HomeMy WebLinkAbout2849 LEMON ST - Building Permits ,-\.•
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CITY OF COSTA MESA
0504 Me BUILDING DIVISION
F/till" 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.costamesaca.00v
k Wee FOR INSPECTIONS CALL: (714)754-5626
PERMIT NUMBER: B11-00344
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 13930107 DATE ISSUED: 10/12/2011
ISSUED BY: KJB
JOB ADDRESS: 849'LEMON $TCM •� Suite/Unit:
Vicinity: - - .-.
Squares: 0 • Valuation: `$8,655.00
SCOPE OF WORK: TEAR OFF EXISTING ROOF. INSTALL 2 LAYERS OF 15 LB FELT AND COVER WITH'30 YEAR COMP SHINGLES.
INSTALL TORCHDOWN ROOF ON THE FLAT ROOF OF THE ATTACHED GARAGE.APPROX 28 SQUARES OF COMP AND
6 SQUARES OF TORCHDOWN:ROOF PITCH:FOR COMP IS 3:12
NOTE:RESIDENTIAL RE-ROOF: Final approval of permit shall not be granted until access to'dwelling unit(s)is provided for
verification of the installation of smoke and carbon monoxide alarms by the City Inspector. See Attachment w/Inspection Card
OWNER: STEWART,•DEAN O - Address: P O BOX 488 Unit:
PHONE: - - . - • City/State/Zip: NEWPORT BEACH,CA- .
APPLICANT: CHURCHILL,RICHARD Address:, - , Unit: :
PHONE: . 714-997-9729 , ' City/State/Zip: .
IIIc , .
CONTRACTOR: HEIDT ROOFING COMPANY ' License No. '471812
Address: 544 N EARLHAMUnit: - ' PHONE: 714-997-9729
City/State/Zip: ORANGE,'CA 92869 - .. _ CELL: - •
ARCHITECT: ._
License No. " - PHONE:
ENGINEER: - License No. . PHONE:
•
•
FEE SUMMARY
Reroof Plan Check: $0.00 - •-
Reroof Permit Fee: $167.25 - . ' ,
•
Reinspection Fee: $0.00 . _ ,
Bldg Std Admin Fund $1.00 . .
TOTAL FEES $168.25
HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3/18/2010-PER CMMC Sec. 13-279
.,; Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibitied all hours-Sundays and the following Federal holidays
New Years Day, Memorial Day, Independence Day, Labor Day,Thanksgiving Day and Christmas Day
:,
_r
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord. No.92-28,§ 1, 12-21-92)
• EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE P INSPECPON TYPE QAIE INTITIAL$ CODEI INSPECTION TYPE pm INIITIAL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final c 208 Final Plumbing
200 Final Re-Roof , Y( 'u_!V-I 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
S i
WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's license. ❑Yes 0 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.
❑ I have and will maintain workers'compensation insurance, as required by DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
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 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
S T73'1' FU Al D by this permit,and that no building structure,scaffolding,falsework,or demolition
1OFj"lr or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This secton need not be ompeted A the perms is valued at one huraree co�aCs($100)or less.) 2 grt2,Sec.341,Title B,Califomia Administrative Code).
R6mber. ( �— o��3 y� C...l
Y ❑ 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
Applicant's Signature Date
the Labor Code,I shall forthwith comply with these provisions.
/0--/Z — ii Division of Industrial Safety Permit Number
et.Signature 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? ❑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 licenseisinfull force and effect. a registration form for acutely hazardous materials? ❑Yes ❑ No
�o-tl" T 47 St/2— CIararr:C3' (Section 25533 of the California Health and Safety Code, with some
/U /2 —/1 exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
RCcalacks0 signature >r-rei 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)? ❑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 ❑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 (Section 65850.2 of the Califomia Govemment Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
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 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 ayes', 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, aria 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: I
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.
Signature r(s) Date
`
Signature Date /U !�Z -i/
3057-46(3/07)
<Mor. ' `licanta"1`S.,
)11.
