HomeMy WebLinkAbout2062 VALLEY RD - Building Permits • CITY OF COSTA MESA '
A s ,"""ppp BUILDING DIVISION
i a�.t. 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • wrvvv..ci.costa-mesa.ca.us
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4. FOR INSPECTIONS CALL: (714)754-5626
Ito -1"°°"`°fi PERMIT NUMBER: B10-00136
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 42233129 DATE ISSUED: 05/19/2010
. ISSUED BY: RMD
JOB ADDRESS: 2062 VALLEY RD CMSuite/Unit:
Vicinity: HOUSE AND GARAGE ROOF
Squares: 2408Valuation: ' $10,000.00
SCOPE OF WORK: TEAR OFF EXISTING ROOF MATERIALS, INSTALL A MINIMUM OF 1 LAYER 15#FELT ON A 4:12 PITCHED
ROOF, REROOF WITH 50 YEAR COMP SHINGLES ON AN ATTACHED HOUSE AND GARAGE,APPROX 2,408 SF.
REPAIR AND REPLACE SHEATHING AS NEEDED. COMPLIANCE FORMS ATTACHED TO JOB CARD AND CITY PERMIT.
OWNER: CRAIG,WILLIAM F TR Address: 2062 VALLEY RD . Unit:
PHONE: 714-719-9029 City/State/Zip: COSTA MESA, CA
APPLICANT: CRAIG, GARY . . Address: 2062 VALLEY RD - Unit:
PHONE: 714-719-9029 City/State/Zip: COSTA MESA, CA t '
CONTRACTOR: OWNER-BUILDER '-„ . • - - License No. 000000
Address: Unit: PHONE:
City/State/Zip: - CELL: . •
ARCHITECT: License No. PHONE:
ENGINEER: License No. PHONE:
FEE SUMMARY
Reroof Plan Check: $0.00 . .._ .
" „
Reroof Permit Fee: $181.25 - -
Reinspection Fee: $0.00 -" ..
Bldg Std Admin Fund $1.00 - ,
TOTAL FEES $182.25 -
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
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 A. INSPECTION TYPF DATE INITIALS CODE A INSPECTION TYPE DATE INTITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final / fid ,, p.� 208 Final Plumbing
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200 Final Re-Roof -s- 4 oAS2 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
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WORKERS'COMPENSATION DECLARATION: Owner ID verified by drii er's license.� es ❑ No , G
I hereby affirm under penalty of perjury one of the following declarations: Dr'v_':s License No._/=
s:2-—ia--6.--—J
❑ 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
by this permit,and that no building structure.scaffolding.falsework,or demolition
Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This .on need not be competed if the penn4 is valued at one hundred dollars($700)orless)
Polio umber: 2,Art 2Sec.341,Title B,California Administrative Code).
0 As owner-builder, I will not employ anyone to do work which would
4-fir 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 work- ' compensation laws of California. and agree that if I should
beco� lect to th mpensation provisions of Section 3700 of Applicant's Signature Dale
the L.•ty Code, - .•• comply with these proyj<sions.
/(4-ef:�(S Division of Industrial Safety Permit Number:
1:J1 .: cam's Si / u-pale HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
W•RNING: FAILURE T• E 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
(5100.000), 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 license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No
Lic.# Class 7t (Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
Contractors Signature Date 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 far 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? 0 Yes 0 No
thereon,and who does such work himself or herself or through his or her own
employees, provi at such improvements are not intended or offered for 8. (If"yes". attach certificate of compliance from the appropriate air pollution
sale. If, ho er, the building or improvement is sold within one year of control officer).
Yhe
owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
ner 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
El I am exemp under sec. the information • yen i - . .• -e to comply with all state laws and city
ordinances re,,/is, o building constrw tion, and authorize representatives of
Business .rof- ••- ' reason: _ the Cit ,.•sta Mesa to ente •son the above-described property for
/
inspe Cit
• to occupy or allow occupancy of any building
auth•, it by this permit until final-inspection.
