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HomeMy WebLinkAbout274 15TH ST - Building Permits / rt es • N CITY OF COSTA MESA osin BUILDING DIVISION Fbk j 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: E10-00198 PERMIT TYPE ELEC STATUS: ISSUED APN: 42516106 DATE ISSUED: 08/17/2010 ISSUED BY: RMD JOB ADDRESS:274_E 15TH.ST-CM .\ Suite/Unit: Vicinity: SCOPE OF WORK: UPGRADE SERVICE PANEL TO 200A AND RELOCATE 1 OUTLET IN BATHROOM AND 2 OUTLETS IN KITCHEN. OWNER: SOCCI,HAYDEN Address: 274 E 15TH ST Unit: PHONE: 949-412-8746 City/State/Zip: COSTA MESA,CA APPLICANT: SOCCI, HAYDEN Address: Unit: PHONE: 714-935-2379 City/State/zZip: CONTRACTOR: OWNER-BUILDER License No. 000000 Address: Unit: PHONE: City/State: ZipCode: CELL: ELECTRICAL PERMIT FEES Electrical Plan Check Fee: $0.00 Electrical Permit Fee: $57.30 Reinspection Fee $0.00 TOTAL FEES $57.30 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 O. INSPECTION TYPE DATE ins CODER INSPECTION TYPE DATE INnnALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing �l 7 — 200 Final Re-Roof 210 Final Electrical I -T i O e.M 74 201 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 ,�1 r WORKERS'COMPENSATION DECLARATION: Owner ID verified by"driivverr's license.//❑Yes ❑No \ I hereby affirm under penalty of perjury one of the following declarations: Driver':License No. Expires- -St/3JO/7 ❑ 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. O I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy ❑ 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 Carder: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This section need not be completed tithe permit is valued at one hundred dollars(S100)or less.) 2,Art 2Sec.341,Title 8,California Administrative Code). Policy Number: ,�. ❑ As owner-builder, I will not employ anyone to do work which would Cf'•'.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 La ode shforth 'th comply with these provisions. 7469 Division of Industrial Safety Permit Number: (/ ira�sS nature (r.-Date' HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 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 license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes ❑ No Lic.# Class# (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 Contractor's 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)? ❑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? 0 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? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be fumished 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"yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).); of the California Health and Safety Code). El 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 ❑ No thereon,and who does such work himself or herself or through his or her own 8 (If'yes", attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for 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 d not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and al Ir'as awner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building aut ' e. • . •'s .ermit until 'nal inspection. ' ,� l7/o / bT ip s ✓ / • ted ire ol•Lega,Owner(s)D,- Lome' I alur�e Date 305]-46(3/07) �'^�+�•' And/or Aulhonzed Applicant Date ■ 4 CITY OF COSTA MESA `.�St'P'�' lft_ BUILDING DIVISION ct % =( - ,a 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: B10-00320 PERMIT TYPE B_ROOF2 STATUS: ISSUED APN: 42516106 DATE ISSUED: 10/29/2010 ISSUED BY: RMD JOB ADDRESS: 274 E 15TH ST CM Suite/Unit: Vicinity: HOUSE AND GARAGE Squares: 1100 Valuation: $4,000.00 • SCOPE OF WORK: TEAR OFF EXISTING ROOF MATERIALS, INSTALL A MINIMUM OF 1 LAYER 15#FELT ON A 4:12 OR GREATER PITCHED ROOF AND REROOF WITH 30 YEAR COMP SHINGLES ON A DETACHED HOUSE AND GARAGE,APPROX 11 SQUARES. REPAIR AND REPLACE SHEATHING AS NEEDED. REROOF OF HOUSE AND GARAGE TO BE DONE CONCURRENTLY. COMPLIANCE FORMS ATTACHED JOB CARD AND CITY PERMIT. OWNER: SOCCI, HAYDEN HOBART Address: 274 E 15TH ST Unit: PHONE: 949-412-8746 City/State/Zip: COSTA MESA,CA APPLICANT: SOCCI, HAYDEN HOBART Address: 274 E 15TH ST Unit: : PHONE: 949-412-8746 City/State/Zip: COSTA MESA, CA 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: $97.25 Reinspection Fee: $0.00 Bldg Std Admin Fund $1.00 TOTAL FEES $98.25 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. 