, 51 I — 003L1'
Prescriptive Certificate of Compliance: Residential CF-1 -ALT
Residential Alterations (Pa_ge 1 of 5)
Project Name: '' Climate Zone# #of Stories
General Information -
il'r*Address:� 25qq ElydN Enforcement Agency: Date: /d-(2r
Building Type O Single Family biefAulti Family Circle the Front Orientation:N,E,S,W,or degrees
Conditioned Floor Area(CFA): Project Type: 0 Alterations O Envelope O Fenestration Roof 0 HVAC
Replacement or Change Out 0 Duct Replacement 0 Wate Heater
NOTE: This form is not to be used jar Newly Constructed Buildings or Additions -
- Insulation Values For Opaque Sm;faces(/or Furring use the Moss and Furring Strips Construction table below)
Assembly Alteration
❑ Opening of framed cavity alone-Alterations that involve the opening of the famed cavity ofa wall, ceiling, (irgloo:-must install the
mandatory minimum insulation value per P.50 for the altered assembly. Fill in Columns A-C and Enter mandatory insulation value in Column H.
D Replacement of entire assembly-Replacement of an entire wall, ceiling, or floor assembly requires the installation of Component
Package-D insulation values in Table 151-C. Fill in Columns A-J.
Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below.
. . :A B - .� C D . E F G
Proposed See Note
Standard Values From JA4 Table _
Framing Thickness, Framed Continuous JA4 Proposed
Tag/ Assembly Name Material Spacing, U- JA4 Table Cavity Insulation Assembly Assemble
IDS _ or Type' and Size2 - or Others factor I Numbers R-value •R-Value? Cell Values U-factor
• .Note::For furred assemblies,accounting for Continuous Insulation R-value,see Page JA4-3 and Equation 4-1. For calculating furred walls use the Mass and
;Furring Construction table below.
" 1.For Tag/1D indicate the identification name that matches the building plans.
2.Indicate the Assembly Name or type:Roof/Ceiling, Walls,Floors,Slabs, Crawl Space,Doors and etc...indicate the Frame type and Size:For
Wood, Metal, Metal Buildings,Mass,enter 2x4, 2x6, or etc...see JA4 for other possible frame type assemblies.
3. Enter the thickness for mass in inches or Spacing between framing members enter; )6"or 24"OC;or Other for all other assembly description
such as Concrete Sandwich Panel,Spandrel Panel,Logs,Straw Bale Panel and etc....
4.Based on the Climate Zone;enter the Standard U-factor front Table 15)-B, C ar D for each different assembly Name or type.
5.Enter the Table number that closely resembles the proposed assembly.
6. Enter the 1/-value that is being installed in the wall cavity or between the framing;otherwise, enter "0".
7. Enter the Continuous Insulation R-value for the proposed assembly;otherwise, enter "0".
8.Enter the row and column of the Uractor value based on Column F Table Number and enter the Assembly Lt factor in Column I
9.The Proposed Assembly LI-factor, Column.1, must be equal to or less than the Standard U-factor in Column E to comply.
•
Furring Strips Construction Table for Mass Walls Only
A fi C I) E F G H 7 ,J 1 K L M
Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation
Walls From Reference in Furring Space from Reference
Joint Appendix Table 4.3.5,4.3.6,4.3.7 Joint Appendix Table 4.3.13
I!'
A C.
o _ c..z n n'
Assembly o F' ~ o ay_A 2+V F !A Final
Mass Nance or JA4 Table O _ i ' E o E E o V g ty,° Assembly
Thickness' Type' Number S j 2 v ui = �. s' C < 'p _ m r U-facto"' Comment
•
Registration Number: Registration Date/Time: HERS Provider:
20081 Residential Compliance Forms August 2009
� % . . .
Prescriptive Certificate of Compliance: Residential CF-IR-ALT
Residential Alterations (Page 3 of 5)
Project Name: Climate Zone# #of Stories
ROOFING PRODUCTS(COOL ROOFS)§151(1)12
When the area of exterior roof surface to be replaced exceeds more than 50%of the existing roof area,or more than 1,000 fr', whichever is
_less,the new roofing area trust meet the roofing product"Cool Roof'requirements of§152(b)1H4152(b)IHR, or 152(b)1HiiL
Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof"requirements.Note:If any
one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in
_§118(1)are not applicable.Do not fill table below
Dol Roofs Not Required in Climate Zones 1-12, 14,and 16 with a Low Sloped. Less or 2:12 pitch..
of Roofs Not Required in Climate Zones I through 9 and 16 with a Steep-Sloped Roofs(pitch greater than 2:12)and product unit weight less
-
ham 51b/ft2.
Alternatives to§152(b)1Hi and§152(b)Hii,Steep-slope roof(pitch>2:12)
❑ Insulation with a thermal resistance of at least 0.85 hrft2-°F/Btu or atleast a 3/4 inch air-space is added to the roof deck
over an attic;or
❑ Existing ducts in the attic are insulated and sealed according to§151(010;or
-0 In climate zones 10, 12 and 13,with I 112 of free ventilation area of attic ventilation for every 150 ftof attic floor area,and
where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge;or .
