10
6 i
TRACTORS TO COGSTROR ME PROJECT SEC. 70M, BUSINESS AND PROFESSONS CODE:
TT,EcwnnAcrces uCENSCUWN]OES:NOT APPLY To OwNEa OF PROPEfln WHO
ADDRESS
V
AN
BUILDS OR IWnAGWS THEREON MID WHO COMPACTS FOR SUCH PROJECTS WITH A - C1110B1 BILK 01 913N
TIT ILI
GILT/BSB OK PSI
CONiflACLORI51110EN5E0%UW$UAMTOTIE CIIMRACIOfl5LICENSE LAWI NMl H11CONOITONS
W%
PHONE,SPECML
Il6t /TpTTpI Op IIT81T VS -
•P{T D,e YS S P WF
< e
❑IPM E%EMPCUYCFfl SEC B.NPC FOP tNS M/SON
LIC NO.
WI i
ENGINEER
LE
-
2 i
0 --�
DNNEP
ADDRESS
N gT
CA,E �.,9LICAM-
CERIR1C IV E.OF "EMPEION MOM WORKER'.
COMPENatAT INWPANCE
UC SECTION NEED NOT BRTE E COM£O FTHE PERMR IS EGO ONE HUNDRED OOLLARG IT
SIWI.SLESS.I
, CERTIFY THAT IN THE PERFORMANCE OF ME WONK Fllp WNIfN VLG FFRUR Ici[cuna,
SOURCE TO APFLCANT IF AFTER
CGNKERUCLION MNOING AGENCY
I HEPEOY ARIRM TFMTTYERE B A CONSTRUCION LENDING AGENCY FOR MN EFOAM- ANCEOFTHE WORK FOR WHICH n,IS PERMITIS ISSUE, ISEC. A37,CIV.C.I,
LENCER'SNAME
D D. N IS. WN EFC
J ' 7
vA E
PHONE'.
uG NO will 4fl11S1I8 Emil IICF
APPLICANT% _ 1807 C1111AL LICI 11
ADDRESS LIK11001, FLI 33 813/588-1100
BEFIT)) Piaal Project IaleaY3ort
\ 155000
Payouts:
v 540.10
flc8olar PUB CHECK FEES
540.80
;Credit ea'eaded:
0.00 KOILBIIE PEIKIF PEE
832.00
Total Credits:
540.11
Is a CLEII-08 IIPOSIT relaired2 (T)
1,000.00 T
;
Sabtotal CIP IST60110 FRUIT FIBS
2,372.80
Adjostaeats
0.AS
lalaace die
1,312.04
TOTAL CIF I9I01110 P18Flt FEES
2,372.30
-------------------------
PLAN CHECK VALIDATION
a
U
a
W
P .e ® H I Di
MAY07 1993
ED
CITY OF NEWPORT BEACH m x
CK, MO. CASH PERMIT VALIDATION ( CIF./ M.O.
I- y
5 apt
SASiI
"
--'^•---•--•••,—••
,¢rwinp.CePartment��� BUILDING PERMIT
P O Bc� 1768
,y
1 Pae3+r Grt Beach. CA 9E658-89,;3
e ;7 4,64d-328E APPLICATION
i
;P E y
R a°SIT0 NeWpOrt C01% ri{.e hdeW;JC'rt �EpCq
��
D.a d .rJlr $N�i7 JIVIS�awc. —i�q; re
s —n iPP TYPE
Exist. site u5S�9E LO'CF TFxTiR s1Ct
oNiorrlo�t Corpora*30
I Y£S A
T
�.
�1n aarrTact Or. —_—`
�¢ SFAC
�E —r ---- ——
4 -
�E Nfr15�1"l1 rgLCfi U-.— o -_.—
2-
—
— ane nrC lalaer 301-897- ?I
d5
>V TA✓
One
'./if' /t
s_-- iI,,r; Or_ 2005II
ashTrjt0r,
SAI Z—
DC� A_ER —
'TOTAL:
L
F..�L. Q
tera �3pEU_
fIlJnqe A
C/
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e
cEC
C,
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5eP5
--
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E P
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E-Eu
E rG. En 5Q OH
l
E
y`
R i f
E E �-i
-' F vr.c T._E n. ee
�.✓ I. _
r
J ¢
t
5 _
A UL.. AND `JCI p.
C: n PERMIT VALIGAMN ._K r., , _,1.4
._.
---------------
APPROUALS DATE INSPECTDA'S
-- - I SIGNATURE
E£tti6IDRTiFiN: I
REINFORCING STEEL
?flESLAB
St4ERTHfRu
FARMING I -.-------
DRY 'WALL -----— --- ——
SUSPENDED CEILING ------ t --
Scratch
PLRSTEA.iy,
Brawn
;NSULATION-`"-- - —
_ -- ----
FINAL
—' ------
. GERT. OF OCCUPANCY
af,4A '6//A6
�YS 7'm'
xp
DEPOS1T RELEASED I
`REst N.D ON
e
__ I
City of Newpert Beach
Building Department
P.O. Box 1766
Newport Beacn. CA 92698891.5
Phone: i714i 644-3288
s_°Ie z 7a-%1 -°REss
BUILDING PERMIT
APPLICATIQN
B.
INCHECIK �yO
�I'E --- __._ GRADIMG A RO 4L REO IREO YES ry0 SITE
_ — __.__ ._ 3 _ N
'lc 1 �--...__ _G.7 GSE zonE P..RRING _ _
O
—p—j— aTRI'�r I
7 c/
OWNERS DE
ER' _RAT ON c[-o ..a
� �.
-
C 15TRl CTION LEN[1 Y ENCV
c[pivv I
oiE msottn ar c• ....V I
�1
CL
c ��CfL
.. _ AN
_pIAsoN PICFee $ Z RerR1Z.c $_i: 5C
I
WORK FIUS csE tAR ED WITH I N A =ERIOo OF 180 DAYS FROM THE DATE OF VALIDATION OR THIS PERMIT BECOMES NULL AND VOID, PLAN CHECK VALBATION ... M 0. CAs„ PERMIT VALIOAfION tea. N_o CASH
APPROVALS
F.,JNnATION:
DATE
REINFORCM STEEL
PRESLAO ..
SHEATHING I
FRAMING
WALL �
SUSPENDEC . TILING
LATHI.NG
SttatcS
PLASTERING
stow,
INSULATIONza
---
i--IP„TL
CENT. OF OCCUPANCY
--------- ---------
FOR REFLINO ON _-- --
To:
DEPOSIT
4WECTOR S
SIGNATURE
Coty oia!' wporl Beach
Building Departrneht
P.O. Box 1768
Newport Beach. CA 92658 8gt5
Phone: 1714! 64.1-3288
ELECTRICAL PERMIT
APPLICATION E°®
t IS%1
TRL'Cn�+J
=
'•+Ja.`'—
FT, `3c PERSO_Fl N(__U
�¢ •
__�'_F
_O_
---.SERVICE z15 r-0_
' 1,
`
l TLETS
1®j
TOTA
INSPtCTION RECORD"
-_RARA: c CIRCUIT
r1c, CV[
me
CVEP, 100
1AINSFORMER KVA
LATE INS�e;
- - -' TOTAL FEE
__.toy acehmnedge that I have resa this application', that b•,e grvcn is chrlect; 110 that I arc ;he pwni or the dJly
a.Zed agent of ttie owner.[ agree to rorG!y vnth city and state ,WS regulating construction; a,.d in doing the vmrk authorized thereby. ^'D no'soe i-Al to employed in violation of the Labor Cod, of the State cf California relzrrig 'Io'NorJ,Crren S Cornpghsation Insurarn;e. 3 ;R dUPE
F'RFAITTEB(/ h `1
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WORK MUST BE STARTED WITHIN A PERIOD OF 180 OaYS FROM -�-' DATE OF VALIDATION OR THIS PERMIT BECOMES FfR LL AND VOID, PLAN CHECK VALIDATION Ck. r,c...0 k& PERMIT VALIDATION
C6. M.O.
CASs
CITY OF NEWPORT BEACH r-E—AN
,-12131 , CHECK N
BUILDING DEPAR*7MENT
APPLICATION FOR BUILDING PERMIT
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APPROVALS
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Beach
Anent ELECTRICAL PERMIT
CA 92668-8915 HPPLICA ON E®
d4-3288
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no person will e i d r R V alien c tie Labor Code of the r; y of CallfG nIa rei.e 1(�,j ^1iJPrm ifi„g arrpense ion InsurarlCa SIGNATURC p
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14,
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I h6ehY lCkfxW00,11 that I have road this applk,wort, to at ,ye nfamaVon a,d the I Am the own'r, 61 �,, duty
authorized ageot o� th, w,,j, I LI,, to C,p,,[V "Ith �,uy e,I 'We aWsregUlatlag and in doing the Work 3U010H),d ftrebl
no Person WI 11 t'G & 10k)vCd �il oUtion of tf]_ Lazv C,,o , Irk, tsl� .
Of Cattomia, Rliahog to f ,4,0 COt"Pelsation Innuiar,,
SIGNATURE
ADDRESS
097,ED WfUith A PERIOD OF 180 DAYS FROM THE DATE OF VALWAXWN OR THUS PERMIT BECOMES �,4
FULL AND VOID,
Gn Mr. tlAui PERCT MUM
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P-NEE-1 CEiLING
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DEPOSIT RELE
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City of Newport BeaCn
Building Department BUILDING PERMIT
Box 1768 BAR 18437
Newport Beach, CA 92658N975 P�-LICATION n�d�-1 rtjC �OQ N' Phone: 17141 644-3288 $'- ,-,f JL 7 7sL; TYPE
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UER EOY Af FI AT I AM LICEBl NEO UNDER PPO,5IONS OF CHAPTER 9 M.ENCINO Hi SECTION 70001 OF DIVISION 3 OFTHE BUSINESS AND PflOFES510N5 C OF. AND MY LICENSE IS IN FULL FORCE AND EFFECT.
UCENBECLAss_. LO NO
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OWNER -BUILDER DECLARATION
HERESY AFFiPV TYA+ I AM EXEMPT FROM THE CONTRACTOR'S LICENSE LAW FOR THE fOLLONI nG REASON (SEC 1AMN S. BUSINESS AND PROFESSIONS CODE: ANY CITY OR COUNTY REQUIRED A PERMIT TO CONSTRUCT. ALTER.!M PROVE. C ENCLISH.O RIPAI
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WIiH SEClI P 70001 OF DIVISION B OF THE BUSINESS PROFESSIONS COOEI OR THAT NO IS CXLNPT TVEREIROM All THE BASIS FOR THE ALLEGE. EXEMPTION AT ipOLATION OF 5 OTION ]091.5 B ANY APPLICANT FOR A PERMIT SUBJECTS TH ._ANT TO A C� VIL PENALTY.1 HOT MORE THAN FIJE HIM NOREO DOLLARS SSOCI II (NER OF OE E PRPRTY. OR MY EMPLOYEES WITH WAGES AS THEIR SOLE ERH!T
SMALL BE DEEMED RiVOKED CONSTRUCTION LENDING AGENCY
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JENSEN 5 NAME
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TOTAL FEE
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ROUGH CONDUIT WALLS
1 here7y acknowledge that I have read this application; that the information given is correct; and that I am tho owner, or the duly authorized arcntpf'tn"e Llinec I agree to comoly with city and state laws regulahlyg onstructio ;and in doing the -a,.'_ '�rthorized thereby, no person II in V!olahon o° iho 4n `fP;Of the State
! of CaifoltoWa�{�ar�an Ins,' oe
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OMUIMER DECLARATION
I EREBY AFI FUV .11WINAM EKEMP! MUCH THE CoUrRU OR'S LICENSE LAW mq THE FOLLOGPEASON155G]B]1.S.SUSINE55ANp PPOFE5510Y5CO0E: MIYCRYOP COVNIY MN flEDVIPES A FERMnTO LON$igUR. AtlEq, IMPPOYE, CMOILSH OB MEPAIR ANY $lgVfNREPBIOq IO.-ISISSUANCE.ALSOflEOVIPESTNEAPPU�PNi FOPSUCFI F£gMRiO FILE A SIGNED STATEMENT iMAi HE IS LICENSED PURSUANT ip TIE PROVISIONS OF THE COF OrONREFFLICENSE LAWICMAPIONI(COMMENCING WON
SEtt1ON IBWI Of DIVISION
3OF iNE BVSINFSSANp PROFE551ONSCGOEI Oq THAT HE IS INEMPITNEflEfBOF.I ANOME BA515 FOR ME ALIEGEO EKENV' ON. ANY NOTATION OF SECTION THERI BY ANY ITHE CANTUN ADOCUSUBJECTS;.IE APPVCAM TO A CM,L PENALTY OF NOT MORE THAN APPLJ
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r I, AS OWNED OF THE PRO=: OR MY EMPLOYEES WI TX WAGES AS MEN SOLE CVMPEHSgnON, WILL DO THE WORK. ANO iE STRUCTURE FN GI INTENDEOOR OFFEPEO FUWSAFE (SEC A44, BUS :Ess ANO PROFESSION. GORE, ME CONTRACTOR'S LICENSE OOEs NOT APPLY IO AN OWNER OF HRGFC TY WHO BUILDS OP IMPROVES THEREON, AND"He WES 5UCHWORK HIMSELF OR TNPOUGHHI50WN EMPLOYEES, PROVIDED THAT Of" IMPBOVEMEms ARE NO! IN FUND Ofl OFFERED TOO SALE. IF HOWEVER, ME FLAN or WLTEIGN, THE
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I car"HEY THAT IN THE PERFORMANCE OF ME WORN FOR WHICH THIS PERMIT IS ISSNEO.I SMALL NOT EMPLOY My PERSON IN ANY MANNER SO AS i0 BECOME SUBJECT '0 THE
WOPKERS' COMPENSATION LAWS OE CAUFORNIA,
DALE__ APPLICAN)___________
NOTICE TO AFPLICAN T F. AFTER MAKING THIS fEHTYI.0 OF EXEMPTION, YOU SHOULD
BECOME SUBJECT TO THE WORBS SCOMPENSATOR WIOVISI INS OF ME LABOR CODE, YOU MUST FORTHWITNCOMPLYWIN SUCH FAMISIONS OR THIS PEflMIT SMALL BE DEEMED REVOKEO.
CONSTIIUCrLCN LENDING AGENCY
HEREBY AFFWM THAT THERE IS A CO VRrUGC1ON LENDING AGENCY FOR THE PERFORM, ANCE CF ME WORK FOR WHICH MIS FIRMS IS ISSUED (SEC. ]DST. CIV C.I.
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City of ewpe Nort Bach
BUILDING PERMIT
� F NueiOvEMBO
Bee h CA 92659-1768
Permit Counter Phone No. (714) 644-3268/3289
OWNER-RUIILEp DEC1AMl10N
J08 INSP
DESCRIPTIO
INEREBYATMULTAATIAM EXEMPIFXOM TIE CORMAC. S LICENSE LAW FOR me WLLOVANGRFAM.FMC. INHSTIUMBARISBI'MR'IFEESONS000E'.,I:�L V.FC0mT, ADDRESS: �p� II�IO�P P@�D IIl AREA
1111u, M[ t D I ri `fl
OF WORK:
NTM:N REOUIPES A PERMIT TO CONSTRUCT, ALTER,IMPROVE CEMOLSH ONECIARANY SiFVRUPE.PRIOR iO R5155VANLET ALSO RE0V PE5TXEAPPt[Nit FORSUM PNMT To BLDG. FLOOR: SUITE',
COAST,
FILE A SIGNED MWM UOR'SLKNSE'LAWICHAPEN9IS LENSED
MAT HE. THE MEV5'0N
i
CO
TYPE OF
ICOMMENCRINGWNHSOECTON]OCOIOIOIFOIVF
30FTHEMOSINESEANOMORNESMONS COODORMATHEISEXEMPTiHEREFROMANOTHE OWNER: INPIME
GONSTRUGTIO
EYES FOR THE ALLEGED EXEMPRON, ANY VIOLARON OF SECTION :N I5 BY ANY AP0.H CAM FOR A PERNMEUHIECF9 THE APPLICANT-i A CIVIL PENALTY OF NOT MORE THAN ADDRESS: 900 MENPORI CERTER PR
ADDED/NEW
RO. FT.9LOG.
'We WNOPEO DOLLARS 11. M1.1.
RERPOR1fl EEACLp CA PHONE:
No 0-
❑ I. AS OWNER OF THE PROPER', OF MY EMPLOYEES THIN WAGES AS THEIR SOLE CONTRACTOR: PIREMASIER
WITH
BEll'D ELOG
COMPENEALON.THAILAL W THE WORK, AND TIE STRUCTURE IS NOT INTENDED OR OFFERED P.ONSATE 15M, BUSINESS AND PROFESSIONS LWE: THE CONTRACTOR'S LICENSE
W DOES NOT APPLY TO AN OWNER OF PHOPERN WHO BUILDS OR IMPROVES MARRON, ADDRESS fit+LOBAR AVE
SETBACKS
EMPLOYEES,
SUCH WORK 1MSELF OR THROUGH RIO OT
SUCH MANCW� OVEMENTS
RRIA CA CA 92621 7tt-990-IEII
ARE NS INTENDED OR OFFENDWN ED FOR SALE HOWEVER, TIE
BVILERNG OR IMPROVEMENT IS SOLD WHIR ONE YEAR OF COMPLETION, THE OWNER- BUACRERWIILL HAVE me BVROEN OFPROVING THATHE DID NOT BUILD OR IMPROVE MR ME PHONE:
( 1
STATE SSSE/S CLASS: CIIIC�IINUDC]k 00102E
WVO:
OESL IPHOR
PURPOSE OI GA.1.
C N0- eUWpORT
01, AS OWNER OF ME PROPERTY,AMEXCLUSIVELY MmMACTINO WITH LICENSEDCONARCHITECT:
TRAMS TO CONSTRUCT Me PROJECT ISEC]DAI BUSINESS AND PROFESSIONS CODE-. :HE CONTflRROR'S LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO ADDRESS:
HULLOS OR IMPROVES HEREi N. AND AND CONTRACTS; FOR SUCH PROJECTS Vom A
SPECIAL
CONTRACTOR'S; LICENSED PURSUART TOTE CONTRACTIONS LICENSE IAWI.
PHONE:
SPECIAL S'.
[) I AM EXEMPF UNDER SEC. YE RE P.C. FOR THIS RFASTR
TIC. PO:
ENGINEER:
DAR __OWNFR
ADDRESS:
PHONE.