600E R. INSPECTION TYPE DATE INTIIIALS CODED INSPECTION TYPE DATE INTUTALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final pp 208 Final Plumbing 200 Final Re-Roof -Z i u 1"f) 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 • a • WORKERS'COMPENSATION DECLARA.—44: Owner ID verified by driverYpps license. ❑)Yes 0 No {� / I hereby affirm under penalty of perjury one of the following declarations: Driv 's.License:No. Expires: /( 30/a ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document.i.e.-grope 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 DIVISIONOE-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,Gm (This section need not be completed If the permit Is valued at one hundred dollars(s100)or less.) 2,Art 2,Sec.341,Title 8,California Administrative Code). Policy Number: 0 As owner-builder, I will not employ anyone to do work which would Teffi-' 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 su ' t to t 'workers' Compensation provisions of Section 3700 of Applicant's Signature Date or Cod a t7fodhwit comply with these provisions [�/y �„ /a72 )149 Division of Industrial Safety Permit Number: !AppllranTs Sig azure 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 license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes ❑No Lic.# Class# (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 Contractor's 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). 0 I hereby affimt 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 El No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be fumished 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"yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK. and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No thereon,and who does such work himself or herself or through his or her own 8 (If"yes",attach certificate of compliance from the appropriate air pollution employees;provided that such improvements are not intended or offered for 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 ddid/pfot build or improve for purpose of sale.). 'information given above is correct. I agree to comply with all'state laws and pQ.—1,as owner of the proper•ty, am'EXCLUSIVELY CONTRACTING WITH• city ordinances regarding.Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044, Business and • Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon.and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ 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 insp_ction . •--:., I e- of to oc,.py or allow occupancy of any building author -d by t -• mit' final in .ection. / (.`s�' .♦� age �// D Z , grad( -.Legal•wnerf. .-- ate /O •r - - (,Dater 3057 3I0]) • And/or Authorized Applicant Date in Prescriptive Certificate of Compliance: Residential CF-IR-ALT CIlesidential Alterations c4/0 (Page 1 of 5)` � Climate Zone kI II of Stories -'GCtGeneral lnformatiouSite Address: 2 6/ 5 /5t c7 -ee-rF�nforcemem Agencye 4 14e�Q I Date: /Zt}.