❑ Building has at least R-30 ceiling insulation;or
0 Building has radiant barrier in the attic meeting the requirements of§151(02;or
❑ Building has no ducts in the attic;or
O In climate zones 10,11,13 and 14,R-3 or greater roof deck insulation above vented attic.
Exception to§152(b)1Hiii,Low-slope roof(pitch<2:12)
O Building has no ducts in the attic.
Other Exceptions
❑Roofing area covered by building integrated;photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria.
t❑Roof constructions that have thermal mass over the roof membrane with at least 25 lb/ft is exempt from the below Cool Roof criteria.
- - Note:If no CRRC-1 label is available,this compliance method cannot be used,use the Performance Approach to show compliance,otherwise,
Check the applicable box below if Exempt from the Roofing Products"Cool Roof'Requirement:
Roof Slope Product Weight Product Aged Solar Thermal
CRRC Product ID Number' < 2:12 >2:12 < 5lb/ft2 > 51b/ft2_ Type , Reflectance3'4 Emittance SRI5
❑ ❑ ❑ ❑ ❑4
0 0 ❑ 0 ❑4 ,
❑ ❑ ❑ ❑ ❑4 ..__:.. .
0 0 0 0 ❑4
❑ 0 0 0 ❑4
1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolrooft.org/aroducts/search.php
2.Indicate the type of product is being used for the roof top,i.e.single-ply roof asphalt roof metal roof etc.
3. Ifthe Aged Reflectance is not available in.rbe Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value fives the same
directory and use the equation(0.2+0.7(pi„atat—0.2)to obtain a calculated aged value. Where p is the Initial Solar Reflectance.
4.Check box if the Aged Reflectance is a calculated value using the equation above.
5. Calculate the SRI value by using the SRI-Worksheet at http://www.energv.ca.00v/tide24/and enter the resulting value in the SRI Column above and attach atopy of
the SRI-Worksheet to the CP-IR.
To apply Liquid Field Applied Coatings,the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage
recommended by the coatings manufacturer and meet minimum performance requirements listed in§I 180)4. Select the applicable coating:
❑ Aluminum-Pigmented Asphalt Roof Coating 0 Cement-Based Roof Coating 0 Other
Registration Number: Registration Date/Time: _ __ HERS Provider: -
2008 Residential Compliance Forms ' August 2009
• Prescriptive Certificate of Compliance: Residential CF-IR-ALT
Residential Alterations • (Page 5 of•5)
Project Name: Climate Zone# #of Stories
HERS VERIFICATION SUMMARY The enforcement agency should pan special attention to the HERS Measures specified in tins
checklist below. A completed and signed 07-4R Form for all the measures specified shall be submitted ao the building inspector before final
inspection.
Duet Sealing & Testing HERS verification is required for this measure.
❑YES ❑ NO YES:In Climate Zones 2 and 9-16,if more than 40 linear feet of new or replacement ducts are installed in unconditioned
space,the ducts are to be sealed per 052(b)lDii and the newly installed ducts are to be insulated per §151(1110.
O EXCEPTION: Existing duct systems that are extended,which are constructed,insulated or sealed with asbestos.
❑ YES 0 NO YES:In Climate Zones 2 and 9-]6, if the existing space-conditioning system(HVAC equipment and ducting)is replaced,the
ducts are to he sealed per§152(0)]Di.
❑YES ❑ NO YES:In Climate Zones 2 and 9-1 G,if the existing HVAC equipment is replaced (including the replacement of the air handler,
outdoor condensing unit of a split system,cooling or heating coil,or the furnace heat exchanger)the ducts are to be
sealed per§152(6)l E.
❑ EXCEPTION:Duct systems that are documented to have been previously sealed confirmed through HERS
verification in accordance with procedures in the Reference Residential Appendix RA3.
-- -- ❑ EXCEPTION: Duct systems with less than 40-linear feet in unconditioned space.. . .. . ..... . .. .
❑ EXCEPTION: Existing duct systems constructed,insulated or sealed with asbestos.
Refrigerant Charge- Split System HERS verification is required for.this measure.
❑ YES 0 NO YES: In Climate Zones 2 and 8-15,when the existing HVAC equipment is replaced(including the replacement of the air
handler,outdoor condensing unit of a split system A/C or heat pump,cooling or heating coil,or the furnace heat
exchanger)a refrigerant charge measurement shall be verified per§152(b11F.