)'-/"
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Air /:a -•f• .• ^Odle
ignalur•
de3057 46(3107)
And/or Aulnonzed Applicant Dale
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e Prescriptive Certificate of Contplt. .a: Residential CF-112-AL'
,Residential Alterations (Page 1 of 5)
• 7Project Name: Climate Zone/4 PofStories
General Information /'
Site Address:l�.�/� c /�� , / ;(Aft 7,,,V.- ---
I
Enforcement Agency: / Date: 'f —/��/'D
j Building Type sd5inggllee Family 0 /M'utllttii Family Circle the From Orientation4:�N,E,S,W,or degrees
Conditioned Floor Area(CPA): 2--' v(Y Project Type: 0 Alterations 0 Envelope 0 Fenestration Roof 0 HVAC
Replacement or Change Out 0 Duct Replacement 0 Water Heater
,NOTE: This-finny is not to be used for Newly Constructed Buildings nr Additions -
• I-Assulation Values For Opaque Surfaces(Jar Furring use the Mass and Furring Strips Construction table below)- - "
Assembly Alteration •
0 Opening of framed cavity alone-Alterations that involve the opening of theframed cavity ofa wall, ceiling, or.floor must install the
mandatory inininhnn insulation value per§1501ar the altered assembly.Fill in Columns A-C and enter mandatory insulation value in Column H.
0 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 tuned portioned of Mass Walls see Furring Strips Construction Table below.
-A B C • I) ' E - • F ' . C . ,,..tl_ .. . .... ..1._.. � ... _J .
- Proposed Sse Not; • • I Standard Values From JA4 Table' .
Framing Thickness, Framed Continuous JA4 Proposed
Tag/ Assembly Name Material Spacing, U- JA4 Table Cavity Insulation Assembly I Assembly
IDI or Type' and Size'` or Other3 factor" Numbers R-valuee R-Value' Cell Value" I U-factor9
L _
Nate:For furred assemblies,accounting for Continuous Insulation P-value,sec Page JA4-3 and Equation 4-1. For calculating furred walls use the Mass and
/Furring Consnvction table below.
I.For Tag/ID indicate the identification name that matches the building plans.
2.Indicate the Assembly Name or type:Roof/Ceiling, Walls,Flows,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 muss in inches or Spacing between framing members enter; 16"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_fr'ont Table 151-B, C or D for each different assembly Name or type.
5.Enter the Table number that closely resembles the proposed assembly.
6. Enter the R-value that is being installed in the wall cavity of between the fr'am ing; 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 U-factor value based on Column F Table Number and enter the Assembly U.-factor in Column.l
9. The Proposed Assembly L1-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 I B I C I 13 _I E F G I II I J 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
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Assembly 7- j `c .O F" c- `o =,'v 4„u ,:' t4 Final
Mass Name or JA4 Table 4. = r2 v + _ c R o 'E u 4 = It T4. Assembly
Thickness' Type' Number' '5 5 ui ° r . 2 5 E & S :F uki C I U-factor6'2 Comment
I I 1 1I I �'
Registration Number: Registration Bate/Tune: HERS Provider:
2008 Residential Compliance Forms August 2009
Prescriptive Certificate of Compliance: Residential CF-IR-ALT
Residential Alterations (Page 3 of 5)
Yr a"Name Elt imste'Zune'.#�' 1, tones
7, T-C9G— V4u-i-C/ ciao
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 1,000.02, whichever is
less,the new roofing area must meet the roofing product"Cool Roof'requirements of§152(b)IHi,152(b)1Hii,or 152(b)1Hiii.
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
6, §1.18(0 are not applicable.Do not fill table below. . -'
1 ❑cad Roofs Not Required in Climate Zones 1-12, 14,and 16 with a Low Sloped. Less or 2:12 pitch. •
MCsool 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
than 51b/ft2.
