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Home My WebLink About1076 TOWNHOUSE DR - Building Permits NJ CITY OF COSTA MESA ,`y �, BUILDING DIVISION 1.1 "''"' ' DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT 41%ft,,,ma`' E99-00886 NOTES: (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 • ELECTRICAL PERMIT Job Address: 1076 TOWNHOUSE DR Status: ISSUED Suite No Applied: 09/20/1999 • Vicinity: Issued: 09/20//,1/9_99 Parcel Nunmber: 93584004 /'/Q/ - ISSUED BY: l/ Applicant: RUDON,MANON Address: RUDON,RALPH T - COSTA MESA,CA . ' /Phone: 949-515-9460 1076 TOWNHOUSE DR#4` Zip: 92626 Owner , RUDON,MANON ' _ • • Address ' -RUDON, RALPH T - -- " 10 111 ...() i , COSTA MESA,CA Phone: 949-515-9460 •• ♦ - 1076 TOWNHOUSE DR#4 Zip: 92626 `� �� 'I r fl Contractor: ' + Address: - 0 , " . . Phone: - , , -iZip: - , + - License: ' • SCOPE OF PERMIT • CREATE NEW AREA FOR A NEW BATHTUB, INSTALL NEW F.A.0 IN THE GARAGE BY THE WATER HEATER., REF B99-01512. - ' FEE SUMMARY , Quantity - - Quantity ISSUE FEE - $23.50 -- -- Temp Dist System/Lighting $0.00 0 Temp service test $0.00 Busway/100 ft $0.00 0 Res.a/c package $0.00 Standing Section $0.00 0 New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0 • New Res(3+units) $0.00 0 • • Transformers up to 1 kva/kw ' $0.00 -0 • Pool/Spa $0.00 0 up to 10 kva/kw $0.00 0 Lighting Fixts ‘ - $0.00 ' 0 - up to 50 kva/kw $0.00 0 Recept Outlets $0.00 0 up to 100 kva/kw $0.00 0 Switches $0.00 0 over 100 kva/kw ' $0.00 0 Non Res Appl $0.00 0 . Low Voltage Equipment $0.00 0 Res Appl _ $0.00 . 0 Low Volt Wiring System/Ckt $0.00 0 Service to 200a $0.00 0 Misc.Conduit $0.00 0 Service to 1000a $0.00 0 Misc. Conductor $0.00 0 Service over 10002 $0.00 0 Circus(gen or ride) $0.00 0 Motors to 1 hp $0.00 0 Circus(mech ride or lights) $0.00 0 Motors to 10hp - - $12.30 1 Christmas Tree Stand $0.00 0 Motors to 50hp $0.00 0 Fireworks Stand $0.00 0 Motors to 100hp $0.00 0 Other Electrical Fee $0.00 Motors over 100hp $0.00 0 Communication drops $0.00 0 Investigation Fee $0.00 Sub panel to 200a $0.00 0 Plan Check Fee $0.00 Pole Light Pkg $0.00 0 Reinspection Fee $0.00 Sign Circuits $0.00 0 Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $35.80 Intermed Pole $0.00 0 COMMENTS/SPECIAL CONDITIONS • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and wit 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 wit maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is issued. My workers'compensation Insurance carder and policy number are: Carrier: Policy Number: (This section need not be completed If the permit Is valued at one hundred dollars($100)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 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. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.# Class# Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county whicfijrequires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement.thet.he.or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)'or that he or she Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit /Objects the applicant to a civil penalty of not more than five hundred dollars($500).): l/ \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. '044,Business and Professions Code_;The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). MAMA , .m. . e•.p / Business and Professions Code for this reason: Lnat :. I/d/1� . te: ( /9.10./ ////,•',�� O, -r ID verified by drivers license. r s 0 No Drive No. Verification of Ownership by(type of document,i.e.-property tax bill of deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3......Doesowteapplican.t..opesent or future need t. _-___ gemeniin —__ ..