PROCESSED
LICENGEO COMIIEACTOR90ECEARARION
I HEREBY AFFIRM THAT I AM!ICENSEO UNDER PROVISIONS OF CHAPTER 9 ICOMMEIONG LID. NO:
ZONING
WON MOTION 7") OF WSION 3 CF TIE BUSINESS AND PROFESS ONS CODE, AN.T MY
APPROVAL
LICENSE IS IN FUEL FORCE AND EPFIRM
APPLICANT. FIRE MASTER (OCTWO PEUII AI
ICENSELEA55 CIMFILP�-AP,9,PJ.'./A�I Sims
Sit COMAE I
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RREA EA �12� II{ 99O }{73
WORILEIIE' COMPENIMI CHCLAI(ATIOM
PONE:
SIGNATURE OF
APPLICANT y\
GRADING
APPROVAL
FENOWAFFINSIMATHIMURE LERIIiLCATE OFCONSENT TOSEL.i IRLRAP OR A CERTIFF�" LATE ..'!FERs'PUMPE S TONIxsUReNCE,pA[ERTIfEDCDPITNmEOF1EEC.3SDB, LABn
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Po ICY COM: ANY STATE COMP PO
eril ens
EstiEated Project Valuation - - -
--
-
❑LENTI EDmPY IB HNEBY FLIRNRHED.
G CERTIFIED 19PVISFILEDW"THERUILDIN A
Final Project Valuation
CERNNCATE (M E%EMPIION FROM WORKERS' Y
CE W+RwTI EI.NCE
ITHIS NEED NOT BE COMPLETED If ME PERMIT Is FOR ONE HUNDRED DOLLARSIf,.,0. MCB51 I CERTFY THAT IN THE PERFORMANCE OF TIE WORK FOR WHICH THIS PERMIT S ISSUED, I
SWJL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO III SUBJECT TO THE WORKERS' COMFENSATON LTWS OF CALIPoRNI0.
OATS_ __APPLICANT_ _
NOTICE TOAPPLICANT.IR AFTER MAKING THIS CERTFIGiE OF EXEMPTION, YOU SHOULD BECOME SURIECITO THE WORKERSCOMRNSATON PRO V610N50F THE LUMB W DE, YOUMUSTEOMMARH COMPLYWIM SUCH PROW5pNS OR HIS PSFMITSHALL BE DEEMED REVOKED.
CONSTRUCROM LENDING AGENCY
I HEREBY XPIRM THAT THERE 15 A CONSTRUCTION LENDING AGENCY FOR ME PERFORM- ANCE OFT E WORK FOR WATCH TYIS PERMR IS ISSUED (SEC MSY. CIV CI.
IFNDEFSNAME__
4 iiLfR'$ppOPE55__
ILERIIFYM XgVEgFADT115APPLIGiONANOSTAR TN/,i TiE PHOVE INFORMAnON 15 CORRE .I AGfl3 TOCOMPLYIVNH/1L LHV AND COUN.ry OHOINANCES AND STATE ' LAWS R G i0 gUIL01NG CON$!R CTON, AND NEgFBV AVTXORIR PEPRESEHiq.
TM50 CW VIO ENTER UPo TiE BOVBMEN'RONEO PRO FEfliV FDq INSPEC $IGNAR.flE OF MITTEE pA1E
LC
PERMIT PER 72.00
TOTAL FIRE PERMIT PEES 72.00
PLAN CHECK VALIDATION CK. M.O. CASH
079 MET
LEE
EWN
FRONT FEAR
PERMIT VALIDATION
t:00
Perron No,
B3201406
ROOD SYSTEM
DECO . NI CA
GROUP'. STORIES:
ADDED I NEw
0 ET .
SPACES
LEFT - RIGHT
OTHE &
DEPARTMENT
Regrets:
0.00 ;Credit extended:
0.00 Total Credits:
0.00 Balance
71,00
' Adjusteents
D.OD
Balance due
72.00 PAID
JUN 5 M
OF NEWPORT BEACH
CK MO. CASH
®8 al Newport Beach Permit No.
BulkSng Department BUILDING PERMIT ��--°— B9301643
' P.O-BOX 1768
Newport Beach, CA 92689-1788
= PermRCDunter Phone No. (714) 644-328&3289 IDSpeRSSEDn Requesss Phone No- 14644.3255 OWNE11-WILDEII DECIAMTION JOB INSP DESCRIPTION
IHEREBYAFFIRMMAT AMmRR,M.MELAXTMCM.SLKEHSETAWFORTIE ADDRESS: G I��yI �4 Ip G AREA: OF WORK: Gi�t1` V1GD1'IP1SI/ A 11 FOLLOWINGRFAW NISEC.]N1.SBUSINESSANOPROFESSIONSCODE' ANVCIFVO'COUNTY IIU yEdPD9P CEIiCI D!l rl°$1} ,�Ri6�Usg$ IPC 1Di1'91J WMKH flEOVIIE$ AFERMRTO CONSRAUCT. ALTER INH`— CEMOLLSN.Ofl flEPNfl qNV 111 SIRUCFVflEPRI0gi0g5155UAN AEA,LEOMOOT'S TNE 8,100 ' Pa eats: 0.00 N CATEED OPYIS FI DWOX iHEBUILdNG CEp EN YE
RANT P �G Final Project Paluatiac - - - > 8220 ;Credit extended: 0.90 W- ' CC' PERVIT PEE 103.00 ; Tntal Credits: ,r,n0
CERTIRCATEOF"EMPTION RRDM KE
COENENTES TIME ---.-__^ - -- ----- ------ -_- --- 1
MIKE OR LE rrtSO NOT BE coMRertDIFTHE.RRMRI=Fax SHE xuNGRFD oouafls TOTAL FIRE P6RNIT PEES 408,00 ➢alBSCe t0E O0 MIKE OR LE351 1 ; IS
D.
I CEREY THAT IN THE PERFORMANCE CP ME WORK FOR V&,CH MIS PGMR IS ISSUED, I ddj Est®e:lts 0.00SHALL m WORXEflS COMPENMRONLAW30FCAUSSIMEMPLOY ANY PERSON 'I AIR JIxAER SO IS TO BECOME3UBJECI TO THE Balance die 28.00 o ________________________________ yyyy
NOTE ____MPUCAM �.. f
NOTICE
BECOME I-STEKAM:IF. AF)Efl MAXINGTIES ATTIO: ROOFEXEMPTION VOl SXOULD Q YOUM SUBIECf TOMEWdUE0.5'UO PENSATONPROVISIONSOFMELLSEDCOCE, y VOUMUSIFMTHWEMCOMPLY WIMSVMPgOVISION50RMIS PERMRSNPILBEOEEMED I$EE,` Q ! RVOKEO CONBBNUCTION LENDING AGENCY a
I HERBY AFFIRM THAT METE M A CONSMUCOON LENO WG AGENCY FOR THE PERFORM < ARCS OF THE WORK FOR WHICH MIS PERMIT IS ISSVED I%C.]0 .ON C.I.
UNDERS„AME __ JUN 16 1993 1
TS COERECT,I E55 CITY OF IdEONT 9EACH < `
I CESTOPI HATI HAVE HEAD MIS"PUCATON AND STATE MATINS ABOVE IRFORMATION IS CORpER.l TMRIFF TO COMPLY WON ALL ON, AND MERELY ALMONDS
MONNCESAND PRESTATE
TAWS RLA G TO BUILgNG CONSMULTON, pH- MERELY D PROPERLY FOR
m
'. TIVES Ef $�UNIY ENIEg UPON THE ABOVFMENRIONEO FflOPFAIY FOq INSPEt-
ONPVR IV
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PLnN CHECK VALIDATION Crc, MO. CASH PEOMIT VALIDATION CK. M.O. CASH j
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City of Newpor,y9each
P.0-ingDeperRent ELECTRICAL PERMIT` P011100180
P.O- Box Beach,
Newport Beach, CA a No. 176E N _ . Permit Counter Phony No. (71416443288/3289 In coon R uasls Phone No 1714 Sod INSPECTION RECORD 3(/p78p
9� !!Ew/oM cni ,n
ADD CCIm yTyyy IIIII1j7F q��jj�pCpyy ;aa INSP
ADDRESS: 1��� 14A1VIl1 ��PG6 i�il AflEA. ,U
DESCRIPTION Il!I..YnYrnI� Iy=yaQ9 +t+(III
OFWOHK IYllY'R1� (LIIJ�OJVUI
Aar SQL—}f►y Fad. �N/�
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SUITE d
17C1LEPS�PI%40RES�SEPA&A18
CIRC9:T 6d
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6lyNER
ADDITIONAL INSPECTION
RECORDS
�J'
ADDRESS: 197 CRYSTAL LATE
_
%/(r�lT3 nr 47 ccJ T.+strw Gi0
LAEELARD, PL'.3101
PHONE: 111/6EE-7700
CONTRACTOR: Sfi{PPY PESLEY 5P P
"
eDt l•ox•, �ti,A
ADDRESS 3135 TALBOT STREET
SAR DISCO CA 92196
PHONE: 619/222-4342
I�wd%Z' J+*✓.✓
uo"NTEV, 511,•� class. 2
PRaa_ssEO Dv:
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BUs. LIL.:
OGCUPANCT:
APPROVALS
„DATE.
INSPECTOR'
GROUNDING ELECTRODE'
eCU ICd e 1 ern
Ldc ¢.
_
UNDERGROUND
SEPARATE CiR"LRIP
3.CR S 1S.d0
PdylECY6: R.GO'.
UNDERSLAO i FLOOR
TLLAL R0. OF OUTLETS
43 25.35
;Credit extended: 6.00
ROUGH CONDUIT WALLS
TOTALB0. OP LTOOTHO PITORE$
199 15.85
Total Credits:. 0.09ROUGHWIRINGCEILMIGS.ROUGH
0�4
SERMCE
TEMP., POWER.,
SUBTOTAL of electricat {tc6
Is PLAN CBECE PEE required° (7)
95140
21.95 Y
( Balance 134.25
A¢I¢ tcents 0.00
UTILFN CO NOTIFIED
PER511 dS$9I91 FEE
1S.C$
Pekin. e d a 134 2r
=
FINA{.
_
TOTAL ELECTRICAL PERRIT PEES
d4.2S
'
'
WORKERS' MARENSATIOM DECLARATION
I NEflFBy/FFlRMTHAT�XAVEALEWl16(ATEKCWSENFTOSEIF INSUPE OIIACERRFI ®/��/lvE� �'[L
N'P�J�
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CERTIFICATE OF EKEM FROM Wg1KEPs'
COMSATION INPENSIIFUNCE
N IN
RR aSELRONNFEp WTREC011plETEOIFTHEPERMTISFOPCNEHVNdiFL OOLLAr1eRlM OR ItEsI
r
-.
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PLAN CHECK VALIDATION CK. M.O. CASH
PFRMIT VALIDATION
CK. M.O. CASH
City Of Newport seeaca
0 P O. B9a 176E Deportment
f P.Bo
4 Newport Beach. CA 92659-1766
Permit CoaMer Phone No (I14)644-3268/3289
INSPECTION RECORD
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APPROVALS DATE INSPECTOR
SOIL PIPE rgBtlND
SEWER
WATER PVE G D
GAS PIPE GROUND'
PLUMBING ROUGH -
GAS PIPE BOUGH
WATER HEATER
GAS. PRES TEST
GAS CO. NOTIFIED
PLUMBING FINAL
WORKERS' COMPENSAYION DECLAMTION
HEREBY AFMNTIMT t HAN ACEfmKATE OF OONSENTTO SELF NSUES, OR A CEflnEL GTE OFWIXtKER^i'LtWKI eTKaH w9nTMNCE OR A CEflPnm COW TNEPECF ISEC. ]Bb L4l C: sY B{45(l
F'CAICYNO_ �ftkWANY_.
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COMPEtISATION INSURANCE
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flEVq(FD. /
Pent No..
PLUMBING PERMIT P9300434
In :on R ueste Phone No 714 644 3255
106 y � CCtt jry�yy$ p1&p IJ� oo INSPA DESCRIPTION RpRp ��INwyyf ®®rJ #yqy II{I•;/,I r1I(�/q ADDRESS: Y�': 3uV1� !il�IhL If AREA: I J OF WON(:.. llra4�l1 �Yl]UViUMI OLDO: t FLOOR: ` surzE d CAP 3 PL44E SIR S}8 t -
OMER: KABHi4}} OEKEBSHIP EHE4R}B_ AOOITbNAL INSPECTION RECORDS ADDRESS: 5607 IYSTAL LABS - -
LAKEL.I9D, FL 3360 PHONE-a13/fi88-7740
CONTRACTOR: SHIPPT BESLET NCNB
ADDRESS 3135 TALBOT STREET _.
BAR B1SS0 CA 92106 PHONE: 6141222-4342
Icy.: SIM! clasS: 2 xEAPom. COG' _.
ws Ic.
PROCESSED BY�� svrA n C NE OCCD�P�4FICY:. -. .. ,x.
Peat.-F.es E ore o. ee ;
ENTER Kist. other iteas ti.00 i 15.00 CAP ONES Payaeats: 1.00 ;CreALteeteaded: 0.00 a
SUBTOTAL of pluiI fees IS.00 Total Credits: 0.00
PERKIT ISSOIRC FEE MOOBelow 10.50
TOTAL PLQKB KS SEEM? FEES C2A0 Adjartaeats O.OQ
' 8 ----- doe 3Q QO
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2� JUN 15 199
PUN CHECK VALIDATION OK. MUD, CASH
PERMIT VALIDATION CITeDVF NEWPO"BEACH
..,y Newport BeachuddgHEATING,
VENTILATING,REFRIGERATION&AIR CONDILIONING Pe
Iityof
H°PERMIT9300368
Counter Ptwne
artnrt No (714) W-3288/3289
INSPECTION RECORD//
Insoecnan Rewasls PMne No, 14
a,ce I, INSP DascRiPnDN
967% 9--ZIti �I s'7. N
AUOPESS: 91�� III�I��� fllliGl !il .AREA S� OF WORK�tll�� EI4fOtl JUV� IIS1,rte
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OWNER: - - MARRIOTT OBBRRSRIP RESORTS ;: .'.
-
ADDmoNaL msP�crpx REClaIB
180?
ADDRESS: CRYSTAL LAKE -'-
--
LAEELARO; FL 33101 PHONE 813/ESB-7700- ..--.
--
CONTRACTOR - SNIPPYRESLEY EUGENE
ADDRESS::- 3175 TLLMOT STREET.-..
so DISCO cR Q2106 Pog6 9/aa
51f711 CLASS -
eueuc - o06t40-
.00CUPANCY:
Bantam
CC an1Ca ermit eeb +ac G. at - -
l
_
of BYAC euits repaired/altered 9.00. ? 18.00' Payments �:130 APPRDaALS
pATE INSPECTOR'S
VENTILATION _-- --- Credit eYtesW. lT Off,
UNOERSLA8/fL,O R-
. .
{
._ _—_ ____ _ _______ —
- - ------ ' Tmtal Credits: 0.00..
HVACI Hr'ROUGH
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- TOTAL MECNRMICAL PERMIT PEGS il, SP ------- -- .-...
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PLAN CHECK VALIDATION CK... M.O CASH PERMIT VALIDATION CK.' MO— CAM
City Of Newpod Beach
BuilP.O. Io 1768 a BUILDING PERMIT
E P.O. Box Beach.
Newyod Beach, CA 92659-1768
Permit Counter Phane ND. (714) 644-3283l3289
•••-••--•--•• _••••••••••-
HENEBY IFFIRM TXAi l AM EXEMIT FPgq THE CONTMCFM'S LKFIISE UW FOR THE
ADDRESS'
'IV MVIL YEue• VA.
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ADDRESS
LISMLUII, IL 33801
813/686-7700
AMC. TO A CIVIL PENALTY OF NOT MORE
MEMIHCNEOWLIMSIYAOWII -
p
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3133 TYWT
COMPENS OR.WILLDOTHE WOILK,ANOTESTFOCTLPED NOT INTENCEOOR DFFEREO CONTRAI:TOfl:
iEYO1
LICENSE
M SPl° (SEC PHA BUSINESS AND PROFESSIONS CODE THE OWNER �AWOOES NOTAFFLYTOAN gYR OF PROPERTYWHO BVIM M MPROVES THEREON. aoDRE55:
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311111
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ADDRESS
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AND FFFECT I l/11
APPLICANT:
1607 CITS11q1,�Un it
DCFNSEC Ln.ra._ _.
-
ADDRESS:
LII6L01r JyA ,�� j
813/f16-1100
CO`MANY
HEREBYFUF.NISHEO
MEMYTI THE SUILO NG OEPAfl*MENT
�CAMC _
IFIC1LIE w EXEAI►rN3N VIRGIN eIKMKEKS'
ME$ SECTION NEED NOT BE COMPLETES F THE NRMR IS FM ONE HUNDRED OOLLASS ISTWIMIE55T
ICERTIFYTNATINT MRF00MANCF.OFTIIEWORKF IM THIS
'S O,1
SHALL NOT EMDY Y ANY FEHSOJ IN ANY MANNED. AS BED BJECT ME WCBKFR pM NSA x:AwSO CALIFOON _ Y
W UCAF
NOTCE OM CA.YF'15 AfTF0 MAKINGMI S CERTIFI FEXEMPHON, CUS LO BECOME EA L CF TO ME MO YXRS' COMFENSMON 195ION5 Cv THE 1A00fl COgggggg YWMVS'FORTHWTNCOMPLYWTNSUCHPPOVISON AMISFERMTSHALLBEOEET1 REVDRED.
CONSTSGCTEGN 1-11MGN1G AGENCY
I HEREBY MOOD THAT THEM IS A CONSTRUCTION LENDING AGENCY FOR THE PERFOBM- A OMEMRKFORWHICHTHIS.%RMIT1SISSUEOISEC. 3097,CIVCI.
ENTER
P"JM0056]
hene, No. 716 eM-3255
ESCRIPTION
Iffolm
f
F WORK:
tI TRIM IIPIOP=
ONST.:
'PELF—.LP
,NST ....ry
- PA V
I NEW
)OEO J NEW
I. Fi BLW:
A ERN
'e nn
ALP.ED OGXR 7)Y.
USE PARp11G- -
A
TITS
ZONE' SPACES.
S.
T SSG
FROM / REM / LEFT RIGHT
$:
:F.ICRIPPCAI
ILI 1QFt/NI OBI OI
•FCIAL
TNC IONS
FBI IIL,(LB11TBl OP IRBI
TIB01flu
N
..
4(3CESSED BY:
G
',
OTHER
}
Pq
DEPARTMENT
C
Sq
RE
PAN LCHECK A 1
T' o
Eliot fiejediallaties
le0du PLO Elea Bess
fS000
- repeats:
�f6,31
a
IOIpIR PBIIif on312.00
248.30
:Credit ecteaf 4:
O.Qtl
Is I CULL -Or BIPOSIT re0aired7 (1)
400.00 T
; Total Credits:
240.31
— 1
-
-
I
kluge'
782.80
F
Sal[ohl Up10[L0I16 Plllllf t68S
1,130.30
dd;utEefu
0.00 v -
tOilL CIP I9IfA116 Ps81t P663
--
1,030.30
kluee dae
—------�_--_-_�_-
112.00
IN
O
O
P � I
AID
Z
)
MAY 07 1993
CITY Of NEWPORT BEACH
q I
PLAN CHECK VALIDATION. DK. NO CASH PERMIT VALIDATION CR. MO. CASH 3
a r,rt
i
..