.S"--alternatives to§152(b)l Hi and§152(b)Hii,Steep-slope roof(pitch>2:12) G
❑ Insulation with a thermal resistance of at least 0.85 hrft2'°F/Btu or at least 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
- ❑ •In climate zones 10, 12 and_13,with 1 ft2 of free ventilation area of attic ventilation for every 150 ft2 of attic floor area,and
whereat least 3D 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
❑ Building has radiant barrier in the attic meeting the requirements of§151(02;or .
❑ Building has no ducts in the attic;or
❑ 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)
❑ 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.
❑Roof constructions that have thermal mass over the roof membrane with at least 25 lb/ft2 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 RoofinE Products"Cool Roof"Requirement:
Roof Slope Product Weight Product Aged Solar Thermal
CRRC Product ID Number' < 2:12 >2:12 < 51b/ft2 > 51b/ft2 Type2 Reflectance3'4 Emittance SRI5
❑ 0 0 0 ❑4
❑ 0 0 0 ❑4
❑ ❑. ❑ ❑ 04 .
❑ ❑ 0 0 ❑4
❑ ❑ 0 ❑ ❑4
I. The CRRC Product ID Number con be obtained from the Cool Roof Rating Council's Rated Product Directory at www.Boob'ao(S.org/productsisearch.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. If the Aged Reflectance is not available in.the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same
director), and use the equation(0.2+0.7(p,,,,,,r,1-0.2)to obtain a calculated aged value. Where p is the Initial Solar Reflectance.
4.Cheek 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://wwm.energv.ca.gov/tide24/and enter the resulting value in the SRI Column above and attach atop,'of
the SRI- Worksheet to the CF-IR. .
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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 §1180)4, Select the applicable coating:
❑ Aluminum-Pigmented Asphalt Roof Coating I❑ Cement-Based Roof Coating 0 Other
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Registration Number: Registration Date/Time: HERS Provider:
2008 Residential Compliance Forms • August 2009
S , .
Prescriptive Certificate of Compliance: Residential CF-1 R-ALT
Resieleztieel Alterations (Page 5 of 5)
Yri}y, Whir : (C'iimate;�.onc i%' i; 61.51^pies=
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HERS-VERIM CATION SUMMARY The enforcement agency should pm'special attention to the HERS Measures specified in this
checklist below. A completed and signed CF-4R Fpgn for all the measures specified shall be submitted to the budding inspector before 1inol
Inspection.
Duct Sealing & Testing HERS verification is required,for this measure.
❑YES 0 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 pei• i152(b)1Dii and the newly installed ducts are to be insulated per 151(ft 10.
0 EXCEPTION: Existing duct systems that are extended,which are constructed,insulated or sealed with asbestos.
❑ YES ❑ NO YES:In Climate Zones 2 and 9-16,if the existing space-conditioning system(HVAC equipment and ducting)is replaced,the
ducts are to be sealed per§I52(b)IDi.
❑ YES 0 NO YES:In Climate Zones 2 and 9-16:if the existing HVAC equipment is replaced(including the replacement of the air handler,
outdoor condensing unit of a split systeit,cooling or heating coil,or the furnace heat exchanger)the ducts are to be
• sealed per§152(b)IE.
❑ EXCEPTION:Duct systems that are documented to have been previously sealed confirmed through HERS
- • verification in.aecordance with procedures in the Reference Residential Appendix RA3.
0 EXCEPTION:Duct systems with less than 401inear 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:lin 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(h)1F.
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Central Fan Integrated (CFI)Ventilation System and Fan Watt Draw •
The ventilation requirements of§150(0)do not amity to exiiting residential homes.
Ducted Split Systems-Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure.
- 1: YES 0 NO YES:In Climate Zones 1 D through 15, when the existing space-conditioning system(HVAC equipment and ducting)is
• replaced.the airflow and fan watt draw shall be verified nen§152(b)1 Ci to meet the requirements of§I Sl(f17B.
