HomeMy WebLinkAbout142 20TH ST - Building Permits CITY OF COSTA MESA
o __ BUILDING DIVISION
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F( �e 77 FAIR DRIVE.COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
�.� i FOR INSPECTIONS CALL: (714)754-5626
: ,• PERMIT NUMBER: B11-00125
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 42618123 DATE ISSUED: 04/1512011
ISSUED BY: RMD
JOB ADDRESS: 192-E 2dTH-ST-CM Suite/Unit:
Vicinity: 6 SQUARES
Squares: 600 Valuation: $2,000.00
SCOPE OF WORK: PARTIAL REROOF.TEAR OFF EXISTING ROOF MATERIALS,INSTALL A MINIMUM OF 2 LAYERS OF 15#FELT
AND REROOF WITH 25 YEAR COMP SHINGLES ON APPROX 6 SQUARES OF HOUSE. REMOVE AND CUT BACK EAVES
TO BRING BACK TO ORIGINAL FORM. PER CE CASE; NO EAVE EXTENSION TO REMAIN. REPAIR AND REPLACE
SHEATHING AS NEEDED COMPLIANCE FORMS ATTACHED TO JOB CARD AND CITY PERMIT. REF#:C11-0660
NOTE:RESIDENTIAL RE-ROOF: Final approval of permit shall not be granted until access to dwelling unit(s) is provided for
verification of the installation of smoke and carbon monoxide alarms by the City Inspector. See Attachment w/lnspection Card
OWNER: HOEVEL, ELIZABETH J Address: 144 E 20TH ST Unit:
PHONE: 949-645-2573 City/State/Zip: COSTA MESA,CA
APPLICANT: HOEVEL, ELIZABETH J Address: 144 E 20TH ST Unit: :
PHONE: 949-645-2573 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: $69.25
Reinspection Fee: $0.00
Bldg Std Admin Fund $1.00
TOTAL FEES $70.25
HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3/18/2010-PER CMMC Sec. 13-279
Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibitied all hours-Sundays and the following Federal holidays
New Years Day,Memorial Day, Independence Day, Labor Day,Thanksgiving Day and Christmas Day
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE S. INSPEC110N TYPE DATE INTIM$ CODE INSPECPON TYPE DATE INTInAIS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final Y 208 Final Plumbing
200 Final Re-Roof h Ill 3J) ell aJ 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition _ 250 Final Building/Occupancy
S
WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's license. CI Yes ❑No i. / , /e(
I hereby affirm under penalty of perjury one of the following declarations: Dnv ser serLicense No. Expires:: 7l
❑ 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
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,cc demolition
Carrier: or dismantling thereof,will be more than thirty-sa(35)feet high.(Chap.3.2,Grp
(This seam need not be competed eche peen(is valued al one hundred mmrs(5100)ov mss.) 2,Art 2.Sec.341,Title 8,California Administrative Code).
Policy Number:
❑ As owner-builder, I will not employ anyone to do work which would
(❑-rcertify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California. and agree that if I should
become subject to the workers'compensation provisions of Section 3700 of
Applicant's Signature Date
the Labor e.,I s II lo hwi hi comply wilt ese provisions.
/s/ 1) Division of Industrial Safety Permit Number:
1Yirant's Si, it tut; 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 SHALT, 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).
❑ 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)? 01Yes 0INo
(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 Gale
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 Cole: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 658e furnished the CalifornianGovernment Code requiresbuildingn the requested
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be on applications for non-residential 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 penally 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).
as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044. Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No
thereon,and who does such work himself or herself or through his or her own
employees, provided that such improvements are not intended or offered for 8. (If"yes",attach certificate of compliance from the appropriate air pollution
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044.Business and
Professions Code:The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to • upy or alto ccupancy of any building
C author( is pe it -. i .pection. r.