Y..... Y,. '.. . .,.. ,..� ,. ;� L ;
F. G�Gt-Y3 f,P�.�irrv�"`;tao�-- ,v�>�n 5
_� f
_ � _ r s
,,-� ��
_. _�
r fi-
_ _.... _. _. 3-
iry of Newport Beach
1 Bulldog Department
P.D.�K,788
ELECTRICAL PERMIT
Permir No.
({
Newport Beach, CA 92659-1768
'
E 93 00781
Permlt Counter Phone No. (714) 644-32M3289
INSPECTION RECORD iviv&r 7 /
� `1`Qy;yII}}yxy 11 Q4 1 INSP
AREA:
ADDRESS: 9OO 19R4
DESCRIPTION
OFWORK:
Inspection Reeuoids Phone NOf 714 644-3111
O
s� ,Po.•r- �ti
Up� L�II�I 11
19 sr,zcJt9 (89300f69�
L 4J ()eT.yG I4okS
/ivf/l>ru,
6LDG� 1 FLOOR. 1 suITE P -
ER: XARRIOTT OSNEP,SRIP RESORTS
OUTLETSIPISTORES,86P CIRCUIT,309 PANEL B
(ADDRESS: IBm CRYSTAL LAXe
ADDITIONAL INSPECTION RECORDS
Lf.&ELA0;PL 33801 PHONE 31716E8-7700
CONTRACTOR SNIPPY AESLEY ENGINE
ADDRESS: - 313i TALPOT STREET
SEA DIEBO CA 9210E PHONE: 619/2224342
_
-
STA o.1 L
: 5117r? CUSS: B, -NPY T 006140
IC.:
- -
APPROVALS
....DATE.:...
INSPECTOR'S
PRCCESSEDBY: OCCUPANCY:
-
do
GROUNDING ELECTRODE
1eetrica Wait ees , II.
Fee
9 UNDERGROUND.
SEPARATE CIRCUIT 3.00 1
1.00 1 Payeedte: 0.00
- g
uNDERsI.eB/FLOOR
DOTAL 60. OF OUTLETS 44
25.80 ;Credit eat6nded: 0.00
ROUGH CONDUIT WALLS .
TOTAL E0. OF LICRTISB FIXTURES 32
20.40 ; Total Credits: 0.00
m
ROUGHWIRINOCEILMIGS
Ali
-
Sib Patch 11.00 1
?1 00
w
ROUGH SERVICE
]jjFF'
li
- -- - — -
-
Balaice 50.25
TEMP. POWER
SUBTOTAL of electrical feeli
60.20 - Adjistseets 0.00
UTILITY Co NOTIFIED
Is PLEB CRECR FEE required? (Y)
15.05 Y
1 Milieu die 10.25),
u
FINAL.
1pin,'
PERMIT ISSUISO PEE
15.00 ----- - --- --:---_____,
>a
.: WOnKERS' corv¢eis ci" DEiXAB TK N -
TOTAL ELECTRICAL PERMIT PEES
90 25
I HEPE M( WI T I HAW A CERIVcATE OF CQI$Qi', ORACERIIFL 1p$F1FEIgpE, � p GTE CG pg9MEP$(XCIPICry rygU0.WLE, OflA L1 NTIFIEO
We ECfiY THEREOF ISEL.
aeao ue ci NC 6EEM@2
❑amFlwcowlexFraev AwMstFn... �.a
i
❑ LyTfIREO CCpYEEIIf[lryM1x iNE WILo-NGRYgpiLBfl. ,
GATE m CAVI__ _--may � 3
CERTIFICATE OR EXEMPTIONFROM WDRKLN• .
COMPENSATION FINDI,INSURANCE
masecrawx®noTeEcawETmIEr�PmuxlswnoxExu«oNaoaiezclElool O1 oN LEscl o.
CoH11ry TNT IN }XE VEWMM{NLEOF (VIE 4WYAH E011 xTMS TEAM•�S LSwEO.I Q..
SHALL NOT WKGY ANY G NIN ANY NA 6 CTTO THE
w[iPA[.py nW lAW50FC.W
NpP.CYN�. R. O£iFA A1P%0.G iN5 CER11 OF EYE4TION. 1p
eECddd111E51161ECT TOTIE WOWtEl6'CgpLILSATON SOFTEIA90x NNE((%%��IIW A1VST wNThWnH fdAPLY WITr. 50CX PgpIOgNS IS TRAM(( SlW1 eE1MFD �... flEYq •PM i1N tltY ary slate k rrN, Meng w snucY n, eon In 11wrq Ned t» autllo ed lfl ¢b�„Io p+!san Nbe enlggtU nvioMxon orlon labor CoO u1. sGleWGaflt I WaWnen'a ONCEN'S6AOn meurancel// {/ 2E
NA4NIPflIM I]/ �/ `/` A I.. W�
V Vl m
9 He_/ � - ---- JUN 15 1993 °
CITY OF NEWPORT REACH ,
PLAN CHECK VAL IDATION CK, MO. CASH PERMIT VALIDATION CK M.O. CASH'
C'ky of Ne Permtl No. 9 ( Q
r CuiMingDeWpPa3 h HEATING, VENTILATING, REFRIGEdATION &AIR CONDITIONING 893003b9 P.O. BOX II PERMIT' , .
...,w Newport Beach,CA N0.17141 Impaction Raeuests Phone Nea7u1G Pernik Courtier Phone No. (Tt4) 644.T28&".i289 /y' t�If�my p �j qp )p)p NSPErnoNHEcoao//$ e36� ADDRESS. 4�O I �3K�� Y �I AREA �� OF I��I�11�I�����Y�� �t/fe%ooe�T 9'i pt 8
BRIG: t... FLr•:,n� -1 _ SUITE `➢ ILI 10'170-STSTS1 ➢ .
MAEF: HAReIDTY DWGEASHIP Ri-'I➢TS. AODITgNALnvaPECIIQV REC0�3 ADDRESS:... 1DI CRTSTLL UPS
LAHELA➢D, FL 33801 ar1ONE...---EtSI6R➢-1100 t:
_.... cOWWTOR: S➢IPPT WESLEY E➢GHRE
ADDRESS. 1135 TALBOT STREET
SAW DINGO CA 9219E -PHONE 619121E-4342
�� sr 11� DusB B � o�o6aKo
PROCESSED BY: .00CUPANCY
aenauicat fermit Fees Fact 90. Fee
�.... 90, of. 991C asits re@aiieBlattered 9.00 1 9.00 ' Papceers >`l I
F
H
fA
OFE
:INQSSECIKN NF.®WfBE WMPtEIE
Otl®91
I CE4IIGV iXAT IN TE I£MgiMN10E
9WL. N]! MY PBIAdI N.
110NtAWSOGC
M aw
.IF. PFIEe YWtl
SUBEEiM:r1EWIXNF0.5'q
WAT FIX(NfiMFH CGHAV Wi1X OOO
N10mbyarLnovAeeagGreNM1e
k TnrM; aM 6vr 1 nrt the ewrq, �
41 Wm01i' 1riU! Gy' YIC 916b 4W8
6j` ,�a
mm
INSPECTONB 9H➢PILAYIC®... -- -- --- :Creditextexdet I
-•-• ---- -:--_ -- -:: Total Credit3: "I
'. SUBTOTAL of sechasical fees 9.00 ' - *"
I
s PLAN CHECS PHH tegnited9 (T) 2.25 T 'E;latce, .,Af
FREW ISSOIGG.FE➢. 15.00 ; Adjanteeats
4� TOTAL RHCGARtCAL PERMIT PEPS 26.25------=--••
,�wNwflE oflA#pllB.
FEA 4YlP/TNEMFLf,t6EC.
Ems'
IErAimre000uAxXB�m
X M6 Pp1N1tl A`d0T
:O.E
P
60iT1ElIHOfl � W
PfltlAR SNAIL "///�\jf
rM101X,BmIWmStimryven / Y
gsrcdmeowne.Ien«P
as n un wax
d ma latx�Coea or �e
A
guru r 5,199
-
PLAN CHECK VALIDATION CK. MO. CASH PERMIT VALIDATION CK-":MO:
jq.Clry of IN
eWpnrt Beach
BDIIeIng Department
P O. B1769
Newport Beech, CA 92659-1768
Pemmt Cwnter Phone No. (714)
INSPECTION RECOI
fmo ivfwA ow CUR At.
APPROVALS (DATE INSPECTOR
SOIL PIPE GR®t171D
SEWER
WATER PIPE GROUND
GAS PIPE ` GROUND
PLUMBMIG ROt1GH
GAS PIPE ROUGH
WATER HEATER
GAS, PRIES. TEST
GAS CO. NOT'WIED
PLUMBING = FINAL
WORKERS' COMPENSATION lKLARATION
I NEHEBY AENM THAT I HAASA CERTIFCATE Ci ECRSENT TOSEV!HEUBE CA A CEPTFl; CATE CF A'MYE1t5' CIXpp NpS�IAlW�AVINSURACE. A CEHIIHED COPY TNERECF(SEC, �J VBC) •Y IILVY
POCICYXO CgNMfI _
C CERIIFlET CIXry Lt Kp®yFipq Slip.
c cRmREpmwlsFlu=.pmINTHE exu:.s,ssPAmeFNr.
E.
"ATNA,u.
P..KNo.
PLUMBING PERMIT P9?n04�S
i� `` HHAA Qr In �391t1'I1�Iry R uesh, Phone N. 714 6a43265 DRESS: plug �yRllri��� I� AFEA: OFWORK! ROM (�93�U O
M 1 FLDDR: I SUIT E CAR YOBS,POILFffi,SfIHS I
JNER: lA"iRIO}} 010EISEIP ECROPYS DRESS1E07 CRYSTAL LAEE ADgTIONAL INSPECTION RECORDS : - -
LAHELEIO, PL33901 PHONE: 812?tiES-77C0
I ACTOn: SHIM IESLET CC&CRI.
DRESS: 3135 TALIO} STREET
SAI OHIO CA.e2'O6 PHONE:. 619/2E2'43ii
ITE... 51R CIAaS:
A. auNEST UTU061'dV.
OCESSED BY: OCCUPANCY:
as 1a1 Paraft Fees aC 0. ee
HIRE lisc. ctder Uses 15,00 1 15,00 CAP PIiTRE Pa}eeets:
MENTAL of plaaGisl fees- 1� �� :Credit erteaded: 0."
PEW? iSSOIIC PEE Total Credits: 0.00
ISM
_____-____.-------- --------- - 6aEuce 10,00
MM PLOIOIIG PERMIT ME 30.00 ' Adjistsste 0,00 �
;_ -dalasce die 30, in
________ _______:.
3 � 1
IL
O
u U P
F Z 1
: D :
JUN 15 1993 A
CITY OF NEWPORT BEACH
PLAN CHECK VALIDATION ^.K MII CASH PERMIT VALIDATION CK M.O. CASH
CA y of NewP-D Beach
Budl1in9 kip
P.O. Boa 1768
NeWrJOn Beach, CA 9D
Portrait CWnter Phone
NOON'sc,
LC No
SHM
iP15 NEAE8Yf11flIbeNEO.
FY VFUEowrtx THEBUxnwc uPAnnAENr.
ITMESECTION NEED NOT BE COMPLETED W THE PFeMM IS FOR ONE HUNDRED W0 S 151Lb10fl LES51
I CONIF THAT Ni THE pFAFOPMANCF OF THE MRFOR WHICH THIS PERMIT S ISSUEDI SMALL HGi EMPLOY µY ffP50N IN µY IMNNEI: SO AS TO SOMME SHWECTTO TIE WOPREHL COMPENSAW..SOFCAUESER.
DAl£ ppPJCAHT
H•JiICE To AAFLGNI IF. AFTER MAYJNO THE E.H.OF F.FMPDON, YOU SNOUIO .. SUBJECT TO THE WOREORSCOMFENSATON PROVISIONS OF THE I Ma COPE, VOUMUET FOPTM1 EONELYWITHSUCNPPOVi510N50R THIS FERHIT.11 BELEEMEO REVO(EO.
THERE
EIS A LIMN ICHON NNAGENCY
INERE.1 AFFMM. OR WHSH A[ONSTRVCTId11.I.E..1.C. I. THE PFPFgiM.
PH'30FTIE WORN FOfl WNILNTIIS PEAMnI515SUEO15E[. ]D9!.CNL I.
UOafa'SNAME
LENDER'S ACME55
16ATBEcT,I MATE To COT LAPPLKATONµ AIV9 TE THATCOUNrl 0 EABOVFIN ARE) STATE LMEECF.IAGREE TO COMPLYNSTALLCRY AND COUNP/OPOOHN RANOSTATE TAWS PRATNC TO BURSAS EN (R DFON THE N.AB AFIO AEHEBY Dffi ZE FOR INENTA- T14E5 Of T115 COIIHIYTO ENTER VPON THE ABOVE MENTIONED PAOPIATV FOR IN514C- �TCNPUP?OSE v
�ATUHFOFFEHMRTFE OATS
BILG:
BUILDING PERMIT
Y'J EEkM1tY ;z9rt'y INS
N
FLOOR; SUITE,-
F+ER'0'H QOTEL
8OR O W n, CREPER DR --' -
ME9PORY MCI, 'A 0C6E0'PHONE ?14,640-4000
-TOW..:
ADDRESS ..
PHONE
CLASS: xEWPO.T
SHE Ucv p.p TF
STATE
O NO
ARCHITECT
ADDRESS:
LIE. W.
ENGINEER:
ADDRESS:
Uc. W.
. L,
Y.E BE
PHONE;
YOU91£ FARSER PAUL
3102 SAILPORY DR
R08TENCTCR REACH C: 92"1 6
PHONE:
E OS'4a5
JIM EERE
1728 E COAST NY
m'ECRA DyAe CA S262S PHONE:
ENDER» Tina! Project 7ahaticn
' a'L- 1 PLI" a P P£ES
Lu MSPDR,
UAY :P )EN15i:
Sobtotal ROIIMI PERMIT PEES
CELIFORNIA SEiSRiC SAFETY 115E
PLAN CHECK VALIDATION CK. MO.. CASH
Ti YCD 04S'
Pe 8018b3
�Impection ReqUeSts Phone No. 14 6A0-ffi55
OWORK
DESCRIPTION
CGNST.: �" CkARIDO;RhMP; S'OMAAiR, SfkIRS
TYPE OF OFF. 1p nF
C4Y15TAUCHON GNpIF STORIES
A.D. I NEW AOCE➢ 1 NEW j .
w. Fr eLOc: SO ET GAR
NO.OF USE. PANMNG ,.
UNRS. ZONE'. SPACES
s.DAeOLE FRONT REAR LEFT RIGHT
LEGAL
ESCAIPTION
�SFEDw ;_ YY
CLNOITICNS � a{p$,.
i
PROCESSED BY
ZONING
APPROVAL ARIMENT a
O if
FIRE P1.01 CHECK U
APPROVAL BY m
GRADING A /. APPROVAL
APPROVAL—A�/Y/E�/i(//— TOISSUE
5RO9 ea7eent✓: a o9
1i.00 Total CreditE: C.00
IAMD p .
-_-_ Balance 2f9.85
- -t'8 00 Adi'ust®eati 0.00
1.0f Balance dae 419.35
--------------------------------
219.35 ffi
y&
6 PAID
it
F
JUN 2 5 1993'
p
CITY OF NEWPOI'T BEACH y¢Y
5 PERMIT VALIDATION CK. MO. CASH "u'
., up a a<.
CIt of Newport Beach
Bmlding Department Perm
Newport 1eac GRADING PERMIT � 300089
N.yldg Beach, CA 92659-1768
Peanut Counter Phone NO (714) 644 3288/3289
Ins I�OCI:�On_fl� MURI lS Phone N4 14 814W55
OWNE6EUl.OFF1 OECU111ATION IN$P pESCRIPTON I 1 1
ApORE55: 411 EI III 1 Y II y �15 Ij ( r 11
IHEPEBY AFFIRM THA I AM EXEM" FROM TIE CONTRACTORS CE EE IA Oq THE 1 pll L 4,^IN ,� AREA' yf CIF WORK 6RE�11 1i11, 1�q•J�l fCLLLOWWGgEASONISEC.NISBUSINESSANOPROE550NSCCCE'.MYLJY COUMY 1 IYY I KH ACCUME5A PERNAT TO CONETUCI ALTER.IMPROVE OEMOLS OR REPAIR ANY "B➢p4 p1rP VCTURE FR1ORTOTESSUMCE ALSO THIVIREST. AMLCAN FOR SUCHPERMIT TO C 2AFP1 SInPWALl1 ALEASGNEDSTATEMENT THAT HE IS LUNGED PURSUANT TO TLF MO 51CIN50F THH NA OCi RA 0C _ 30NTiACTOFGLIE EIJSE LAW ICXAPTEg9 COlAMENC N4 WITH SECTION 100010E UM50N OWNER: p OFTxEBUSNESSANOPYHG E 551ONSCODEIORMATHEKExEMPTTHEREFROMMUO E e ECa.ECd rESrEI'. Sp TYPE OF PERMIT:
BAFIS10. THE ALLECEO I.EMPIION,ANY VIOLATION OF SECTION 1031.5 BY ANY APPII- ppORE$$. l (t /I FL+
FIVE CAW HUNDRED
SGIl5Ug4CT5THE APPLICANT IOAdVLLFINALLY OF NOT MORE
THAN 5fi�„ PHONE: 1� 4YU Q4u�6ilEMiT DYES
FVE NUNORED OOLLpA5 R.500.801.1: SI CPP rCfn^ D •Q Rf
❑ 1. AS OWNER OF THE PPoffRTY, OR MY EMPLOYEES WTTH WAGS A$ THUS SOLE COMPENSATION WLLCO THE WCAH,AND THE STRUCTURE IS NOTINTENOEOOR OFFERED GONTflpCTOR. `ERAO'ESL Dor ME (SE[ M44 BUSINESS AND PROFESSIONS COCk: THE CONTRACTOR
S LICENSE
IANOCES NOTA YTOANOWNEROFPROF2RTYWHONJ40SORIMMOVES THEREON, AF)DRESS'. DLEGAL ESCRIPTION:
MARPRODGESSUCHMSFUMSELFOR THROUGH HISOWNEMPLOYEES, PROVIDEOTHAT SUCH IMPRWEMENTS ME GOT INTENDED M OFFERED FOR SALE. IF, HOWEVER, THE PHONE:
BURL G CR IMPRUMMENT IS SOLD WTMIN ONE YFPA OF i:OMPLEipN, TiE OWNER- STATE CLF$$: NEVIPofli OURCE0.5V[LHAVETXEBUROENOGPpOVINGiH,\l HEpp NOTBUHDORIMPROVE FORTXE 9VS. LID.:
PUGMEE FAEALEI. UC.I.