Central Fan Integrated (CFI)Ventilation System and Fan Watt Draw
The ventilation requirements of§150(o)do not apply to existing residential homes.
Ducted Split Systems-Air Conditioners and Heat Pumps: Airflow HERSverification is reguiredfor this measure.
0 YES ❑ NO YES:In Climate Zones 10 through 15,when the existing space-conditioning system(HVAC equipment and ducting)is
• replaced,the airflow and fan watt draw shall be verified per§152(b)]Ci to meet the requirements of§151(f17B.
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate and complete.
" -Sigma nature's
724GH1170 G14W72Ctill
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;Company 4E7 Ar an F/ q- • L>3a-e:
CA'ddressy S (u N L ML1'14$I If:Applicable D CEA or❑ CEPE
(Certification Ilk
,City/Stale/Zip. UR 6.- oileft-S16? __I'.lrOOC_7,/4 373- 0 73z
Responsible Building Designer's Declaration Statement T
• 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on
this Certificate of Compliance.
• I certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform
to the requirements of Title 24,Parts I and G of the California Code of Regulations.
• The building design features identified on this Certificate of Compliance are consistent with the information provided to document this
building design on the other applicable compliance forms,worksheets,calculations,plans and specifications submitted to the enforcement
agency for approval with this building permit application.
Name: Signature:
Company: Date:
Address: - License:
City/StateiZip: I Phone:
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at:1-800-772-3300.
Registration)'umber: Registration Date/Time: HERS Provider:
2008 Residential Compliance Forms August 2009
_ Ap ..I
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rggh /r' LI NEW U ADD. lJ•gLTE RATION-U REPAIR c i, • i ' 1 , •
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• • Owner's1Name .711,;44/• J��"'7 D' Phone /79-31y - �DESCRIPTION;OF WORK flta n ^ 1•
• ' ZONING:REGU CATIONS" • -' , • • r
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Address !/71 • 0e-51L-6- ' _ TYPE •
OF PERMIT LI'GRAPING ❑•FOUNDATION• U STRUCTURAL • A.PL: _ .. I ti ZONE / I ' I - i, I
Arch/Eng _ - - ' License No. j - ' 1 ❑ TENANT •i---I ❑ PLUMBING ❑MECHANICAL ` r ?BUILDING =• • r ^,
-• , _ _ 1 _ ( . PLNG. REF - i Fr r:r nit cr
Address( •. - ./- r Pali'i ` ( '❑ ,OTHER ' 1 _. r = •• . -TO BUILDING" • , S 8D • - c.
COnVectol's NemP�C w( h R • v r r , • Phone a X� ( - , PROPERTY LINE ' - I :.REAR YARD (TO P/LI 1 �'
13i'- yQ - PROJECT DESDRIPT(ON Sq,FT,' ,3 Yoo OCCUPANCY'
I p 80' [{, ' i CONSTRUCTION TYPE + ! 1 ^ VALUATION Z —•1 'LEFT SIDE YARD i ° ' I ' j_ RIGHTISIDE YARD •
Address(marlinSgl / -d'' k / 92 Sts�-f9 AN`�Y `12 7L°7-. $ �[R7 -
I :•.0-N.3O S-! ( 1 ' ZONE ' I I GRADING CU,YDS: ' :ACRES PKG.SPACE REQ. ,. PROVIDED 1 '•TM
• License No, d . . , , . _ .• -
LICENSED CONTRACTOR DECLARATION S; •I f Remarks: , - • - , STREET WIDTH , I '
'PARK FEE'S
'I rherebyaftir' of Di licensed under provisions of:Charter 9(commencing 1 _ - - '
with'"section 7000) of Division 3 of the Business and Professions toad,and n ' • . i ' SPECIAL CONDITIONS: I I i I
my license Is in to Torte antl'etfedt. i , 3�y s a'o , ' ' , - -
Ucenig Class• -'... t i r,/ j.-nse y._ \, 1 I { .3 PLUMBING ' ' t i ' I i - , .`7 I 1
P^tve ^f7-t Signature •
I ' Bar Sink ' I • ' Sewer Cap r 1 ELECTRICAL I
'7'.46}RKERS'COMPENSATION DECLARATION ' -' • ' . _ _ - '
:eby'afnrm.that.l have a,certifirate otconsen4.toselMnsure.or acertificate '- Backflow•Preventer - - ' -Sewer•Connection` - - --' - - - - --- Automatic Washer,... . •r __ JMeter,Dover 100 amps; .v.
