525-1066 N IVORY PALM LN (2)Permit Types
BLD
ELE
MEC
PLM
X
X
X
X
Permit Number: BLD2023-04706
Issued: 01/18/2024
www.anaheim.net/building
(714)7654626
Quarter Section: 60
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Site Address: 525-1066 N IVORY PALM LN, Anaheim, CA 92801
Legal Description: A TR MILES RANCHO BLK LOT 13 MILES RANCHO LOT 13 W
APN: 27107110
1211
Project Description: New Residential Construction: 6,006 sf. to construct (4) 3-story attached condos with 2,087 sf. of attached
garages,167 sq. ft. of covered porch, 445 sf. of decks and (6) awnings. Install roof mounted solar system. Install (4) EV chargers. REF:
TRACT2022-00004 (Tract 19170)
Building Type 200
(1) 1,424 sf. 3bd/2.5bths (Plan Type 2A)
(1) 1,406 sf. 3bd/2.5bths (Plan Type 2B)
(1) 1,432 sf. 3bd/3bths (Plan Type 3B)
(1) 1,744 sf. 3bd/3.5fbths (Plan Type 4B)
Living Area: 6006 Number of Stones:
3 Valuation:
370,000.00
Garage Area: 2087
Construction Types:
VB
Carport Area'
Occupancy Groups:
U1. R2, U7, R2. U1, 112, U1, R2, U1, R2
Balcony I Deck Area: 450
Fire Sprinklered:
Cool Roof:
Total Feas paid for Permit:
91.675.13
People Associated with Project:
Contractor KS HOME COASTAL INC
10990 WILSHIRE BLVD SUITE 700,LEGAL DEPT LEGAL DEPT 199911160813085820 LOS f
Permit Applicant Frank Chen
1 Technology Building I, Suite 801 Irvine, CA 92618
Owner LAOS ACRI HARBOR LLC
1085 N HARBOR BLVD
Type Electrical Fixtures
Cry
Type Plumbing Fixtures
Oty
EV Charger
4
Bath Tub
4
Meter/Disc Sw - Under 600 V, over 200
1
Dishwasher
4
amps to 500 amps
Garbage Disposal
4
Meter/Disc Sw - Under 600 V, up to 200
5
amps
Gas System (outlets)
4
Microinverter
36
Kitchen Sink
4
Motors - Factory Wired Appliance, up to 1
5
Lavatory
17
Motors - up to 1 h.p.
4
Repair/Drainage Alteration/Van( Piping
4
New or total rewire - garage/carport
2087
Shower
8
New or total rewire - multi -family
6006
Washing Machine Rough
4
Sub Panel/Temp Pwr - Under 600 V, up to
5
Water Closet
13
200 amps
Water Distribution
4
Water Heater 4
Mechanical Fixtures City
Condenser 4
Heating Appliances, including vent 4
Heating/Cooling Coil 4
Residential Registers (ducts) 86
Ventilation Fan - <= 300 Gm on single duct 21
The permit shall expire by limitation and become null and void if the building or work has not passed final inspection 365 days from the
date of permit issuance. A new permit is required to commence or continue work.
PNPHEIM Cal
City of Anaheim Dk iO
Building Division i
�D6NDEO t8�^
Do not occupy this building until the final inspections have been made.
FINAL INSPECTIONS
DATE
INSPECTOR
All applicable items below must be signed before utilities arq released
Final Gas Test
Electrical Final
Plumbing Final
Mechanical Final
Cross Connection Control (714) 7654280
Engineering Final (714) 765-5126
INSPECTION I
DATE I
INSPECTOR
Fire Sprinkler (ONLY) (714) 765-5041
Do not pour concrete until the following applicable items have been signed:
Fire Dept Final (714) 765-6041
Plumbing (Ground/Underfloor Drain Waste)
I
Water Engineering (714) 7654591
Electrical Ground ElectrodelUfer
R I I} 24
3WJA
Sub ListfBus. Lic. (714) 765-5194 (Allow 10 business days)
Setback/Forms/Trenches (Footings)
4 (. ut I
W
COA/Migation Measures
Do not install subfloor or pour floor slab until the follwing applicdble items have been
sioned:
Building Final (714 765-6153)
Last Inspection -Final Only After Above Completed
t, /
~
Plumbing (Ground/Underfloor Water)
Underfloor Rough Gas
PARTIAL INSPECTIONS
Bu ng ns ections
3/, as 3 Rn A, -01rx- on/6y- otti 2' pt.ArL 161--
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre -slab (Compaction/Membrane Reinf.)
oi24
Floor (JoisVGirders)
J7Ar- L Q 5'1,frA - / Sr FL
Underfloor Insulation (Raised Foundation Only)
- 3 l9
1t-1 = 2ra F oo• ha; tv JAM,
Floor Nailing (Raised Foundation Only)
- I at
24- to
to trisOciiii0m,
2nd Floor (Floor Nailing)
I ;I - N / L S 15
Do not cover or conceal the work below until the following applicable items havebeen sioned
r{
1st Floor Shear
/ j •1$'•r e.-i, l+il,
Firesprinkler (Rough) (Fire Dept.)