❑. AS OWNER OF TIE PR0PE1 AM EXLiUSNEY CONTRACTING WITH LICENSE. CON- AflOHIiCT. Q TMCTORB TO CONSTRUCT THE RLOECT(SEC IM AHSINES$ AND PROFESSIONS CODE: ApDflE55: pgOJECT F� FILL CDT': FF FHF CONTRAKS LICENSE LAW DOE. NOT APPLY TO AN CANER OF PROF£gry ODE +OY BVRO5 OR ROVES THEREON. AND WHO CONTRAC S FOR SUCH PROJECTS WITH A PANL E: SPEC A CON p� .'$) LICENSEDPURSDUANFM TOTHE ONFCTMS LICENSE LAW.). CIXClA M M.HFUNCERSEC ______.A 4➢CMF,UIS HE
LIC. NO.:
ENGINEER. RON'S WA.SFEP OSuC
AppRE55: QtEL ITFO4NR U,
ucEMs®caxnncTaLs oEcRAvIeee LTIF"I""TfC 2Ucu fR 9iESE PHONE: REVI W DEPA ENT I HEADS, FFIRM THATIWNS LICEED UNDER FROARD.S OF CHAPTER. COMMENCING Y I WITH SECTION RINI OF MYKH)NS OF THE SURNESS AND PROFESSIONS M OE, AND MY LIC. NO : '.
LICENSE A IN FULL FDRCE MOEFFECT CEOTECYWICAL ' F PROCESSED EreMCOHIGH M: BY: o
UCCIAx_-_ L. NDADDRESS '. 'CONING Al
LOFRNYTOR : cL
.ATE _ •.
woEEEEs C44BPEMEA oEculEAnax 1?F EEF" PHONE: .TRAFFIC ; $ a) "v INEP68 1fF ^MTNAT NAVE C Mi rYAIE OFCONREHTIG SELFW6VRE 0fl ACERTfL APPLICANT: Y iMTE)F nlm rgrmMVEkv.Tquw$UxilK4,wAtmTwEumvrTFfiREof uet.imB 17EE E CWR vR9 SUBDIVISION cc " ¢, PLAN CHECK VALIDATION CK. M'Q, CASH PERMITVAUDATION CK" i MO o CASH P�
Permit COUnIer Phone No. (714) 644-3288/3289
INSPECTION RECORD 14,9JR-A
41#01 °
0h1 A.vi ,264I� faw �r+00
9�7 /cw a./Ql
3 or W.9r-w
APPROVALS
DATE
GROUNDING ELECTRODE
UNDERGROUND
UNDERSLASiFLOOR
ROUGH CONDUIT WALLS
ROUGHWIRINGCEILWGS
ROUGH SERVICE
TEMP. POWER s
U• LLTY CO. NOTIFIED
FINAL
,p
7 �r
/
0 CEFIIflEO.
C caMnmf
TWN
COMPIHY
NSIiD. —
IX111M'ITX CdAPLY WIIN 911CN MG/ly
NEVp(m
I bereby ackrwwleUge tMU have matl rM1
N CALF city aaf mW ¢r•wlbe LWy
Pty city G atak IavR ramp,"
tw orzeE llo nK prim will been Goa
Bta[a O1 CeYlOT`u ry1bllrgb WoryrnmyTCgr
pEP—E U l� L � �J _T,
ELECTRICAL PERMIT
P..R N.
E9300782 c
fe7Z
F
JGB �� N INSP
"°N ss HI) R6 NU �r8)ra 9l AREA
`I
._.__. _... ..........� ..,,.....,.T„�,„.
DESCflIPT10N 1� r 1 {
OF WORK �JiIIM (�9lMlil
9LD4 1 FLOOR: 1 SUITE: C
09PLE}S�FIi?BRE3 SF: CIRCUIT C
_
owNEfl: 84RRIOTT OWNERSHIP RESORTS
AMnONAUNSPECTIONRECOPDS
ADDRESS 1207 CRYSTAL LAKT
-.
GHBLm'n 33311 PHONE: R13/6E8-7100
caerRAcrOe: SNIPPY AESLI,T PHEPE
ADDRESS: 3135 TALBOT SPRER;
SAS DIE" CA 92106 PHONE: ii9/222-6342
- - "
.TE Irl 11 cuss: ID NE\VPOPT
Lro NOeus uc_
PROCESSED BY: }�y�OCCUPANCY:
R'S
TO
SEPARATE CIRCUIT
TOTAL 10. OF OUTLETS
TOTAL NO. OF LIOHT113 MINCES
SUBTOTAL of electrical fees
Is KAU "HECK PEE relairedT (Y)
P€RNIT 1SSUIRO PEE
TOTAL ELECTRICAL PEAYiT FEES
3.00 PLAN CHECK VALIDATION CK, M.O. CASH
0a. EeL
3 4.00 ; Papeents; C.OU �
46 26.70 ;Cr dit e_tended: 0.00
60 33,09 ;: Total Credits: 0.00 ,Fp
68.70 Waste100.88
IM8 R Ad%Tstaeau 0.00
15.00 Is we due. 100.88 g
- --- -- --
IDO.88 g n.
F Z_
5 Y
� 1
Z
JUN 151993
CITY Of NEWPORT BEW�
PERMIT VALIDATION CK M.O. CASH
CmM,� 1706rtBeeDn PLUMBING PERMIT PEP�"�00436
BuF D6i2rU t f
t P.O. Box 1 Beach
Newport Beach, ho 92859-714) '
Permit Camter Phone No. (Tib) 544328813289 Inspection Re uesle Phone No 714 644325 INSPECTION RECORD spy f(l 'OD " INSP DESCRIPTION
I
l P y s �I� 96�PGET �8B�E9 �I AAA �p OPw�x P�VI(P9 (6419G51�) 900 .t.dfc✓/L►�l-... Q� /K '� C ~. _t t A. OA," 7 EKCRERS; 1 RI88 C ` B'1 u: FLOOR: SMITE ' ! OMEfl: RUM ORKERSCIP REEORTS A MCNAL INSPEcigN BEOORDS .
ADDRESS. 1191 ERTETAL EfSE _
LdKELdRR,PL 339P1 PHONE E13�688-17-00
coNTancroR: TPIPPT REELS! ECHEOE
_ ADDRESS: 3135 THIII! MEET _. _...
SAR NESO CA 92106. PHONE: - 619/222-4342 z
APPROVALS :DATE INSPECTOR uc Sf17}Ci�, cuss: 0 - eus'lnT OCX�f SOIL PIPE PROCESSIZOOr erZees - � ��CUPANCY--�; Ge o
SEWER 6�i/91 > "s,
WATER PIPE G NO ENTER . Kist. ethr ltels 15.90 1 15."0 CAB PIBTRS Payselts! GAS PIPE GROUNA?____________
, - _ _ ;Credit e2telded:" 0.00
PLLIKONG ROtlGH SCRIM of plls6ias fees 1"'.00 Total Ciedits: DA ?.
GAS PIPE RdUGH PERMIT ISSHIC PEE ISM ;
WATER HEATER__________.___ ___ _ 11111ee 30.00
r
_
G43. PRES.?E.ST TO' aL PLCMSIN, PERMIT FEES 30.00 ; ddalstreats 0.00 GAS CO. NOTIFIED Islam due 30.00
PLUMING I FINAL -- - -------- --------- '
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1993
PLAN CHECK VALIDATION CK. NO. CASH PERMITVALIDATION
,F•o„ CRY GI Newport Beach
Newport
Department BUILDING PERMIT
�. P.O. %.1768
Nennit C Beach, CA a Va. (17fi6
Permit Counter Phone No. (714) 644-3288113289
OWNER SUII[N:R GECLAMl1ON JOB ENSP
1 NMRBY MFIFM TNAT 14 E%EM, PROM THE CON)gALTpq'S MCENSE lAW FOP nlE ADDRESS: 9SG BfiNPGflt CSfl1Sfl Gfl AREA, FOLLOW1NG.`B4HvR.1,]I59VANE55ANp PgpfF550N5CO0t gNVCT'Ofl COVNIV YY NMICM REpUNES A PERMIT LO CONSiXVCi ALTER IMPA" CEMOl15K Oq ORC LINTY SigLCTVMF FFbPT01i515511gNCc pt$OREWIBESiMEgPPLICdNTFOPSLCN „ERMxiO BLDG FLOOR SUITE:
MF A SbMm STA)EMEM THAT ME IS UCENSEp WgSVANT ip NE PflD`SIONSOF)HF CONNV.CfOq'S VCENSE'.AW ICWIPTEfl 9(COMMENC NG WRNSERION"A"OFOMSION OWNER: R HOTT ]OFnEBV5 NF55 qYD PgpFE550N5COCElOp THATHE 5E%EMPTY .BH.MA.THE BA515 Fpq!NE gLtEGm E%EMPnpN. ANY VIOIALIpN OF SECTION 1.1.5 BY ANY APPU. AL HE$$: 900I OIT CENTER Lp CAE FOI,p pEPMR SVNIECF$ THE APR 11 TO A CMt PENALTY OF NOT M CRE THAN p',! 1 CENTER 1 ONE xurvOBSOC'.A •.,,eBB mu 181PORT 16dCH, Cd PHONE
❑ L 0.5IMIN q Of " ME PMPEgTY OR MY EMPLOYEES WITH Wq6 5 q5 THE q S.l_E CONTRACTOR. Mca iMs ary WM DOixE WOq%, ArvDT F..u., s NOT vr.ENDED OPGfFEgm $IRPLIT TIIE RECORDER CO FOIISALE IspTARMLY sNEss AMO PgafE�s,Oxs cape. FME caxrgAcrogs ucE"N' $IRPLE12LL1 TAW WES NOTAPPLY BAN U.NIEq Of PgOPEgiY VIHOgUILO50fl MPgOVESTYEMEON ADORE$$: Y qNO WFb WES$VCXµ'pgKNIM$EIFOfl T, ROVGx MISOWNEN ROVFF$ PNOVOED.7 SO_ 0.1PgOMAD pqE NOT NIFNOEO OU OFfEgep mq vAIE. 1OWC.N, P:� ONORpR Cp Otllt PHONE, W GONG pt NPPOVEMa- A 50.D WHO OONE YEAR CF COMPLEi CN, THE OWI.Eq .UNDER-1-1EnRBUMCENOFPROVINGTNATHE00NOiBVIDOflMPPOVEGOflTHE SATE .1 ClA$$: IIiO NEWPoMT 02S0fi7 NflPp5E OF5glF ). dSLIRI Y BUS. LTC:
0I,AS hNiEA Gi iHF%OPERIV.AM1I E%LlU51VELV CONTMCI NG WITH LICENSED CON ARCHITECT: Ron. Lie. L iTMR= iO CONSTRUCT i.E PMOJECT(SEC.'O'y`T MI Rp NOPg0.k ON5000E: ADDRESS. i ECONTAROgSUCENSELA`NCCCSNOT AWLY iO NOWNEA OF PflOPEPT'WNO VeE RD BUILDS OR I.L.B THEgE0.Y. AN, WHp COEpACiS mP aUCN PRWELIS TM A CtlNFRACTORISI UCENSEOPURSVANTM TaECOEMCfp{SuCFNSE LAW PHONE:
DI ANEYEM" UNOERSEC. e&1CfOF1 THIGRfpSON LIC. NO.:
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LICENSED CGMTIUECTGRS GECLAJN T PHONE:
I FEERY AN'.M 1HATI AM Mp,aaV
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PION SFCTON)6]p10F OM$pA gCSINE5SANO AMOFESSIONS CODE, AND MY DON FOLLFOgCE O gPPLiCAM1T:
"CON ECLpss SIRPLSI 1118 RRCORDE1
L'�NO---= ISjt-- ADDRESS, 1136 S 068R IPC i 3, 000
Pioal Project ialaatioa - - - - - >
APNM PERRIT FEE
CERIIRCATEOFEGm EM WORKERS'
' CGMlENSATION F. ------------------
_---------------
___ _-_
FFNIssEC-Tees, xoT BE W.R'n FFD MiXE NNIVITISFOp ONE xIN EO DOLIu,sJ TOM FIRE PERRIT FEES ISIM1011 LE55H
I CMT THAT IN THE PEgPoMANGE OF THE VIOPK FOq WHITH TNIS PE AMR515SUEDrI SNALL NOT EM0.OY qNY pEpS4N BL ANY, MANNED 50 (S TO BECOME M, 11 TO THE WON4R5'CONM= ATWNLpµ `IFCgUFORNIA,
NOTCE TO"NLUR TIF,AFTEq MAMNG ne CENTFRATEOF E KEMP ON, YOU SHO OLD BECOME SNIFECT TO THE WOgKEgS'COMKiB PC PgOV so
OF THE LABOR[OCE.
YOU MUSTFOgiXYIRNCOMPLY WTMSUCN RRONNCNICBTXS FeRMRSXALLBEOEEMEO RFAKEo
CONSTNUCIION LENDING AGENCY
I HEREBY AFFIRM THATTHERF IS A CONSTRUCTION LENDNG AGENCY FOR THE K FOLM. g EOFTNEWORKFORWN2HT SPERMRI51SSUm ISEC. NWt CVC.I.
LN.B.BSYAME
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SIGNANRC OF PEpMITIEE RATE
PROCESSED BY:
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Newport Bexh, CA 92659-1768
Permit Counter Phone No. (714)
]IAM
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CESTIRCFLTE CF Ef(EIATON PROM WOIIKERS'
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CEN THATINT-- EEFMAMVICE OF THE WORK FOR NUCH �NIS PERMIT Is ISSUED.) SHALL NOT EMMOY ANY PERSON INMPNNER SO AS TO B: . COME E UWECT TO THE WORKERS COMPENSATON w OF MEORNIA
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xOTLL£iOAPPIICAM:IF. MIEfl MAIRNG THIS CEAT.'IUi[ WFYEMVRON, YOU S ULO pECOME SUSJECF TO iNE WOpY,EpS'CCMFENSATN1M PUPHSIONS OF THE UBOR CODE.
YOU MUS- FORTNYAIHCOMMY YAM SUCH FNWISIONSORTHIG FEW.M SHAl OE DEEMED REM.C. - -
CONSTSOCIION IENOIIIG AOENCY:.:
I HERESY ME. THAT THEFE IS A CONSTRUCTION LExDWG AGENCY FOR THE PERFORM -
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PLAN CHECK VALIDATION CK -„ M.O. , CASH
PERMIT VALIDATION CK M.O. CASH
CHy of N®wport Beach '�
j
Bing. Depa[hneA HEATING, VENTILATING, REFRIGERATION h AIR CONDITIONING Inv P.aBGrales ' PERMIT y} `
PeIrtM Counlm Phone No. (714) 644-328913289
P� �..
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INSPECTION RECORD �j`9.3GD /
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JUN O4 1993
'q' K �(�2-CITY OF NEWPORT BEACH
If o _
PLAN CHECK VALIDATION CK M.o. CASH PERMIT.VALIDATION CK M.O. CASN
�,.wy BN & Newport Beach
�, Buecln9 Dopartment
R P.0. .. 1768
Newport Beach, CA 92659-1768'
Permit Counter Pion No. (714) 644-32W3289
Pemlit No. _
ELECTRICAL PERMIT E9300745
lnspeClgn flepuesis Phone No 714 64 -3255
INSPECTION RECORD r'aa'4D'7%
rr
AOOREss: T INSP
40� Ih�0 4 C6946& DR AREA
DESCRIPTION
OF WORK CUNuig mIPm (B4IOiil6�
Jr)w r�A.XT (�/
PEGS_ F1009: SUITE..
OUTLETS AIR FIXTURES
t _
e v �f P 4.40
DINNER: MARRIOTT
ADDRESS: HO NEWPORT CENTER. DR
ADDITIONAL INSPECTION RECORDS
At'Me If A011- jriornPT
NEWPORT OEACR CA PHONE:
714/540-4000
_.
124,
RACTOR. CAMPBELL ELECTRIC
.'
ADDRESS: 16192 CONSTRUCTION CIS NEST..
i�id✓S1 /+9 CaMP /C .$
IR91NE CA 92114 PHONE
LICW 279106 cuss 10 a iDg.
PROCESSED BY: OCCUPANCY
7Sj(j/y A,_
APPROVALS
DATE
INSPECTOR'S
GROUNDING ELECTRODE
Electrical Permit ".. rs a Each
No, Fee
UNDERGROUND
TOTAL NO. OF OUTLETS
12 9JI) Payments: - 0.00
UNOErt_StAB/FLOOR
TOTAL NO OF LICNTING FIXTURES
9 6.75 ;Credit extended: 0.00
ROUGH CONDUIT WALLS
3 =---------0-------------'-----
Total Credits: 0.00
ROUGHWIRMCEILNISS
J
SUBTOTAL ofelectricaCfees
1S.75
RouoN.SERVICE
j
Is PLAN CHUB PEE required? (7)
1.94 T Balaace - %69
TEMP. POWER
PERMIT ISSUING FEE
IS.00 Waste¢c,s 0.00 :
UTILITY CO NOTIFIED
_,._------ ______---_________________
------------- Baiaace due 14.69
FINAL
TOTAL ELECTRICAL PERMIT FEES
14,69 ------ --------- ------------
WORKERS C NSATON DECLA"Mel
IHEfl®YA..�IRRInWi:NAVEACFA¶FCATEOFCCNSENtlO SISF INCU IE,ORACEPTIFF CAE CFwO AS'C3M1 10l,TION INSUP-VCE. OR A CERRPID ON. THOAEO(NEC. '800 "'s"' N44146T2-9 NATIORAI, AMERICAN
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JUN VI� '1993
WTIPo(ERSCCMFENSATgNUWSOF CPl1FCNN4,
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PLAN CHECK VALIDATION 0K. MO, CASH PERMIT VALIDATION
CK. M.O. CASH
F - �`�`fI
0 6eld-32W3289
,TION
❑IN. VNEROF irE PADPEAiY,AME OCL ,ELYCONR1ACiwG v,iHun[xsEOCaN- TARRORS TO WNSTgUR TIG PROhR ISEG. Ipµ BUSINESS AXO'gOFE 5KI5N5 COOS:
THE COMMLTMYS VQxSE IAW WES NOi AP0.Y TO AN ONNEF OF 'IF }V WHO BVILW Oq ,MPPOVFS TNEIWUFL WD YVi{j W' NlgµTg FOA SVCII PflnlEC15 WlM A CO. LKENSEONI$V WT-pTNE CONIAACTM51KEx5E IAWI
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BUILDING PERMIT
ADDRESS:
ur =oil IIIIN 11
AREA; E
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MoSIIITE
1803 COSTIL LI[8 11 -.
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813/6I9•730
SliulAty06618
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Cool Plll CI 91107
C604031
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ARTMENT
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Laxrt4cl ^/ , 1
AGGRESS:
LdlLlll FLI S IAI -
1I3/0BB'3100
FIRE
APPROVAL
'BY NCNECK
E
1 HEgf6YAFF RMT NAYE'AGR �DLAMTIGN
RYA CMgENTTO9ELF xSURE, OR ACERnFi-
GTEKWOflKEfl$ NSAMNI ep.NR GgACEFIIFIEOCCR'MEREGf
SIGNATURE OF `
APPLICANT �x
%
GRADING
APPROVAL
APPMGVAL
I5EG3S]0,
e
TOISSUE
��^
FOLKYNO
81110» Fiul Project fi utioo
leealal PW
ul cum ?us320.33
R100C
i hTmeote:
320.33
—cpAPANY
❑cERnFmwgr is l.ElagvwPNMxEo.