'Workers' Compensation Insurance,-or a certified copy thereof (Section ' - -
00, Lab. C.) - i: I : P 1 y'` j y • Backflow Irrigation - Solar Collectors I I •Construction Pole t - r I ;
✓ C. 1- 'Sub Panel +
J 1
•
Policy No. at 3' 3-17 ' Com an /orecr ' p _ • _ ._ _. ,
DaCertified-copy Is hereby furnished. i I ) ' Bathtubs Piping : Cooking Unit t I I .Sub Pole , I •
CertLfietl cop Is filed with the city Build g D isi + Solar Pi In •
�J y �y(( Dishwasher. _
' Date -/7-3'1- • ApplicantL� (s; .� jQ T-I J • i • Clarifiers I : i 1 Solar Tank I I. f Motors X01 HP ❑1'/:$ - { .(
I_..__ 6 1?'8S .
euMPTion nee no WORKERS C MP NSAT N DECLARATION L - - - Dryers'OGas ❑Electric - `.I nc.Solari Og-15 HP 016-15+
(This section need not be completed if the permit is for one hundred d ($100)or 1 I Dishwasher Swimming Pool w/Spa .
less).- ° Drinkin Fountains I , Fan i ` 'Microwave : '
I certify that in the performance of the work forwhich this permit Is Issued I ' r' g Urinal t 1 i ! , -
shall:
not employ any person In any manner so Jas to become subject.to the Floor Dreins' i I F.A.U. I •
Pole'Light 1 i I 1 , '
Workers',Compensatlon'Laws of California. f
NOTICE:If,after making thtis declaration;y f ' Water Closed
You srlould'become subject to-the-1- --:• Floor Sinks• - - - -. • Water Heater- - -- _ - Fixtures ; _ _ _• 'Range . .,. - ! w;__
Workers'. Compensation pravisions,of the Labor Cole,.you must forthwith ,� ' - �- Device Boxes •
•
I comply :with: such provisions or thisopermlt :shall be (deemed revoked: , Gas SenACe -Outlets .- '.Water Service - - , ' ' • . Sign, • • • I .
CONSTRUCTION'LENDING AGENCY : - - Outlets '
^' I hereby affirm that there is a construction lending (Seco or the performance ; Interceptors ' I : Standing Sections !
of the work for which;this permit •Is issued•(Section '3097 Civ. C.; - - - ' '
Lender's. Name ' - - r ^ - . I• - Switches I Trash Com actor
- Kitch, ISink P
'Lender's Address 1 ' ' - -• _ I-• ' •• ' - - I Garbage Disposal '' j ! ) . '
OWNER BUILDER DECLARATION I Lavatories ` I
'I hereby;affirm that I am exempt from the Contractor's.License Law for the ' t , _ Generator.DOL5 KW D5-15 KW ! • • I
. following reason•(Sectlon.7031.5 Business and Professional Code: Any city or ; P-Trap{ , " I - r `. ,-, t i h I . !
-county which-requires a permit to construct,alter improve;demolish,or repair - Transformer 015-1 150 KW 1 - ' '
,any structure;prior to its:issuance,.also requires the•applicant for such permit t - Roof Drains - 1 •... - I . 1 1 _I I i - ' i r
to file a signed statement that he/she is licensed pursuant to they.provisions of . - ' - - r' ` `• D50+KW, I +
Contractor's'License Law:(chapter 9(commencing withiSection 7000)of " ' n- , I-- I 1 - , I ' : -1 " - I I :Reinspection Fee , $15
slon 3 of the;Business and Professions Code)-'or^that'he/she'•islexempt Showers •* - 1 } i ReinspectioniFee ' $15 - -
efrom•and the basis for the alleged exemption:Any violation'of,Section • - ' __ - • - - ' -' Meter ❑up to 100famps ! 'Issue Fee' I ;$ 3.
1:5 by:any applicant for -a .permit-subjects the•applicant to a civil : I - -
`u' 'ally of not more than five hundred dollars($500): • F 1 ' - { Service Slnk, _ , Issue Fee r $ 3 Zoning-Approved By ' I 'Date 1
I'LJ ',vas Towner of the property or my employees.with wageslas their sole - - i� ' 1 j
compensation willido the work;and the,structure.is not intended or offered - •A i n j MECHANICAL ' i ' I Application Approv•ed B • ' 'Date 3 I' •0 3
for sale Section 7044; Business•and'Professional. Code::The'Contractor's _ _ . - ,
• License Law does not apply to an owner of a property who builds or improves ' Boiler' I , ' 1_ • Refrigeration System ; ' I ////,/j
'hereon,^antl who does such work himself/herself or through his or her own I '- _ ' • ( Application Issued By - )L�'•"•r { 'Date '/ /'LI by Z1 I.
