HomeMy WebLinkAbout3257 TURLOCK DR - Building PermitsT MF
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CITY OF COSTA MESA
BlIILD►NG DIVISION
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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: B10-00268
PERMIT TYPE B_ROOF2
APN: 41210416
JOB ADDRESS: 3257 TURLOCK DR CM ,
vicinity: ,
Squares: 700 . � � , �
STATUS:
DATE ISSUED:
ISSUED BY:
'Suite/Unit:=. ,
'� Valuation:
ISSUED
09/13/2010
KJB
$7,620.00
SCOPE OF WORK: APPROX 700 S� Ff RE-ROOF. INSTALL TORCH DOWN ROLLED ROOFING. ROOF PITCH 2.5:12 TO 3:12.
OWNER: BLANKL, ADOLPH "� � �. Address: 3257 TURLOCK��DR-. '" Unit:
PHONE: � � . City/State/Zip: COSTA MESA, CA � � � � . �
APPLICANT: CADENAS, LUIS --� - . Address: 13632 CARROLL WAY � . Unit :
PHONE: 714-379-8522 ' - . ' City/State/Zip: TUSTIN, CA '
CONTRACTOR: CONSUMER SERVICES ROOFING
Address: 13632 CARROLL WAYUnit: � ' , ,
City/State2ip: TUSTIN, CA ' 92780 � ,
ARCHITECT:
ENGINEER:
FEE SUMMARY
Reroof Plan Check:
Reraof Permit Fee:
Reinspection Fee:
Bldg Std Admin Fund
�o.00
$60.10
$0.00
$1.00 ';
PHONE:
License No.
License No. �
License No.�.. 905154
714-379-8522 �� �
CELL: - � ' � �
PHONE: '
PHONE:
TOTAL FEES $61.10 � � � � - -
HOURS FOR CONSTRUCTION ACTIVI7'Y; EFFECTIVE 3N8/2010 - 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
New Years Ddv. Memorial Dav. IndeDentlence DaV, Labor Day, Thankspivinq Day and Christmas Day
NOTICE: The work authorized by ihis 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 wdes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit.
CO�E� INSPEC110NTYPE ' DATE IN7IIIALS OOEM INSPEC110NTYPE DATE INTITIALS
1616 Fi.ed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roo/ iC Q'}� �I � R� 270 Final Electncal
201 Final Block/Re�aining Wall 212 Final Fire Preventian
202 Final Faclory Fire Place 220 Final Planning Approval
203 Fina� Sign ppp Final Site
204 Final Demolition 250 Final Building�Occupancy
WORKERS' COMPENSATION DECLARATION:� .
I hereby affirm under penalry of perjury one of the following tleclarations:
❑ I have antl e6ill maintain a certifwte of consent to self-Insure for workers'
compensation, as provided for by section 3700 0( the Labor Code, for the
orm ace of the work for which this pertni[ is issued.
ave and will maintain v.vrkers' compensation insu2nce, as required by
n 3700 of the Labor Code, for the peAortnance o( the v.ork fw which this
pertnit is issued. My vrorkers' compensation Insurance carrier antl policy
numberare: �^
��me� . S'!—q '1-� ���-�r � .
(ihis sedion neeE wt oe campleted ntne permn is valued ar one hundred tlollars (SIDOJ or IessJ
P �Number: �� � � �/�
❑ I certify that in the peRortnance of Ihe work for which this permit is
issued, I shall not employ any person in any manner so as lo become subject
lo Ihe workers' compensation laws of Calitornia, and agree that if I shoultl
become subject to Ihe vrorkers' compensation provisions of Section 3700 of
the L b� �� S, I shall forthwilh comply with these prov o s.
�' �� y �
gnaWre.� �Dat
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($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.
I.ICENSED CONTRACTORS DECLARATION:
I hereby aKrm that I am licensed under pmvisions of Chapter 9(commencing
wilh Seclion 7000) of Division 3 of lhe Business and Professions Code, and
my license is in full force and eNecl.
�1> t ���= y �l
� �
' Cvmraclor's ignaWre �Da -'*
CONSTRUCTION LENDING AGENCY:
� I hereby aKrtn that there is a consWctbn lending agency tor the
peAortnance of the work for which Ihis pertnit is issued (Sec. 3097. Civil Code).
lender's Name:
Lender's Address:
SiB�aWre Da�e
OWNER•BUILDER DECLARATIONS:
I hereby aHirtn that under penally of petjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5,
Business and Protessions Cotle: Any city or county which requires a permit to
consWct, alter, improve, demolish, or repair any stmcWre, prior to its
issuance, also requires the applicant for such permit to file a signed statemenl
[hat he or she is licensed pursuant ro the provisions of the Conhactors
License Law (Chapter 9(commencing with Section 7000) of Division 3 ot the
Business and Professions Code) or that he or she is exempt therefrom antl
Ihe basis for the alleged eaemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penaly of not more Ihan
fve hundretl tlollars ($500).�:
❑ I, as owner of the property, or my employees with wages as their sole
compensation, WILL DO THE WORK, antl the structure is not intentled or
oRered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an owner of property who builds or improves
Ihereon, and who does such work himsel( or herself or Ihrough 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
complelion, lhe ownerbuiltler will have [he burden o� proving that he or she
did not build or improve �or purpose of sale.).