❑CEP F,EO[MVI:FlLFLWIINTNESUILOINGCEPARTMENT..
:Credit eItedd:
1.00. BOILBIII PEIMIT FBI
ie a CL811-O! IBPOSIt t ure17 T
w ' ()
I/O.SO
Tobl Ctdite•.
S21.33
DEEE,E ,ONIFEN> 3.,
WOPKF9S COMPENSAlN1N UW50FGUFOPNl0. EVTAY CIF B13W3IE PEp1t [KE6 1, 720.63 ___ __ OV l CATE� —I APftIUNT !
NOTKETOAPFUGNTIF,AFTER MAKI NG ME CEBIKICAIE ON, YIXI SiKIN � y BECAME SUBJ ECFTO THE WOgY.ERS' COMPENSATOR PROM x5 OF ME (APOfl LOGE !� VOUMVSTFOAWFMCOMPLVWRNSVC,ROVI51OWOR AE..DSHALLPEOEEM ¢ R qFO
GOWEiRUCNST 1. .KTE6A6ENCY M
THEREOF KH M MATWORK FDA
MICHERE MISD'aMUE K RUP.(SING A,CIVFOII THE PEPFOPM- T fl k ANCE OF ME WORKFOR WNILH 1NI5 PEPMTIS I55UEO15EC.3W) CIV C I. U $ AND
AND
PAID
a
Mi ORDINA ESMIT SITE
Itt UTUC4V CEs PRO STATE
SY AUTxGIS REPRESENTA.
PFRtt
I.E. MOFDA 1N5PEL.
�..
f�j1Y 0 7 1993
)
�
"% C
CITY OF NEWPORT BEACH
PLAN CHECK VALIDATION a CH. MO. CASH
PERMITVALIDArION
CK. M.O. CASH
Bull of Newport Beach
Building Department
R P.O. Newport
1/68
Ner mart Beach, CA a No. 1768
Permit Counter Phone Na. 17141644-3288/3289
OR
L]I. AS OINNER .1HE PROPERTY, AME%C1CMVELY CONTRAFING WOH LICENSED CON p TRACTORS TO CONSTRUCT THE PROJECT (SEC, 7044 OJIMIESS AND PROFESSIONSCODE: p
THE CONTRACTOR'S LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO
SGILDS OR IMPROVES THEREON, AND WHO CONTRAUS FOR SUCH PROJECTS WITH A -JITTRACTOREST LICENSED PURSUANT TO THE CONTRACTOR S LICENSE LAW.I.
C I AM EKEMFTVNOER AFC. .. _ �B.&P.G PoRiNS REASON__.__ L GATE _. _ _ _ _— OWNER.. _ p
MEN CONTIIACTOKS DECLARATION
I HEREBY AFFIRM THAT I AM LICENSED UNDER PROV:SIOIJS OF CHAPTERS ICOMMENCING L ITO SECTOR TBDL OP OIVISERN 3OF THE BUSINESS AND PROFESSIONS CODE, AND MY DENSE5 IN FULL FORCE AND EFFECT - p
LCENSECLASSTT� a {( LIC.NO
y. I_1 JJ Aui//__-_ p
U CONTRACTORL� rF''ai��y_Tl __ iEJJ
W KERS' COMPENSATION DECLARATION
I HEREBY AFFIRM THAT I HAVE A CERTIFICATE OF CONSENT TO ROLE INESUPPE. OR A CERI S CATEOFWOBKERS'COMPENSATION INSUNANCE.ORA CERTHEDCOPYTHERECE(SEC .MEN, P POLILVNO._. __COMPPNV_
LICERTIfIEO COPY IS HEREBY fURNI511ED. '
DATE
I THIS SECTION NEED NOT BE COMPLETED IF HE PERMIT IS FOR ONE HUNDRET
11.10A LESS
NOTICE TO APPLICANT. IF, AFTER MAKING THIS CERTIFICATE OF EXEMPTION. YOU SHOULD
BECOME SUBJECT TO THE WORKERSCOMPENSATION PROVISIONS OF THE LABOR CODE, YOU MUST FORTHW17H COMPLY WITH SUCH PROVISIONS OR THIS PERMIT SHALL BE OPENED
REVOKED
CONSTNUMION LENDING AGENCY
I HEREBY AFFIRM THAT TF2RE 15 A CONSTRUCTION LENDING AGENCY FOR THE PERFORM ANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUCD (SEC. AYU. CIV C.I.
LENDER'S ARORESS
I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMAHON 15 CORRECT. I AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STATE
LAWS TRADING TO BUILDING CONSTRUCTION, AND HEREBY AUTHORIZE REPRESENTA
TIDES OF THIS COLETV TO ENTER UPON THE ABOVE MENTIONEDPROPERTY FOR INSPEC Q
--T_ 1 TU MInEF LL 3 _ � _ .
DATE
Permit No.
BUILDING PERMIT B9402853
Inspection PIRELLI Phone No, 714) 544-3255
INSP DESCRIPTION
1 1,k�lY7 Y I; AREA OF WORK !thbi �YYI� ���� 1 A •4AI
G
FLOOR:
SUITE:
CONSTI
TwE OT
n"
NOOF
.. acc. .. .
BP
CR
//F
CA NSTRUCTIW:
AOOED .YEW
GROUP'. 5-
AOOI NEW
TRESS:
F `�e1FB
��
SLOG:
50. .CARP.
1CFI
B^:.f.,
-
�(//N
PHONE:
NO. Or
UN 5:
ZONE. - USE- EARN
'.
TI
RED BLDG
FRONT REAR LEFT RIGHT
(TRACTOR:
.HESs:
ON e�.. �.,."BLS.
.,. L:.
SETBACKS
"!•�nir rt?r?T
• -
PHONE:
LEGAL
JO .. GLASS:
BES LC •..
DESCRIPTION.
Rest¢ooin
`
In Main Lobb Pr kcst2Dom
HITECT:
-
.. --.
F1CK�"
�O MQ• W •.S1Yc+F-'ifµyC rF
TRESS
•`- '•
PHONE.
SPECIAL
CONBnIDNs.
..�............. .... ..... ....
NO.,
PHONE'.
1 zll T. PHONE -
PUN CHECK VALIDATION CK. M.O. CASH
0 Q
E
O
`U}
ASO
O cc
Q
ti
`D_U
W
LU
n
GZ
0 TV
O
0 0
D
O
C.
ON M.O. CASH
CITY OF NEWPORT BEACH
/?• 12.94 • �' ,PEs>•t�Mt ,fiE/.� "dI W s " ��j�oN ,,me- 7 n C'oN�i�isds_ ti�
fl/,rr U'.SY . �t ✓�!/,Gi� L3liL� slA.c/ t?' t L -�f��
l
aCiry of Newport Beach
BDII.1N.-pOil ea ELECTRICAL PERMIT
E P�-Box 1]68
7aewport Beach„ CA 92559-1]fi6
PoTmn!`n mo. Pnnnn Nn mAL nne_mnvmno
Pemut No.
E9600169
INSPECTION RECORD �Fj6014 pf
J°
AOORESS',
MEN
DESCRIPTION
OF
srnone rvo. na oaa-azm
J
1j
JOD B6RP09t CCBfER t8
ARE
WOO
OF WORK.
+
NOT RE
aLOG FLOOR: SUITE:
ELEC/TEMP POWER FOR SPECIAL EVENT
OWNER: NEWPORT MARRIOTT
ADDITIONAL LISPECTION RECORDS
ADDRESS: 900 NEWPORT CENTER OR
NEWPORT BEACH, CA PHONE.
714/640-400
CONTRACTOR: EVENT TECHNICAL SERVICES IBC
ADDRESS: 6600 BANOIRI BLVB
COMMERCE CA 90040 PHONE:
714/277-m
IF
sS ED 492587 cuss: C10B NEWPOR'
Pus uc.
PROCESSEo ev: "L OCCUPANCY
12247
APPROVALS
DATE
INSPECTOR'S
GROUNDINGELECTRODE
+Electrical Penit Pees It
Each
No.
Fee
HNnE.RGROUND
Soh panels
11.00 6
66.1.,
Payments:
0.00 UNDEHSLAB i FLOOR
:::____ ________________
...____._-_.._
--------------
;Credit extended:
0.00 ROUGH CONDUIT WALLS
SUBTOTAL of electrical fees
66,00
Total Credits:
0.00 ROUGH WIRING CEILINGS
Is PLAN CHECK FEE required? (T)
16.50 T
ROUGH SERVICE
PERMIT ISSiINC PEE
ISM
Balance
97.50 �/
TEMP. POWER
C
�i`
777✓
____ _-o ________________ ____ __
AdJestments
0.00 UTILITY CO. NOTIFIED
/ '
L''
TOTAL ELECTRICAL FIRM PENS
97.50 Balance due
97.50 WORKERS' COMPENSATION DECLARATION
I HER ERY AFFIRM THAT I HAVE ACERiIFCKTE OF CONSENT I. SEU14KFTRE.ORASERtIH CAIE OFWORKERS LONeENRATI0N IN5URANCE.ORACEPTIFIEO COPY IXERF.OF ISEt. a. LAB a.I. N95?8102416 CAL CONE INS CO
PER_. _COMP
I: cER cOPr IS HERFevF R SRED
[-, cER OOFV ISF EO EOUI Inc EP-I-
FREE \
' /Q� / 'T.
Vj `.... ]CJ A PIIGN � W V
I CERTIFY AT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, ,.AL NOT EMPLOY ANY PEP:ON IN ANY MANNER SO AS TO BECOME Si 10 THE WORKERSCOMFENSATIONIAWs OFOALSORNIA
.ATE APPLICANT
IIO ICE TO APPLICAI" IE. AF rER MAKING THIS CERTIFICATE OF EXEMPTION, YOU SI IILG RFCO'IESUWECTTOTHEWORKERSMMPFN TIONP OVISION50FTHEIA.OHCO.EY.11 the,FORiHWRH COMPLY WITH SUCH PRON51.NS OR RIIS PERMIT SHALL HE SEEMED
REVOKED
M1ereAyacanowlcHga1M1a11 M1ave reatllhlSapplicolii F Nal Peinlonnaliongiven L an01M1a11 am the owneg or lne tlUfy aulnestru E areal a/Ills owner. l agree to comPlY wi111 cIY , E male laws Tegol e.g con violation ,and in Ldo abor C I hede work I ��
ONM1 U" b/R.. IIE emlC. violation aIthe Labor Code of IM1e a
Slal 1C I IaII. gI W N n'a Co 1 I ur.ncn
iD
PEMEII ANN cl rl� FEB 0 91996
DO flE A!w�a.a� _Ick
SFP REF
ADDRESS 011 CIFNE"A"PORi
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VAI IIFATION ON. Mn cs¢H }
a
0 U
93 cr
U
Us
CIE.
ED
Z
Clty of Newport Beach
B 11ding �epanment " BUILDMG` PE�RM'IT
P C Box 1788 -
NewpoR Beach, CA 9285&8915
Permit Counter Phone No. (714) 6443288/3289
❑ 1 AM EXEMPT UNDER SEC. — - 6.6P. C. FOR THIS REASON
DATE____
NCENaeDCOMMCFORe DECLARATION
ENEC V AFFI qM UNDEfl FEN/AT V OF PETIUgY MOT NA LICENSED UNOEq PR W ISIDNB OF CRAETEq B 100 ENCINO WIIN SFCX N 7M]I OF OIVIEKKI ] DF THE BUSINESS AND PRCiE551QY9CWE.Mo V�JJAAREISIN FULL FORCE AM EFTE7.. FD3224 U....RR . I — ) 4
IIFREB/AFFWM UNDER EFNALTV OF PFRWM GRE OF THE SONEWPq OECUMTION. _I RAVE ANp 1ViLL MVMIIN A 0M.EICATE OF CON EMTO EFLF.SME FOR WGF.� F5' LgMENSplKr1.A9 FPONFEO Poq BV FECOp1 SIN Q']HE LAP(Ji CODE, FOX PERFaXwwDEOFMEwowrFaR WNuwnN9PEwurremum.
_ xAVEANO tMLL MAIMAM WdKKenp'COM°EF61TIIX1 W&MNICE AD REWIRED BV NEC N3]N pi T1EfAWq COTE FOR MEPEPSOW.WCE OF ME WORK FOR DRESS,
90D 669P09f �68R6I DR
BLDO:
WR' suite
HRR PROPE4TIES INC
OWNER:
AOGREss:
100400PRt1N0OD RD-
,
-
REYBESDA, RD 20917
" `'FRCH/JOIRStCpIS}IOCYION
PHONE:
CORPOR
CONTRACTOR:
10866 NILHIRE RL➢D
ADDRESS:
LOS ANGELES CA 90024
503224
PHONE:
STATE
cuss: R A
NEWPORT
LORASSO JOE ANDREN
BMS.Uc'
ARCHITECT:
7921 LONTIDS CIRCLE
ADDRESS'.
HORTINGTOR REACH CA 92648
C017652
PHONE..
LIC. NO:
SCHULTZE DONALD LEWIS
ENGINEER:
SDOPESS:
313 DUTCH RAVINE LR
NEWCASTLE CA 95651
C-017652
PHONE:
"IC. NO.:
SALTY AVER
jcPUCANT:
woREss:
2%5 REDNILL AVE 1100
COSTA NESA, CA 92626
PHONE:
PemW No.
39601728
IA: i
OF WORK �Ox
IBt68RdI8SfdII09(102G96J
CONST.:
ALT SURFACE NOUHT ANTENNA IRS?
OfOC
pNSTR
OCPE
jp.
A➢OE➢ / NEW
80. FT. BLGG:
A.S. /NEW
W. M.gAR..
NO OF
UNITS:
SE APF PARKING
GLAD
LAD SPACES:
E90 SLOG
SETBACKS
FRONT REAR LEFT
310/518-2037
LEGAL
021259
DEaMIFT.".
BUR. LIC. LI
T
Yes No
6PECA,
- (i) BEN FLUSH MOUNTED
cox01TW::
CELLULAR, ANTERRAS-SITE
714/825-81
x TMIS PEXMRIBISEVE➢MY MtOPo(ERB CpMENSOTQY INSURANCE CARRIER nNopoucYN,IMBEgARE
»
ENTER Final PIojeA hloatiaa
cARRCq .pE RRATB-rnwv ils __.
Redular PLAN CHECK 'ES
PKXLC NOASEFL_ _. C000260101
ROILDINO PERMIT FEE
_
SE'WAPLEFEO IFT:-%NWTMFOR WE HUNDRED P'11,
AS
Is a CLEAN-UP DEPOSIT required? (Y)
ISEWIWWNE�INOT
_I CERTIFY LRAT IH
STA.. TEIEMP0.E0VMW!Y 5 IN HAR W0HAIC9H TOTB119 PCCRMEU8 EUIOHEFgERSMFNTI.
Subtotal BUILD_ ?i-C PERMIT PEES
P�
Al IMEETNT,FISI
WORKERS COMPENSATION PROVSIGNS OF
6NOUW3]GOMTH5VLAN�CCOO
SECTOOFIFE
ISHllLFOH
DATE."NLXW,,N
-
�C1
•
Is NICROPILNIRG PEE required? (Y)
WARNING FARURE To EEOU wORKERs'C4MPExsATOu"WERAGE,S UFUAWFUU AND CALIFOPBIA SEISMIC SAFETY FEE >
SHALL SMLECT AN EMROYER *O CRIMINLL PEFULTEB ANO CNIL FINEC VP TO ONE HV W DREG TquSINO DOLLARS ISIMf901. MI PODIIgY i0 TIE COST Cf COMPENBATGA, MAN M PiWV'MED FOII IN 6ECRLN TN OF TIE LA60R LODE MEREST. ANOATTORNEMB FEES
PLANN?N17:201110 PLAN CHECK PEE E(Y)
XSDYAPPIRM DAGGS PENATI of PEFLURV THAT THERE 19A coNslAucrlaN LExa NO AGENCY FOq TILE PERFORMANCE OF ME WORK EM KING pEPAKT 15169UEP
TOTAL CIE BUILDING PERMIT PEES
—µr---
LEIw9esnoonEss
"
ISTHI THAT I HAVE READ THIS ASPTCANGS AND STATE THAT THE AeOVE'NFORMA TIQ^I,S G AECT. I AGREE Tp CCM"WMI.LL "ANO(.'C.VMY OpDWAMED AND STATE GV MRELATING TO BNLWNO CCNSTRUCIIIXi AND HEREBY AImpPRE REPpESEMATVEG CdIMV TO ENTER UPoN THE ASWE MEMKMfD W2WEMV FOR MISPECgON PUNT USES
er:
45000
; PITIE ats:
248.30
;Credit extended:
382.00
Total Credits:
400.00 Y
;
=-------
Balance
1,030.30
Adjost®ents
___-'--_--_-
Balance due
4.00 ➢
9.45 _
26.32 ➢
1,075.01
( eR.
N OF
eTOflIiS:
PAIL
�C�JUL 11 t996
CITY OF KPIR
RIGHT'
O
6 i
` o
U
0}
�O
oU
i=
00 �a
274.fi2 `> z
274.62P.
0 800.45 �
0.00 ff
800.45
----------
e
�Y raw�ee teeZY~ y, Y4 Al" ,�
-
APPROVALS
DATE
BY
eVe95C ..� t
COMMENTS
`...
- FOUNDATION:
ROUGH CRADE-- - --
SETBACKS
FOOTINGS
SLAB ON GRADE
OECKSLAB
FRAMING:
SUBFLOOR
-BUILDING
-
ROOF & HT_
-SHEAR
EXT. /HOLD DOWNS
GENERAL FRAMING
--
INSULATION
-
ORVWALL
SUSPENDED CEILING
PLASTERING:
-.
