HomeMy WebLinkAbout2021 KORNAT DR - Building Permits CITY OF COSTA MESA
* t"lresq BUILDING DIVISION
F41 77 FAIR DRIVE.COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714)754-5626
''°^^ °". PERMIT NUMBER: P10-00145
PERMIT TYPE PLUM STATUS: ISSUED
APN: 13945104 DATE ISSUED: 11/02/2010
ISSUED BY: RMD
JOB ADDRESS: 2021 KORNAT DR CM Suite/Unit:
Vicinity:
SCOPE OF WORK: PLUMBING PERMIT TO REPLACE AN EXISTING WATER HEATER.
OWNER: GOSS, DAVID E TR Address: 2021 KORNAT DR
PHONE: 714-540-2009 City/State/Zip: COSTA MESA,CA
APPLICANT: DRIVINGHAWK,MATT Address:
PHONE: 866-692-5273 City/State/zZip:
CONTRACTOR: CALIFORNIA DELTA MECHANICAL INC License No. 811114
Address: 1235 GRAND AVENUE PHONE: 800-898-0008
City/State: SPRING VALLEY, CA ZipCode: 91977 CELL: 866-692-5273
ARCHITECT: License No. PHONE:
ENGINEER: License No. PHONE:
PLUMBING PERMIT FEE SUMMARY
PLAN CHECK FEE: $0.00
PERMIT FEE: $35.80
TOTAL FEES: $35.80
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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.
CODF S. INSPECTION TYP 047E IN1111ALS CODES INSPECTION TYPE DATE IN1111ALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical /1
1266 Pool Spa Final 208 Final Plumbing 12-2-1-'I C2 //],P
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
WORKERS'COMPENSATION DECLARATION• Owner ID verified by driver'sllCense. ❑Yes ❑No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
O I have and will maintain a certificate of consent to self-Insure for workers' ;Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor'Code, for the
performance of the work for which.this permit is issued.
carI have and will maintain workers'compensation insurance, as required by •
'
ca
3700 of the Labor Code, for the performance of the workDIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
'for which this -
permit is issued. My workers' compensate n Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: I 1I person is required to descend, will be made in connection with work authorized
�d a f�, r/1 by this permit,and that no building structure,scaffolding,falsework,or demolition
Garrerz-� NI 2
Lam-- or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(Th: section need rat ewmplele dthe permit is valued at one hundred dollars 0100)or less.) 2 Art 2,Sec. 341,Title B,California Administrative Code).
Policy-Number. L 9782 3
I. j 0 As owner-builder, I will not employ anyone to do work which would
O I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above, unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of Appl¢anfs Signature Date
the Labor Cod , all forthwith comply with these provisio s.
It/OI / ID Division of Industrial Safety Permit Number:
7rRl ara,Signature—> Date
tn HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes ❑ No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my licenseisin full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No
Ltd -a- O I I ' I y [Class.#2," (Section 25533 of the California Health and Safety Code, with some
m Id exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
iftr—
anars signawre oa�e�• 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec. 3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑ No
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 (Section 65850.2 of the California Government Code requires that the requested
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on applications for non-residential building permits).
Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑ No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No
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 8. (If"yes", attach certificate of compliance from the appropriate air pollution
sale. If, however, the building or improvement is sold within one year of control officer). .
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). ' ' • information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044, Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or Improves thereon.and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
Pj?e at L•L•-I Owner(s) Date
Signature Date 11,� 12.1 0 I / /17
3057-46(3/071
G Authonretl•Apohcant,-a- Cpate--
r,t•:r:'i yin' ,t.irill.ilea(Q t ctimulience.: Rceid,ontitd _,
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h'Nide 1II'UII((tintior�s WATER13EATER _ a'nj;c;lofI)
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np .i shidle Finily Cl Multilem(ly _ Circle the Prost°limitation:N,B,S,W,or degrees�_
t mraditinm:d 19eor Arca(CPA): Project Type: ❑Alterations O Bnvelopc O Peneshetion ❑Roof Cl D.VIsC
Re lacement or Out 0 Duce Replacement 0 Water Heater
....,,..._...,......,. �....`........_.-...�_ 0 Cham
11'Atli lilt 11EA'LING
all ivaiar hr Heart mid bollen for both domestic hot water MEW
)hearers and hytfronic apace heating. individual dwelltngDHW heaters must be
y,,u or prtyuma freed,and may not exceed 50 gallons. Hot warerpipe insulation from the DEW heater to the idtchen(s)and on all underground hot
pima,pip:‘is niguired in all component package.,in all climate zones.