I employees, provided that such improvements aretnot Intended or offered for : 1 Duc[-Under Ground ❑0.100,000 BTU ❑100,000 BTU' ll/ ._F t
sale, if, however,the building or Improvement is sold within one year'of com- - i 1 1 ' SUMMARY OF FEES ! I - j •
1 elation, the owneriwill have the burden of proving he/she did not build or im- : . -
I ptove for the purpose of sale): ' , r ._ l i ' Duct-Structural I ' System Repair/Alteration j 'BUILDING PERMIT $4 3 Ti DO ! SM,IP ! $ '—s�D I
U I,as owner of the property,am exclusively contracting'with lii;ensed con- l 'i' I I• ' I
tractors to construct the'project (Section 7044„Business and Professions Code:_.! __;. Duct_ Ventilating, .- •;„__ _s_ _.^.__ .,. I •PLAN CHECK. $' 1 PERMIT : I I I `
I The Contractor's Weenie Law does not apply to an owner of property who l - -,- - �- - • i , i ISSUANCE : ' $
I,builds or, Improves-thereon,and who contracts for such projects with a con- , 1 Exhaust System D Multiple D I — , 1 I I '+PLUMBING' I. $, q ' I 1 - t
tractor(s) license pursuant to the Contractor's License Law)! ' -
I D lam exempt under Section B.& P.C.for this reason i Firepl/Fact.Blt. ICBO'/k I. - • 'PLAN CHECK' I $: I I GRADING $ i7 i
-� i • ;ELECTRICAL , I
Date '• I 1 1 owner% r 1 ' Heating1System& Ducting , ' ;PLAN CHECK 1 MICROFILM $ •
-i-hereby certify-that 0-have.read.this appiication-and-state that-the above ' 00.100;000'BTU•O 100;000 BTL '•-• -------i-,-..- - -+ - $' , I
Information is correct. I agree to comply with all city and county ordinances , I I I t I 1 -£ _ - •
t I I ' TOTAL FEE; $ '
• and;state laws relating to •uliding construction,!and hereby authorize repro- { , •• MECHANICAL $, i
sentatives of!this IUt t• ante upon the above-mentioned property for I , Hood of Type I ❑' { I • i •{ , , 1 i ,
' inspection •':ppd.:- ir; I ,J f I ' : Canopy •Type II (]+ ! • ( 1 Reinspection'Fee, $15 PLAN CHECK, $ I. ADV ,
Signature - _:rsa!/ - - - - Date's' -�3 ' ' t i i ADVANCED PC 4 $ j 1�/
Drivers' License or'SS#' '�$ Registers i i 1. !yam Fee t I • $ 3 _• I I 'FINAL FEE' $ j �7! Sd
!CM-F-0865-46 rev,12/82 white-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor ' ' ' - ' . ' ._ ” - -
^nCONSTRUCTION AND PLA I G r c c � t r ...:-...';‘,7 t POO NPA .nt F _ � --74',a..,- 4 !:
y" CAPPROVALS Perrnii# tt •<Daten Inspector .,le'[,• Date Inspector I 1
e I rr . ?APPROVALS Permit#
n Qi 1 ,1„? ,ary,Electtical Service or,Pole� ^', • r ; a-'..!o, P. .52�'Pool &_Equipment. Location-,�:c• '7 - '1 1 -'' 2 _1;11'.
61 !SoilPipe-Undrgrnd= __ ;•2t ' o • °rf'1 .rt E-.cer, - %F :53'-Steel-Reinforcement" - -- --__ _ - , 1 .- -i '1
31 Electrical.ConduiiUtilitv'Undrgrnd ' F; _ '- , - - -_3 -;54/Form :.-:: = :, : =J ,• 0
¢ 4.;. Electricals Conduit'Undigrnd' - -f" " ; :-•-•;_14_4; 47 r_ ;. `55. E_lectric.al Bonding.? L r " " 1 -,-• ..,,
5: Steel•Reinforcement ' I '• cr 5_ a ti„..,-; ^ -Q` _ _ - • : .-•�y"•
I, _. n 1, `•; a q, _ • I :;56• Rough Plumbmy& Pressure Test � 1 " 11
�.. i 1 i .' - r r O r a _ - ° - 1 i t :
6: ;Electricl LIFER Gr9ati .7',...,-f:- i ^ 2 ^ °-' - ;r57- APP,ROVAI,TO:COVER-GUNITE2 .._ I I 4n' c,',;;;! ,:7
7. Footings i ! t.1 o t:,.„ I f c: - ; sr 6 a 4 :•58. _Electrical Conduit=Undrorr,r{.'- '- , 1•••II
r.