❑ I, as ovmer of the property, am EXCLUSIVELV CONTRACTING WITH
LICENSED CON7RACTORS to construct the project (Sec. 7044, Business and
Professions Code: The wnt2c[ors License Law dces nol apply to an owner of
property who builds or improves thereon, and who contracts for such project with
a contracta(s) license pursuant to the Coniractors License Laws.�.
Ovmer ID verifed by drivers license. ❑ Yes ❑ No
Driver's License No. Expires: �T
Verifcation of Ownership by (type of document, i.e. - property lax bill or tleetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby cetlify thai no excavation frve (5) or more leet in tlepth into wfiich a
person is required to descend, will be made in conneclbn wilh work authonzetl
by [his pertnit, and that no building structure, scaHdding, falsewvrk, or demolition
or dismantling ihereo(, will be more than Ihirty-six (36) feet high. (Chap. 3.2, Grp
2, M 2, Sec. 341, TUe 8, Califomia Atlministrative Cotle).
❑ As ovmer-builder, I vnll not employ anyone to do work which would
require a permit from the Division of Industrial Safery, as notetl above, unless
such person has a permit to do such work from the division.
Appliwnfs SlgnaWre
Division of IndusVial Safety Permil Number. _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will Ihe appliwnt or present or fulure builtling occupant neetl to (le antl
certi(y a Business Plan (or emergency response to release or Ihrea[ene0
release of a hazardous material? ❑ Ves ❑ No
(Section 25505 0( the California Health and Safety Cotle requires, wit� some
exceptions, ihat a Business Plan be filed with the Cosla Mesa Fire
Department by every business which has at any one time tlunng a reported
year a quan[iry of hazardous ma[enals equal lo or greater than a vreight o(
500 pounds, or a volume o( 55 gallons, or 200 cubic feel 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 (ortn (or acutety hazardous matenals? ❑ Yes ❑ No
(Section 25533 of [he Calitornia Health antl Safery Code, with some
exceptions, requires registralion with the Costa Mesa Fire Department by
each business which a[ any one time has on hantl 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 feel 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 Managemenl antl Prevention Program (or acutely
hazardous materials)? ❑ Yes ❑ No
(Sec[ion 25534 of the Calitornia Health antl Safery Code provides that the
Costa Mesa Fire Department may require Ihe preparation, ceAification and
filing with the Fire DepaAment of an RMPP by businesses which are required
to register acutely hazardous materials wilh the Fire Deparlment.
4. If an RMPP is presently requiretl, has Section 25534 0( t�e California
Health and Salety Code been fully complied with? ❑ Yes ❑ No
5. Does or will lhe applicant or presem or future Cuilding occu0anl require for
the work which is �he subject of this application a permit (or such consUuction
or motlifcation from the Sou[h Coast Air Quality Managemen[ Distric[ or from
any other air pollulion control dislrict or agency? ❑ Ves ❑ No
(Sectbn 658502 0( the Califomia Govemment Code requires that Ihe requestetl
infortnation be fumished on applications for nonresidential building pertnits�.
6. Will any part of the facility to be conswcted under this permit be within
1000 feet from the outer boundanes of a school? ❑ Yes ❑ No
(If "yes", the faciliry must meet the requirement of Sections 25534 antl 42303
o( the Califomia Health and Safery Code).
7. If a permit from the South Coast Air Quality Management DisMcl or other
air polWtion control disMct or agency is requiretl for the work which is the
subject of ihis application, have all of the disclosures prescnbed by Califomia
Health and Safery Code Section 42303 been made? ❑ Ves ❑ No
8. Qf "yes", attach certificate of compliance from the appropnate air pollution
control oKcer�.
CERTIFlCATE OF COMPLIANCE: I certify thal untler penalty of perjury Ihe
in(ormation given above is correct. I agree to comply with all state laws antl
city ordinances regarding Hazardous Materials and Emissions.
Signalure Da�e
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalry of perjury that I have reatl this application and state that
❑ I am exempt under sec. the information given is cortect. I agree to comply with all state laws and city
ordinances relating to building construction, and authonze representatives of
Business antl Professions Code (or this reason: the City of Cos[a Mesa [o enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authonzed b 'ypermit �fine�� spectioa /� O
• � . �
Signawre ol Legal Owner(s) Dai
Signawre Daie �� �
305]A6(3/0�1 � ,�N�//Y�� � O
�-�–`�^—��..� � '�"'°"�^✓
� .
� '
CITY OF WSTA MESA REQUEST FOR OCCUPANCY
/ r� /
TRACT N0. (..+�7 S DATE t�3' / `�3
LOT N0. �y �
ADDRESS 32.S1 % �Qj� /6�/{
The developer of the above entitled tract desires to sell the above set forth
lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that (he-she-they)
was or were)
sed that this tract has
not been given final inspection nor has it been accepted by the City of Costa
Mesa as having complied with the conditions of approval which were imposed by
the city at the time the final tract map was approved.
The city assumes no liability for the enforcement of the conditions necessary
for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the city harmless from any claim
resulting in damage or personal injury to the undersigned by reason of the
aforementioned uncompleted condition.
RECEIVED
CITY Of COSTA h1ESA
?I_',fli�llfi � UE°T.