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate and co ler . -
Namf• A1 '�f�� Signature: �
Company: Date:
• O
Address: ��(��/ If Applicable 0 CEA or CEPS
'OOII�_'' —
�,r '12'� (Certification 10:
City/ ' ute/Zip: Phone
Responsible Building Designer's Declaration Statement
I 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 t eq tiirements of Title 24,Parts 1 and 6 of the California Code of Itegulattune.
• The building design features identified on this Certificate of Compliance arc eonsistem with the in form at toil provided to document this
building design on the other applicable compliance forms,worksheets,calculations,plans and specifications submitted to the enforcement
unency for approval with tins building permit application.
Name: Signature: •
Company: Date:
•
• Address: . • License:
City/State/Zip: 1 Phone:
For assistance or questions regarding the Energy Sun idurcl.s, contact the Energy Hotline (II: 1-800-772-3300.
Registration Number: Registration Date/Time: HERS Provider: •
200d'Residential Compliance Fornix Atmgtts/2009
,Os'
Applicant to fill in all s• paces except those within heavy border lines and sign all appropriate declarations. -
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nPERMI�JV TRACT NO. LO NO. UNIT NO. � /
CITY OF COSTA MESA 1ClONSTR.0 TON PERMIT 137 Qt1 t l /-7 A.P.# 4a a- l - Zone
Project Address Aneca VA/re? No , �O� �T `�
O rr I 1 5 Main Builth I Accessory Building: ,�
Applicant's Mailin Address SAM?J TYPE OF CONSTRUCTION ❑ NEW u ADD ALTERATION ❑ REPAIR 2 7
❑ CONVERSION' ❑ DEMOLISH ❑ OTHER T Front a3 0
Owner's NameLjltf(AM /CAP/P, 0Lys- Phone754/67/f - Rear f �1 f N
cram
DESCRIPTION OF WORK/USE OF BLDG. /Mine_ 1 B - a5 p(O
Address, ,vtRight5/ �O r
Arch/Eng.�Q pp.�/�S� j/t.�fQ USe License rN�o.,�q,,'/O/�jS�S�PJ� TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL C . -t• G
Address rd WF1R•/'/GQ/�p piturtAy 7V" B-0-A ❑ TENANT ❑ ELECTRICALII. /❑ PLUMBINGr ❑ MECHANICALJ , s • Left 51� '7 5/6 I R
'6244/11/.- �- ` ) f•j✓ ❑ OTHER GA�4 �pta/ qza/a ('CaN,CItIY Z�D V � Ref.# Parkin
Contractor's Name / .Phone . / Ping. g Req./Provided E
PROJECT DESCRIPTION SQ. FT. _ OCCUPANCY P.-3 - - , 0
Address(mailing) q 0.0 Planning Notes: Nim O�Pa I nr - M
CON ST RUCTION TYPE \r LI VALUATION$ q Col 4{ - ly,,_ f,,. }. 1_,,�,, c,J..,. L..,J ,.I E� T
City License No. ZONE GRADING CU.YDS ACRES __________ gbrIt W/�111a1-I� ba-1-61m5-h- bar/.l-.C.t.r,-.