Mechanical Insiriections
bH r w� j Su%a-1r�.. /"/i�-� �-• �r.J Ali
2nd Floor Shear
; y 2y
q M .
Roof (Sheathing/Diaphragm/Frame)
Masonry (Reinf.IBond Beam/Pre-Grout)
v� Iw/' I S
Rough Plumbing (Top Out)
I j
,f
�-�^S— � 1✓� S �'-P
Rough Duct (Mechanical)
/
J
Pt
Rough Mechanical
/ of
qc> 1
V__5 e0 J
Rough Electrical
Rough COA/Mita ation Measures
Plumbina Inspections ^
y g a e/•.., �b^' z� r r�'`�e �'
Framing (Only after Plbg., Ele., Mec. & Fire)
/}
/ i
Insulation (Sound/Energy)
JV/-oGG ei 3 A
Do not tape or plaster until the following applicable items have been signed:
� 9 J9 I I-e J� `( -�. $`
Drywall
f� car• .v
Drywall Penetrations (Ele, Mec & Plbg)
Z f `� I A rites, i
Interior Lath
Exterior Lath
if D
Electrical Insoections „J C XAL ta4. // f.Aj
.�j 1�s'T-�mTrB-
-r�-
//""�l f�
�` c}- C.iC.r"'C
Electrical Service Meter -(Meter will be set within 2-3
business days after approval) Excludes New
Exterior Plaster (Brown Coat)
T-Bar(Struct., Ele., or Mec.)
Grease Interceptor
fDo not backfill unless sr
I'
Sewer
dY ori� L��•.`Y w�f.n /
Water Engineering Backflow (Testable Only)
Water Service
s iz o / J Tilrvw "jo, it
Page 1
Structural
Palm Court
Structural Observation Report#6
Job #: 10-11852
Date of Observation: 4/12124
Date: 4/12/24
Page: 1 of 5
Structural Observation Requested by:
Structural Observation performed by:
Area Observed:
Vince Vojeda
Shawn Afshar, PE
Phase 1, Building 6, Lots 28-31, Type
200, Framing all levels, See attached
for the area observed.
Observed Structural Elements and their connections
❑ Foundation
❑ Floor
❑ Roof Sheathing
® Exterior
® Framing
❑ Others
❑ Footing & Slab
Sheathing
® I" Level
® V Level
❑ Holdown,
❑ 2nd Floor
® 2n' Level
® 20'Level
Anchor bolts &
❑ 3r1 Floor
M 3rd Level
® 3' Level
Associated Rebars
❑ 4" Floor
m
❑ 4 Level
ro
❑ 4 Level
Status of Construction
E Roof Trusses
E Stair Installed
E Bathtub Installed
E Roof Sheathing
E Window Installed
E Preliminary Drywall Installed
E Roof Loaded
E Flashing Installed
E Drywall Stacked in Units
E Second Floor wall
❑ Building Wrapped
❑ Drywall on Wall
® Third Floor Wall
❑ Building Stuccoed
❑ Drywall on Ceiling
❑ Fourth Floor Wall
E MEP installation on going
❑ Sheathing one side Party Wall
Pursuant to your request, a visit to the project site was made on the above date to perform a structural observation in
conformance with 2019 CBC 1702 and 1704.6.
Please note, not all symmetric or repetitive areas were observed, therefore please have your field personnel verify the
correction items in all similar areas. Where repair recommendations are given, verify if additional coordination may be
necessary with other trades or design professionals. RFIs where requested must go to the Architect for distribution.
The structural observations do not constitute an approval of the work nor do they relieve the contractor or inspection
agencies from complying with project and code requirements. All observations were conducted from the ground or floor
level and no testing or inspection was performed. Our observations do not include a review of the contractors means or
methods of construction, shoring, erection, bracing, nor any associated safety precautions.
1: (714) 978 9780 IF: (714) 978-9788 1 www.vr as uuctara I. r om 1 1845 W. Orangewood Avc., SL2. 200 1Grange, CA 92868
STRUCTURAL OBSERVATION REPORT FORM
STRUCTURAL OBSERVATION means the visual observation of the structural system, for general conformance to
the approved plans and specifications, at significant construction stages and at completion of the structural system.