._... Bxternal Tank-
Wntcrlit:eicrTypo/Fuel Distribution Type Number In Tank Energy Factor ar Insulation
Type' • Standre'd Retitooletla_' ' : eta C:.•act _ _ Thecal ffloi®• A-Valuer
Tat 1 /gni s .. % 4,: -oa ,• ., 14s1___�
I. In,licatc Type(Storage Gas,Heat Pump,lntantaneous, era)
lteahnulaling.rpstems serving multiple dwelling units shall meet the recirculation requirements of,§250(1). The Prescriptive requirements do
am al/ow the installation ofa recirculating water heating system for sing&dwelling units.
i,Th,:tarc)nut wcral•heating(auk andpipes shall be insulated to meet the requirements of§150(1).
Ducamoutntimt Author's D°titivation Statement •
a i chilly that t�hiia Cord:
eaat�e of C Mince doe= 'on is accurate and complete,shin:: , A//j�'-ff t{{ ( •/ /y/Signet= . L�J ry�j ` _:
C(mpany: Date:
Gali( =ocnCc- Del a- (` )eehuntca,l 1I — Z -1t)
(.00,;(1, E. `2 ase-k t Ne. R a a• i 7s— IYApplieabie Q CEA or Cl(:FPB
ot4ctiDa if):I c SlntrIuip: Phone:Mes4 . 9S21D(r2 _.
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livatiuualblc Building Dcsigncr'e Declaration Statement •
I am eligiblo condor Division 3 of the California Business and Prof ssione Code to aweptreeponslbility ter the building deaigu identified oathis
f'orIilicme of Compliance.
I r::I city that the energy features and petformande specifications for the building design identified on thio Certificate of Compllanae conform to
tl:t:,rogniru:uente of Title 24,Pana 1 and 6 of the California Code Of Ragulatl'ons.
• IIto building design features identified on this Certifioate of Compliance are consistent with the information provided to document this
Inti Idiot;design on the other applicable compliance forms,worksheets,calculations,pinna and specification submittedto the enforcement
emiet�'C�u�e�ayiiJ]nnva w' •this bui1din: .•.•t a.phcation t. //
ti:uW'I t-4 Ii 1 I Signature:. �Oi'1Ji�4r i 144.5.- •
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'„l Lt:a": License: V_
LOU'Sto: t. (3abeYtue Cad 'I* ISS— 84\ l'--+
€'ilyn,A (rfi,i ; Phone:
V\(4a1. A7- a -11-23(.06017-(092-5-D.73
""•',•a.ta'i tante or questions regarding the Energy Standards,contact the Energy/Iodine at 1-800-771-3300.
•
•::,m,"r Naadaa'; Registration Date/Time: AFP.v Provider 'A ON
' ;,,,al:l,:III;rtlt9uIfpiLmICCFormS 3A3IS NVSy Ol :;9lOZ .
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INSTAI%d1/41.110NC.I;R'IWJCA'PT CII-6R MI,Ctt-ill
Ilumcelia lint:Warn' (.011W) _ _ (ILacior'�)
Site Maryut,. � Dr. Et orcement alley: Permit Number::
AWA!� or D/e1r_A.�
11EATiNG SYSTEMS:
Distribution Rated
CCC Type if fl of Input(kW Tank Sttuult.:
I letter Coni Fled Mfr Nom&Model (SW,Point.af- Recirculation, identical or Volume Efficient Ines
_yyno Number
Ups,ate) Control Type Systems Btu/Iv)t (Fallon') (EP,RB) (' l`
1-6P
rt�
rnjPOw r-1?b9.007 MIA N/,17 6 qb Lig o .cQ %
•
Nara I:For small gar storage(rated input less than or equal to 73,000 BtuAr),electric re ,bane and heat pump water heaters, list
/Minty Factor(SF).For large gas storage water healers(rated input of greater than 75,000 Btu/hr),list Recovery Efficiency(RE),
Morton/Efficiency,Standby Loss and Rated Input. For Instantaneous gas writer hearers, list the Thermal Efficiency and Rated Input.
2. Mandatory Measures
'f0 COMPLY-ALL BOXES MUST BE CHECKED
§110-§113:Water heaters,showerhead and faucets are certified by the California Energy Commission.
§1500): Water System Pipe and Tank Insulation.And Cooling Line Insulation
I
I. Storage tank insulation
A.Storage gas water beaters rated with an Energy Factor no greater than the federal minimal standard are
externally wrapped with insulation having an installed thermal resistance of R-12 or greater;and
B.Unfired storage tanks or other indirect hot water tanks have R-12 external insulation or R-16 internal
insulation whew the internal insulation R-valut is indicated on the exterior of the tank.
Water piping and cooling system line insulation thickness and conductivity
First 5 feet of hot end cold water pipes closest to water heater tank,non-recirculating systems, and entire
length of recirculating sections of hot water pipes are insulated per Standards Table 150-B;and
1:E1 Pipe insulation for steam hydropic heating systems or hot water systems>15 psi,ttteets the requirements of
Standards Table 123-A.