�p1t Building Type f "Single Family 0 Multi Family Circle the Front Orientation:N,E,S.H',or degrees Conditioned Flom Area(CFA): Project Type: 0 Alterations 0 Envelope D Fenestration ('Roof D HVAC _Replacement or Change Out 0 Duct Replacement 0 Water Heater NOTE.' Tlris fares is not to he used fro Newly Constructed Buildings or Additions' 1 • )insulation Values For Opaque Surfaces(for Furring use the Mass and Furring Strips Construction table below) Assembly Alteration D Opening of framed cavity alone-Alterations that involve the opening of the framed cavity of a wall,ceiling, or,floor must install the rnandaiory minim°°,insulation value per§150 for the altered assennbly.Fill in Columns A-C and enter mandato°'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 H - • .I. . t .J - 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 Assembly ID' or Type' and Size' or Other; factor" Numbers R-valuer' R-Value' Cell Values U-factor9 Note:Far furred assemblies,accounting for Continuous Insulation R-value,see Page JA4-3 and Equation 4-1. For calculating fumed walls use the Mass and ;Furring Construction table below. - L For Tag/ID 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...lndicate 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.forming members enter; I6"or 24"OC;or Other for all other assembly description such as Concrete Sandwich Panel,Spandrel Panel,Logs,Straw Bale Panel and etc.... 9.Based an the Climate Zone;enter the Standard U favorf am Table 151-B, C or D for each different assembly Name or on 5.Enter the Table number that closely resembles the proposed assembly. 6. Enter the R-value that is being installed in the wall cavity'or between the[tatting;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 J 9.The Proposed Assemhv U-factor, Colmar.l, nasi be equal to or less than the Standard 1,1-factor in Column E to comply. Furring Strips Construction Table for Mass Walls Only A B C D I E F G H I J K L M Proposed Properties of Masonry and Concrete Added Interim or Exterior Insulation Walls From Reference in Furring Space from Reference . Joint Appendix Table 4.3.S,4.3.6.4.3.7 Joint Appendix Table 4.3.13 ,- i V c 5 -u G V v. - O pG .F GU.G rV.. FinalAssembly 2" 6 E- 16 i otl, j 2. Mass Nance or JA4 Table = gu u v E E 't n ! Assembly ly . Thickness' Type' Number' S .f 15 m u LL S J. r S 4.7_ w Li-factor"CLi-factor" Comment 1 _ y I .I 1I I I I < I I Regisoatior Number Regiso'oion Date/Time: HERS Provider:: 2008 Residential Compliance Forms August 2009 Prescriptive Certificate o1'Ci nice: Residential CF-IR-ALT Residential Alterations (Page 3 of,5) 11,1 Eroieel-Name: Olim nte•Zone# G#-of-Siorfes . 0C.c—i ROOFING PRODUCTS(COOL ROOFS)§151(f12 When the area of exterior roof surface to be replaced exceeds more than 50%of the existing roof area, or more that 1,000 fr", whichever is less, the nein roofing area must meet the roofing product "Cool Roof'requirements of§I52(b)1111,152(b)1Hii, or 152(b)lHii1 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(i)are not applicable.Do not fill table below. _ (t____ Ofool Roofs Not Required in Climate Zones 1-12, 14,and 16 with a Low Sloped. Less or 2:12 pitch. Cool Roofs Not Required in Climate Zones 1 through 9 and 16 with a Steep-Sloped Roofs(pitch greater than 2:12)and product unit weight less than 5Ib/fe2. Alternatives to§152(b)1Hi and §152(b)Hii,Steep-slope roof(pitch>2:12) s❑ insulation with a thermal resistance of at least 0.85 hrftz•°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(f)10;or ❑ In climate zones 10,12 and 13,with 1.112.of free ventilation area of attic ventilation for every 150 flz of 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 ❑ Building has radiant barrier in the attic meeting the requirements of§l51(f)2;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 solarthermal panels are exempt from the below Cool Roof criteria. .❑Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/fl2 is exempt from the below Cool Roof criteria. • Note:If no CRRC-] 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 RooftngProducts"Cool Roof"Requirement: Roof Slope Product Weight Product Aged Solar Thermal CRRC Product ID Number' <- 2:12 >2:12 < 5lb/ft2 > 5Ib/ft2 Type? Reflectance 4 Emittance SRI5 ❑ 0 0 ❑ ❑4 ❑ 0 0 0 04 . ❑ ❑ ❑ ❑ ❑4 ❑ 0 0 0 0 4 ❑ ❑ ❑ 0 ❑4 1. The CRRC Product ID Number con be obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolroo(s.ore/produus/search,phn 2.Indicate the type of product is being used for the roof top,i.e.single-ply roof asphalt roof metal roof etc. 3. II the Aged Reflectance is not available bribe Cool Roof Rating Council's Rated Product Director),then use the Initial Reflectance value/nm the same directory and use the equation(0.2+0.7(p maim—0.2)to obtain a calculated aged value. Where p ii the Initial Solar Reflectance. 