All u 1 1973
PM
�ig�9il0illil2i1i2i3i4i5i6
�
er
��<Fr;��o� -
Developer and/or authorized
representative
BY
Lender
1'.'\
_�
�uonFssaeunuen: 3257 TURLOCK DR
°`''"E"s""uE"'°'°"": HLANKL, ADOLPH
1D0NE� bLANKL, PATRICIA W
3257 TURLOCH DR
APPI.IWIlN0A0DRES3: COSTA MESA,CA 92626
�RCNRECTOPFNC�NFER:
JiCH.Oq ENG'S AWNE55:
UC. NO.:
UNT:
UNT:
wNm�crarsxu� NUCK PLUMHING ( 714 ) $95-1246
CONfPACTORSMNIINfi l 1012 KNUTT ST
A°°"� GARDEN GROVE CA "`NDi 707775
92841 u� 17
LICENSEU COMHACTOFS UECLAXRTION: I Mreby eflim uMx pe�y d pe1jwy ihm I em firoeaM uMx pw�ubne d Chepar 9
��m,�m •nn s«r ��oao) a a.;so� a d ma a,m� �e a�d..�. coee. �a mv �. m m wn � e�d .nw.
. NO.: L1C. C1A55: LIC. NO.:
0 03� C-36 �j� 707775 / E�X/P�,{•� 0�2y/9•8
Dde: Z Comrena: /`}'h� �L�/�/��7I/q/"�
OWN BUILDEP DECLANATION: I hemW elfirm under perely d perN�Y �� �� ai�q �� IM Comreaon licerae Law la tl�e
Idb rmron (`�ion )W f.5 Buevwss eM Prolmsiom COEe: AnY cdy v oountY �� �Vuirea e pe�mA to omsVucl. eller, imyaro.
dah. a repei eny slr�clure, prior b na esurre, e6o reQuim iM eppliiaru la ach pannn lo Rb e aNp�ed etelemant tlW he a eM
ia licensed Oursuen� lo Ihe D�ovisims d Hw Canveqme licenae Lew �CAepter 9(mmme�iq xnh Setlion ]000) d Diiiion 3 d �he
Buanme ard Prdeoionv Cadel a�� � a ahe ia exemp Iharelmm eM the bavie la Iha elbpatl naempion. My violelon d Sedion .
]W 1.5 Ey eiry eppliranl Iw e parmil abjwe the eppli�ani �o e avil penMy ol nol mas then live Iwndred ddlas �SF00�.
❑ I, aa w+wr d Ihe qopeny w my empbyees wYh wepea es ihei eda compensetion, will Eo ihe wwk, enE ihe el�ucture e rwl inleMeC
«Mmed for eeb (Sectbn )we.6ummss vM Pmlma'vn Code: The Contrmae lieeua lewEoes nd eGPNto en owewa papMy
who WdM a imqoven �hereon, md who dme auch wak timaNl or hanel w Ihrwph hu a har own mmplv�me. pwNed ihN ew�h
imprzwemanH era mi intaMetl a diered la eeb. X, howavar, the buiNiiq a inqovemaM is eok wilhin aw yeer ol complNion, Ne
owrer-buiNx wiil he�e the buNen d qoviiq M w ahe d'd nol bnk or impevn la �M puryosa G aele).
� I. es o�mer W ihe properly. em eadueivaly mnirmiq wnh liranaed conlreclae lo canWud iM pmjatl (Setlion ]OId. Buainees eM
v.aes,iore coee: rne comracon uca,� ln.. aom �u aaWr io e� owmr a wow�r wno wim « impm�., mm.on ene wno
comrec4lor wM prq ta wnh e mmreGor(e) IcenaeE punuanl lo �he Comreaps Licenae Law�.
� I em saemq uMar Sxlim: B. 8 P.C.. lor thia eeeeon:
o�a: a�,:
i do n.reM �nM mv i� a�.e,e a.ne �naersiene me rea���ame a ca�a«d. wenn ene sdm coee seeun. zs.ws, uva..na
2553a, enE ihel l a eiry INure buiNirq auvpant vnll / will na (orcb ma) neaE Io canply wNh eek aeta codee eM �M requiremama br
eVamn/amrovuc�ionaimdifimlonhanlMAr�y e^Wenien�0i�ntl.Readm�Wcanprud'anMD�'�iamenexemqhom�hns
provisions.
Dab� AppliaM:
WONKER'S CONPENSRTION DECLIN�TION: I Mreby e(firm uMar parWly d parjury an d Ma Idbxirq dadve�une:
❑ ineved,a��me�m�aan�rm.w�nem�o.w;�w,.r«wn��c�w�m�.ow�rdMs.a�a�ooamei.no.
coda r« me o�a�� m ma.on m, wm�n m�. ae�n �. �a�ae.