LICENSED CONTRACTOR DECLARATION gyp/ _ ky P� S'
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: C w O AN 1(�1\ - s6.P_ �/ r� M CTll.t- �JIs•"'r`5� Q-) `^�✓ +), 1
with section 7000) of Division 3 of the Business and Professions Code, and 1, 5 s •-- res-•I/Y VV .d
my license is in full force and effect. A G1d�tion ELECTRICAL FEES
PLUMBING'1L?9 - B$
License Class License No. FEES Automatic asher Transformer 0 15-50 KW
Date Signature _ -
'RKERS'COMPENSATION DECLARATION // Construction Pole Sub. •
0 50+KW
•reby affirm that have a certificate of consent to self-insure or a certificate Bar Sink /•
Showers +I CL-1 /� n/ I
Workers' Compensation Insurance, or a certified copy thereof (Section ---""""""'•��� Cooking Unit Meter ❑up to 100 amps
3800, Lab. C.) ,•{ . .-, Backflow Preventer Service Sink r 3^�
Policy No. -� - Compahy�_-- Backflow Irrigation Sewer Cap •j Dishwasher Meter Cover 100 amps 3 W
B Certified copj is hereby furnished. - Dryers ❑Gas ❑Electric —
Sub Panel
Certified copy,i5 filed with the city Building:Divifion. / Bathtubs �,ne , Sewer Connection 2 N/
Date "- Applicant •-- • Fan Motors❑0-1HP ❑1%-B
.EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors -
(This section need not be completed if the-permit is for one hundred ($100) or A n F.A.U. Inc.Solar 09-15 HP 016-15+
less). - 'yi Dishwasher I1p0C• Solar Piping Z �/
I certify that in.the performance of the work for which this permit is issued, I Fi%tures
shall not employjany person in any m; 1ner.so as to be�ct to the Drinking Fountains Solar Tank / Microwave '1' 3 w
Worker ompensa Ion sof Califo//(/(Jj! •
—
Date I Si nature 9i l Device Boxes Pole Light
/ �/Tg _ Floor Drains Swimming Pool w/Spa g
NOTICE. 1 er making this declaration,you should becomes ' ct to tArie M /
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal - t'•O Outlets 1S= ' ( Range 19
comply with such provisions or this permit shall be deemed revoked. 111``^x• V
CONSTRUCTION LENDING AGENCY ' Gas Service Outlets / ' Water Closet f2-eicc. Z sv/5 Switches Sign It 2\
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.) Interco tors % n / Garbage Disposal Standing Sections - W
Lender's Name P Water Heater
Lender's Address - / Kitchen Sink , Water Service 2 id 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 ,a Lavatories _ �„ O c, 4 • Auto-Wash - (..f (� t'
following reason (Section 7031.5 Business and Professional Code: Any city or w^.' —� - _
county which requires a permit to construct,alter,improve,demolish or repair P-Trap ey 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 11
he Contractor's License Law(Chapter 9(commencing with Section 7000)•of (� `•"
• ivision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee 1 ¢a-
.nerefrom and the basis for the alleged exemption. Any violation of Section • -
7031.5 by any applicant for a permit subjects the applicant to a civil _ _t
enalty of not more than five hundred dollars ($500). DEVELOPMENT SERVICES REQUIREMENTg: / /},� _ ) o
as owner of the property or my employees, with wages as their sole Reinspection Fee $15 Issue Fee $.3 t.Ve/Q_. , b2 1.2 - gg,
compensation, will do the work, and the structure is not intended or-offered — Zoning Approved ey -Date
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By f, "1Date
License Law does not apply to an owner of a property who builds or improves - ___— _ __ o �o
thereon, and who does such work himself/herself or through his or her own - Application Issued By ^- 'Date �l _,--ere
, employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑• SUMMARY OF FEES
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 $ � ��� SMIP,. $ l/6
111I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System
tractors to construct the project (Section 7044,Business and Professions Code: • PLAN CHECK $� PERMIT
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0.100;000 BTU ❑100,000 BTU PLUMBING $ 11 ISSUANCE • $ -
builds or improves thereon, and who contracts for such oroiects with aeon-
• tractorExhaustSystem Repair/Alteration s) license pursuant to the Contractor's License Law). I am aware that System 0 Multiple 0 Rir/AlPLAN CHECK 25% $ ENERGY P.C.• $
proof of their Worker's Compensation insurance should be provided to me. $ rJ�2e GRADING $
❑ I am exempt��� �under� S�ection- B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers ELC ELECTRICALCAK 50% $ MICROFILM $
I he owner _ .�/i: %.%. ` Heating System& Ducting Registers MECHANICAL
I Fiore y cne��ify that I have read this application and state tithe above Doi 00,000 BTU 0100,000 BTU $ TOTAL FEE $ `����
Information is correct. I agree to comply with all city and coun y ordinances c PLAN CHECK 25% $
and state laws relating to building construction, and hereby authorize repre-
sentatives of this city to enter upon the above-mentioned pro arty ,tor C1 / / -'-
Inspection p ares. /j� �p pax Ip(p'w - V I�iS4a `/�' t
Signature Pares.