—...._...__._._-..."-' 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes ❑No —. ._ _._.. __ _.__..__.__ ______--_-._. __-___ —_..-.ion 5 Does he will the ap st ou Quality Ma ar emen building occupant at y other for the work which is the sor age c this a pliestion eggermlt for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? �Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? El Yes 0 No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health end Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes',attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct.I agree to comply ith all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the Gov tribe or Insr�,p ctiourposes.I agree not to occupy or allow occupancy of any building authorized by.Nigpermi) II 'nal Inspection. ', er(s _///1/ bate And/Or Authorized Applicant //C✓� Date CODE E. INSPECTION TYPE PATE INTRIALS CODE to INSPECTIONTYPE p.A1E INTRIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing _ 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition _ 250 Final Building/Occupancy 2445-46 y • -W. , - 4440IW, CITY OF COSTA MESA if-- �,. BUILDING DIVISION PERMIT NUMBE - 1.1 """4 ' DEVELOPMENT SERVICES DEPARTMENT . ni PERMIT #. 899-01512 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1076 TOWNHOUSE DR Status: ISSUED Suite: • Applied: 09/20/1999 Vicinity: Issued: 09/20/1999 Parcel Number: 93584004 Zoning: Applicant: RUDON,MANON ISSUED BY: V r'-` Address: RUDON, RALPH T COSTA MESA, CA ;,: - Phone:T. 949-515-9460 1076 TOWNHOUSE DR#4:r' - Zip: 92626 " -, -, Owner: RUDON MANON % Address RUDON;RALPH T V , t . - .COSTA MESA,CA -Phone. 949-515-9460 Ai \`, A 111076 TOWNHOUSE DR#4 — Zip: 92626 ti rr// v v ; • Contractor:// ,/ .�. V�z �- ,i / jam'..A Address: ,--..--,/ \\\ i /� \'`\ /i%/ \� ; Phone: \��t\\ / \\\\, Zip: ,,y, License:, n Arch : g/ Eng: I v ' ''.,/,% Address: /p/ - -r 4 em ' ,�` /Address: - >f,--, r Phone:- ,1, ' -, _ Phone. ' /,�. Zip: / / J e —License: _ _ - -'A \ -�. j ' "C:License: -, v,,'. SCOPE OF PERMIT \ �. // CREATE'NEW AREA FOR A NEW BATHTUB, INSTALL NEW'F.A.0 IN THE GARAGE BY THE WATER HEATER. FEE SUMMARY . ' Plan Check $72.31 Calc Valuation: 84,100:00 ti , .Permit: $111.25q , ... . . j �.,,jI / .$ , Claim Valuation: ' _ ' 4;100.00' ' SMIP Re .s $0.50 — _ F - ;'. • SMIP Com: $0.00 — - - . / . ' '�'/ � Other ' $0.00 / i , Inspection: • $0.00 , . � C Total `. \$184.06 'tst, -. r ), r, \\>v v; �A,v PLANNING&ZONING i / v" / 1� SETBACKS '/' �� , "—yL Vr. ) , < '' / Qf s'' ,/ Lc// MAIN STRUCTURE Front,— f 0 0",-->:-/L.„,,\,-,\7 Rear „020% ! Left (30 , Right/ 0 01/ - 47 ACCESSORY C, Front 0-'0; N,0-0 " Left --0-0 , Right -V0-0. // PARKING \' Existing: - JO / i/ Required': "-0 - _- Proposed: 0 �• ' / /; / NOTES: - - ' , - , �. , NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 DECLARATIONS 0 y `' WORKERS'COMPENSATION DECLARATION: I hyreby affirfl under penalty 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 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 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 valued at one hundred dollars($100)or less.) O I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation 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. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. • LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.a Class• Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: . ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit sub' cts the applicant to a civil penalty of not 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 structure is not intended or offered for sale(Sec. 7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). I, as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ :xemp r. . _ Business and Professions Code for this reason: 7� 1.1. Al .4.