ji
kms. ��-r � -��, ri - _ (7 . .Sly we a6Legal.Ovmei(_sl Oale /Signature —DateJoAnd/or Authorized Applicant Date
Prescriptive Certificate of Compliance: Residential 1 CF-1R-ALT
At Residential Alt rations (Page 1 of 5)
. :ujeet-Nome:• /J_ e0f I(n - W dc ve — Climate. # srOf�Si\Ses
General Information
Site Address: Entirrcement A encJ•/4 Date:
Building Type Single Family 0 Multi Family Circle the Front Orientation IJ,E,S.W,or degrees
Conditioned Floor Area(CFA): Project Type: 0 Alterations 0 Envelope 0 Fenestration 0 HVAC
Replacement or Change Out 0 Duct Replacement 0 ter Heater
NOTE: This fort is not to he used for Newly Constructed Buildings or'Adtlitwns'
,�nrulntinrr Values For Opaque Surfaces(for Furring use the Mass and Furring Strips Construction table below) �—
.----\
Assembly Alteration
❑Opening of framed cavity alone-Alterations that involve the opening of the fronted cavity of a wall, ceiling, or floor must install the
mandatory minimum insulation value per§I50 for the altered assembly.Fill in Columns A-C and enter mandatory insulation value in Column H.
❑ 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-f .
Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below.
A B I C I_ D E ' - F C H ' + - -f - 1- J
Proposed 5ce 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 Sizes or Others factors Number R-value6 R-Value' Cell Values U-factor
Note:For furred assemblies,accounting for Continuous insulation R-value,see Page JA4-3 and Equation 4-1. For calculating furred walls use the Mass and
' %Furring Construction table belmr.
I. 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—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 lhiclatess for mass 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 from 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 or between the framing;otherwise, enter "0".
7. Enter the Continuous Insulation R-value for the proposed assembly; otherwise,enter "0".
8.Enter the row and column of the Ufactor value based on Column F Table Number and enter the Assembly U-factor in Column J
9.The Proposed Assembly U-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 1 If C D I E F C H 1_ I 3 K L M
Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation
Walls From Reference in Furring Space from Reference
.Ioint Appendix Table 4.3.5,4.3.6.4.3.7 Joint Appendix Table 4.3.13
V -.c u a >. CJ
v `o 't --' c.''
Assembly n • o c 0 P o 18 m, m ` "v Final
L'"u G .16 m V C m 2'�o
Mass Name or JA4 Table n = v. = E m ^o t e ' v m Assembly
Thickness' Type2 Number' _ m u w E n`. t= if. C 4 'i W C 1J-factor° Comment
I I I 1 I
Registration Number: Registration Date/Time: HERS Provider:
2008 Residential Compliance Forms August 2009
Prescriptive Certificate of Compliance: Residential CF-IR-ALT 1
Residential Alterations (Page 3 of 5) 4
Ir Prnj'e"ct`'Nume:' hi. �,// eiAti) nlirttatca2one# #pijStgiira.
n .1 7/41 to t- H tock�/� _�fI_ .
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 ft?, whichever is
less,the new roofing area mast meet the roofing product"Cool Roof requirements of§152(b)IHi, 152(b)1Hii,or 152(b)IHiii.
Check applicable alternative or exception below if the roof alteration is exempt front 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 requirement's for roofing products in
35118(i)are not applicable.Do not fill table below.
❑cool Roofs Not Required in Climate Zones I-12, 14,and 1(i with a Low Sloped. Less or 2:12 pitch,
12oofs Not Required in Climate Zones 1 through 9 and I6with aSteep-Sloped Roofs(pitch greater than 2:12)and product unit weight less
than 51b/ftAlternatives to§152(b)IHi and§152(b)Hii,Steep-slope roof(pitch>2:12)
(L,2C00)
9 0 Insulation with a thermal resistance of at least 0.85 heft?°F/Bm or at least a 3/4 inch air-space is added to the roof deck
over an attic;or
O Existing ducts in the attic are insulated and sealed according to§151(1)10;or
O In climate zones 10, 12 and 13,with 1 fl'-.of free ventilation area of attic ventilation for every 150 its 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 bather 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)lHiii,Low-slope roof(pitch S 2:12)
O Building has no ducts in the attic.