Insulation is protected from damage,including that due to sunlight,moisture,equipment maintenance,and
wind.
§151(f)8D:I f indicated on the CF-1R,all hot water piping that runs from the hot water source to the kitchen fixtures i::
insulated pot Standards Table 150-B.
•
2(108/krideutial Compliance Forms August 200"
7 .� R9�4 '�N 3A318 Wtl9b:01 OIOZ 'Z 'A0N
in',STAI,L,A ION CERTIFICATE C;r-Gli IV1Y('.i. n:\...1
Unuu<slic• Hai Witter(Dr3VV) v�V-M -- . .��_ (.1'2119.21 al 21
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title nddres•: Rorerci ant Age ncy: Permit Number:
021 yt�� 1�. If
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3. Cetitrnl W ntcc licking in Buildings with Multiple Dwelling Units(required for prescriptive)
'PI)COMPLY•ALL BOXES MUST BE cBEC1Q D.
V All hot water piping in main circulating loop is insulated to requirements of§150(j)
C- entral hot water systems serving six or fewer dwelling units which have(1)less than 25' of distribution piping
outdoors;(2)zero distribution piping underground;(3)no recirculation pump;and(4)insulation on distribution
pipiug that meets the requirements of Section 150(1).
C- entral hot water systems serving more than 6 dwelling units•presence of either a time control or a
time/temperature control
•
•
•
DECLARATION STATEMENT •
• I certify under penalty of perjury,under the laws of the State of Califbmia,the information provided on this form is true and coneel.
• I ant eligible under Division 3 of the Business and Professions Code to accept reeponalbility for construction,or an authorized
representative of the person responsible for construction(responsible person).
• I certify that the installed features,materials,components,ormanufactured devices identified on this certificate(the installation)
conforms to all applicable codas and regulations,and the installation is consistent with the plats and specifications approved by the
eainrcemonl agency.
• I reviewed a copy of the Certificate of Compliance(CF-IR)form approved by the enforcement agency that identifies the specific
requitemonis for the installation. I certify that the requirements detailed ou the CP-IR that apply to the installation have been met.
• I will ensure that a completed,signed copy of this Installation Certificate shall be posted,or made available with the buildbq;
peruh(e)Issued for the building,and made available to the enforcement agency for all applicable inspections, I understand
Ilial n signed copy of this Installation Certificate is required to be included with the documentation the builder provides to
lilt building owner at occupancy.
Company Name: (Installing Subcontractor or General Contractor orBuilder/Owner)
.C.�1tnla 1)'W, `Me7Q) n\C .1
Itutuousrble P,erso ' Name: "KWAAC Reaponaibleneigo arse z "
_ ithC ....(��__. .... .-
C151.I1 I,icmnse: ate Signed; `isoaition With Campan (Title):
8111 I'-f- . \\_Z-1 D Fee-n-it -Mai
'UON lic.videnlinl Compliance Fon= August 2(100
7
i ,1 A914 oN 3A31S WV9b,Ol OIOZ •Z 'AON
Mandatory Measures Summary MF-1R
Residential (Page 1 of 3)
911cAddress:02—` , , ^, Enfo trtent Agenc : Date:
- 4
7-47
NOTE: Low-rise Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed,
regardless of the compliance approach used. More stringent energy measures listed on the Certificate of Compliance(CF-I R,
CF-IR-ADD, or CF-IR-ALT Form)shall supersede the items marked with an asterisk(*)below. This Mandatory Measures
Summary shall be incorporated into the permit documents and the applicable features shall be considered by all parties as minimum
component performance specifications whether they are shown elsewhere in the documents or in this summary. Submit all
,gplicahle sections of the MF-IR Form with plans,
DESCRIPTION
Building Envelope Measures:
§116(a)I; Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage.
§116(a)4: Fenestration products(except field-fabricated windows)have a label listing the certified U-Factor,certified Solar Heat Gain Coefficient
(SHGC),and infiltration that meets the requirements of§10-111(a).
g117; Exterior doors and windows are weather-stripped;all joints and penetrations are caulked and sealed.
§118(a): Insulation specified or installed meets Standards for Insulating Material. Indicate type and include on CF-ER Form.
41180): The thermal eminence and solar reflectance values of the cool roofing material meets the requirements of§118(i)when the installation of
a Cool Roof is specified on the CF-1R Form.
"§150(a): Minimum R-19 insulation in wood-frame ceiling or equivalent U-factor. •
§150(b): Loose fill insulation shall conform with manufacturer's Installed design labeled R-Value.
9130(c); Minimum R-13 insulation in wood-frame wall or equivalent U-factor.