�� Date: ZI�iLf✓�� • . -r ID verified by driver's license. et-Yes 0 No a No. Tres: Sri Air Verification of Ownership by(type of document,i.e.-property tax bill or deed). DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 6,Califomia Administrative Code). O As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). __._. hell.... nor-- u ....t.of ation. acuteel osmate.. .. ._.. ... _.__ .._..__._._."-- 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the Califomia Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is . I agr e to co y with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-desc• e y fo ' spec' urposes.I agree not to occupy or allow occupancy of any building authorized by this pe • until fi al inspection. Sign a6? tD :lure Ot Legal Owner Date And/Or Authorized Applicant Date CODE ft 'INSPECTION TYPE PATE INTITAL$ CODE 0 INSPECTION TYPE PATE IfmTaL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention• 202 Final Factory Fire Place _ 220 Final Planning Approval 203 Final Signm 222 Final Sitem 204 Final Demolition 250 Final Building/Occupancy /Lr 244646 • C2...... G s 0 X43 • 70d o° 0i V7 3S _._s- c. :: a c 13 $ 6 DIVISION OF BUILD��G S�F"�, I_ G,TY OF COS V ]I sra dE toATa 1 el C'lAe�� APPR� APPROVED 1t�� ficalansMUST bekept p'�"'�j teed% otBong CITY OF COSTA MESA yit'any changes a ion on same o'd"idenpe PLANNING DIV. Sa>et1 C'dyolCostaMosa ,kyNOTbettdtoemitor oanMown UBJECT TO BLDG. DEPT. REG. � oftldsDbn� oa City of CostaM Ubina"� o. become null and void the Statebuildingto Y /Z_ DATE I e violation of any P 'd vs o1 issuance. t These plans and Penne shall a tai by Gmt can and031d) vroPt6notcorunencedandmaintainedactiv pet • USCMPLWI FI PLANNEREO INIT.IESM&DATEZONCIN 2O/ /O 76 7cwx(' , vrJS 0/Z HIL / \ \ q ANGLE IRON -1 � `. BRACKET � /1 1111111117313181.PPORT RCO ... 1'MAX BETWEEN rMIN BETWEEN I'MAX BEMEFN ROD 6 FURNACE ROO B FURNACE ROO&FURNACE FIGURE 7-TYPICAL FURNACE INSTALLATION USING SUSPENSION MATERIALS APPROVED CITY OF COSTA MESA PLANNING DIV. SUR.IECT TO BLDG. DEPT. REG. • __ . BY —DATE rLa 0411 lG, t- • f tJIIL11TLNV SAFETY I i ":0S1IX MESA / USE COME LIES WITH ZONIN LOVED f�-3� LANNER INITA_DATE J ease eirtan�thisiehat'Th'Thus l istnlaafidto mindripatrissionkattenitisimotBuiding MA LLPCTherStopermitaMAeana fOVS W/N 8y of Costa Mesa Ordinance ardor State law alien and t>ecorte null and void it the betidi g or repel UBC§303(d)within 180 days of issuance. O ( 650.74-N1 NI— B III I 20--e4tom—2DD J t 3/4 t i r-1 (Vont Connection) r--, , t _o 0 0 • I t POWER WIRING I 134/4 /7I8'HOLE ® 5418 YORK ® A 14414 ® I —44 14—2-02 GAS INLET / ACCESS ® }I • 1-1M"X2-1/2" WIRING Ire'K . 2 _ II OPTIONAL SIDE 32.1/2 ® 1 14 2-1/4 RETURN 16 Sr 1 23.1/20,14— (EITHER SIDE) ® 84/4 1 Sj _ I1-1/6 N.—A_M I-S 26-112 ►r TSTAT WIRING Ire' J ! I � K.O. RIGHT SIDE FRONT LEFT SIDE A _ Moder A B C D i•--B_w P3HUA08N03201 14-12 113-1/4 10-1/8 3 • aC P3HUA12N03201 14-1/2 113-1/4 10-1/8 3 1 . rt :aP3HUAO8N04801 14-12 113-1/4 10.1/8 3 tIIP3HUA12N04801 114-12 13-1/4 10.1/8 328-112j r. 20 t (WITH K0. ii P3HUA72N08.401 14-1/2 13-1/4 10.1/8 _-4 23 'i REMOVED) it P3HUB16N06401 17-12 16-1/4 13-1/8 4 P3HUC20N06401 21 19-3/4 16-5/8 4 1 t �I IJ_ P3HUB12N08001 17-1/2 16.1/4 13-1/8 4 j • 0-•---D *—'1-- j� 3/4' P3HUB16N08001 17-1/2 16-1/4 13-1/8 4 ''''—'1 Vent Connection -T FLANGE P3HUC2ON08001 21 119.3/4 16-5/8 4 TOP IMAGE (vent slim) BOTTOM IMAGE P3HUC16N09201 21 19-3/4 16-5/8 4 (FRONT) (FRONT) P3HUC20N09201 21 19-3/4 16-5/8 4 Al dimensions are in indws and are approximate. _P3HUD2ON10401 24-1/2 23-1/4 20-1/8 4 •MonthFIGURE 1 - UPFLOW/HORIZONTAL FURNACE DIMENSIONS or fplor factoe ry built designator unimayts.6e N forsandamun s or•L'for factory built law NOx units. TABLE 3- RATINGS& PHYSICAL/ELECTRICAL DATA • Air Max. Blower Total Max. Min.Wire Oper. Model° Input OutputTemp Outlet Unit Over- Size(AWG) Wgt. MBH MBH AFUE1 Rise Temp. HP Size Amps Current, @ 75 Ft. (Lbs) °F . °F Protect. One Way2 P3HUA08N03201 40 32 80 30-60 160 1/4 9 x 6 9.0 20 . 