4. Check hos if the Aged Reflectance is a calculated value using the equation above. 5. Calculate the SRI value by using the SRI- Worksheet al Iatp://www.enerzv.ca.xov/title24/and enter the resulting value in Flue SRI Column above and attach acopy of the SRI- Worksheet to the CF-lli. 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 8(i)4. Select the applicable coating: 0 Aluminum-Pigmented Asphalt Roof Coating 0 Cement-Based Roof Coating 0 Other Registration Number: Registration Date/Time:: TIERS Provider: 2008 Residential Compliance Forms • August 2009 f Prescriptive Certificate of Compliance: s.sidential - CF-IR-ALT ii ltr esidenua/Alterations P (Pa�'e 5 of 5) E;�tieerNnrlre: r 6�Ii7tatr-'Lune Y, a" u1 Stories c�, 1 I - HERS \'ERIFI CATI ON SUMMARY The enforcement agency should pm-special olemion it,the HERS Measures specified in this checklist below A completed and signed CF-4R Form for all the measures specified shall be submitted to the building inspector before final insnecnor. Duct Sealing & Testing HERS verification ix required for this measure. 0 YES 0 NO YES':In Climate Zones 2 and 9-16,if more than 40 linear feet of new of replacement ducts are installed in unconditioned space,the ducts are to be sealed per 1;I52(0)11)11 and the newly installed ducts are to be insulated pet §151(1)10. O EXCEPTION: Existing duct systems that are extended, which are constructed,insulated or scaled with asbestos. 0 YES 0 NO YES:In Climate Zones 2 and 9-16,i1 the existing space-conditioning system (HVAC equipment and ducting)is replaced,the ducts are to be sealed per§I52(b)1Di. ❑YES ❑ NO YES:In Climate Zones 2 and 9-16,if the existing HVAC equipment is replaced (including the replacement o1 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§I52(b)IE. ❑ 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 s• ystems with less than 40 linear lee!in unconditioned space. ... ❑ EXCEPTION: Existing duct systems constructed,insulated or sealed with asbestos. Refrigerant Charge- Split System HERS verification is required for this measure. 0 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§!52(b)1F. Central Fan Integrated (CFI)Ventilation System and Fan Watt Draw The ventilation requirements of 415010)do not amply to existing residential homes. yDucted Split Systems-Air Conditioners and Heat Pumps: Airflow HERS verification is requiredfor this measure. - ❑ YES 0 NO YES:In Climate Zones 10 through 15,when the existing space-conditioning system(HVAC equipment and ducting)is replaced.the airflow'and fall watt draw shall be verified per§152(b)I Ci to meet the rectuirements of§151(f17B. �--'y Documentation Author's Declaration Statement II • I certify that this Certificate of Comuliance documentation is accurate and complete. - Name: ( _ I Signature: —�� GI's �Cc f Company: Date: /O! .. 2�O Address: • 7/ /5 if Applicable❑ CEA at CEPS Z / e�� (Certification fly City/StateiZiu: ,, / Phon^ �O S �u �(e5G ��q y/2 07f'6 Responsible Building Designer's Declaration Statement • I am eligible under Division 3 el 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 specification:.for the building design identified on this Certificate of Compliance conform to the requit ctnents of Title 24,Part: 1 and 6 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 Witting design on the other applicable compliance forme,worksheets,calculations,plant,and specifications suhrtited to the en forcemeat agency for approval with this building permit application. Name: Signature: Company: Date: 1 Address: License: i Cit//State/Zip I Phone: I I Fur assistance or questions regarding the Energy Standards, contact the Energy Hotline an 7-800-772-3300. Itegtsraunn Humber /(ego-trot mu bate/Tune HERS f rmncie.: 200/:keacientiol Compliance Forms August 2009 • fir 4`tbiN*4 A CITY OF COSTA MESA BUILDING_DIVISION f + DEVELOPMENT SEF7GIC�ES DEPARTMENT PERMIT NUMBER 74• PERMIT 41-. co AP E06-00282 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT Job Address: 274 E 15TH ST Status: ISSUED Suite No Applied: 04/05/2006 Vicinity: BATHROOM AND LIVING ROOM Issued: 04/05/2006 Parcel Nunmber: 42516106 Applicant: 2 H Address: 27474 E E 155 STTH ISSUED BY: Phone: 714-201-0688 COSTA MESA,CA Zip 92627 Owner: JONES, DONLAD ROBERT T'1 Address 274E 15TH ST Phone: 714-201-0688 EXP • ED COSTA MESA,CA Zip: 92627 ii 46 . Ie!v DATE ,...- Contractor: OWNER-BUILDER Address: Phone: Zip: License:000000 SCOPE OF PERMIT REPLACE 4 OUTLETS IN BATHROOM,LIVING ROOM FOR SFD. REF#:C06-0428-LAS FEE SUMMARY Quantity - Quantity ISSUE FEE $23.50 Temp Dist System/Lighting $0.00 0 Temp service test $0.00 Busway/100 ft $0.00 0 Res.a/c package $0.00 Standing Section $0.00 0 New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0 New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 0 Pool/Spa $0.00 0 up to 10 kva/kw $0.00 0 Lighting Fixts $0.00 0 up to 50 kva/kw $0.00 0 Recept Outlets $4.40 4 up to 100 kva/kw $0.00 0 Switches $0.00 0 over 100 kva/kw $0.00 0 Non Res Appl $0.00 0 Low Voltage Equipment $0.00 0 Res Appl $0.00 0 Low Volt Wiring System/Ckt $0.00 0 Service to 200a $0.00 0 Misc.Conduit $0.00 0 Service to 1000a $0.00 0 Misc.Conductor $0.00 0 Service over 1000a $0.00 0 Circus(gen or ride) $0.00 0 Motors to 1 hp $0.00 0 - Circus(mech ride or lights) $0.00 0 Motors to 10hp $0.00 0 Christmas Tree Stand $0.00 0 Motors to 50hp , $0.00 0 Fireworks Stand $0.00 0 Motors to 100hp $0.00 0 Other Electrical Fee $0.00 Motors over 100hp $0.00 0 Communication drops $0.00 0 Investigation Fee $0.00 Sub panel to 200a $0.00 0 Plan Check Fee $0.00 Pole Light Pkg $0.00 0 , Reinspection Fee $0.00 Sign Circuits $0.00 0 Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $27.90 Intermed Pole $0.00 0 COMMENTS/SPECIAL CONDITIONS • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS. In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6/00) • • DECLARATIONS' • WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑—Icertify.that in-the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' .....----rompensation laws of California,and agre at if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these prov' / ' AppllcahfSignf Date: 7 ' '� Co WARNING FAILURE TO SECURE WORKERS' SATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TOCRIMINACPENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100.000),IN ADDITIO E COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN 5ECTION3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.# Class a Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subject the applicant to a civil penalty of not more than five hundred dollars($500).): ( -*I,as owner of the properly,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of properly who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt r sec. Business and Professions Code for this reason: Signature: -Dates:#d%R"7- o �•- Qwner'ID verified by driver's ' se. es 0 No Driver's License No_. . rExpires:— "27 1 0 Qa Verification of Ownership by(type of docu ent,i.e.-property tax bill or deed) ) ` 2 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑Yes ❑No (Section 25505 of the California Health and Safety Code requires,with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes ❑No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a permit for such construction or modification from the South Coast Air Quality Management District Cr from any other air pollution control district or agency? Yes 0 No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes El No 8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPI LAt F AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree t. ply with all st. e laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-describedprop• ••.