❑ 1 heve eM �tie meima� xvken' canoewtun imuruo. m mau'vee M Seaim J]oo d iha leb« Cods. b ihe PMo^^� d �M
X wwk lor xfiich ihia parmit e iecueE. My warkers mmpemetbn inaurer�ce ramer enE pdiq number ere:
c�«: 4n� nrni rnrT r EXPIRES
Pd'cy NumEer: O(3 � O 1�(j'�
��n;,,«r��d,wrns�vbroerrn,o�.;.ro.�n d"di„a ,00/w�,.�
❑ i�M �� m me aeno�� d woMc la which t�i� peimN ia l�hell ml emplvy a�ry Po� ��Y menew n m to
/1b«:ome suEjee� tM xwyR4�npenwion lawe M Ce41m'�eM rea the�'T`l`ahwk become wbjW lo tM wake��'
�nae �' E : -� � �,L Mdcem: � i � J �
W Ing: Fellun ro swun woilrxi rompensetlon roverep� Is unlewlul, �nA ahsll w4/ecf an employsr to cNM�W pen�ltls� en0
uH/ nnu �p ro ms n,vWrod rhouwd 0dlen (Stoo,aa�A M etltl�tlon ro Ms rost ol rompa�wtbn ��p� +• P'o�bb ro• In
�Sxtlon J1fM ol fhs LeCorCods, Irrtenat, eM attomsys /su.
CONSTIIUCTION LENDINO AQENCY: I he�aby eifiim uMsr peneliy d perNry thm thra u e conat�udion bMiep epem.y M Ne
peAarmerce d �he xak lor whiM tAe Germi u'snued (Sedion 308). CN. CI.
LENOEH'S NMIE:
LENOEN'S AODRE55:
I candy �I� I have reed Ihb epplicetim eM dete Ihet iM ebove iMwmalion ie co'red. I epiee lo camply xUh all tlty vd munry ordinvwes
eM ftale lewe eaWna to Wikeq wiMrudion entl Mreby eiMwae iepasanlemea d�Ivs tity lo mler upon iM eEwa�menlonetl piapa�ty
Iw inspeciion Wrposes.
(5151<eWP) Whno-BuiW'vp8
Dme:
Gar�ery-AooSmM: Pink-Revenue: OoWaniodylvaevar
PERMIT NO: P
CZTY OF COSTA MESA - HUILDING PERMIT
089347 PLAN CHECK NO: N
PERM NO: P 08434`
GOVT: N SUYF': N
CUNSTRUCTION TYPE: V-N F'ERMIT TYPE: PLU PORPOSE: OTH
JUB DESCRZPTZON : DISHWASHER C/OUT SQ FT:
CLAIM UALUE: CALC-VALLTE: GROUP OCC: R-3 /
COMMENTS; NO OTHER WORFC ASSOCIATED WITH THIS PERMIT
�*�r*�**�*�*,�*****�*�r*�r�r� �r�r*�r� � x ******�*****x*��*��*���r+r***�*x �**�r�****�*���x**�
Z O N I N G R E Q U I R E M E N T S
S E T B A � K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN kEAk: FT IN
LEFT: FT IN RGFIT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 13925326 ZNE: REF NO;
PLANNING NOTES>
1
iF ik ib it if iE if it if 3f R* iE iE if iE iE if iE iE jE iE iE ie if 3E * iE iE dE if jf iE if if iF iF 3E if if iF df if iE ik �E if if fElf iE if iF if if iF if iE 16 if �e if i(� if * iE iF 3F ik ff jE iE iE if if if 3f df iE
D E V E L O P M E N T S E R V I C E S R E t� U I R E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED bY : UATE:
A�PLICATION ISsUEU BY: DATE: ��
*iEikiEifi(�iEilfFikiEiEiPifiF*�EiEiflflE�E iEiFififiFif�EiF%iE ieif
LEGALZZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMbING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 8.75
25& SMIP/NON-RES
PLAN
ISSUE FEE 22.00
BUILDING-DZV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID LUE
TOTALS----> 8.75 22.00 0.00 30.75 30.75 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 30.75 OVER/SHORT: .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRI�.UING PLAN-CHECK
30.75
1f af jE jE �l! �k 3f �)k tf 1f� ff iE if iE �lE 1c if� if if ik if iE �1f iE'1f iE'1f'fE �E iF 1E if'IE iE iE iE 9E i(� ff f! iE iF iE iE if -%�1k'M')F!f 1!-if 1E'1E'N� iE �lE ib �E iE iFltlE jE'k #!F i! iF iElE iF iE �1(�'1(� jE iE 3E i't
I N D I V I D U A L F E E B R E A K D O W N
TYI�E QTY
PLU
D E 5 C R I F T I O N
1 DISHWASHER
END OF FEES
EXPIRED
na� 3--�►._� = �
UNIT CGST
TO"fAL COST
8.75
08-2�-1997/I�:G2 N�9/530.75
PEkMY TPT084347
1 I
Prescriptivc Cerfifi
. kesideiatiul Alieratlr
r�—
. Pro�ec� Namc:
General lnfa�matiou
.a: I2esidential
Site Address: 7 2 J��O �
J
HuildingTyp� SingleFamily ❑Mu1tiF�inily
Conditioned Floor Areu (CPA)�.
ThisJoru� is �int ui 4c user( /nr
�7
�nforcemeN Agencl': I Uxte
Circic the FroN Orieniation: N, L, 5, W, or degrees
Yrolect Type: O Alterations ❑ Envelope ❑
liepincement or Clian�;e Oul ❑ Duc� Replac
Cmratruc�ed LlnildinA.s m� fl dditions
u
CF-1 R-Al
(Paoe ] of'
#! of S�ories
RooT 0 HVAC
lusiilntinri Vnlue.� Fr�r Opuquc SurJaces.(Jnr F'an-nng use Ihr A9asa mad Fxu�ring 57rip.c Conslrz�clion mble belowl
Assembll' Alteration
❑ Oyening of framed c:�vity alone- �lhern�io»s lhn/ im�alva the opening qi0ie fi�amed cavi�y o(n ��all, ceiling, o� _�loor must irrstal( (he
mmiduiorn mininnnn ins¢dation vulue per �'I50 for d�e nllered assembl7�. Fill in C'olumns A-C and enter mandalm•p insulptiwi vciue in Caltmm H.