14 100 P3HUA12N03201 40 32 80 25-55 155 1/3 10 x 8 9.0 20 . 14 105 SION OF 3CEZIPP4OPPaligtorrY57 46 80 30-60 160 1/4 9 x 6 9.0 20 14 105 CRY OF C Ia4Eas4sol 57 46 80 25-55 155 1/3 10 x 8 9.0 20 14 110 A P P3{{FAIjN06401 80 . 64 80 35-65 170 1/3 10 x 8 9.0 -20 •14 117 P3HU816N06401 80 64 80 25-55 155 1/2 10 x 10 12.0 20 14 126 26401 80 64 80 25-55 165 1 11 x 10 12.0 20 14 140 ffialiorIS MUST be lusali llA4MThiciral,„ 0 80 40-70 170 1/2 10 x 8 12.0 20 14 128 then m Sane Moat rm8appf@to1D6em1M ngan,MAIACAP 80 35-65 165 1/2 10x10 12.0 20 14 134 t¢ot. P3HUC2ON08001 100 60 80 25-55 155 1 11 x 10 12.0 20 14 145 fb oFeafooffoosSH lLISMiA tlunr irlifv5an* ' 80 35-65 170 1/2 10x10 12.0 20 14 145 wisfons of any CAy o1153HUB20alt,arae-Soto Uii3 80 30-60 170 1 11 x 10 12.0 20 14 147 pall exppre by Timiteic. 319ttlbIBBl9(M194Q4rdd JA9 M„w..405 80 35.65 165 1 11 x 10 14.0 20 12 158 iVbl' g;^2.Wir1srjp C}ipat ft in accordance DOE test procedures. 2.Wire size and overcurrent protection must comply with the National Electrical Code(NFPA-70-latest edition) • Eighth place model designator may be"N'for standard units,or'L'for factory built low NOx units. • For altitudes above 2,000 ft,reduce capacity 4%for each 1.000 ft.above sea level. • Who size based on copper conductors,60°C,3%voltage drop. • Continuous retum air temperature must not be below 55°F. • Unitary Products Group • 5 , 1 • I 7,. .:71112.1.. .., ,� r CITY OF COSTA MESA ,y '�",-•, BUILDING DIVISION PERMIT NUMBER t' DEVELOPMENT SERVICES DEPARTMENT 4• rigi�� PERMIT `+ Ontl 6 • qq (714)754-5273 • Fax(714)754-4856 77 FAIR DRIV ,CO R Mt5/e92626 MECHANICAL PERMIT Job Address: 1076 TOWNHOUSE DR Status: ISSUED Suite No Applied: 09/20/1999 Issued: 09/20/1999 Vicinity: ISSUED BY: a- Parcel Number: 93584004 Applicant RUDON,MANON ,j,C'(" , - -- Address: RUDON,RALPH T; -� / - COSTA MESA;CA" Phone: 949-515-9460 1076-TOWNHOUSE DR#4", - Zip: 92626 • _, I - N / //:// \ „ ( / � 'Owner / RUDONMANON � - . . „ i i -, / • �,� Address:'/iRUDON RALPHT - V.--- ��/ �_ , �j COSTA_MESA;CA �- Phone: 949-515-9460 - ) ; , "/ � V,,A 1 V HO VA,,,� / l/ A1076 TOWNHOUSE DR#4 Zip: 92626 � �,�� % � ,,-,A\ R%-/,:- n///n N../// /�/ \ .`'/ \�� Contractor: ,/,/,//22 Address- .,, - _ Phone: • • • : .. . Z p. . . • - . - - �`- `* -License: ` t Arch/Eng f" - - % A ,, ' Address ,/ N.,<' " Phone: N / " . - , Zip: \ .i License:-- , SCOPE OF PERMIT CREATE NEW AREA FOR A NEW BATHTUB, INSTALL NEW F.A.0 IN THE GARAGE BY THE WATER HEATER. - - FEE SUMMARY ? Quantity / , _ I Quantity ISSUE FEE $23.50 Repair/Alt Absorbtion Unit $0.00 0 • Inst FAU <100 k BTU - $14.80 1 • - - Repair/Alt Refrigeration Unit - , $0.00 0, Inst FAU >100 k BTU $0.00 0- - / Ventillation System - , $0.00 0 Repair/Alt Cooling/Heat'•`,,, $0.00 0 - Evaporative Cooler - - $0.00 0 Inst/Rep.IRecess Wall Htr \-41 , $0.00 0 ' T.-:"..-.": Commercial Incinerator Refrig Sys<100 k BTU ,- ` .'-Ii, $0.00. 0 - 7 Domestic Incinerator • - $0.00' 0 Refrig Sys>100 k BTU �A -$0.00- -0,:41.7.'1' •,•;c2-'' - Compressors/Absorption Systems N- Gas Piping _ • .'$0.00 70i'' ' - - Upto3hp/100 kBTU - , 50.00 0 Factory Fireplace //i $0,130.