8. Foundation ,•�, _ _ .1:: C •. ' �'; a_ i - '59. Gas'Pipe'•O Undrgrnd Test`:. ' ' '
9. Water Pipe-Undrgrnd.i. I o' �•. i '7 V" -'- . .'MO. �•• - 1I
I _< ii•=} �`' • 0. Backwash Lines,-P-Trap, � Undrgrndt`
10. Structural FloorSystem I z c 1 • _ `: ;it i :_61 APPROVALTO_DECK c.-:°z' - ° ¢.. , ',li
11. Property Sewer Line&',House`Conneiction! -: ''.!;1 ,.."74. ,:-..E. .. ;162. Backwash & Receptor Final - i I
12. Sewer Cap • I• '_F',1, ' 1 F.4 ,/. 'i o 63 t - '63. Heater&-Vent-Final ,:o^ _ - - ' 4I -
13. 4RooftDrains • • c r I a•, .
I i - • !
c ..• I `: ' c ~o . 64. Plumbing SYstem ;Final=.',? _ .
14. 13ough'Plumbing" , Z-•%' ' ! -^ "65. ElectricaFFinal•-' -- - ' . I. t
V
_ „-15.-Rough'Electrical:Conduirt r'--jr-r { T -i- - -- ' -ui : - a ---- '--' -'- ' •-- `- '
i 't I'•- _ I II 3 , ! �66.`SolarSYstem-Final-�---- { i 1 -
' :',16'1Rough Electric Wiring, v : ` II,' i w i- r ii-edlft`s-t c ,_.}r -67:'•"Fencing-&AccessApproval - - 7'"t-_1_- -'
r17.,10RoughaWir ng,yignf.-: r, ' I " it'•:-; ; !c 1 ., _ i 1 .
1 , ' ; ;68.1 APPROVED FORI!LAVE RING. , i s i - `! I
2 ' 18.'iRoughElectrlcal TiBar,Ceiling; i� f :17:77'; I I - I -7'I,1 l' ,69 I POOL YS
/SPA STEMA
S FINL t : i -_ ! , 12 ' 1
r 1.9. 1Roug Heating&lAir Conditioning 1 1 ;' I. 1 �. I I :-7..Ii.! 1 1 FIRE. DEPT.'REQUIREMENT- 'L.'I 1 ' • 1 " -I
f
20. IRough;Factory Fife-place� I I I, Ii I I - I 1 ! i I I APPROVALS. i Petmit'# I ' - ;
f' 21. D'uc*s,•in SQuctured `'i ' I I I Ii i I I , 1 I i70, Underground Hydro Y i r i i - ' !
1722. !Ducts;;Ventilaiing - , I I II I 1 I I I 1 I ( 171.' Product Piping P Gas ❑Oil • ! 1 - ' ' , •
c,I.23. ';
•
11136
113 FEE RECEIVED
COSTA MESA BUILDING DEPARTMENT _ W s c\
COSTA MESA, CALIFORNIA FINANCE DEPT.
l CITY OF COSTA MESA
FOR APPLICANT TO FILL IN chG APPLICATION FOR PERMIT
ADU
BIDRESSLDING `ZS49 Lemon.) Sr 1,1-/I1 BUILDING
COSTA MESA. CALIFORNIA . FOR OFFICE USE ONLY
RECEIPT NO. PERMIT N
OWNER Kenkol Investment Co, ///L
MAIL 1555 Placentia RECEIVED BY DATE RECEIVED' DATE ISSUE
ADDRESS M� -, r -y/'I >/�-/ '' / 4P �7
CITY Newport Beach
TEL 6-3227 BUILDING /
ADDRESS •
ARCHITECT LIC.
OR ENGINEER NO. COSTA MESA. CALIFORNIA
FIRE
ADDRESS ZONE
ZONE NO.OF TYPE GROVP
K. W. Ko11 CITY LIC. 4316 PLANS V ' /t/2
CONTRACTOR NO.