Other Exceptions
. ❑Roofing area covered by building integrated;photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria.
.❑Roof constructions that have thermal mass over the roof membrane with at least 25 lb/112 is exempt from the below Cool Roof criteria.
- Note:If no CRRC-1 label is available,this compliance method cannot be used,use the Performance Approach to show compliance,otherwise,
Check the applicable box below if Exempt from the Roofing Products"Cool Roof'Requirement:
Roof Slope Product Weight Product Aged Solar Thermal
CRRC Product ID Numbers <_ 2:12 >2:12 < 51b/ft2 >_ SIb/ftZ Type2 Reflectance3'4 Emittance SRI5
❑ 0 0 0 ❑4
❑ 0 0 0 ❑4
❑ ❑ ❑ 0 ❑4
0 0 0 0 ❑4
❑ ❑ 0 0 04
1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at wwwcoolroofs.ore/products/search,ohn
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 valuefrom om the sonic
directory and use the equation(0.2+0.7(pintuat-0.2)to obtain a calculated aged value. Where p is the Initial Solar Reflectance.
4.Check box if the Aged Reflectance is a calculated value using the equation above.
5.Calculate the SRI value by using the S1(1- Worksheet at htar:/Avww,enerey.ca.vov/tide24/and enter the resulting value in the SRI Column above and attach acopv of
the SRI-Worksheet iv the CF-IR.
To apply Liquid Field Applied Coatings,the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage
recommended by the coatings manufacturer and meet minimum performance requirements listed in§I 180)4. Select the applicable coating:
0 Aluminum-Pigmented Asphalt Roof Coating 0 Cement-Based Roof Coating 0 Other
I
1
Registration Number: Registration Date/Time: HERS Provider:
2008 Residential Compliance Forms ' August 2009
$1. i:-' ' i
_Prescriptive Certificate of Compliance: Residential CF-IR-ALT
I?esitlential Alterations /' (Paste 5 of 5)
. . as cLName- ' ti, iz-e L n ( Y (aop) I &umntnoneii—( I a;tr.... ., his
HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified'in this
checklist below. A completed and signed CF-4R Farnp for al/the measures specified shall be submitted to the building inspector before final
inspection.
Duct Sealing & Testing HERS verification is required/or 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 per§I52(b)IDii and the newly installed ducts are to be insulated pm §151(1)10.
O EXCEPTION: Existing duct systems that are extended, which are constructed,insulated or sealed with asbestos.
❑ YES 0 NO YES:In Climate Zones 2 and 9-16,if the existing space-conditioning system(HVAC equipment and ducting)is replaced,the
ducts are to be sealed per§152(b)1Di.
❑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 system,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 accordance with procedures in the Reference Residential Appendix RA3.
0 EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space. ... .
❑ EXCEPTION: Existing duct systems constructed,insulated 01'sealed with asbestos.
Refrigerant Charge- Split System HERS verification is required for this measure.
❑YES 0 NO YES:In Climate Zones 2 and 8-15,when the existing HVAC equipment is replaced(including the replacement of the air
handler,outdoor condensing unit of a split system A/C or heat pump,cooling or heating coil;or the furnace heat
_ exchanger)a refrigerant charge measurement shall be verified per§152(b11F.
Central Fan Integrated (CFI)Ventilation System and Fan Watt Draw
The ventilation requirements of§150(o)do not apply to existing residential homes.
^Ducted Split Systems-Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure.
- 0 YES 0 NO YES:In Climate Zones 10 through 15,when the existing space-conditioning system(H VAC equipment and ducting)is
replaced.the airflow and fan watt draw shall be verified per§152(b11 Ci to meet the requirements of§I51(f17B.
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance/ documentation is accurate and et olete.