❑ RepWcement of entire assemblg-Reylucemeiv oJun ernire walf, ceiling, orjlnor assemblp requires Ihe insialla�ion ojComponem �.
Puckure- D in.rvin�ion values in Toble 15]-C. Fill in Colamma A- J. .
�a ue Surf'ace Decails For ci�e mrred
p B C
Pro osedsecn��c
Framing
'ag/ Assembly l�ame Material
D� or Tvoe� and Size'
ed uf Mass Vdalls sec
P��
U-
r
lA4 Table
Constructiun Table beloN•:
C . .__�H . . .1. .
Caviry
Conlinuaiu' )nsidalimi R-vatue, seeYnge JA4-3 mid Lq�mtion
Assembly � Assembly
�ell Value" U-factory
use
1. For TngUD indica�e Oie identi�calion name tha� nmiches the 6uildino plans.
2. /ndimte �he Assemblt� Name or rype.� Rao/7Ceiling, W'a➢s, Floorst Slabs, Crawl Space, Doars and e�c...lndica�e �hc Frame rype and Size: Fnr
Wood, Meial, Metal Buildings, Ivlass, en�er ?s9. ?xb, m' eic... see JA4 (or olher possiblc fi-amc rype asse�r,blies.
3. Enter die �hiclmess for mass iii inches or Syacing 6etween fi'aming members erver; JG'or 24 "OC,- or Other jor al[ oiher assembly descriptiwi
such as Concreie Sandwich Pane(, Spandre( Panel, Loes, Sn�aH� Bale Pane! and etc.... -
4. Bused on 7he Climate Zone; en�er ihe Siundard U faciar fi�om Table 151-8, C or D for euch diJ,jerenl assemblp Name m� rype.
5. Emer [he Table num6er d�a� closel�� rea�ernbles� Ihe proposed asa�em6h�.
6. L'r��er thc R-i,alue !ha/ i.v being inslalletl in Ihe wall cu��ilv m'6eiween (he f'nmirig; odicrwise, enler ..0„
7. Lmer the Ca�linuous Lisidntia� R-value for ihe propased assenibl�; otheiv�i,se, enter "0 ".
b'. Lrner !he irow� and cn(umm �(Ihe U-(actor valae 6osed on Columir FTuble Number ond emer Ihe Assernbll' U-(uc�a� in Cofnnnr J
). The Pron��sed dssembl,� U-fncmr, Colearm J, musi be equal �a or les.+' ihan the Sfandnrd U-juc/or in Colunm E Io comply.
Fmri��g Strips Construction Table for Mass W alls O��ly �
A li C ll l F G H 1 J K L M
Propused Yruperties of Masonrp and Cuncretc Added Interinr ur Exterim-lnsulatiun �
\��alls Proin Jtefcrence in Turring Spacc frum Relcrencc
doinf A>>endia Tablc 43.5. 4.3.G. 4.3.7 daint A endix Tnble 4313
v
V ✓c I 10 1 U
� � � ,`c�i. L
v� �L G C � u. v
Asxcmbly z- � � � o�R F' �° u��'� L.. ,s '_, � Fin01
Mass Name or ,IA4 Tablc y_ � �v � G � o '� e _ � c� flSSCmbI)'
Thickness� 'I�ype' IJum6er �' G - LL: V � � 3 � c 4' m r i U-%ct01�'� ComI77e0i
II �r �I
I —I I
I I � I
kegi.s�rwinn nkunber: liegisbntivn Duie/Timc: HEIiSPrnvider:
2008I2e.videntin7 Conapliai�cv Frn-»�.s Augusl 200)
��
Certificate ot'
Project Name:
�oor�Nc rjzonocTs (cooL
_e: Residential
§I51(JJI2
#
CF-IR-ALT
(Pa e3oT5)
# vf S[ories
N'hen Il�e nren q/'ec[erior roof sur(nce !n bc replaced eeceed.s �uore tAan SOiL of tLe existing roof nren, or more 11ipn 1,000 fr, rvlaichever is
less, U�c neiv ranfiiig urea musl meet the ronftng pruduct "CoolRoof'requirements oj§152(bJIHi, ]52(b)IHii, or l52(bJ]Hiii.