9150(d): Minimum R-13 insulation in raised wood-frame floor or equivalent U-factor,
§150(f): Air retarding wrap Is tested,labeled,and installed according to ASTM 331677-95(2000)when specified on the CF-lRForm.
§150(g): Mandatory Vapor barrier installed in Climate Zones 14 or 16.
§150(1): Water absorption rate for slab edge insulation material alone without fhcings is no greater than 0.3%;water vapor pemreance rate is no
_ greater than 2,0 perm/inch and shall be protected from physical damage and UV light deterioration.
Fireplaces,Decorative Gas Appliances and Gas Log Measures:
§150(e)1 A: Masonry or factory-built fireplaces have a closable metal or glass door covering the entire opening of the firebox.
§150(c)18: Masonry or factory-built fireplaces have a combustion outside air intake,which is at least six square inches in area and is equipped
with a with a readily accessible,operable,and fight-fining damper and or a combustion-air control device.
§150(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket,when that indoor air is vented to the outside of the
building,are prohibited.
Space Conditioning,Water Heating and Plumbing System Measures;
§1 10-§1 13: HVAC equipment,water bearers,showerheads,faucets and all other regulated appliances are certified by the Energy Commission.
§113(c)51 Water heating recirculation loops serving multiple dwelling units and High-Rise residential occupancies meet the air release valve,
backflow prevention,pump isolation valve,and recirculation loop connection requirements of§113(c)5.
§1 15: Continuously burning pilot lights are prohibited for natural gas:fan-type central furnaces,household cooking appliances(appliances with an
electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt),and pool and epa heaters,
§150(h): Heating and/or cooling loads are calculated in accordance with ASHRAE,SMACNA or ACCA.
§150(i): Heating systems arc equipped with thermostats that meet the setback requirements of Section 112(c).
§I 506)I A: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped with
insulation having an installed thermal resistance of R-12 or greater.
§150O I B: Unfired storage tanks,such as storage tanks or backup tanks for solar water-heating system,or other indirect hot water tanks have R-I 2
external insulation or R-16 internal insulation where the internal insulation R-value is indicated on the exterior of the tank.
g150(02: First 5 feet of hot and cold water pipes closest to water heater tank,non-recirculating systems,and entire length of recirculating sections
of hot water pipes are insulated per Standards Table I50-B. •
§150(j)2: Cooling system piping(suction,chilled water,or brine Ilncs),and piping insulated between heating source and indirect hot water tank
shall be insulated to Table 150-B and Equation 150-A.
§I50(j)2: Pipe insulation for steam hydronic heating systems or hot water systems>15 psi,meets the requirements of Standards Table 123-A, _
§150))3A: Insulation is protected from damage,including that due to sunlight,moisture,equipment maintenance,and wind.
§I S06)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely In conditioned space. _
2008 Residential Compliance Forms August 2009
Eb 'd 89LS 'ON 3A318 WVC* OI @LUZ 'b 'A0N
Mandatory Measures Summary MF-1R
Residential (Page 2 of 3)
SitzAddress: I, d 1 ��. Enforcement Agen•y Deng: I `� I b
/_ ck, Enforcement
gen-silzt 10-4A, `
§150(j)4; Solar water-heating systems and/or collectors are certified by the Solar Rating and Certification Corporation.
Ducts and Fans Measures:
§I500n)l:All air-distribution system ducts and plenums installed,are sealed and insulated tomeetthe requirements of CMC Sections 601,602,
603,604,605 and Standard 6-5;supply-air and return-air ducts and plenums are insulated to a minimum installed level of R-4.2 or
enclosed entirely in conditioned space. Openings shell be sealed with mastic,tape or other duct-closure system that meets the applicable
requirements of UL 181,UL 181A,or UL 181B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to
seal openings greater than 1/4 inch,the combination of mastic and either mesh or tape shall be used
§150(m)h:Building cavities,support platforms for air handlers,and plenums defined or constructed with materials other than sealed sheet metal,
duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts.
Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts.
§150(m)2D:Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape
_ is used in combination with mastic and draw bands.
§150(m)7:Exhaust fan systems have back draft or automatic dampen.
§150(m)8:Gravity ventilating systems serving conditioned space have either automatic or readily accessible,manually operated dampers.
§150(m)9:Insulation shall be protected from damage,including that due to sunlight,moisture,equipment maintenance,and wind.Cellular foam
insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that
can cause degradation of the material.
§150(m)l0:Flexible ducts cannot have porous inner cores.
§150(o); All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air Quality in
Low-Rise Residential Buildings.Window operation is not a permissible method of providing the Whole Building Ventilation required in
Section 4 of that Standard.