or -� 1 /W�'�.3 Date 8� ((„- '
Drivers' License or SS# Reinspection Fee $15 Issue Fee $ 3 2.(pp x t� ��t(y16d 01 �1�L1�s$s-el}I�L ZE$N . TI B-a' 395,77
'ATE: 12/12/M TInE: 17144
0865-46,rev.5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
:�..
II6. .
gi CONSTRUCTION AND PLANNING PO. &SPA
Date Inspector / Date Inspector
,n APPROVALS Permit# APPROVALS Permit# ,i,
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location -2•
2. Soil Pipejllndrgrnd. .1.b/fr Steel Reinforcement •.�
3 jlectrcal,ConduitUtility-Undrgrnd. '7' '7 r' 54. Forms ,l ';
4?Electrical Conduit-Undrgrnd. 55. Electrical Bonding '
5:-)Steel.Reinfti�cement /y,7 itX �N 56. Rough Plumbing & Pressure Test
C' it _Lr-�F�"
6%Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE -2 y
7.'.Footings '174" 6I,,,� G�/ig 58. Electrical Conduit-Undrgrnd. . r,,, u
1 lY - / Vr
8 Foundation -1 :i - 1 giehg' G 1, . 59. Gas Pipe, 0 Undrgrnd.,Test
9. Waher'Pipe-Undrgrnd. 'i 60. Backwash Lines, P-Trap, 0 Undrgrnd.
• •
10. Structural Floor-System ,.-, 61.. APPROVAL TO DECK
11. Property Sewer Line & House Connection - • 62. Backwash & Receptor-Final
12. Sewer•Cap-�� . ' ' ? 63. Heater & Vent-Final -: -• '2"
13. Roof Drains, 64. Plumbing System - Final i-
14. Rough.Plumbing 65. Electrical-Final r-1
15. Rough Electrical-Conduit 66. Solar System-Final -
1`6`,'Rough Electric Wiring 67. Fencing & Access Approval
1U7 Rough Wiring Sign 68. APPROVED FOR PLASTERING
i'8; Rough Electrical-T Bar Ceiling: 69. POOL/SPA SYSTEMS FINAL
1'9'Rough Heating &.Air Conditioning FIRE DEPT. REQUIREMENT
i
I . d
20r Rough FactoryFireplace - A
APPROVLS? Permit#
.n ii
21:'Ducts, in Structung �! 70. Underground Hydro
i 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
•
23. Gas Pipe-Rough &Test• '�. �• - 72.•-Undergt6u a Flush _
24..Roof Framing -' 73. Undergrnd.Storage Tank O Gas O Oil
25. Roof Sheathing '' 74. Overhead Hydro
-i _
26. T-Bar Ceiling (Structural? & Ntnocoat 75. Dry Chemical
27. Fre me4nd Flashiiig i 76. Dry Standpipe
28. Lathing & Siding'- -_ , 'i r. 77:' FIXED SYSTEM FINAL
29. Insulation I ^`�� 78:4FIRE PREV. FINAL
30. Drywall Nailing � l HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coate_> 4. .79. FINAL INSPECTION •
32. Electrical Power Metler=Final J t< v) 89...1009 CERTIFICATEt1SSUED
•
' 33. Final Electric S ; r, Notes: :` i !
34. Final,Heating& Air Conditioning •-, 1.1,--t: „1
35. Final Gas Pipe-Test it ,
36. Hood or Canopy
37: Final'Factory Fireplace i - 'bi
. 1.