‘,..0 - - - '3 To 15 hp/500 k BTU, 7- ' /$0.00 0 Hood w/Mech Exhaust -,/i , - $0 00 • 0- •- 15 To 30 hp/1,000 k BTU -$0.00 0 VAV Box \�' \ ,/, -$0 00 -0',--,_` ,.N - ' "30 To 50 hp/1,750 k BTU , 1 ."1-"750.00 0 Vent Fan/Single DuctN•_� „ $0.00 0 - - .. ` - _,- - ; Over'50 hp/Over 1,750 BTU. ; - ' $0.00 0 Appliance /4/ $0:00 . 0._, - Boilers - / /' % Fire Dampers �'� $0.00-� 0- Up to 3 hp $0.00 0 Smoke Dampers $0.00 '0 - ' ' 3 To 15 hp • - '; ,-,-- $0.00 0 Inst or Relocate Appl Vent $0:00._ 0 •- 15 to 30 hp ' ' - - $0.00 0 Air Handlers< 10000cfm .. $0.00 - 0 -- . .A\ 30 to 50'hp . . . $0.00 0 Air Handlers> 10000cfm $0.00 0 - Over 50 hp $0.00 0 Floor Furnace $0.00 0 - • ,. - Other Mechanical Fee Floor or Suspend Heater $0.00 0 Investigation Fee $0.00 Plan Check Fee $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES $38.30 COMMENTS I SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain Inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 DECLARATIONS WORKERS'COMPENSATION DECLARATION: • I hereby affirm under penally 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 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 3700 of the Labor Code,for the performance of the work for which this permit is Issued. My workers'compensation Insurance carder and policy number are: Carrier: Policy Number: (This section need not be completed It the permit Is valued at one hundred dollars($100)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 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. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS(5100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.# Class N Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: . ❑ I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is Issued.(Sec.3097,CMI Code). Lender's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: • I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to Its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Busi ss and Professions Code)or that he or she Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit lects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the properly,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. K 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of properly who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale,If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I y: - p'y i Business and Professions Code for this reason: . /.a r�/ID verified by driver's license. /= 'e 0 No Odv= a No. � ; I./P Verification of Ownership by(type of document,i.e.-property tax bill or deed): M DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend, will be made In connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which hes at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are .__.—required to register acutely hazardous materials with the Fire Department. _ . _____ ---- -- __ _.h— ._— . . _. _ _ 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Air(Duality Management District or from any other air pollution control district or agency? U Yes U No (Section 65850.2 of the Califomia Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No (If`yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ es 0 No 6 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct.I agree • •...ly with all tate laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the .•• a-.