INTERIOR LATH
EXTERIOR LATH
SCRATCH
_
--
BROWN
-
MASONRY:
FOOTING
PRE -GROUT
FIREPLACE
MISC. INSPECTIONS: - --
LRFNAt
OCCUPANCV
TENANT NAME: -
TYPE OF BUSINESS USE:
I
J
$ - 0 DEPOSIT RELEASED
FOR R FUND
TO:
Cc. DI NawcoH Beach
ELECTRICAL PERMIT
—
P&I No.
E9601040
In,pecton Requesm PI Ora No. 716 W-M55
TIDN
Les—apsim— %I 1N col 11 1 I_ BI911111 11IS�11 IH11111)
bit Olc' rirz /�ar'(�. BLDG.FLOOR:- _ SUITL _ - ILEC/SUIPICI IOIUT 1111IIA IISTWITIOI - /
owN . ADDITIONAL INSPECTION RECORDS In PROPERTIES i1C _.. _ -... -.
L
IALS DATE I INSPECTOR
ECTRODE
LOOR
ITINALLS
E1715
E
NFIED %-"
FINAL.. V—"A
LM@YED CONE MCTJNB DECLARATION
cG cIYxFBV IiHNM1:.NClR pENN.iYeF PERNAI RNTIAY LIDWREO UNDER PPGYaNM15 HAMER a IEOMMraLOnla WaX Sec*ION ]e<emspn a of THa MalxEas AxD PnpFE8510N5 P,OpE.Mq MYUCENSEOMFlAt NOYfPLT:.
u:ENBEtLa9e MONO25I
V/ORK, e.. C011REN8ATIONE f TH1.AHA N
I HEREPVMNNIMCSP pEW1ry KPtlUuxv OHECFrxE 'ALtlMIW oCCINU]ICN9:
VE ARE WILL MAINTAIN A CERTIGICATE OF CONSENT TO SELF INSURE FOR WOPNECY COMPEN9Ail01L As PIHIVIOEO GON BY BECRON S.OF THE LABOR LOOEiQ9 Tfi PEfSCNMNKEN' TNEN'GVf FORWHAC TIq PERlMT5IEUEO. _ H AVOWHL MIIMHN WpIMEPs'CgMENSAMW NYdRWCE A. REWIREORV - $ECTKK! S]O] Ci ]NE IMCR.OWF, iOli TK PflVORMOHCE OG iHF WORT FOR W iCH iX18 P£WMI ISI ,MYNCNQRa'COMPENSAMNI INSUM4CE CMflIER MS P.^ICV MIMBERAR::
CARRIER._ - _ IRCOIAOt1tISORIICfi
...man. —JCfizSljjnjjj — — ---------- .----
x(T IS SE H)k NEED IT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED ,OAIWC IE,RR;y THAI W THE PEAPDAW 'ICE OF THE WORN FOR WHICH THIS PERMIT IS ISSUED. SHALL xOF EMPLOY ANv pERSCH IH AN'
MANNER 80 AB'
0 BECOME
41BIECTTOTFE WORNEP.S'C0.IPEHSATIpIUWS OF C MNW, ANO AD HEETHAT IF SNWLO BECOME EIXLIECF TO iXE NCRI(E0.9CDIANNSARCWPHCADGIs OF RECINW SIOSIX 1HELMOR CODE, s1V,LLEpNLY WRN TpISS AiCVIENYJ$, DATE_ �� 7• yL_ N'PUUNI�" s,,.a,-.AA S�-�C i __
WARNING' FAILURE TO SECURE WGR ERE' COMPENEWTKKi COVERAGE IS UM.1UR. AND SWAL. SU MECT AN EMPLOYER TO DRAWN, PEIW.TES AND CML GINEE UP To CAC HUNpIEO THOUSAND DOLLARS ISIm. . M SECTION TO THE COST OF CEMSKNSATRaN wAUEs As PRORTEDFORINSECTQVS �1MEIABORCQ'IE.: RPEST. MOARWwEJ'SFEES.
RRtaNEE
100400 1II/100010__
IITIISIAI OR 20817 PHONE:
CMQ GTOR: SISCO ELECTOIC
PHONE:
STATE --- C. NEWPair 714-M-15fi4
10 "D 125897 - C10 - - PLUS U.: 001037 -
PPOCESSEDBV: OCCUPANCY:
+ Rlectrical Perait Pees { Each 1o. Pee
SIP1108 CIRCUIT 3.00 1 3.10 Payseets: 0.00
IOTA 10. OP OCTLITS
2 1.S0
;Credit uteaded: 0.00
TOLL 10. OF LIORTI/O FIXTURES
1 .75
Total Credits: 0.00
Sib panels
11.00 f 11.00
:__::
Oalaiee 35.31
SUITOTLL of electrical fees
16.25 1 Idisstseats 0.00
Is PLO CUCE RSE regsiredT (1)
1,06 T
= Balance die 35.31
PLAIT ISSOIIO FEE
15.00 •-••-••------
TOLL SLECTIICLL POINT PEES 35.31
PLAN CHECK VALIDATIL
INSPECTOR'S COPY
CK.. MO. CASH
C15`( OF NEWPCitS BEACH
l010
l
TVALIDATION CK, M.O
of
caA-szes;azas
L� I AM 11F.rf 1•11)ER SEE.- .ASP.O-PER TNIS REASON
OA'11 On
LICENSED COMflACTORS DECLAMTI6N
OE CHARTER AFI� IIMENOHS WHH . P CH Ar" OF OpIV re", TEE HE EU....
ESSIPNO
I, LIF_.ESKy!'.. WF!( .NO 11 LICENSE IS IN FALL FORGE ANO EFFEC,.
FLAT, p T �1 R Ic. NO
FAIR4 a, —Y SONmA44
WORKERS CGVIP'NSAROTIHOECLAARION
I FR I V LNOCN 11FIll Or REFUEL ONe OF?IE Fb1aWING DEOLARATIONIN RLV OItE 11ATF S APEVINOS FOP OYPFATE O SECCTION1NEU OF 11111 11 COOE OFOR H- .. LE UPTIE WOHK FAR "WELL.,IS 1EHMRI514OED.
! T 1 EPARES MAVEN A IONILINSURANCE, 5 W RE
THREEO PR
O O - B O - SUFOR
WORK P
wA T IS VIASI. MY S CGMPEN.TI.N HINEV CE NAP ER
' cI 1. `IV/OFEHIRPP ARE
�rlEr-
CAL 111 aLx E a - _
R
L/"S 111.1 ON TIRE)NOf B= OOMPLEIED IGIHE vF.{IIAITI9 WP IX!C-HUN04LP0 DOL -
O FOR WHICH THIS PERMUr IS
E OT -.T1.1 AIII PERSONS IS DECO E SUB
THE ANPKEN3 CANIAPENSATIGH I AAl OF FANNTA A IAAVIST."uA. aF r EUCO c0 E I SLALLO "1 CC�zE PEOv
L T PIRR
SUS FCt AN FORT O F C IPAL PEAND CIVILG' E TO ONE SHUN
O SALTS O nM
R a- FOR IN sec HUN IRI, OFTHETALON.11,IINTT1111 r. ANO Ai oNIlY'I ITREUY AFFIRM UNDER Pe.NwY ac PETIDRY THAT TURNS a A Ecrvs t ERI E WORK FOP WHICH IT, PEIR II IS ISSUED
P N..E OF iF
RNOEH S AOOFess
TA4T @'dVlga M
FIRE PERMIT
JOB
INSP
ADC
I J
Y � gFitnr IMP .,Y I'E
AREO IT
ELDG:
FLOOR'. SUITE'.
OWNER:
Nfii10''.C_
ADDRESS
001i
I'pG"
FC�!gltyN gnl"ri' i1(4n, PHONE'.
CONTRA^l'OR
ADDRESS:
iC' IT. [I n,.f�n PHONE'.
STAY[
CLASS EVERi
(
US NO fS'9"
I4 ,ci3Guq oNS '
IF,
/ V
ARCHITECT:
ADDRESS
1� e.
PHONE
V
LID. NO'.
ENGINEER:
Permit No.
P9'00006
1 r•
V 1 U Li
Oil ^ 06 29O 4 rI IM75 d7irn _.;r�
EVE NO OF
MR, STORIES -
PHONE'. FPO^.ESSEDSP. '+
LIC NO.: ZONING TR
avPROVGL [I RJENT
gvvucgrvT:
ADDRESS ] Y ! FIRE
FPPPOvaL CLAN �CC/jHEC,K, p
PHONE —all
SIGNATURE OF APPROVAL
PPROGRADING
LICAPPROAPPROVAL ,e
APPVAL FOSSILS
P'pp L a „tot:diT r SAP �.. ".i 90 9�'td tP:i:CIoy,..: 1.7" a 1
LI.]. Il g,. ..... .. ^,II
4 E
J ' T I i 1997
0 1
f APPROVALS
DATE BY
CON'!v7ENY.S
RC PRO] ECTION
-
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FIRE ALARM. SYSTEfv1
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DEPOSIT RELEASED
FOR rLFUND ON _ _ — TO
Ty-FBUSRIE JSF
City of Newport Beach Permit No.
Building Department
P.O. Box Beach,
FIRE PERMIT F9700110
' Newport Heach, CA 9265E-8915
Permit Counter Phone No. (714) 6443'C913289 L.._.._._., o.._.._ "..,..' _.._ OWNER-0URDER DECLARATION
JOB INSP
DESCRIPTION
HEREBY AFFIRM UNDER PENALTY OF PERJURY LHP! AM EXEMPT FROM THE LCNIRACTCR9 LICENSE UW FOR THE FIXLOAAWI REASW(SEE SMI5 BUSINESS AND ADDRESS: AA1 D AT AP RM. Tp AREA: A
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ALTER IMPROVE CEYgISX OR VEPNR ANY STR11CTUPE WUM TO ITS SSU4VLEL PL50 EMMEES THE AOPL'GM NR SUCH PERMIT TO NE A$M.E RITATEA¢HF OVAT HEOR$ME BIDG', FLOOR: SUITE'.
CONST.: ) FIRE S gHLEP. SEGPORT AIPP..TTS
T T G pQ: gR 1[:
I UEENSED WREU.W] TO THE NtlN51IXISOFiNE JlIM,CfORS LICEH561AW IpliplER ILOWNENCING WRM SELTNNi][CG'or dN51gl]OF INE BU$MESS AND PRO4E SANS OVMER'. gagpi�}T tq}Pgl))}j(I T
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TYPE ULM1CN. W4. No OF
COOF1 OR nUT HE OR HT S E%EMI TXEREFROM AND ME SALES FOR THE ALIEGEO E LON NII VKAATCx C45ECTIttI R115 RV ANY APPLICANT FOR A FERMIT SUDIBCC ADDRESS.
GROUP. STORIES:
THE PLYMNTTOACYV4 PENALTY CEN]i MCfEiWNFNEIiMYYEpIXMIARSfSSA14 - -
ASIXTTQiOFTHE PRCP6Trv. Go MYEM%OVEES"M WA "'E'S Men SCLECM PHONE'.
PENSRTNw, Nil W THE ACEK MID THE SIRU BE IS NOT( MENDED OR OFFERED Me SALE IS. XFFJ. BUSINESS ARE PROFE$ELOL 3 LODE'. THE CCMMCTCRS LICENSE UW DOES Nor APRV M AN O.1HER or oaoo M1VMO SJUDE MIM KAKST ,MY NO CONTRACTOR: POUR O%TTV PI(WATgc !qll :r7
—Y WES SUCH NC FINSEP ON 1ERSF1F on MRg1GH THE OR I. DAN ENNUI PR BTIe"U"'MAce Nor INTPWIT OR OFFERED R SAHE A. MTV.
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ADDRESS: FiIII A uA9C0rg C} 19TIP P
EVER, ME MIUX a OR IMPROVEMENT IS SOLD WITH. ONE YEAR 3 Co"NUE" N. THE ONNEhWpDER BILLHAVETHE SIROEN CE PR I11G TROT HE OR SHE OLD NOT ft. ON SIT �isiO"Drm'"EFnwn
PHON'c:PON fiq nTPp
d9ANCjM Q,1 42901 N!- i-
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DESCRIPTIXi
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RACTOE ILICENESTTORMA.ANO WIU CIXITPILTS Fd PROJECTS XlmAC0t4
ARCHITECT
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LICENSE
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L� I AM EXEMPT UNDER SEC. _ -,. DAP C. FOR THIS REASON
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--I AND WALL MMMMN VAN(6Li COMPENSATION WwSLARK'AS REQOIED In SECTION S. or THE LAROR CODE FOR TW rvERFCR.. OF THE YARN FOR �MCF1.. ~IS ISSJEO.w NVp/FELY CFATE115ATICN MwRANLELMRER A flap PgAp p CT(I Vo(
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COMPENYVION UUM ACREC IF
IEOTi0 BE OME SUBJECT TO THE
SXOUID BECOME wDIECT TOE WO RHERS'WMPENSATIONPROVISIONSOF RKERS COLFWNN.Ng PROVISIONS
Adirshmenif 1.16
SECRLW SMCFTF'EIAKXICWE.I SHNIFORDM'RH(S.W0.V W1IN 1Xy,£pgW4 $DDLL..NH//55
DATe1APRKAYi'. _.. -
I WaAce doe 116.90
WMNMG: TO iS CCMVENSAM1gv WVEMGEI VRUL
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An TO CRAM ST OFINES UP TO CNE MUN-
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DRE$AEVWVFOIICLLWS15 O]KOI.IE OF THE LLTO CCWTOF LST.AND ATO OYS AGESAS PIgaALfD GCR PI SECINYi ]M OF THE tAODfl COOK. NTFAEST. AND ATTORNEYS FEES.
SOfdTIICIN1N lffIpNGAGFRCY
I.. AFFIRM IMOER PENALTY OF eaMRN, TF \i THERE IS A COASARIRT GN LEND No MERCY WR ME PERFORMANCE OF THE WEEK FOR WHICH MIS FEEL, I$ IS M ISELLro�cl.
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APR 0 1 SYVT
.ADDRESS
I CEEHIFY THAT I HAVE READ MIS APPULWOON AND STATE THAT ME MOVE WFORW.
TKW ISCpM1ECi.IAf#E ro WM0.v WIIHAIIan 0.HO o.]LIHry aROIXAROESAxO srATE LAWS RSAtPM TO FLUDINE CONSTRULdM AND HEREBY A FIL iEPRE5FMA1NE5 PNY
OFMR.ToENIERIIFgVMEAWL'EAIESWCNJOPROF .M.PECTWFVR
FORE
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CITY OF NEWPORT BEACH
T£RMTFENAMEIPRINII -
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SIGN$IGN fll�E/ MiE
i
APPROVALS ''. DATE BY
COMMENTS
FIRE PROTECTION -
THRUSTBLOCKSE%CAVATION
UNDERGROUND HYDRO TEST
UNDERGROUND PIPING FLUSH
UNOEPGROUNO ROUGH PIPE
SPRINKLER HYDRO TEST
1 _ _ _I AjS �'�!f 8 -aal �• �J ��/�
e,� Q
4C/�
SPRINKLER FLOW TEST _
_ —
SPRINKLER ROUGH PIPE
STANDPIPE HYDRO TEST
STANDPIPE FLOW TEST
STANDPIPE ROUGH PIPE
CHEM SYSTEM FUNCTION TEST
CHEM SYSTEM APPROVAL
FFIRE ALARM SYSTEM
_
n.^.L!=.`: WIRING I
SYSTEM FUNCTION TEST
p—'7��j���/
jg -X7--'�__`-�— e-1 GbAI �Di �9 i /•'L.__i�C�'._.
CENTRAL STATION MONITOR
FIRE MISC.
TANK REMOVAL
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PIPING PRESSURE TEST
MISC. INSPECTIONS:
-
aWe Felowee lsnpctr✓.v ASx_pw/orr_V' _
—/z�,svrx lF.Yef>oroF� eAGrv,2 w9,L�l,Aw,t�,nnw>•
FINAL
cr /• �.(i6LNYC ES /G�7�/ A/A�/ F6/N/i�l�l
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CERTIFICATE OF OCCUPANCY
—
TENANT NAME: I$ __DEPOSIT RELEASED
FOR REFUND ON
TYPE CF BUSINESS USE:
CT of Newpoartmert Rentach
I w, RuiltlinI pp
P.O. OZ 1 ]6tf
Newport Beach, CA 92659-1768
Perpt Counter Phon2No, Q141 644-3288/32
INSPECTION RECOR [+
to 7bE-rye 310y--v yjc
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UNDERSLARI FLOOR
ROUGH CCNOUrr WALLS
ROUGH WIRING CEILINGS
ROUGH SERb'ICE
TEMP. POl^/ER
UTILITY CO. NOT'FIED
FINAL
LICENSED CONTRACTORS DECLARATION
'"ENDS' "IN10tCERF£xµry OF pENWVi1UiIM1LILdsE011N0EP GAONLpNE OF CWSIEF Ica4M_NCIHG wIn sEcnON )pLOI BF orvIBION, OI iNE OVSIrvLAS Fxo rgFESSM'SCOLE OMYL CENSI O. FULL TKANOEffEC! IfiIlSE L1A6l� 9 LIG NO
BA�SIM�l.'t_ carviPxiorl
WORKEINI COMPENSATION RATION
IX v KFwN FN.NO vdPLirap[wMrCNE EFOLUUNNo E c
NIILV NOUOFA .. -- ".-
WLL1hSh WI CX IE rr BE CONPTE IP iF "I FIRM11T IS FOR ONE HL'NORE9
ELECTRICAL PERMIT
AOOIIESS. " r r -nm 111e1 11 LNSP
aREA.
�11P
!
DESCflIPTIG
OF WOgK
TIII Ipl IR1f M11 R
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BLDG: FLOOR, SUITE
.
OWNED. YIPPfi1 IA iOglPelq!!
ADDRESS'. 1 14 DPTA"I' RD
vl EplarP 9 nP R99S9 PHONE
CONTRACTOR: tl21rOCCTPN ApICl,4$ P
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ADDRESS: d9P tlIDYCR Cf ECD 11P0 PrP
CIB TITVCA rI 41IIII PHONE
sc rN 11W9 BLABS. q NE_.=CeT
619111r_1K1t
PROCESSED BY:
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PIIPPO"IT
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T. 0114 'TrrT NIP !r ."dT P71
19.09 9
DPPYTT .GspTQg PPP
it 99
MTI�I P�TUPP T PPI'm Ives
110 1d
Permit No,
E96017'7
nF nnrn ? A/ 1OII
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C_rp1r1 NEST PN11e"IffiVpR"
AOOITIONAL INSPECTION RECORDS
PaY*Tn[P•
f0.94
'rlPdit PTrPGApd'
P.00
Total Credit.