Check app(icable niternntrve or rsceptimi below if the ronJa6erution is ezemp� fi�om Ihe roofing producr "Ca�! Ronf". reguirementa�. Note: !f any
one ojlhe aLernalivee� m� ezceplimr belnw is checked, ihe Aged Salar Reflec�ance a»d Thermal Emitmnce requiremenls, ja� r�ofing producle� i�v
§I I(if ure no1 ayplico6le. Do no1 rll mble helnw.
ool Roofs Not Required in Climate Zones 1-12, 14, and I G with a Low Sloped. Less or 2:12 pitch. � "
oot Roofs Not Reqoired in Climate Zones I'thmugh 9 and I G with a Steep-Sloped Roofs (pitch greater tiian 2:12) and product, unit weight less
Alternatives to §152(b)IHi and §152(b)Hii, Steep-slope ruof (pitch > 2:12J - �
❑ IDsulation with a thermal resistancc �of at least O.SS hrft ��F/Rhi or at least a 3/4 inch airvspace is added to the mof deck
over an attic; or
❑ Sxisting ducts in the attic are insulated and sealed according m§151(fl10; or
❑ In climate zones 10, 12 and 13; with 1-fi'-of free ventilation area of attic ventilation f'or every I50 ftZ of attic flopr area, and.
where at least 30 percent of Ihe hee ventilation aren is within 2 feet vertical distance of the roof ridge; or .�
❑ Building has at least R-30 ceiling insulation; or
❑ Building has radiant bartier in the attic meeting the requiremenu of §151(�2; or
❑ Huilding has no ducts in the attic, or . .
❑ ln climate zones ) Q 7], ]3 and l4, R3 or greater roof deck insulation abuve vented attic. .
Exception to §152(b)1Hiii, Low-slope roof (pitcL <2:12) - .
❑ Building has no ducis in the attic.
❑ Roofmg area covered by building integrated; photovoitaic panels and solarthermal panels are exempt from [he below Cool Roof criteria.
❑ RooT constructions [hat have thermal mass over the rooT membrane with at least 25 Ib/ft' is exempt from the below Cool Roof criteria.
Note: If no CRRC- i label is available, [his compliance method cannot be used, use the Perfortnance Approacli to s6ow compiiance, otherwi
Check the aonlicable boz below if Exemot from the Roofine Products "Cool Roof' Requiremene
1D
RoofSlope I Product Weight I Product
2:12 > 2:12 �< 516/ft� ? SIb/ftZ Tvoe�
Aged Solar TheRnal
Reflectance''4 Emittanc�
❑4
❑4
�4
❑�
❑4
Tl�e C7iliC ProduCl ID NurnLer con Le ob)a�nedJ�om fhe Cool /inof Ra(ing CmmCi/'s Roled Prod4Cl Direclory al Wvnv Cnolr'no(t orP�nrndGClS/Seor'Cl1 nlm
Indicaic 16e ry��e ofprnducl i.v Leing used Ior fhc rnoJlop. i.c. single-ph� roof, asphall rrof, meml �roof, elc.
/(tlre Aged NeQec�anee is no� avnilaLle in.lhe Cool Rool'RolinS Com�cil's 2a�edYroduci Dir'ecmrp tl�en use d�e /niliul ReJlectunce valuc fr�onr (he same
direclmp and use Ihc etpmlinn (0.1+0.7(P��������— O.l) lo oGlain n calcula�ed aged va6m. Where p i.s U�e Ini�ial So(nr Reflecfnnec.
Check bo.� i(!he Aged IteQeclm�ce is n ca(culorerl raL�e using Ihe equa(ion nbove.
Cnlc�daiellre SIiI value br e�a'ing Uie Sltl- Work.rhee� ui hlm�//�v�nm enerrr cu rnv/�itle24/and enier ihe msir(�ing vaL�e in �he Sltl Cohnm� oGove and au�cl� ucopv
Ihe SRI- IVorksheelln Ihe CF-IR.
i apply Liquid rield Applied Cuutings, Ihc coating must hc applied across the entire roof surface and meet the dry mil thickness or coverage
cmmnenJed by Ihc coatings manufaclurer and meei minimum pertormancc requirements listed in §J 18(i)4. Select the applicable ceating:
Alwninum-Pigmented Asphalt Roof Coating �LJ Cement-Based Roof Coating ILJ Other
Regia'U'ulion NimiLer': Regi,s'iralion Du�e/Time: FIERS Prorider:
2008 Residentiul Compliunce Frn�nes Augus� 2009
Le ui' Compliance: Residenti.il
RZteration.c
Climate "Lonc il
� uf� �1
HI;RS VI:RITI CAT10N SUMA4AR�' The enlorcemeni ugener shoidd pcii� speciUl nue�vioiv iu d�c NLRS f�9easure.r specified in ihis
cbecJdrs� belmr. A completed emcl afo ned C'F-4R Form for- n77 dw• mcasm�e.r a��eci/ied shn/! bc suLmnied �n ih�a bui7dir�g nae�pecinr Lqfw�c- final
Ducf ,SLaline 6 TCStille HE2SneriJicn�]ouisreqzib�¢d.Jor�hlsmaosure. � �
❑}'j',S ❑ NO 1'CS�. ln Climate 2.ones °[ind 9-I L, i1 more thuu 4U llnear teei of ne�r e�i replucc�nent ducts :u�e lnsiaillecl in uneonditioned
� space, the ducte arc k� be sealed 'per §152(b)lUii �aod the newly instblled ducts are to be insulaled pei § I51(]17 U.