-, .ed props. •,lion• rpo�es.I agree not to occupy or allow occupancy of any building authorized by this pe it until final Inspection. IQ And/Or Authorized Applicant Date BODE I INSPECTIONTYPE PAIS Iff/MALS CODES INSPECTION TYPE PAIF 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical I0'&`49 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof • 210 Final Electrical 201 Final Block/Retaining Well 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval • 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 2446-46 'it° CITY OF COSTA MESA ' l' , i BUILDING DIVISION , 'it. PERMIT NUMBER DEVELOPMENT SERVICES DEPARTMENT PERMIT `"'itt se P99-00546 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 1076 TOWNHOUSE DR Status: ISSUED Suite No Applied: 09/20/1999 Issued: 09/20/1999 Vicinity: ISSUED BY: Parcel Nunmber: 93584004 - . - VVV Applicant RUDON,MANONI t- c " H ; Address: RUDON, RALPH-3---/----71•- ` COSTAMESA,CA C Phone: 949-515-9460" 7---...--,mac" = \ 1076 TOWNHOUSE DR#4 `, .Zip: 92626 /: / Owner!;RUDON,MANON c - •-•.:\,,,,,'''', ..-tiN. Y.' i v��'�A • Address RUDON,RALPHT'" �N �' C `�,' i/� / �� „ V �COSTA/MSA;CA Phone: 949-515-9460 �V� � ilii/i \, C- id/ r 10766/TOWNHOUSE DR#4 Zip: 92626 :A� A�.`,\ r,// //��' /;ir,''/ ' `\'\�� //�..,`, �`,,s T, ( % I - ;;Contractor: "' " - ` 'Address /7 rte. - • �", -I N �.. - r. - Phone: __ -� • . . =/ Zip - ..� y /j. , .�, I - License: X ' �V ` ^ • ,A f . • r - N A_ , ' 1 Arh/E cng:1 .- 7' _" ,' .j Address:. .. - .. � . -- Zip:\ my • " v License: ,r• SCOPE:OF'PERMIT/ - % H / / , 1, CREATE NEW AREA FOR A NEW BATHTUB, INSTALL NEW F.A.0 IN THE GARAGE:BY THE WATER HEATER._AND RELOCATE WATER HEATER: / FEE SUMMA• RY l AMT QTY .. � - AMT QTY /2 AMT QTY ISSUE FEE\ ; $2350: '. Laundry`Tub/Washer ry $0.00:, 0 Sump Pump ! $0.00 0 Backflow irrigation $0 00 "0 I.Landscape Irrigation .a, $0 00-'- '0 e: •1' Swimming Pool "� /"/$0.00 0 Backflow Preventer ,$0 00 77-C' �r P Trap ,- ` -,. "$0,00 0 ' '-Trap Primer '/ $0.00 0 Bathtub " /.$0.00 '0 ' Pressure Regulator. �"$0.00 "0 • c:',";"Urinal'/ ;,/; , j• / $0.00 0 Clarifier System . A,$0.00, 0 "-AProcess Piping,(per•10,ft),^ ,$000 0 ' Vacuum Brk $0. r Bkflow(1-4) 00 0 Connect(Ice,Soda,etc)N, $0.00- •"�0 - <-Receptors. - (51 _"$0.00 '.70 %Vacuum-Brkr Bkflow(5+) $0.00 0 Dental Units ,.$0.00, 0, �`r , Septic Tank" ` ` ` 5'` $0.00 0 ',Wash Basin!j'/ $0.00 0 Dishwasher N:'$0.00 ` '0• '•-Sewer Cap for Demo - $0.00 _0 Wash Basin Set $0.00 0 Drain, Floor A-$0.007. . /.', ",Sewer Connect _- _$0.00 1 0. �, Waste an -0d Vent System $0.00 0 Drain, Rainwater $0:00 -' 0 ' ‘,".:. Sewer Private Line ' - • ' $0.00 so Water Closet(Toilet) $0.00 0 Drain,Roof $0.00 ; "01; - _ Shower - ' $9.80 1 - Water Heater/vent $12.30 1 Drinking Fountain $0.00 -0 s --- Sink, bar ' -'�\- : -' $0.00 0 . ,- Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 - ['Sink,commercial $0.00 ,• 0 ' . Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink, Floor ' ' '$0.00 0 Water Service $0.00 0 Gas(1-4 outlets) $0.00 0 Sink, kitchen $0.00 0 Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00 Interceptors(Grease, Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $45.60 COMMENTS/SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord.No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty 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 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 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 valued at one hundred dollars($100)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 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. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.# Class# Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit su jects the applicant to a civil penalty of not 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 structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work imself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) li r e• ant to the Contractors License Laws.). • erupt• r Business and Professions Code for this reason: j ignatur /�.