� 7•�/ z--- {C /�JA
ADDRESS 1555 Placentia TNCY7I 6-3227 APPROVED /����j DATE / /<— it
LEGAL LOT E Fairview ��/ Sff� c
DESCRIPTION NO. BLOCK-}S / TRACT 6j
A.P.NO. /i ' 7.
/ S J ° 3 51i ,
SIZE 50 x 43 . NO. OF BLOCS. O 2[A�M�3Tkg- ,1 .
OF LOT NOW ON LOT ///���
USE OF X I, _ ` i / 1
EXISTING BLDG. L .
SETBACK LINE FROM I^ '/^\//`/ /�,{/ ---
-` (—/
CENTER OF STREET REAR'VAR D3 NJ 1 lee- ' J) 7
(rLI/ U
SIDE YARD RIGHT ' LEFT i ' I
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
REPAIR ¶I MOVING
��_O VV ZING l DEMOLISH
SIZE
BUILDING 3,,_POO
�]l NO.OF ROOMS 1 D STORIES 2
EXTERIOR WALL ,I / ROOF e� DG
COVERING ' Ty -[- L� COVERIINNG.�., J.
USE OF
BUILDING 7112/ 1'/ ?Lf ) ¶'e- - '
.........„0 . ,
• . ........_ _
•
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC•
TION. - VALUATION
SIGMA • OF PERMIT FEE $ �� .-
PERM ' S 3
y^('�ip
. $ •1/ 37� PLAN CHECK $ c -
AUTH$ED ? 'C"
V l 1 (T C4 TOTAL FEE $ 6 7 - Be
11206 C=EE �ECEWE®
COSTA MESA BUILDING-SAFETY DEPARTMENT _4 , / —4.6
P.O.BOX 317 COSTA MESA. CALIFORNIA
FINANCE DEPT-
FORAPPLICANT TO FILL IN COMPLETELY APPLICAn �T)ION IF,DR PERMIT
TYPE OR PRINT BUILDING
ADDRESS 2849 Lemon Street p
COSTA MESA..CALIFORNIA FOR OFFICE 1/SE ONLY
/� • I RECEIPT NO. ITIT; „
OWNER Kenkol Investment Co. 1 �V
MAIL RECEIVED BY DATE RECEIVE JDATfiIISSUED.
ADDRESS 1555 Placentia _ e - ±-(;-�ia � 19E(P
CITY Newport Beach TN06idway NGG f5/�+ 41
3-22 •
ARCHITECT.. LIC.
OR ENGINEER NO, COSTA MESA. CALIFORNIA
// ) `/ FIRE //
ADDRESS T.I (Q /l�J ZONE TYPE Y ' GROU/PJ /1�y(///y����
CONTRACTOR
K.W. Koll "' LIC.NSTATO. APPROVED •DATE / �/ K '
ADDRESS 1555 Placentia ZONING
LEGAL I LOT 7 b Fairview ZONE NO.OF USE OF NEW pppppp
DESCRIPTION NO. BLOCK L' TRACT /; -7 PLANS .%I�BUILDING rig�/-f/�i(�
9 /`l IPJ lI L- /
APPROVED /` �, /-C <-
A.P.NO. 143 - BY /I/ 7-YARDS nI' DATE J- 20
EVIS
OF LOT SIZE 5o x NOW ON LOTS 1 REQUIRED L �`A�LLOWED
EXISTING BLDG. Tri pl BR (CENTER LINE ST.)� T��>'J `�-- ///1L,^�
FRONT n/Ct /F17( �V IN
SETBACK LINE FROM . /
CENTER OF STREET REAR YARD 15 t R.SIDE / A/' FT. / IN.
SIDE YARD I LEFT 111 RIGHT 14 t t- L.SIDE • / GFT. IN.
DESCRIPTION OF WORK ,.
. . `'FT, u��/ ` 7/ v
IN.REAR
NEW 1 I ALTERATION I II ADDITION I X •
REPAIR 1 I MOVING I 1II DEMOLISH -
•
SIZE DING 520 coq.- -ROOMS n STORIES .l
ICOVERING EXTERIORWALL ROOF '
St=CJCOVVERING Rock '
USE OF BUILDING,AND WORK TO BE PERFORMED
Attached-garage
Add to Permit No, 11136
I HEREBYACKNOWLEDGETHAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE ,
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS EGULATING
BUILDING C• UCTION. /
I VALUATION
SIGNATURE/
G590•00 PERMIT FEE $
PERM ITTEE / 00
-
• $ PLAN CHECK $
AUTHORIZE• AGENT - 4.00
TOTAL FEE $