•action purposes.I :• =:not to occupy or allow occupancy of any building authorized by this permit untilial inspection.ns Sign- . e-Ufk6gal O. er(s) ., `/—'7 Date An�'orized Applicant Date CODE I INSPECTION TYPE, GATE INTrTIALS CODE to INSPECTION TYPE DATE DIMMED 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1006 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy OWNER TUNNELL, T.W. - DATE 4-12-61 JOB ADDRESS 277.1 E. 15th St. BUILDING PERMIT NO. 14224 _ GENERAL CONTRACTOR Owner-B1dr, VALUE $ 13,036.00 AP. No117-181-07 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Qar.w//aptt.Over INSPECTIONS 4/_10-6, DATE I GROUP I & J TYPE V ZONE Rh U-torground Soil/Y}/S U.G. Water LW .1,:../c-G/ SUBCONTRACTOR PERMITS ISSUED I :ground Gas (tL;6_/T-G/ DATE NUMBER Ov dread Water and Gas I. Rough Heating /_10 r:,/ -.a Z�u . i� 4/ -i9—e./ >f--a 4 Rough Plumbing f„{Pi,;=(3 -6/ . *TAWS-1 / t. . s/_i /- GL -.i I' I I �I Miscellaneous /_ l •' ,- b' Prop. Swr. Line House Con. St. Swr. _ Sprinkling System T— Heating, Final /--.JJFins Final l 4F ��^ r# ,--/-1, TC. Construction Pole Underground Power ,, 'g - . Rough Wiring c& Gf.IT t -204 gwwo•r A-U.-Li tS'ia92,A A i.y ,p.. Trenches ✓Forms //Steel 7* �U' Floor System ��( e� c � � - ‘ � Steel Reinforce Chimney Re-Rod 41 tNe Bond Beam _ � (r- a Sheathing ' o �"%L'-- el. lea al - Frame and Flashing ' � - _ i1yyYyf/. 7.'� pg. In • Out 11A�A F�9-G� C D ► re( F-91,%i''r, brown coat /Cb7 /-6-to/ �� Plumbing Fixtures, Final 19-4 Electric Fixtures, Final dBuilding, Final / OCCUPANCY I ' Form 210--3M-4.59 wnt.n FAR SPECIAL REOUIREMFNTS 14224 COSTA MESA BUILDING-SAFETY DEPARTMENT FEE RECEIVED ,4%t `�� l P. O. BOX 917 COSTA MESA. CALIFORNIA `F� APR 5litge VFor Applicant to Fill In Completely APELLg]�Q , RIT©C0 V 1 �J�TTYPE OR PRINT GGGy��'I���I BUILDING BUILDADD EING 2 SS /7 /•S �711�•E'ET COSTA MESA. CALIFORNIA For Office Use Only 1 7'"kr' Tuy,YFd I RECO!PT NO. / PXp NO./, y OWNER `�/ 'K MAIL _522,09).2.5 - RECE BY I DATE R 81Y¢D i DRT¢ I;s^u q I ADDRESS �T J y /P--k' ,A/�y� TEL. BUILDING 7 /5-9,_‘,.. )1^�1q,� 1 3, CITY (V, ///. NO. ADDRESS ADDRESS ,� L /A ' OR ENGINEER Sloops 'US,zglO1 t COSTA MESA. CALIFORNIAFIRE ��// pi.," ADDRESS aoo/N/Q ZONE TYPE _/ GROUPS CONTRACTOR 00_,•l /F� APPROVED • l / DATE `1 1'�A. ADDRESS ad r (-971,1 LIO�I"JJNG r.a/1144.4? y /�J '�Y�' ZONENO.OF USE OP NEW f CITY L . I PLM•IS 1.1/I BUILDING/,� __�8w••�.�i� V )) STATE TEL. LEGAL o}t"L'r /3 A•-0` f`>�,�LN p LIC.NO. NO. DESCRIPTI J'"' �` NO. OP BLOGB. JO / n/ a �� OF LOT (QO X �J NOW ON LOT `/ 1/ 111 A.P.NO. USE OF /JF J„ � G G/gmoA ` EXISTING BLDG. /C APPROVED ALLOWED SETBACK LINE PROMr (CENTER LING ST. CENTER OP STREET -�'U REAR YARD/O • FRONT •5 FT. � - IN. SIDE YARD (LEFT S/ I RIGHT S f R.SIDE FT. IN. DESCRIPTION OF WORK __C'FT. N. NEW I'VIII L.SIDE )�L //��///6/� — II ALTERATION I II ADDITION 1 REAR /•/ y FT. e/L(,(�C/L�1le/_J `y ' REPAIR I II MOVING I II DEMOLISH I APPROVED .n ,f" _..._... 1-- ��. E' Izp BUILDING /��j/ /NO. OF 2 SIZE 2 q fS ROOMS -C STORIES ��^�`!/) `' EXTERIOR WALL ,,q�.rr P�RROOF / d4fj ii i COVERING NifJr���COVERIN GT•R ��G '. v �L��C/�/// - g ! USE •• BUILDING AND WORK TO BE PERFORMED Mania I a�I CpihXt/G� s rYa` W."-- • q : I V e �r��c'wtA.__ Mai: �/ m tX I HEREBY ACKNOWLEDGEHETHAT I HAVE READ 'Di IS TOATIO p T A ,!'r �1QpI�y'YI� uwrwN IB r •HE Os C7 AND STATE THAT THE ABOVE IS CORRECT AND AGREE COM An,T rstst kIpPING ,p3PP8YLT LY. In PLY WITH ALL CITY ORDINANCES AND STATE LAWS REG GLATIN• - _ eg J BUILDING CONSTRUCTION. VALUATION A JI - a T Tq/PV SIGNATURE O7r4/ /U Oci PERMIT FEE S y� N I+• 1 PERMITTEP ��LL// A R • /�'✓ 14 S PLAN CHECK S -�� • AUTHORIZED AGE / �LL4 ' E S 1 TOTAL FEE $ y