Pool and pa Heating_Systems and E9ulpment Measures:
§114(n): Any pool or spa heating system shall be certified to have:a thermal efficiency that complies with the Appliance Efficiency Regulations;
an on-off switch mounted outside of the heater;a permanent weatherproof plate or card with operating instructions;and shall not use
electric resistance heating or a pilot light.
§114(b)1:Any pool or spa heating equipment shall be installed with at least 36"of pipe between filter and heater,or dedicated suction and return
lines,or built-up connections for future solar heating
§I l4(b)2:Outdoor pools or spas that have a heat pump or gas heater shall have a cover.
§I I4(b)3: Pools shall have directional inlets that adequately mix the pool water,and a time switch that will allow all pumps to be set or
programmed to run only during off-peak electric demand periods.
§150(p); Residential pool systems or equipment meet the pump sizing,flow rate,piping,filters,and valve requirements of§l50(p).
Residential Lighting Measures:
§I50(k)I: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies contained in
Table 150-C and Is not a low efficacy luminaire as specified by 4150(k)2, _
§150(k)3: The wattage of permanently installed luminaires shall be determined as specified by§130(d),
§I50(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no leas than 20 kHz.
§I50(k)5; Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain only high
efficacy lamps meeting the minimum efeaclea contained in Table IS0-C and shall not contain a line-voltage socket or line-voltage
lamp holder;OR shall be rated to consume no more than five watts of power as determined by§130(d),and shall not contain a medium
screw-base socket.
§150(k)6: Lighting integral to exhaust fans,in rooms other than kitchens,shall meet the applicable requirements of§150(k).
§150(107: All switching devices and controls shall meet the requirements of§150(k)7.
§150(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy.
EXCEPTION:Up to 50 watts for dwelling units less then or equal to 2,500 f'or 100 watts for dwelling units larger than 2,500 fir may be exempt
from the 50%high efficacy requirement when:all low efficacy luminaires in the kitchen are controlled by a manual on occupant
sensor,dimmer,energy management system(EMCs),or a multi-scene programmable control system;and all permanently installed
luminaries in garages,laundry rooms,closets greater than 70 square feet,and utility rooms are high efficacy and controlled by a
manual-on occupant sensor.
§150(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of illuminated
cabinet.
§I50(k)1 0: Permanently Installed luminaires In bathrooms,attached and detached garages,laundry moms,closets and utility rooms shall be high
efficacy.
2008 Residential Compliance Forms August 2009
•
V d 89LS 3/131S INVL*UL oto 'A°N
Mandatory Measures Summary ME-1R
Residential • (Page 3 of 3)
Site Address:\ t , hn t— r Enforcement Agency: Date:
EXCEPTION I: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual-on
occupant sensor certified to comply with the applicable requirements of §119.
EXCEPTION 2: Permanently installed low efficacy luminaires In closets Iwo than 70 square feet are not required to be controlled by a
manual-on occupant sensor.
6150(k)11: Permanently installed luminaires located in rooms or areas other than in kitchens,bathrooms,garages,laundry moms,closets,and utility
rooms shall be high efficacy lulmnaires. •
EXCEPTION l:Permanently installed low efficacy luminaires shall be allowed provided they are controlled by either a dimmer switch
that complies with the applicable requirements of§I19,or by a manual-on occupant sensor that complies with the
applicable requirements of 4119.
EXCEPTION 2:Lighting in detached storage building less than 1000 square feet located on a residential site is not required to comply
with§150(k)11.
4150(k)12: Luminoirca recessed Into insulated ceilings shall be listed for zero clearance insulation contact(IC)by Underwriters Laboratories or
other nationally recognized testing/rating laboratory;and have a label that certifies the lumiunaire is airtight with air leakage Icss then
2.0 CFM at 75 Pascals when tested in accordance with ASTM E283;and be sealed with a gasket or caulk between the huninaire housing
and ceiling.
§150(k)13: Luminaires providing outdoor lighting,including lighting for private patios in low-rise residential buildings with four or more dwelling
units,entrances,balconies,and porches,which are permanently mounted to a residential building or to other buildings on the same lot
shall be high efficacy.
EXCEPTION I:Permanently installed outdoor low efficacy luminaires shall be allowed provided that they are controlled by a manual
on/off switch,a motion sensor not having an override or bypass switch that disables the motion sensor,and one of the
following controls:a photocontrol not having an override or bypass switch that disables the photocontrol;OR an
astronomical time clock not having an override or bypass switch that disables the astronomical time clock;OR an
energy management control system(FMCS)not having an override or bypass switch that allows the luminaire to be
always on
EXCEPTION 2:Outdoor luminaires used to comply with Exception)to§150(k)13 may be controlled by a temporary override switch
which bypasses the motion sensing function provided that the motion sensor is automatically reactivated within six
hours.