❑ EXC�1'T10�: Lxisting duct systems tha� ure ezteuded; �vl9ich ;ve cunstnicted, insulated ur seuled wiGi asbestos,
D YT,S L7 NO 1'PS:In Cilmate'Lones 2 rnd 9-7 G, ii the existinp space-conditioning system {HVAC equipmem and duciingj ix repinced, U�e
� ducts are m be sealed pei §1;2(bpDi. �
❑]'ES ❑ NO YL"S lu Cliinate Zones ° und 9-16, if [he ezisting HVAC equipinent is repiuced jincluding the replacemen� 01 [he air handlei;
� outdoor coudeusiug �nii of z splii system, cooling or heati��g coil, or the f'urnace lieai exchanger) the duets are to be
sealedpei §152(b)lE.
❑�XC�PT70�: Duct systems tL�t xre dacumented iu I�nve been previouslp sealed coniirmed thruugL HEI:S
. -� �-veriiication iu acrordance ivitL procedures in the Reference Residential A��pendix RA3.
� � ❑�XCEPT70�': Luct systems with less than 40 linearteet iu uncooditiuned spuce. - .� .�
❑ LXCEPTIO�: �xisting duci svstems constructed, insulated m� seuled with asLes[os.
REft'leerant ChBreE - Split S,y6tCID HERS verificc�iion is reguire� Jor �hi.r measanc,
❑ Y�S .❑ NO YES: In Climate Zones 2 and 5-15, when the existing HVAC equipmeni is replaced (mcluding th� replacemem of the air
hendler, outdoor condensing unii of a splii system A/C or l�eat pump, cooling or heating coil, or th� fumace heat
exchaneeri a refrieeran[ charee meesurement 5ha11 be ve7il�ed Der � 152(b11F.
Central Fan Inteerated (CFI) Ventilation S,ystem and Fan �'att DraH�
Tl�e ventilation renuirements of FJSD(ol do not an�h� m existine residential homes.
Ducted Split Systems - Air Conditioners and Heat �'umps: Airflo�r HERS nerilicarion ia requirec! Jor this measure.
❑ 1�S ❑ NO 1'ES: ln Climate Zones ] 0 through 15, when [6e existing space-condi[ioning system (HVAC equipmeni and ductiag) ia
reolaced, �he airflow and ian watt draw shall be verified ne� § 152(b)1 Ci to meet the requirements of o I51(f17B.
• I
✓
and
Date:
lf Applicable O C$H or
(Certificatiou il ):
Phon�:
innsible Iluilding Desi��ner's Declaratinr Statement �
1 am eligible under Divislmi _ of ihc Califomiu IIuslness and Profession:: Code to accepi respunsibility for the building design identified ou
tbis CeriiLcate of Complianec.
I certif�' [hai the energy leatures and performanec specification:� inr the bullding desi�i� identiiied on this Ceniile�ite of Complinnce cmifonn
tn thc requiieinents of Tille 2a,1'ans 1�md 6 of thc Culiibrnia Cndr of�lteEula4on::.
Thu buildmg design 1'enunes IdemiGed on lhis Certificaie of Compliance avc cunsistem with thc in(ormution proalded tu documeni this
buiJtlm�� dcsigii on th: nther ;ipplicnblc comphancc lormc, worl:shee�:,, oulculations, plans aud speciLca�iom: submittcd ��� qio cn�orcemeni
a�encr lor nPP«�val with thVs buildnr� penmi applic��ion.
Nnme:
Cumptinl':
Gh;'Statc/:.:ip:
Sipnature:
I1nte:
Liceusr:
1'hone:
Fr�r a.v.ci.eumce ur yueslinns re�nrrlin�; tl�e� Encr�,l' Sumdru�tLt, cmtlaCl 11�c Lneroi' HnlLir�c at 7-80P-; i2-i3b0.
I(egisrroifon h4mibcr I(egixvunor. Luic/Timc: hIL7;S' 1'ronicier:
2bOf:ltc�fclenGal Cumplim�cc Fa-aia �z�gu.s� 30119
OWNER _ ���R ENTERPRISES DATE g_2g_�2
JOB ADDRESS 3257 Turlock Drive BUILDING PERMIT N0. 35311
GENERAL CONTRACTOR Heltzer DESCRIPTION of WORK Res. w att. ear.
INSPECTIONS
SOIL
GNS
WATER(,���N(�O�/�YL
ROUGH PL MBING
PROP. $WR. LINE IOUSE CON.
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING ANO AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UN�ERGROUNO � POWER �
ROUGH WIftING m
TRENCHES FORMS u STEEL REINF.
FLOOR SVSTEM
BON� 9EAM r] STkEL REINFORCE [�
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER,BROWN COAT
STRUCTURAL,FINAL
HEqTING, VENT., REFFIG. AN� A.C., FINAL
PLUMBING, FINAL ANO GAS TEST �
ELECTRIC, FINAL
BUI4DING. FINAL
SUBCONTRACTOR
A
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�= COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING �j �
ADOFESS .�
OWNER Heltzer Enter rises-Costa Mesa
ADDRESS 740 N. La Brea Avenue
� CITV I,os An eles CA 90038 No��937-2171
� corisrRucrioNUnited California Bank
LENDER '
)
) BRANCH Main Office
7
� ADDRESSFin(1 i_ Snrinn RY T.,c A..�,oloe
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h!Ii;30-72cnsa00210?_�- ��*173.45
APPLICATION FOR BUILDING PERMIT
'.EIVED BV pATE RECEIVED nnTc ISRw
.�
A.P. NO.