19.0s
' lafavrr
91,35
,Id ustmte
11.110
1alaBrp der
91,15
PAID
MAR 2 8 p97
CITY OF NEWpORT BEACH
PIAN CHECK VALIDATION CK. MO. CASH PERMIT VALIDATION CK. MO. CASH
INSPECTOR'S COPY
„� Ciry of NewpoR Beach
�y.�-a,�a`= Bmldtng DepadmeRl
o P.O. Box 1768
�� Pemig Counter Phone No. j776)fi44-32Rfl13289
QQ INSPECTION RECOR i
Jls o 10 W®o.Nl CO Al -
A/” w rAe1N4- J4,c rVr /
APPROVALS DAT_
UNDERSLAS/FLOOR
HVAC/HOOD ROUGH
FIREPLACE ROUGH
GAS TEST
FIREPLACE FINAL
HVAC/HOOD FILIAL
iMa1ea camueraRa
2166SR
=ta1.`,FFD`Of PEWWE .TxE
HEATING, VENTILATING, REFRIGERATION 8 AIR CONDITIONING
11P Mk AfT
Remit No.
UOKAIA41
1 L.i ll Vll 1
1.1— vv�
oR flaryl S11S Ph" No. 711 fiN�
7 JOB INSP
ADDRESS AA1 AO .1e nA AR 11 AREA
TRiI RhR �il bhR16R 93
OF WO K�
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RRCR�RIC�L�II (R9h�, 621
BLCG FLOOR: SUITE
MEET ROOKS"11dRR10T°
OWNER: M.ARRTOTT 19THR(TTARAE
ADgTIONALpiSPECT:ON RECORDS
I&WESS 1 MIRFTOTI 9R
RRSRi9PTOR 0C 200tB Plwxe
CONnracrOR:
RARP MITE 10ITUA3 9
ADDRESS: ORP 1ARFcr PIA-1 119n PCA
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PAR FPO '1 02111 PHONE
61 IM-1635
uc�x'Eo: 27665R cuss:
Sus LW..
PROD 60 BY OGCUPANCV:
L 11010,31 Petlit Fees' EaeM1
Ro.
Pee
vfRrTf.IT!OR ---
- o[haast faA d.50
-.-_-_ ---_ ___ _ _ _
---
t1
---
1650
"_ __ -"-"
Pavints:
!Oledit ezrended:
Total O..niis:
19.13 0.00
19.13 i'S
'
RRBrOrAS .f ee(hanjea! foes
76.51 Ts PLAR PR'0R PEE .pjnj,d1 (T)
ta, t3
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91.50 VERRTT T_+OTRO FPE
15.00 ! Adjastlests
0.00 """""'
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91,50
rOTdE REOR,IRIM PBRRTT RES
fl0 63
--------------------------------
PA I ID
OR 2 81997
CITY OF NEWPORT REACk
=,sz city In Newport NeacD
Bulld!rj Deaariment Permit NO.
£ P.O. Box1768 PLUMBING PERMIT
Pelrpch, CA 92658
It CoBunter Phone No. (714) 6443288/3289 P 960118 3
INSPECTION RE(
III(--r
SOIL PIPE GROUND I
SEWER
WATER PIPE GROUND
GAS PIPE GROUND '
PLUMBING ROUGH f.�S•�'I ,4�
GAS PIPE ROUGH
WATER HEATER
GAS PEES. TEST I ���
GAS CO'NOTIFIED Ij
PLUMBING ANAL .
cuwm _
PEMRIFENMIEIrNIn
IHE55:
AMA 11nmm pPtl pp OE AREA:
TSp
ll!II QSprllp! LIhgqA p
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FLOOR SUITE'.
YER:
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1 pRPQTBS^ AA
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MAR 2 81997
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CITY OF NEWPORT SEA
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Building Deparhnent
P.O.Box"68 FIRE PERMIT
Ne-porf Beach. -- 92PJ. —15
OMMEPi11LDEP DECLEREipN
JOB
INSP
ENFe' AFFIPM I: H.S. PENALTY CF FFN,JFY THAT AM E%EMP1 FROM THE oni LOPS LICEI.. FCR THE POUmNG F5ASDH (SEC. ]NI 5, TL'SWESS ANO ADDRESS :
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Pn5E5. CNS CUBE: AHv Clon court Y IHES A PERMIT TO COTALI1Ci C. PED , MTER wF�OVE.CE1L.ON REPAIR AN, STRUCN E. HP OP YC RS 155V. 4m REgMESTHEAPPI
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PHONE '...
SALE (SEC LASINE F O THE
oce INOT / .To.O AND PRGFEssl1 CODE caxlwcT THERN ,UW
CCEa NOi'YSty TO Ax OAxEA Cc ggtiPlY N1q EWW^Of1 ViPIIVES TERECN. NU i. ONIRACTOR:
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EVE0. TXE @IILWIB OR wPRO'JEMEM IaF P WIMIN Q'.'EYEAROF CL: H T.. inn OMIERNiPFN WILL INVE TE 9IM1'L6lKPRWJC THAT nEM SIZE W" MI!BIALOIXi pNq.E Fp1 TEN.KP1RE4i SVE.I
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PERNRPFENANEIPNNn
slr+alTUREGFPEwwrTEE
Sk — DATE E
Permit No.
P9600289
H. PH O9p-:fGO'
nF
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-u nF NEB
Ury m NewportNearn
Ne�nBe CA`92658-8915 BUILDING PERMIT Pam! No
Permit Counter Phone No. (714) 644-328813289 B 9101412
C 1 AM EXEMPT UNDER $EC. _-_ E pPC. EOM iNls PEA501i
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ISO BgDe'I CAt ELECTRICAL PERMIT,
P.O. Box SO
�...r. Hewpgl Beach, CA 92fi50 8916
Pa. Counter Prone No. (71616663288MB9
F :. No.
E9700837
INSPECTION RECOR �v
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DATE
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a Ele,frieal pe,it Pere ! P.rh 3 Er. Pee
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el/el: 'M
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11,50
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PLAN CHICK VALIDAI IUN CK. M.D. CASH
INSPECTORS COPY
PERMIT VALIDATION CK. M.O. CASH
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❑ 1 AM EXEMPT UNDER sEC
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644-328813289
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HEFFbY MIRM IM]ER RMNXLW OF PFPUURv THAT RADAR IS A CCNSTU:CTIEN LEND MD AOENLY MR 1xE PERFORMANCE OF THE WORK FOR WNOH I !O PEPoAU IS ISSUED 11SEC Atl],Cry.CI�
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�CERI'I FIC.1fE OF OCCUPANCY
TENANT NAME'.
TYPE OF EUSINESS USE.
III FL19 REFUND ON
TO.
COMMRJTS
RELEASED
'City Newport Beach PeTmll No.
RF
PO.
Buatling Deach, BUILDING PERMIT B9804381
A
CA
n Beach, CA 92658-8915Permli
Counter Phone No. (714) 644-3288/3289 __ Inspection P.eguests Phone No. (%14) 644-3255 OwNEflRUILOFA DECLARATON
XEAEe," AFFIRM ORDER PENALTY OF PERJURY THAT 1 AM EXEMPT FROM JOB p y�I��pa� ���I INSP
ADDRESS: 991 ■EYS p }'y+ l 11 IN 1
DESCRIPTION ryry y yye {
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THE
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Y 9YelV lI VYEIY I
ALTER IMPROVE, UEMOUSH Oq REPAIR ANY STRUCTURE PPIOq TO Rc ISSUANCE. ALSO BLDG; FLOOR: SUITE:
CONST.: TI T�IMT INPRAVRIBIT 3600SF 30B FLW
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OWNER' REPORT HICK MARRIOTT
TYPE OF �=
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OOE Ofl Th' LIE OP SNE IS E%FMPT THEREFROM ANO TXE BA515 FOR iXE ALLEGED FJfEM QV ANY VKXATgN CF 5EC1%#1fi5150Y NAY pPFLICAM FORAnERMR NO [IMPORT CIITII 11
ADDRESS: [IMPORT
AOOE. I NEW AODE°I NEW
SUBIECTS
THEAPPLICANTTOACML C_NA'•TY OF tATIAOgE 1HAN FIVE XL'NOPED DOuggSISEBBXI:
LI ASCWNEfl OFTMC PPCPEHIY, ORMY EMPLOYEES WITH WRGEBASTHEIRSIXE D.
NNIP@T ERROR CI 92660
SO, FT. BLDG: SO. K, GAR'.
No OF USE PARKING
PFNS,TKW. WILL UO TIE WORK, pNO T1E SRiUCNAE 151gT IMENOEp CP CFFEgEO FIXi PHONE:
UNITS: ]ONE'. SPACES.
SPLE($EC NK, BUSItlE55 ANp PgWESSIONS CODE: TIRE CONTMCTORS LICENSE LAW WT pPPLV TO PN OWNER pF pgOFEpry WNj BUIl03 OR IMPRW'S 1HEPEON AND CONTRACTOR: Blimp
LEG'O BLDG FRONT REAR LEFT RIGHT
WHV GOES Su HWON(XIMSELF Oq NEgSELF Op TIflWGX XI50P XER OWN EMPLOYEES PfiOVIDED 1HAi511CX IMPFOVF.MEMSARE
116q 5 TIV�101g� Ttt�
SEi9ACKS
Npi INTENpEDOR OFFERED FORSALE IF HOME,
EVEp THE S'JIL°ING Oq IMAHOVEMEM IS SOLp WITHIN ONE YEAR OF COMPLETION THE OWNERBUIIDER WILL I(4VE THE BURDEN OF PROVING 1Hgi XE OR $XE OIO NOi BUILD OR ADDRESS: YVLI/
p 1
IBWFORP "'ClCI 92660 /
PHONE: 96) ETA- A11
LEGAL
IMPROVE FOfl THE WRPO5E OF5ALE1.
CON
❑IASOCTONS
TRiCTOPS TO LONSRi{ICF TXE PPpIFR $EC. ](H0. BUSIi1O AND PROFESSIONS C3
STATE SI1616 GU$$: 037R NEWPoRl 9Y �'3A
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DESCRIPTION'.
1Ia�L
LMEPROPWDOE o,1-IVELYCWTMCTINGWTBILICENSSODE
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LTC. NO.: f 111 11 BUS. LIC:
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ARCHITECT °H BUS. LIC. LI4
56 BNDI BA
C 1 AM EXEMPT UNDER SEC. B.HP C. FOR THIS REASON
ADDRESS: Tea la
--
FOREST CA 94935 PHONE, 4IV499-9499
SPECIAL APPROVAL FAR INTERIOR
uc. No.: ARSI0181
CONDITIONS'.
MORE OILY
DATE-- _ _- OWNEp
_
ENGINEER'.
LICENSED CO TRACSORS DECLARATION
HEREBY pFIgM MDERPQALTYOFPERJ'JRVTXATIAMLICENSEDUNDcRF V[SiIXS A'DDRE$$'.
OF CHAP. A (COMMENCN. WITH SECTION ]ILIA Of DIVISION 1 OFFIT.-,BUSINESS AND PROF1:59iONS Coo AND tjL1JENSEISINFULLFOPCEANDEFFEC,
PHONE:
PRDCESSE BY:
S27484
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DEPARTMENT
LICENSE Pw59_%.I—a --LIC NO.__
LIC. NO;
RATE—M� 11 11 C�NTRALTGq�
APPLICANT: IIRITIAAA INTERNATIONAL (ION)
21255 TIC"jull
fIRE
APPROVAL
PLAN CHECK
BY
f
WORKIII COMPENSOTONpECIARATION
I HEREBY AFFIRM RUDER PENALTY OF PERJURY ONE OF THE FC.LOW1 MCLAMTWS:
gODRESS:
NNiEA ace CI 660 PHONE:949/920-1018
_IHAVE AND WALMAINTAIN ACERBFICAIEWCONSENT 3503ELfW5UPEFO VORK ERE IABOgcWEFOR
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$I6NATUREOF
APRIROV
PERPE�FORMANCE OF THE WHICH THIS PRATSTHE
THE PEgFORMANCEOFTHEwOqX FOR NHIGITHI9PEflAAt1365uEp.
APPLICANT % A'
.%PPFJvgL
APPROVAL
TO ISSU
I MVE AMD \WILL M4IMAIN,YG INSUMNCEADEWIREO BV
So E'CIXAPENMTKM
SECTION 3]W OF TIE L,eOq LOGE FOR THE PERFORNWICE OF 1NE WORK FOfl
WHICH THIS PERMIT IS ISSUED, MY WORKERS COMPENSATION INSUMNCE CARRIER WO POLICY NUMBER ARE:
1 1
ENTBI» Final Project ►afaati I60000 gee 04
, Payments: 1,910.00
Re star PLA1 CRICK FIBS
8 11414 ;Credit attended: A.00
PCLIDY NIMBEq_
BUILD. PBRN37 F68 992.00 ; Total Credits: 1,111.04
aRSTSIO��r,oTBFco.,POE,EnIFr„EpERMIT,5F0RDNEHDNWEpDOI-
Is a CLEW -AP ISPOSIT regeired! (T) 1,000.00 P
_I CERTIFY THA"I IN THE PERFORMANCE OF THE WORK FISH WHICH ITS PERMIT IS O if MICROFILM SReeta B PERMITS .26 20 5.20 ) Balance 2 2,885.36
IBELAU, I SHALL NOT EMP OY ANY PERSW IN ANY WINNER SO AS TO BECOME SUp JECT TO THE WORKERS L«AASSAMN uwS OF CALIFGgwnum AGREETMTIF
SHOULD BECOME SLYGECT TO THE
CALIFORNIA SSISNIC SIPETY FIB > 33.60 ' Adlnateeeta D.AD
WORKERS' COMPENSATION PROVISIONS OF
SECTON 3NI0 OF THE LABOR CODE, I SAIL FO MP�Y WITH THOSE PAUNI. $IONS
,
I
le DISIBL11 REVIEW Fag needed! (T) 128.00 T ', Balance doe 2,885.36 /��
pATF:_f._2-L• APa1CANT GLG-L��..
IARIIMOOS W. Eau Proceuiel! (T) 99.00 T --- —----- ------ —----- --
VAIFAILURE TOSECURE WORKERS 'COAPENSATIONCOVERAGE ISUNIAWFULAND FARM OBPT:PIRIREVIEW FEE ! (I) 396.80 1
SHARE SUBJECT AN EMPLOYER TO CRIMINAL PENAL. DES AND CIVIL FINE$ UP TO ONE HUN- AGES AN?"FH0'CCAED FOR IN SECTTOR STAG OF THHEWL�THE ODDE SUEDWE1 ST,ANOATTT°BAND% FIB IBPT:IISPBCPI01 FEB ! (T) 694.40
PLIBII16:201111 FIRE CIFCI-6y Bee•c 26.33 .50 13.16
CONSTRUCTION LENDING AGENCY
I HERFBr ARE M UNDER PENALTY OF PERNM TPAF THERE IS A CONSTRUCTION LEND ING AOENCV FOR THE PERFORMANCE GF THE WOPo( OR MICH THIS PERMR IS ISSUED y�—,I_ gyp__
TOTAL CAP IOILYIIA PERMIT PEW -- 3,996.60
1SEC 3[P/.GV. CI
(ENDERS NMIE
LENOcR'SAWNESS
I DEFRAY THAT I SAVE RFP➢THIS APPLMATICN AND STATE TAT THE ANYONE WEOg MA.
TKKII$CORRECi.IAGRFE TO COMRYYRMPtl CITY AVOCgUNIV GNGNARG AND -A" LAWS RITOftIMIN3 CONSTRUCTION. AND NEREBY AUD . NE%...ATNE5 Of T1NSCW1 TO ENTER AGO THEAWVEMEMIONEO PROPERTY FOR INSPECTION ARE tee—
Sr Eir�C-
H10775GR L
.✓
vERunE xAM[ (o-�Fn
P.H
— t
III / / /J Q (E1 a` 4Lt rFt T✓E'�
4 0
IS
_ _ _
O�CIANAP ION OF CX'PLIANCE WIN 5 '
LO^E C FMEM IZE60LATIONS F
P i ell OF YTTLE 40 AND AQ8
F �
. _
�- t 7l,APIO77 I4 NOT
�e
Mid Newport Beach - Pwrat No.
LA BDiitlingDeTaYmant BUILDING PERMIT- B98U�°T29
P'J g -
68 Newport Beach, CA 92658-8915
PPFmit Cnnnlor Phnnn Nn 19'IAN AAd.9VAA/IOAQ
n I AM EIEMPT UNDER SEC. -,
AODHESS: DOd 11®AAF AAREA:
9LDG: juUFLOOR: ID®[IO`blill 1!
SUITE'.
OWNER: NEWPORT IIICB RAIIIOTT... _. ....
ADDRESS.... _..
' PHONE:.
CONTRACTon: BRENTWOOD IITERUMIDIAL
ADDRESS: _ 212S MIT JULIA
1wor Run CA, 9366o PHONE: 949/720-1018
�I-"No: 527484 cuss: 8331 NEWPOFT 98037230
nos UC:
ARCHITECT: ADS, LIC. LI
B.EF:C. FOR THIS REASON ADDRESS: Is. In
PHONE:
LIC. NO.:
LICENSED CONTNACTORS DECLARATION
NEREOY RfFIRM ONOER PENALTY OF PE0.YJHV TNAT I PM LICENSED UK DEN PROVISION.
OF CNAPTER 91CIXM.IENDING W(M SECH TIXpI Of OINSpN ] OF THE SUSINE99 AND PROFESSI CODE, AND MY LICENSE I81N FULL FORCE AND EFFECT UCENSECIASS__ C311 UC. NO. S2744
DATE
WOIaKE119' CONPENSATON OECLAHATION
I HEREBY AFFIRM UNDER PENALTY OF PEfUNRY ONE OF ME FOLLOW No MCLANA NCEK,. _ IHAVEINDVSALM1WNTN P CEIRIFICATEOF CONSENT TO EBFANSUEE TO. V .. — ERS' COMfENBATbNAS.!10 A fIXi BYSECNCHBIWCFTE LAECR CCOE, FOR ../ hEPERFORMANCEOFTHEW�WFORWHICHTNISPERMITI5195UE0.
i— ,SE TON.1. OSWILLF T EALABOP COO., FOR THE PP ORMANCE OF M—E ASE W., EQUINEUFOR NHPI THIS PERMIT IS ISSUEO. MY WORKERS COMPENSATroN INSURANCE CARRIERIIC ANOPOYNUMSER ARE
CARRIER
STAIR PORN
FOLICYNOMFOR
L" IIS §E,NNER NOTeE IF ME PERMIT IS FOR ONE HUNDRED 30-
CONSTRUCTION LENDING AGENCY
HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT TEAS IS A CIXASTR 'CN LEND.