� / %l4I er ID verified by drivers license. ■ '. ❑No Driv s Livens No. � Expites:///6702Verification of Ownership by(type of document,i.e.-property tax bill or deed): �J DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,end that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). ............ will o .-tu .., n 3 Does or ithe applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). he-.fac_it__ be constructednder this fro_.. h_ —.—_ 6 Will any part of the facility to be under this permit be within 1000 feet from the outer boundaries of a school? ❑Ves ❑No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). ._.—.__p .it from-___S_. __-._.___ QuayMaaher--__. c_ is required for the work whes_______.__._ 7 a a cation fhav tae South isclos Air Quality ed Management CaliforniaHealtheat or other Sr air pollution controln42303 district been agency for the which is the subject of this application,have all of the disclosures prescribed by Califoia and Safety Code Section made? ❑Yes 0 No 8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I a•rn-= : • -•ly with all ate laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the a-. := cribed prope/ •r'• p:�ioi i rposes.I agree not to occupy or allow occupancy of any building authorizedby � al inspection. gnature Of Legal Owner(s �i/11/tfy — Date And/Or Authorized Applicant Date CODE 4 INSPECTION TYPE P9TE INTITIALs CODE# INSPECTION TYPE PEE INITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing -99 200 Final Re-Roof • 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval .203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 2446-46 • lsi • QV' I If ANGLE RON �� 1/ BRACKET 1111�o IPMHPPORT 1'MAX BETWEEN r MIN BETWEEN 1'MAX BETWEEN ROD&FURNACE ROD&FURNACE ROD 8 FURNACE FIGURE 7-TYPICAL FURNACE INSTALLATION ' USING SUSPENSION MATERIALS APPROVED / • CITY OF COSTA MESA _ I PLANNING DIV. cuRIFCT TO BLDG. DEPT. REG. IBYDATE T i DIV .ION OF BI919.1( IEW,SAFETY I i CIA P P R ED 1 —% LANNERit USE FIN WITH ZONIN . By / �� I l I I This set of plans and �MUSTaltand S to I make any changes a:•>.,'r on same wihmfwftenpa:insutfwmNe Mice of aiding and Safety,City of ... Mesa. 1 WAI The stamping ofthis pta and spedflatic1sSMALL MOT beheld topen)ortobeanapproval of the violation of any . ovisions ofr�City of Coda Mesa Ordinance atdlor State law. These plans and pe : shall expire by limitation and became null and void it the budding or wort is not .. and maintained active per UBC§303(d)with l 180 days of issuance. I 0 . -; - �� rvwt_t I-real I Rill taAa-rIHED FURNACES IND, • 'ED-DRAFT ) • 650-74-N1 INSTALLATION INSTRUCTION Supersedes: 650.74-N1Y(297) ----1 650.74-N1Y(797) / D _` r•— B 1 1411 20-1•1 • J L 3/4 r r r1 (Vont Connection) r—t I 1 - DIAMOND 80 SERIES FURNACES 035-142230. 1 e e o 1 POWER WIRING 13314 V 7/8•HOLE 6/ 53�I8 14314 MODELS: P3HU MODELS P3DN TO RK ® . N_ 1. �� .-2•v2 I (Upflow/Horizontal) (Downflow) ACCESS I 32-104 MBH OUTPUT 32-104 MBH OUTPUT 4o GAS INLET WIRING 1-ion X2-1/2" yr K.O. _� 2 I � °l I • I OPTIONAL SIDE m J2.112 I /4 I 2-114 F - �4I RETURN CUT-OUT �— IIII iII�'' ' (EITHER SIDE) ® 6y4 116I ® �' 2311,—f�voi< I______________AY 101IIII1Isw i 1-1/8 • II ® IIII Ir �—A—rrr se-- LE --28-1/2 TSTAT WIRING I� / \ 7/8•K.O. RIGHT SIDE HORIZONTAL(RIGHT) FRONT LEFT SIDE YORK A Moder A B C1 D xo B� C P3HUA08N03201 14-1/2 13-1/4 10-1/8 3 I\ _ ® �' -•---- P3HUA12N03201 14-1/2 13-1/4 10-1/8 3 \1 ' t P3HUAO8N04601 14-12 13-1/4 10-1/8 3 44;I' IIII Al I !.I II P3HUA12N04801 14-1/2 13-1/4 10-1/8 3 UPFLOW t�;N IIII Of> /' I ® v 20 28-112 Ii (WITH K0. 