BUILOWG '
ADDRESS � `% � i
wn�.n�io�� —
ORENGINEER David Freedman No�OL,3-385
FIRE
nooaess 113 N. San Vicente,Beverly Hills ZONE
APPROVED
CONTRACTOR George J. Heltzer
ADDRESS 740 N. La Brea Avenue
TEL.
CITV jpS .�.ilg'��,_P_C� (�/\ 4nn3g "'o. 937-
uc No. 3144 uc�No. 190�
512E I NO. OF BLDGS.
OF LOT NOW ON LOT
E%IS71NG BLDG.
SI2E OF
EXTERIOR WALL
COVERING
USE OF BUIL�I
NO. OF
ROOMS STOF
ROOF
COVERING
WORKTOBEPERFORMED
Plan 407 F
ZONE NO.OF
PLANS d
VARDS APPROVED
MAIN BUILDING
(FROM C/L STREET) i.
VAR alE
i. �fJi
�OT (7% BLOCK
] r
VALUE
$
GROUP �`
�
DATE
USE OF NEW �N � rJ=J
BUIIDING
VARDS APPROVED
DATE
APPROVED
1 hereby acknowletlge that 1 have reatl� this application and rtate �s -""��
that tha above information is correct and aBrea io comply with �
all laws regulating builtling construction, antl I shall not employ TAX '
any person in violation of She workman's compensation laws of
Me Stete ot Califomia. '[
I �ereby certity that I am properly licensetl as a contrector untler T� SQ. FT. � �
the State of California Business and Professions Cotle, �i�islcn 3, THE AMOVNT SHOWN UNDER VAI
Chepter 9, and that such licenses are In fuli force and effect, or I THE PURPOSE OF ESTABL6HING A P�
am ¢zempt from the prov sions ot tha State of California Business' VALUATION
end Professions Cotle, Di n 3, Chapier 9. PERMIT FEE 9
Sipnamre of �
Permlttee 5.?G �oO � FLANCHECK $
� V�
AuMorized ABent TOTAL FEE $
FT.
� �
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0
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lUOBADDRESS 3257 Turio
�GENERAL CONTRACTOR
. lAP No. 2— —1 LOT•
�INSPECTIONS
� SOIL
GAS
> WRTER
� ROIIGH PWMBING
PROP. SWR. LINE � HOUSE CON.
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING FNO RIR CON�ITIQNING
TEMPOfVARV SERVICE OR POLE
UN�ERGROUNO � POWER �
ROUGM wIRING
TRENCHES FORMS � STEBL RE
FLOOR SVSTEM
BONO BEAM [� STEEL REINFORCE �
SHEATHING
FRqME AN� FLASHING
LATHING - IN n OUT n
PLASTER,BROWN COIi
STRUCTI1RqL, FINRL
HEATING, VENT., REFRIG. ANO A.G. FI
PWMBING, FINAL AND GAS TEST �]
ELECTRIC, FINAL
BUIL�ING, FINAL
SPECIAL REOIIIFEMENTS
VXIC
SUBCONTRACTOR
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�': COSTA MESA BUILDINGS;4FETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING ��f ,.�/7 � .. . � _ %%
OWNER `
MAIL
A�ORESS
CITY
CANSiRUCTION
BRANCH
ADDRESS
ADDRESS
CONTRACTOR � � C� J
ADDRESS � ,f�
CITV
STATE �%���� �
LI0. NO. v�
SIZE
OF LOT r
USE OF � ^
EXISTING eLDG. {=�
SIZE OF NO.OF
NEW BLDG. ROOM'
EXTERIOR WALL ROOF
COVERING COVEP
USE OF BUILDING AND WORK TO 8
TEL.
NO.
TE L.
TEL�
NO ,
CITY
LIC. NO.
INO.OFBLDGS.
NOW ON LOT
MED
I hereby acknowledga that I have reatl this application antl stateJ
that ffie above information is correct and agree io comply wiffi,�
all laws regulating building consttuction, antl 1 shall not employ�
any pe�son in violation of the workman's compensation laws af„
the State ot California. �
1 hereby certify that I am properly licensatl as a mntrector untler�
rhe Sreto of California eusiness antl Professions Cotle, Divisicn 3,�
Chapter 9, and thac such licenses are in full force antl etfect, or I.
am exempt frorm tt:e provisions ot Me Staxe of California Business
antl Professions Coae Ivision !3, Chap er 9. / �
SiB�ature of /�f / �/�% //��
Permittee `��� (�`�W�
Authorized Agent � ,�
�. N���
1AM'i4-74cr,z;OQ 447�a *�"t'••�10.50
._i
FOR BUILDING PERMIT
�TE RECEIVED nn�rc icci u
TRACT
OWNER
FIRE
ZONE
APPROV
OF _ I USE OF N
VARDS
MAIN
FROM Gl
DISTANCE BET. BET. MAIN
MAIN BLOGS. ACCESS. BL
VAR #` DATE
C.U.P.�} APPqOVED
`/7i
APPROVED
�
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m
SQ. FT. T� o
THE AMOUNTSHOWN UNDER VALUATION IS FOR �
THE PURPOSE OF ESTHBLISHING A PERMIT FEE ONLV: ¢
VALUATION � �
PERMIT FEE $ j
/ m
5 �j_ h O� pLAN CHECK $ E
(l✓!l �/ / a