1. AGENCY FOR ME PERFORMANCE OF TIE WORK FOR WHICH MIS REBUFF IS ISSUED ISEC ] OV CI.
LEtg1ERSNAMS
PHONE:
NO.:
LICANT: SCBNID SAM
FESs'. 211DJ4,NI erD
L D EST, PHo r
IATURF OF
81TBRu Final Project Vai!9As
ORION,— IAA. inINI66(116f-4I)
CONST- ?I 191 A WONEVS IESTIOOI RENOVATION 310 ►L
TVPEOF L/) OCC. OOF
AFFE.IVCTION: I ✓�� ORWP: $TOFIES
JBEO / NEW OOE /NEW
SO. BLOO: $O. FT,.AN
OF:
NO OF USE PARKING
UNITS, ZONc SPACES
NEO28L0G FRONT REAR LEFT RIGHT
BY
Negalar PLAN CRECI PBBS
(
176.26
BUILDING PRRRIT FEE
244.80
Is a CLEAT -OP DEPOSIT required?
(Y)
300.00 Y
1 of NICROPILI beets A FRUITS
.26
5 1.30
CL:FORK& SSISNIC SAFETY FRE
>
4.20 Is DISIBLED REVIEW FEB needed!
(T)
32.00 F
RAIARDOOS NAY, fan processing?
(7)
19.00 T
FIRE DEPT:PLAI REVIEW FEB ?
(T)
97.92 1
FINE ORMINSPECTI01 PER !
(Y)
171.36 Y
P1411I1MORING PLAN CRECR-by hours 26.33
.50 13.%
TOTAL CIP BGILBINR ?BREIT FEES 1,060.00
CHECK
QA-
20000 Payments: 176.26
;Credit extended: 0.00
fatal Credits: 176.26
i
Salome 883,74
Idjastnents 0.00
8alaace due 883.14
YES NO bAp?T
0 91999
owsNvr, iu lvZ3 yp
A?lr/h'tbm Ahb AAws Z--v
to
0ET6ARAYftdi 0� C(JtiPL1ANCE YIYP
g E OF FEPEPAL EEWILAT IONS
PART G OF TITLE 40 PRO A
ALaE
(7 t Sl ri4iTtt� ASS
t16f SFSCAii P Y0_.
0 EPA
A56c3Y0^a E.Ov if
._ Af-L1C0.1- TDEWLNI
_-
!i•9tAa- � '
- 3 ov
,.Iv. 9
Bul - rhnent r
P.O. Box 9768
Newport Beach, CA 92658-8915
Pamit Counter Phone No. (714) 644-328"289
B d
FIRE PERMIT
M30RESS:
41D MIT OWN 11
i'_DO:
FLOOR: SURE:
)VVNER:
II9I18 CO
1DDRESS:
-. -. - -
PHONE:
:ONTRACTOR; SIIPLII 0111 IBCOIDBI CO
,DORESS:
1325 9111D CBITIAL ATBIOS
OLSIDALI CA 91201 PHONE:
STATE
iG NO-
652117 CLASS: CIOC16 NE.FORI
1RCHITECT:
gUS.IS.:
11411ti1111 1IC165L
1936
❑ I AM EXEMPT UNDER SEC 6 8P C. FOR THIS REASON
ADDRESS:
BBBIIO AID IV 1
I
SAITA ARIA, CA 92765 PHONE
LIC. No.:
DBSIAIR
"
ENGINEER:
'LscoNSEDcoNtRAcr�sDECLARAnon
I NERE9YAFTIgM 1'IOEfl PENLTY PERNgYTIIATi IJgIK SED UNDER PRG`11 WIS ADDRESS:
CF CHAPRR9 (COMMENCING YgTNeECIlON+0.V1 OE ONI6KM 3 OF TER. SUSV$6G AND Pfl�SSpNSCWE ANOPgrtpMCFNSI SINFULL FIXK£AWIEFFECf
PHONE:
MEy���q_- tl9F16 Ast4aa -.:
.,._ u.: Na_
LIC. NO_
GXTE CONTRACTOR w � % P
APPLICANT
ID1'1�AI IICIABL..
.. w3nKms=wQ+aaTroxVIECIARA f. ".
ADDRESS:
._1996 B DBBIB AFaI St6 f26
14EREW AFFIRM UNDER PENALWOF PERNRY ONEOF THE Fp CVIND Pc'QAPATIdJ'a:
SADTA Ali, Cl 9270S PHONE:
_IIwvE.'.vp ww.MAutrAlNacERisRCATEOF camFNTiOSEvaNsuRE FOR wpgrc ERS'COIROFJd44iKSJ RSPROvl9EO FAlWSECflON iIIgCF RiE Iw�PCWF, FOR,(///,�/.�ul/_/G
SIGNATVREOF
THE PEFlFORMawCc OFTNE WOgKFORwmAI TfBpEflAairv. !ssUEn.
APPLICANT
r
_I HKVEANDWU-MAIi VAIXXEP6'CIXAPGNSA¶QV W6�IRANCEASflEWMED BY /
/Pa
SECTION.OF T,IE W'DR CODE Fpq THE PEAFORKUIC'_ pF TIE WOgN FOR g--�T,�{�]FTNp�p}pglp
Ip lYBpp(M3[➢
SAFATI ernr
WNCH THISPEPAWr I51ffi.JM). MY WOPXERS �SEE161�pN IHLU0.M'GE CAPAIFR ANDPOUCYWMMOHARF. -
BIT810
Project Foliation oa
CARRIER.
�C2dI/5D2171'.0
XIMPLETEO IF M= PERMT I9 FIXV IXIE XUYDXED CCL-
CONSiRMC1ir;N LENOVIC AGENCY
I HERA'"FM UNDER PENALTY � PFRIURY THAT THERE IS A WNSTRUCTKKI LEN? K, EBY AGENCY NOR THE PERFORMANCE •)F THE WOgN FOR WHICH THIS PERMIT IS ISSUED fiTFIERS
(SEC. 3$].cW.NI�cl.
IIIiJERSADDRE56
1 CERTIFY THAT I HAUE:.w"1 TDI ANTUCATCN AND STAP=THAT THE W,: WFOF/.- �ICN6CC9FECT.I AGREE TO CYIMYLYWfTIALLC '"D CCJNTY ORVNAN'AI AND Sr" E LAWS RELATTU TO "UDINIG Ctt64rRUCtICN. PfL NFPE2Y ATHORSE RF RE8STATN'ES OF THIS COUNTY TO ENTER UPON THEAEOVEMFMKKJEO PFAPETTV MR nI6YcC PUN.
PDSEs.
BPS EtIm MIA In
FIIB PBIIIT/IISPBCTI01 FBI
I Af Iicrsfill Sleets S Permits
TOTAL PIIB/ IOILDIAC P816IT FEES
Permit No.
F9800471
RE I
AREA:
OF WORK:
OFWORH:
PIS SP14�(EIII1�91�
df
CONST.. PI
- ADD STIOIBS TO FIRE 11 A STS
31D PL
TVPEGP
OL4 _
NO. OF
CONSTRUCTION'.
GRWP
STORIES'
7141724-5000
LEGAL
OESWIPTION'.
98028173
IDS. W. Ll
Tea to
949/724-S00o
SPECIAL
-
CONDITIONS:
2 N
01 PROCESSEDBY
C'
ZONING
OTHER
O
¢ U
-- -
APPROVAL
—
_
(DEPARTMENT
a �
71 /11a00
Payments:
115.20
115.20
;Credit extended:
0.00 160.00
Total Credits:
115.20
26 Y .52
;
Balaace
160.52
215,72
Adjnntnents
0.00 lalaace dne
160.52
EDAM
DEC 2 2 1998 0
CITY OF NEWPORT BEACH a
APPROVALS
FIRE PRCTEOTION
DATE BY
COMMENTS
THRUST BLOCK: EXCA.VATIO_N' �-
UNDERGROUNDHYDROTEST�ry
UNDdRGROUND PIPING FLUSH
�--
-
"----------��-"--'--'"--' '--"
----� - ——^--------`--- "-----'-----'— ----
UNDERGROUND ROUGH PIPE
---- —'---
S^RINKLEF HYDRO TEST
CPRINKLER FLOW TEST �
[SPRINKLER ROUGH PIPE
}STANDPIPE HYDRO TEST
!nTC.NDPIPEFLOW?EST
I
�
'-
CSl'ANDPIPE ROUGH PIPE
CHEM SYSTEM FUNCTION TEST
^HEM SYSTEM AP^ROVAL
t-
FIRE A[ ARM SYSTEM
O ROUGH WIRING
1SVSTEM FUNCTION TEST
� ENTRAL STATION MONITOR
+-_-"�- --•— _ _ Zl'. Y--
FIRE MISC.
TANK REMOVAL
1ANK INSTALLATION, iTEST--
0 PIPING PRESSURE TEST I
--
�
sISC. INSPECTIONS:
�.'-INAL
--
12ERTIFICATE OF OCOUPANCY
----- ——'--"-------v----__—
� A_— _— DEPOSIT RELEASED
FOR REFUND ON
__—
TENANT NAME
s}
TYPE FBl1$IwESS,.'JSE
! City of Newport Beach Building Department BLDG Permit No: 8990 5307 PO Bcx 1768 Newport Beach, California 92658.8915 Permit Counter Telephone (949)644-3288/3289 Inspection RequestsTelephone (949)644-3255 Job Address: 9D0 NEWPORT CENTERORPB
Inspector Area: iIS
Description of Work: ANER"WELCOME VINCENTIANS"
Legal Description:
-
Bldg: 1 Floor: Suite:
P�
Owner: NEWPORT BEACH MARRIOTT
HOTEL Contractor:
Architect:
e�
Address: 900 NEWPORT CENTER DR
Addres-:
Address:
Fnone: 94916404000
Phone:
Phone:
State Lic:
Applicant: SOCIETY OF ST VINCENT DE PAUL Con. State Lic.:
Engineer:
Address: 180 S CYPRESS
Lic Expire:
Address:
ORANGE, CA
Bus. Lic.:
Phone: 714/633-9190
Lic Exp Date:
Phone:
State Lic
Code Edit: 0
Workers' Compensation Insurance
--
C=signer:
Type of Constriction:
Carrier:
Address
Occupancy Group:
Policy No:
Added /New sq.ft. Bldg :
Expire:
Phone:
Added /New sq. ft. Garage:
No of Stories.: 0
Building Setbacks Rear:
/
Special Conditions:
No of Units:
Front
/�-
Left:
Right:
I
Use Zane:
Parking Spaces:
FEES
ConsWcOon Valuation: 450.00
Building Permit Fee: $19.00
Plan Check Fee: $13.68
Microfilm: $0.00
Additional Fire HMO:
-0.00
Planning Delp --
Investigation Fee: E0.00
Excise Tax- Res.: $0.00
Excise Tax- Com.: E0.00
Fair Share
Hazardous Mat Disclosure:
$0.00
$0.00
Plan Check: $.0
Clean Up Deposit: $0.00
Supplemental P/C: $0.00
Park DED.:
$0.00
Counter Rev.: $12.70
Fire De p
Energy Compliance: $0.00
Disabled Access $0.00
SAN. DIST.: $0.00
CA Seismic Safe b�
$0.0
Review: $0.00
SJH Trans.: $0.00
Other Fee:
$0.000
Inspection: $0.00
TOTAL FEE $45.88 TOTAL PAYMENT: $0.00 TOTAL DUE
$45.88
PROCESSED BY
ti
OTHER DEPARTMENT:
---
PLANNING APPROVAL:
PLAN CHECK BY,
FIRE_ APPROVAL-
PA
APPROVAL TO ISSUE:
<72
r
GRADING APPROVAL
2999
WORK MUST BE ST.I RTEO WITHIN A PERIOD OF 180 DAYS FR DAT OFsALIDATION OR THIS PERMIT BECOMES NULL F.ND VOID
f(I biZACH
4GRADE
GRADE!
:HIUH LATH
ERIOR LATI-
AT'
71 GP[ILIT
I'LFv:.
LETTER
Xf Ru-
OF
HT
Do', IN"
� .r. rvn h IUI I IuIN�r: ,`,tctl a pIr plan.
�'- ShceE �IfUcar eFt oN site. Idr_nnfy addition Sire,t 51dt.
TENANT NAME:
- —, __. - ----- __.
TYPE OF BUSINESS USE
II
-- -_-. _. —_ REFUNDED
DATE
TO:_—
OWt1FF-BUILDEN DECLARATION
Nlll I I LADEN IF.h" 113 PEFJNFYT 1
'LIE P}L(1 �KAI3"fI F ISNL`3 I,e mf.INIF a
V FFI 5 it
I, , AL`EP LELi^„Sti �;,
S t-,"IF.
M1LTS N sn::.r EV.I L o TN Vr- i,I
'LI
fl"V.It Ai IIIf 511 FFIrl"
'� C 1
C ♦.il
O.rF
tIF
L I .
IF
I s
IJtu'�4<.wc
,ICL.SEC. FALL GN
1.1 'Cli-.' .`.If EN:iATIOr. [ E II',.ji ]!I
6 C(
F
s
I .oF ) fl IF I I �11, T t , f, I j,11 IL
h nl SLP` pv JL1E C..2 a uRrl L..f ilr�. L in a
%JG1`U a ar:�+r, "- arb. ,Loves
CONSTRUCTION LENDING AGENCY
!. rFE1VM1 P A
YCE .1 11AT III,
F..I RLI .—OI',NFVK_
LEN1=I11111.1
Lr IA —BY, It, ccIryI YFIII If C N „NTY ) F I, LL 'EIPi,[q I G 4 ' ONO U ST Uf7l(l AN'I E p ..... I Hf I e —.I G "I LG tffl Tc kmE Wes, I/-}�E�APOI E-aENrILWm Gapp.Vl rII FOf IrIS E i{w PfiN OSL$ %_`x7 Iln f/ A
f .ice
/1
f JJCCU, L VTL� 1 1�TT-'-A Y r r COUNCIL OF C
1 1
I'•: Pr.i '.CCf `- 3 -
_! n_II G SUITES
L.-,,i'l.`.RDROOMS IN NORTH TOWER ,
1. CPTAMARAN
ZFd FLOOR- CCNFEP.ENCE CE14TER
,
:2 -0 9
2. ,, IfMARAN
16'.h FLOOF, EIG CANYON 4
{9! LO )
,)1.322
,16 FLOORS)
523 540
,. ^_-d:.AFTTLNE
FiiG CANYON 2
[1-422
' -
3-640
:'.CHOONER.
.-
:'t-522
-
723.740
-. CLOOP
.
.701-722
923940
PATHwnY TO TEemS CU1R
- 601-622
10231G-10
901-922
CONCIERGE LEVEL.
1123.1140—LJ--yJ.
SOUTH MNG ROOMS
23J2
CONCI'-RG
(3 F..SJSS)
123-172
E _E4EL
CON,,^,IM-ELEVEL
,223.1240
. 1423-1440
221.279
-
1523-1540 mat
N::. • GROO61S
73-93
IHl„Vi LOUNGE
1;TH FLOOR cceao ca>x
(3FLOG )
1R-193
-
279499
QFO
FO
NEWPORT BEACH -t
Aarnoft
HGTEL&TENNIS CLUB
L I�
u
O
SOUTH WINO
U PARKING v
Pc iii...111
a
PARKING
��TO PACIH6 COP3T H4dV
mot_
NGRrw.xlwG
cww�r,�s
aaac wnwaRs
vvAnax cuuar
NEWPORT CENTER ORIVE
FASHION
IRLAND CENTER
.NEW PC CENTER
a[wroar wax :
win aanfx � �' 6ULPOOY. :�
wo wae' .v.w' ivaa
s c o s
ucrsw.rta
G
PO
PP
i.
?V
a�
QP
CIL OF OP-A�TGF '-`0U,10-r1 Y
RTH TO'W ER
E CENTER
1 z
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IM
lWK
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. YtMf
f 1
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iLLd i
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At uexi
PUL11"
11,,a.
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G_ :r;1:a orraiPo.,ir��
CITY OF NEWPORT DEACK CA
APPROVAL Of TREK Tullis ooF; HOT COIISTITUTE EXPRESS OR IMPLIES AJTHORPATIO4 TO CONSTRUCT Ally EJC.D:N. IN V'OIATION OF, OR HCON51S TENT W1714, THE Go71A'ANCES, PIANS tN[ POLICdS 0' THE CITY OF NEV;ow BEACH. TNIS AEPAC of DOES NOT GIAn'.NIEF TNAI IaCSE PUNS ARE I'n All RESPECTS. 14 CCU-'li-CF WIT, CITY, c0'LC:1;C A A MINUG OfBINA-'ES PLANS AND POULIEL TOE CITI r1I C T. _1 +fs Tk- RIC-T TC FIIJIf C+f V C O'icN't J Of N'E r1E
-� — C.Y NIA ll.eRl'. t I.AS: PIA,: I, ,. ]8. ( AII:--
OGa If TO ((,;W- IYITII TFE CRJ'.NAECES PLANS u:9 POUC-:ES 01 Ili CITY G< NEhPUT SE4 W
APPLICANTS k7; N 3A:LL70£ CE NT
OFP/:TP: NI ^e'�
L'E-
`j
e\\
AaCCIOft
'PO
QO
0F'
CQ
Jury 29. 1999
DP�O
SO
DATE ^ a�
To whom it may concern:
The Newport Beach MI: . riott Hotel and Tennis Club authorizes the Society of St.
Vincent de Paul to display a 3x 30' banner in the front parkin lot of the hotel on September 71h,all 91" 10. and 11, 9
Please feel free to contact my Office, at 940-6404000 eetension 6091, with -ny questions Cr concerns.
Sincerely,
Michele Stdeck
Ceocral INlanager
City LI NeI Beach
Building Department
P.O. Bo. 17SB
Newport Beach, CA 92658-8915
Permit Counter Phone No. (714) 64432896289
f
Polmit No.
B960316?
I HEPEb FF OPTED E TY CF YEPJV Y T Ai EXE.1Pi fP0 TOE
AI)G ESS:
1 I M1 • I'
ARE
AREA �
GFIAO nLav
OE W01UC
A
1 0] PUSINE55
IOFE SCN CU 'v CT'OP
IFRGG SVEI SE to CN ME WILpWNG qEh OIE
F _I�
•„! ` A E
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AP
GOUMY WHG gE% E5A E"TT"A"GN`IRUCT
i M OVE L O" SX o EPAIP V SMLV^TI E YIP i01! 5 VAN S]
OJ ESTh LG^MFOFI hW TO F4 $fNE15 "F Pli ll C SHE
BLJ6:
Fl-ppR mmE
�NST
i ^qy
,7
L EC F PSU T10 R2 flMY•1156L HERE.. ROs ESE JrW LHAPIEq CCUfEC IG SE O EENSEDFUPJIPNi TO THEwN1{NLTOgS VCENSE
AM.HRECT.
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i I AM EXEN-PT V`pEq 5EG . 504ADDRESSPE
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rn
PV bFIM(UNCEP FEIVLT Opp('AOIRYtH TI.VA LICEN$Ep C MAPTEfl IV!MENGNG WFM ScLIIM ]bA$pN VLA ]Na ,rc SOFTFVWFU
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