EXCEPTION 3:Permanently installed luminaires In or around swimming pool,water features,or other location subject to Article 680 of
the California Electric Code need not be high efficacy luminaires.
§150(k)14: Internally illuminated address signs shall comply with Section 148;OR not contain a screw-base socket,and consume no more than five
watts of power as determined according to§130(0).
§150(k)I5:Lighting for parking Iota and carport'with a total of for B or more vehicles per site shall comply with the applicable requirements in
Sections 130, 132, 134,and 147.Lighting for parking garages far 8 or more vehicles shall comply with the applicable requirements of
Sections 130,131,134,and 146
§150(k)16:Permanently installed lighting in the enclosed,non-dwelling spaces of low-rise residential buildings with four or more dwelling units
shall be high efficacy luminaires.
EXCEPTION:Permanently installed low efficacy luminaires shall be allowed provided that they arc controlled by an occupant sensor(a)
certified to comply with the applicable requirements of§119.
2008 Residential Compliance Forms August 2009
SZ 'd 89LS '°N • 3A31S WV8b:01 0106 'Z 'A0N
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
PERMIT NO. TRACT NO. LOT NO. UNIT NO.
CITY OF COSTA M ]A CPNST UCT1.hON�ERN�T 3$•3 _3 A.P.# I Zone
ect Address /+��^I �/-/��/ t�y7Y.,l� ��J�J'1�.�,, _ S Main Building: _ Accessory Building:
A}Lplicant's Mail' Address /5-3-4 c ' 7 C CeS -�J TYPE OF CONSTRUCTION IEW sw ADD U ALTERATION U REPAIR E Z
- him/.," �>u(J El] CONVERSION ❑ DEMOLISH •T R T Front o
Owner's Na e P lTU �l —
DES.' PTION OF WO' is F %rf ausais mij���tr B Rear N
Address • .r I J . et'' Q/ �S :i�J1R�1i3�!, # Right
N
..se !� ilir- TYPE OF PERMIT GRADING r� OUN DATION �� T UCTU RAL g
Arch/Eng. License No. _ /! - — - G
• la
C2T7 ❑ TENANT 0 ELECT0.ICAL N PLUMBING ME�3/� S ' Left
Address `J>�
,// .• ❑ OTHER !! Pin Ref.# ParkingE
Contractor's Na :�• JI..- JLC, i+ p_Z 9• Req./Provided Q
rr M iw PROJECT DESCRIPTION SO. FT. OCCVPA ...0•�C-?�,�,
Address(mailing) iJ�-/ .//I C 4/ / Planning Notes: M
ij —s CONSTRUCTION TYPE •-stew VALUATION$
City License No. ^, vl3 Z0N82..._-- GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION S.
I hereby affirm that I am licensed under provisions o/Charter 9 (commencing Remarks: C 11 / vJf /L
7/
with section 7000) of DiviSlo yy1,s Business and Professlggqns code,any S/N Oka- , ,. c v(9 r../✓.._,A /Lohse.
mylicense is in full force and fact 40. - N ��/ /._S /f es / //1 /• - /t + / +• ELECTRICAL FEES
.✓/ J L 7 VL/3 ` C Z Sic • /2i o
Date n�' Fl Signature ��T�a PLUMBING I FEES Automatic Washer Transformer 0 15.50 KW
Q0
WORKS• ' ••A ' NSATION DECLARATION Construction Pole Sub. 50+KW
I hereby affirm that 1 have a certificate of consent to self 1,00 or certificate Bar Sink Showers
of Workers' Compensatio I e, or a cert d • ther 9 (SectionCooking Unit Meter Oup to 100 amps
3800, Lab ) Backflow Preventer Service Sink
—
\ P Policy N Company • Backflow Irrigation Sewer Ca Dishwasher Meter [Dover 100 amps
Certifies copy's her•y furnished. v—
�7 f�
er copy s e' 4'with the city Bulli•• y• ♦ Bathtubs Sewer Connection Dryers OGas ❑Electric Sub Panel
Date Applicant �� NirFan Motors 00-1 HP ❑1:S-8
EXEMPT •N F- •M WORKERS'COMPENSATION DECL• ATI•N Clarifiers Solar Collectors
(This section need not be completed if the permit is for onetl•dred ($100)or F.A.U. Inc.S ar 09-15 HP 016-15+
less). Dishwasher Solar Piping
I certify that in the performance of the work for which this permit is issued I Fixtures
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank crowave
Workers' Compensation Laws of California. - •
Boxes
Date Signature Floor Drains Swimming Pool w/Spa DevicePole Light
'
NOTICE: If,after making this declaration,you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets
/ Range
comply with such provisions or this permit shall be deemed revoked. Switches
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Sign
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit Is issued (Section 3097 Civ. C.) ,✓ c Garbage Disposal Standing Sections
Lender's Name Interceptors /.rater Heater
Lender's Address Kitchen Sink / Water Service - Generator 00-5 KW 05-15 KW Trash Compactor
OWNER BUILDER DECLARATION •
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays "
any structure, prior to its Issuance, also requires the applicant for such permit
-
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains -
the Contractor's License Law (Chapter 9 (commencing with Section 7000)of
Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee
therefrom and the basis for the alleged exemption. Any violation of Section $ 3
7031.5 by any applicant for a permit subjects the applicant to a civil
enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS:
U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 9 - Zoning Approved By Date
compensation, will do the work,and the structure is not intended or offered - - . -
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own Application Issued By ate- L-71-27•
employees, provided that such Improvements are not intended or offered for Boiler Hood or T efe I ❑
sale. If, however, the building or improvement Is sold within one year of com- Canopy ype II 0 , ,t SUMMARY F F S
pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground •
prove for the purpose of sale). • . BUILDING PERMIT $ /08•• 00 SMTP $ •(S$
O I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Ref( enation System -
PLAN CHECK $ PERMIT
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 0-100,000 BTU 0100,000 BTU i - ' PLUMBING $ ISSUANCE $
builds or improves thereon.and who contracts for such orolects with a con-
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple ❑ System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof of their Worker's Compensation Insurance should be provided to me. - ELECTRICAL $ GRADING $
O I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# A Fire Dampers MICROFILM $
PLAN CHECK 50% $
Date •wner Heating System& Ducting Registers •' •
MECHANICAL $ /0
I hereby certify that I av• •-d this application and state that the above 00-100,000 BTU 0100,000 BTU - TOTAL FEE $ �•✓ O
Information is correct. agr-: to comp y with all city and county ordinances PLAN CHECK 25% $
and state laws rela Ing to •• di g traction,and hereby authorze r sentativespre-
ispctiof this th ove-mentioned 0 ¢rt�jQ[II
ignatpurposes. /J(/`, 01 000.ff2` -00y�03215`1 TOT -
Signature Date 1, • s
Drivers' License or SS �/ � Reinspection Fee $15 Issue Fee $ 3 CATE: C5/l3/Y] TIGEe 2:%".::.
0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
.
4NSTQUCTION AND PLANNING POOL&SPA
�� Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit#
1. Temporary Electrical Service or Pole _ 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement „ 56. Rough Plumbing & Pressure Test
6. Electrical OF ER Grn_d.. • 57. APPROVAL TO COVER-GUNITE
•7. Footings - 58. Electrical Conduit-Undrgrnd. •-
8. Foundation , r 59. Gas Pipe, 0 Undrgrnd.,Test •
9.Water Pipe-Undrgrnd. ' ' - 60. Backwash Lines,P-Trap, 0 Undrgrnd.
T0. Structural Floor System ' •• 61. APPROVAL TO DECK •
11. Property Set m Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap I 63. Heater & Vent-Final
13. Roof Dra i 64. Plumbing System - Final
14. Rough PI nbing • 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign ,.• 68. APPROVED FOR PLASTERING
t8. Rough Electrical-T,Bar Ceiling r- 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20: Rough Factory Fireplace • C' j1 APPROVALS Permit#
21. Ducts„in Structure -;r, 70. Underground Hydro
22. Ducts,;Ventilating • L. 71. Product Piping 0 Gas 0 Oil •
23. Gas Pipe-Rough& Test .1.4.-1: 72. Underground Flush
24. ROT.Framing • J 73. Undergrnd.Storage Tank 0 Gas 0 Oil
4.
25. Roof Sheathing l • ,A 74. Overhead Hydro
26. T-Bar Ceiling (Structural) &Monocoat 75. Dry Chemical
27. Frame and Flashing 71 76. Dry Standpipe
28. Lathing &Siding ! ' 77. FIXED SYSTEM FINAL
29. Insulation • 78. FIRE PREV. FINAL
r ,
30. Drywall Nailing f. HEALTH DEPT. REQUIREMENT
31. Plaster:& town Coa ` ; 79. FINAL INSPECTION
32. Electrical Power Meter-Final-1 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:#4.a Due ttv ,,,e af-ttof..9
34. Final Heating & Air Conditioning
Sid"0fiCE 40)4 artz
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final • �•
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System •
;. f
45. Sound Attenuation .,
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING as-776.9cT /y
48. Special Requirements Completed /
49. Electric Release to Edison
•
50. Gas Release to Southern California Gas Co ,
51. CERTIFICATE OF OCCUPANCY
No. Date •
OWNER SAMAR CONST.CO. DATE NOV 4 i962
JOB ADDRESS 2021 KOrnat DT. BUILDING PERMIT NO. 20844
GENERAL CONTRACTOR SaMar•COTISt.CO. VALUE $ 19,446.00
AP No. LOT 107 TRACT 4-3141 FIRE ZONE DESCRIPTION OF WORIsBeS.w/att.Gar.