38'Final Plumbing ' , •t
39.•Water Service-Final ,
40. Gas Service-Final T; -�,
41. Solar Domestic-Final• ,i•` _
42. Backflow Preventer - ....
43. Backflow Irrigation :; • 1' - r- �.f
44. .Landsdape Irrigation System 1 --`
45. Sound-Attenuation 4
46. Handicap Regulations
.9..//� q/ 303.4.v _
47. FINAL STRUCTURE &BUILDING /t7J0 t)
48. Special Requirements Completed t D
49,`Electric Release to Edison - �-
0
50: Gas Release to Southern California Gas Co - ' '�-
r 51. CERTIFICATE OF OCCUPANCY {q i II V.1 ) ^ .0 I`• ' L.1 L.-'
No. Date 1 • r ' "
Pat
CITY OF COSTA I•TSA PLANNING DEPARTMENT
A, P.. No. 115-6,11-2Q
Bldg. Permit No. 36573
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
Project Address 2062 Valley Road, Costa Mes!, CA 49897
Owner's Name William F. Craig
4 B Freea+rairriL g t7Q C^
y rr..i+_
1Fee8
Total
Total number of Dwelling Units 1
Planning Department Approval Date5_24_73 Park Area No. 1
i
ByW'L'a' PJM Applicant's Signature r
CITY OP COSTA I/W.SA PLANNING LL,t'ARTMCNT
A, P. No. 115-631-29 -
Bldg. Permit No. 36573
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
Project Address 2062 Valley Read Cncta Mesa, CA_ 92697
Owner's Name William F Craig
Ez"e'r n r�ILL Sero Yom^ -
3 D_i. .,gra 0irile4leehY. GG
uum tit 1 _
CSS411,011alilaRR
Tota3Feeg"
Total number of Dwelling Units 1
Planning Department Approval Date5_24_73 Park Area No. 1
ByW.L.D. PJM Applicant's Signature th/id-/J, / V `
OWNER CRAIG, William DATE 5--2L-7,,
JJOB ADDRESS 2062 Valley R BUILD'. 'ERMIT NO. 36573
NAPCONTRACTOR owner-builu.cr DESCRIPTION of WORK .idence with att. •ar
NAP ND. 115-631-29 LOT 8 TRACT 3470 FIRE ZONE . VALUES 88.622.00
INSPECTIONS 54nature Date GROUP T &1T TYPE V ZONE P1
SOIL 4
4,..•'% drie 9•l1.73 SUBCONTRACTOR PERMITS ISSUED
IGAS Date Number I Signature
WATERU/A/b1 c 7—/C'-- 3 Plumbi .
ROUGH PLUMBING '•r/r Ale.-ff I `�_ vAI _
- , f A- - /
I/ t%
PROP. SWR. LINE ❑ HOUSE CON. .. - ./7 i 1
Art- , 7- Yl/_ rY/,
SPRINKLING SYSTEM 413 09' •/
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING eraragar
TEMPORARY SERVICE OR POLE . 0
UNDERGROUND fl POWER f //,,yy 1
ROUGH WIRIrrrrNYYYYG V'/%; Neati/n B/�an�9d,Vent. /
TRENCHES if FORMS S STEEL REINF. X717-a � ..,..4J�/Heat/
-a2 1 /04, 71
FLOOR SYST M "l/-�� ,�c 9 20-7 '• /
BOND BEAM U STEEL REINFORCE
SHEATHING rift - .f- 7
FRAME AND FLASH! ,"e'//I��'�liigiW •
LATHING - IN ` OUT Sala-- .
PLASTER, BROWN COAT rig.- It 'ir'13
STRUCTURAL, FINAL �Y �[. +/r`�/�/ �[�
HEATING, VENT., REFRIG. AND A. FINAL �3 I C// _ 'ate IidVa YPLL G�% �. '/
PLUMBING, FINAL AND GAS TEST p / cisu) 3. /W177 j•_�'S' ) ,a7'73, • a
ELECTRIC, FINAL /1. /" 7Z.