1 P3HUA12N06401 '1412 • 13-1/4 10-1/8 _4 11_ III ES 7T �9 23 1, REMOVED) I'j P3HUB16N06401 17-12 16-1/4 13-1/8 4 DOWNFLOW I 11! II I P3HUC20N06401 21 19-3a 16-5/e a II 1 P3HUB72N08001 17-1/2 16-1/4 13-1/8 4 { ki • HORIZONTAL(LEFT) t Q+ Lz 0 J � 3/4" P3HU816N08001 17-1/2 16-1/4 13-1/8 4 \ FLANGE Vent Comedian P3HUC2oN08001 21 19-3/4 16-5/8 4 TOP IMAGE (rent dm) BOTTOM IMAGE P3HUC16N09201 21 19-3/4 16-5/8 4 CAUTION (FRONT) (FRONT) P3HUC2ON09201 21 19-3/4 16-5/8 4 eWey THIS PRODUCT MUST BE INSTALLED IN Nl dimensions are In inches and areapproxlmata P3HUD2ON10401 24-1/2 23-1/4 20-1/8 4 I 'jilts A STRICTCOMPUANCE WITHTHEENCLOSEDIN- FIGURE 1 - UPFLOW/HORIZONTAL FURNACE DIMENSIONS Eighth aa�model designator may be'N'forstandard units e• STALLATION INSTRUCTIONS AND ANY APPLICA- or L'for factory built low NOx units. ® BLE LOCAL, STATE, AND NATIONAL CODES IN- CLUDING N- TABLE 3-RATINGS& PHYSICAL/ELECTRICAL DATA CLUDINGBUTNOTLIMITEDTO, BUILDING, KTIfl) ELECTRICAL AND MECHANICAL CODES. Air Max. Blower Total Max. Mi ,Wire Oper. Model * input Output TempOutlet Unit Over- Size(AWG) W , ji MBH MBH FUE1 RiflTemp. HP Size Amps Current, @ 75 Ft. (Lbs) WARNING I 20 2 FOR YOUR SAFETY A IMPROPER INSTALLATION MAY CREATE A P3HUAO8N03201 40 32 80 30 60 160 1/4 9 x 6 9.0 0 - 14 100 CONDITION WHERE THE OPERATION OF THE P3HUAI2NO3201 40 32 80 25.55 155 1/3 to x 8 9.0 20 14 105 O WHAT TO DO IF YOU SMELL GAS _ PRODUCT COULDAGEE PERSONAL INJURY DIVISION OF inren@aea@t41wlt'ys7 46 80 30-60 160 1/4 9 x 6 9.0 20 14 105 OR PROPERTYTY DAMAGE. / • Do not try to light any appliance. CrTY OF CCIS%aIM1pSA4801 57 46 80 25-55 155 1/3 10 x 8 9.0 20 14 110 I� APP V FADNos4o1 80 64 80 35.65 170 1/3 10 x 8 9.0 -20 - 14 117 • Open windows. FOR YOUR SAFETY y i P3HUB16N064O1 80 64 80 25-55 155 1/2 10 x 10 12.0 20 14 126 • Do not touch any electrical switch; Do not store or use gasoline or other flammIl � �� „2_31:11&2_08)6401 80 64 . 80 25-55 165 1 11 x 10 12.0 20 14 140 do not use any phone in your building. vapors and liquids in the vicinity of this or�1 OM aM speckabols M1STbe i,:.;,r.,.<E.,r i.r::.^r..:. .., M .. :p 80 40-70 170 1/2 10 x 8 12.0 20 14 128 I other appliance. chant t b)pD nis;,;•:;r 80 35.65 165 1/2 10 x 10 12.0 20 14 134 • Extinguish any open flame. and Safey,Cty of� P3HUC2ONO8001 100 :0 80 25.55 155 1 11 x10 12.0 20 14 145 llradutn9of8isplarandsplali�oraSHAJABB11t6A 2811datiA6ap�a 2 80 35-65 170 1/2 10x10 12.0 20 14 145 • Immediately call your gas supplier from a WARNING: Improper „Of d y 1 bn of a1y provisions of any City d�gt� gw; �S�Iq I„g3 80 30-60 170 1 11 x10 12.0 20 14 147 neighbor's phone. Follow the gas supplier's installation, adjustrne t, asand Rend instructions. teration, service or maintenance can cause 1 pe Shall erre by Gmilaiici RB1tlbIpS7991ilUAfAl.:,1 ttl,'rp tr "n"9 FPS 80 35-65 165 1 11 x 10 14.0 20 12 158 or property damage. Refer to this manual. Forn,tcar•nencedandreaitairedactivePrt "t-�9?•(41F(Ye1r1 • &i4Agwbcetdebapnined In accordance with DOE test procedures. If you cannot reach your gas supplier,call the sistance or additional information,consult aquell- 2.Wire size and overcurrent protection must campy with the National Sectrical Code(NFPA-70•latest edition) fire department. fled installer,service agency or the gas supplier. Eighth place model designator may be'IN'for standard units,or'V for factory built low NOx units. • For altitudes above 2,000 ft.,reduce capacity 4%for each 1,000 ft.above sea level. I • Wire size based on copper conductors,60°C,3%voltage drop. • Continuous return air temperature must not bbelow 55°F. Unitary Products Group 5 I