INSPECTIONS Signature DATE GROUPI & S TYPE V ZONE Rl
Soil : /2-G-a SUBCONTRACTOR PERMITS ISSUED
Gas DATE NUMBER
Water 9-,g_13-/,2-6,
Rough Corn. Refrig. 0 Air Cond. 0
� __-4„-_,A. ( ] 7Rough Heating ; . •l A 1964
Rough Plumbing /f� ccc`iz .19, i;/if/X
1+
Miscellaneous
Prop. Swr. Line 0 House Con. 0 St. Swr. ❑ -I/ - ,2n7 • sy}ta _- k?st-i-1 %-A Ct1, fill
Sprinkling System
Construction Pole .1 k'
Underground 0 Power ❑ -
Rough Wiring ").- - , • 0-64, -1 ; a' • JAN 2 t 1964 e7 id,,.p
—
Trenches Forms g' Steel Reinf. L -' / r -
Floor System f -
Bond Beam 0 Steel Reinforce 0
Sheathing Al /_yq_6
Frame and Flashing /3-651 p-//-6q
Lathing— In,23- Out [y- i S4 3-4/-47
Plaster, brown coat telvy d 3_2-7-69
Refrig. 0 Air Con. 0 Final
Heating, Final � i
Plumbing Fixtures, Final W / We a`
Final Gas Test / < e
Electric Fixtures, Final 7 17-*-45, _
Building, Final k-c4) Lr 2-9-e y
OCCUPANCY
Fn.m PTILSM�I-p'L_C-R P
FEE RECEIVED
20844 OCT lssa
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P.O.BOX 317 COSTA MESA.CALIFORNIA
CITY OF COSTA MESA -
For Applicant to Fill In Completely APPLICATION FOR PERMIT
Tr. 4341 TYPE OR PRINT Lot 107 BUILDING
For Office Use Only
BUILDING 2021 Kornat Drive
ADDRESS RECEIPT NO. PERMIT No:
COSTA MESA. CALIFORNIA Z(1QAA
RECEIVE BY DATE ECEIVED D 1{4.t1-ea 4
OWNER Samar Construction Co. //"� / - 'U(11/
BUILDING •O'-
ADDRESS1653 Minorca Drive ADDRESS Q�
TNEL.D90395ZONE TYPE {// GROUJ✓
CITYRE
Costa Mesa . Ki -
APPROVED
ARCHITECT
E. G. Kaltenbach o'547-8046 BY DATE
OR ENGINEER
ZONING
ADDRESS 1823 E. 17th St. Santa Ana
ZONE I NO.OF USE OF NEW
111 PLANS 2 I BUILDING s/re s. w/att.
CONTRACTOR Same as Owner _ arage
LEGAL �T
ADDRESS DESCRIPTION
Lot 101} Ti-. iF3 1
CITY A.P.NO.
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATEo. 197838 TEL
90'TO SIDE B REAR P.L.
EAVES
SIZE No. ON BL1� ALLOWED (U.B.C.REQUIREMENT)
OFLOT 70 x 100 I NOW LOT OK
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. ----
(FROM C/L STREET)
SETBACKCENTEROF LINESYREET`OFRO3�II0 REAR YARD r)L7 FRONT FT. FT.
/
SIDE YARDI LEFT 5 I RIGHT 6 R.SIDE b Fr. FT.
DESCRIPTION OF WORK L.SIDE Fr. Fr.
X I,
NEW X ALTERATION ADDITION REAR FT. FT.
L DISTANCE BET. BET.MAIN
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS.
VAR.# DATE
BUILDING NO.OF
SIZE 1,7 Cg. ROOMS 7 ST RIE11 1 C.U.P.# APPROVED
EXTERIOR WALL"O0""�• ROOF Shake ` APPROVE I� l{�-
COVERING CO I COVERING Shin le ST I DATE V - /•
USE OF BUILDING AND WORK TO BE PERFORMED rU
Single family residence and attached Yl
garage.
Plan 41 B ...//%2q so.Fr. ) 9Y2a', 336 e'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE 4
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT PEE ONLY. G
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION C'^T�
91
BUILDING CONSTRUCTION. / � PERMIT FEE $ ✓ V - •'
SIGNATURE OF (O/ /471.2
//
PERMITTED �Mi1L7 / �— �9 y% E i
S
n
AUTHORIZED AGSM.. ��77
TOTAL FEE 5 X5-
n....---____,-------17