Structural observation does not include or waive the responsibility for the inspections required by Section 108, 1701
or other sections of the code.
This report includes all construction work througt
Report No.. _
12e _ day of April 2024 Pape No. of
Prulerl Aaamss
S,no:Wral observer of Remra (SOR)
Phone No. el SOS
1075-7085 N. Harbor Blvd. Anaheim CA 92801
Mark A. Vangaale
714-978-9780
Pemnl Nu
SVPClurel Observsl on Pevonneo by
Proresran l Llc'Reg No of Observer
Phone No of Observe,
VCA
C-58680
714-978-9780
OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS
FOUNDATION
WALL
FRAMES
FLUOR
ELEMENTS/CONNECTION
OBSERVATION LOCATION
❑ Footing. Stem Walls Piers
❑Concrete :]Steel Moment Frame
❑Concrete
Phase 1, Building #6, Lots
28-31, Framing & shear
['Mat Foundation
❑Masonry El Steel Braced Frame
❑Steel Deck
connectors all levels.
F Caisson, Piles, Grade Beams
xWOod [;Concrete Moment
X Wood
Frame
rl Stepp'g(Retam'g Foundation,
G Others:
I Masonry Wall Frame
C Others
Hillside Special eclal Anchors
NOTED DEFICIENCIES with the proposed corresponding corrective actions with respect to general conformance
with the approved plans or in the bad path: (A final report by the structural observer which states that all observed
deficiencies have been resolved is required before acceptance ofthe work by the building officials,)
No Observed Deficiencies
I DECLARE THATTHE FOLLOWING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE.. r----------
1. 1 AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE
CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE W rFHTHE REQUIREMENTS
OF THE CITY OF RIVERSIDE
2 I, OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND IS
UNDER MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT
EACH SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IFTHE STRUCTURE IS IN
GENERAL CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS;
3 ALL NOTED DEFICIENCIES WHIC REMAIN TO BE CORRECTED HAVE BEEN INDICATED
ABOVE;
4. 1 RECOMMEND THAT ACC PT CE OF THE STRUCTURAL SYSTEMS BY THE CITY OF
Anaheim BI=wl NT A L OBSERVED DEFICIENCIES ARE CORRECTED.
/ 4/12/2024
SIGNATURE OF ST UCTURAL OBSERVER DATE
Per CBC 2019 Sec 1702 & 1704.6
STAMP OF STRUCTURAL OBSERVER
94
Appendix D: Certificate of Completion
LANDSCAPE INSTALLATION CERTIFICATE OF COMPLETION
I hereby certify that
(1) I am a professional appropriately licensed in the State of California to provide
professional landscape design services for: Tract 19170
1075 N. Harbor Blvd., Anaheim, CA (818.928.2690) (project name, mailing address and telephone).
(2) The landscape project for the property located at
1075 N. Harbor Blvd., Anaheim, CA (818.928.2690) (provide street address or parcel
number(s)) was installed by me or under my supervision.
(3) The landscaping for the identified property has been installed in substantial conformance
with the approved Landscape Documentation Package and complies with the requirements of the
City of Anaheim Landscape Water Efficiency Ordinance (Chapter 10.19 of Title of 10 of
Anaheim Municipal Code) and the Guidelines for Implementation of the City of Anaheim
Landscape Water Efficiency Ordinance.
(4) The following elements are attached hereto:
a. Irrigation scheduling parameters used to set the controller;
b. Landscape and irrigation maintenance schedule;
c. Irrigation audit report; and Irrigation audit to be completed once all irrigation has been
installed and prior to final certification.
d. Soil analysis report, if not submitted with Landscape Documentation Package, and
documentation verifying implementation of the soil report recommendations.
(5) The site installation complies with the following:
a. The required irrigation system has been installed according to approved plans and
specifications and if applicable, any prior approved irrigation system alternatives.
WYes ❑ No
b. Sprinklers comply with ASABE/ICC 802-2014 Landscape Irrigation Sprinkler &
Emitter Standard.
Yes ❑ No
(6) The information I have provided in this Landscape Installation Certificate of Completion
is true and correct and is hereby submitted in compliance with the Guidelines for Implementation
of the City of Anaheim Landscape Water Efficiency Ordinance.
27
Kim Takaki
Print Name
llg,aIlY"9 db, Km 1.M
Kim Takaki-0 ::"N.01.3007:2110
07/30/2024
Date
5508
Signature License Number
28924 Old Town Front Street, Suite 202 Temecula CA 92590
Address
(844)934-5263 A 701
Telephone
Landscape Design Professional's Stamp
(If Appropriate)
LLA 5508
SIGNATURE
1 09/3012024
W. DATE
28
ktakaki@w-d-g.com
E-mail Address