BUILDING, FINAL ,I1t'-_-.2/2 -7-23
3
lirPAIL
3t -2-77.-67,-,:•00 0175* in'riri,l11.7Q
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
P FOR BUILDING PERMIT
For Applicant to Fill in Completely
7 RE4Ld\TION
E BY DATE RECEIVED DATE ISS
BUILDING
C
AUILDING `'TCI j.V o2 tiA��y AV, ,5-- `-/_J 2,/ J
ADDRESS J
PERMIT NO. ..2_
NO.//✓ -4Z/ �7 �OWNER /w'I///9M /n/L/4/� -
1
MAIL ` ,D� n/,c BUILDING 6
9/x/7 (- Lv ADDRESS /f ( 'f
Z ir No
ADDRESS �0y//�r / p %� L �L 'L//��
LU lli
0_L) CITY�lJN7/ti TON Ib C;/f NOL�j/�7a�� TRACTJ4/701 LOT�r BLOCK
I- Z V
Z Q CONSTRUCTION n p y L L NEW ADD ALTER REPAIR MOVING DEMOLISH
U-N LENDER �/�/'GCIU/v,.pi T��/'' // �7, /�C/-r�ovule
�r(�/A�/N/� '� f I•, rye
...A.- to NCH (7 0/A Pier /-70/UYw//t/ 76,L R h Ver rte` l �IC�Ai Cyr
✓ ✓ OWNER
Q W ADDRESS c _
CO-03 ARCHITECT Q OR ENGINEER NO
USE P_ -5\ c ct t- VALU$ 'b'
W CC ADDRESS Q!, / Jar ZONE //�� pp TYPE GROUP�` T' 5
a_LyLi,
CONTRACTOR pcilNF/c cCJ(,//Leff Ci APPROVED /�rJJ� DATE e/ ' 7J
:J rc ADDRESS' ?OO+2 /(J27 ( l/✓ /��^/
win ,�> n TE L.G/ r,�'j pt/ ZON NO.OF USE OF NEWSF.CES/✓/
Z CITY //v%/OW �C' NO./(1'/ /✓ /z� / PLANS,--- BUILDING
Arr �Aze.
LU
STATE - J CITY YARDS APPROVED YARDS'APPROVED
to CC LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
D O (FROM C/LSTREET/
SIZE /n 3 A / n O I NOW ON LNO.OF OTS U FRONT 5.—OF T. FT.
LOT C� C'
USE OF
EXISTING BLDG. R•SIDE FT. FT.
F SIZE OF !033547 NO.OF -, ^� 7
Z NEW BLDG. 'S / ROOMS / STORIES' L.SIDE FT. FT. -
EXTERIOR WAISr., ROOF )n /J
V COVERING -// f=(In(-t COVERINH �4r REAR =ell FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN&
0. MAIN BLDGS. ACCESS. BLDGS.
•
a /// /�� /
O SI�/(a' /Z. . reoc,;c I-�'-e Q) C URP.# APPROVED
I- J // /J/��/y ///�///���''' J�/) APPROVE p
CO Vet •tv(/Y _EY /%/ DATF cr/
Z // I . . F • 7•ECIA1, • •11`x 'sibi ;}•
O ii:���i��-.a..• rte,
~ I hereby acknowledge that I have read this application and state / /� A'
Dthat the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
I- any person in violation of the workman's compensation laws of /J T � 62/
co
Z the State of California. 2 35 . FT. V 70 14 o
b
I hereby certify that I am properly licensed as a contractor under
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
CC
am exempt from the provisions of the State of California Business
VALUATION or,
Professions Cnoe, Division 3,Chapter 9. PERMIT FEE $ N
Signature of. /®/n,. •/j (1V l ra
O
Permittee -r /((L�4 $ 3 /2 // PLAN CHECK $ (r_ E
`/J VV V� y/ .
Authorized Agent u.
TOTAL FEE $