Name: ( 7-4-8e�/ i(oe VEL Signature '��`'V ..745,,,e_gc
Compa,:t/K e. ✓ , , _ Date: ic
Addre If Applicable 0 CEA or O CEPE I
'rn reg (Certification N):
City/State/Zip: /'4gs
.. 2 2 Pho /'
•
✓
,aResponsible Building Designer's Declaration Statement
U' • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design;dentimd.na__
this Certificate of Compliance.
• I certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform
to the requirements of Title 24,Parts I and 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
building design on the other applicable compliance forms,worksheets,calculations,plans and specifications submitted to the enforcement
agency for approval with this building permit_application.
Name: Signature:
Company: Date:
Address: License:
City/State/Zip: I Phone:
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at:1-80-772-3300.
Registration Humber: Registration.Date/Time: HERS Provider:
2008 Residential Compliance Forms August 2009
P,AOJECT ADDRESS: UNIT:
S NAME: 142 E 20TH ST B CITY OF COSTA MESA — BUILDING PERMIT PERM NO; E 070854
`OWNER' HOEVEL ELIZABETH
ADDRESS:
142 E `20TH ST PERMIT NO: E 070854 PLAN CHECK NO; N GOVT: N SUPP : N
COSTA MESA,CA 92627
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: OTH
645-2573
' ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : NEW SERVICE FOR SECOND UNIT SQFT:
ADDRESS: UNIT:
CLAIM VALUE: CALC—VALUE; GROUP OCC: R-3 /
PERMITTEE: ELIZABETH HOEVEL ( 714 ) 645-2573
ADDRESS: 144 E 20TH STREET COMMENTS ; NO OTHER WORK AUTHORIZED BY THIS PERMIT
COSTA MESA CA 92627 ****ar+F*******krr**TE*****dE****dE*r*+r+r+Eir**********************dr*+ ***************s6**
LICENSED CONTRACTOR DECLARATION: I hereby affirm that am licensed under provisions 01 Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS
CITY LIC.: STATE LIC.: CLASS: EXP:
- Date: Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
•
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ: PROV: PARCEL: 42618123 ZNE: REF NO:
T Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES>
Date: Applicant: *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)or less). D' E V E L O P M E N T SERVICES REQUIREMENTS
I certify that in the perlormanje of the work for which this permit i sued.I shall not employ anyrson In any mry+ner so as to become
subject o the Workers Compenssaation,Laws of California. ZONING APPROVED BY DATE:
7 Date: t — vie i i S Signature: :
NOTICE:If.after making this declaration,you should become subj to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. 't
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: S\y DATE: , ITIS
which this permit is issued)Section 3097.Civ.C). .1F,If M **
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 1850
,
repair 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 the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 5 01 SMIP/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE 15 ,00
I. as owner of the property or my employees with wages as their sole compensation, wit do me work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 18 . 50 15 . 00 0 , 00 33 , 50 33 . 50 , 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own 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 will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 33 . 50 OVER/SHORT: . 00
for purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 33 . 50
® and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law), l am aware *********************. *********************.N.**.*.*.µ*.**.**********.x.*********..ra**.**.*.*.
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Sectl B.8 P. C.
•
for this reason 2 ‘ ne %_, /T ' •. ,/ TYPE QTY DESCRIPTION UNIT COST TOTAL COST
Iwat
•
do hereby certify that I am aware of and understand the requirements of California�W and Safety Code Sections�533,and ELE 1 SERVICES BELOW 600 V & BELOW 201 AMP 18 . 50 18 . 50
END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
(hese provisions.
Date Applicant: �1
I ordinances
hereby wand that I laws
r lattl this ingtion and tions that the wh�rferm�n isl correct. agree to comply with all city and county EXPIRED and state laws rrlating to building construction and the
authorize repr-sentatives of chi to enter upon the abo -mentioned ,ld fel
property far inspection prposes. till
• 01 00175483-00175483 TOT 33.50
_` Dale:_)" ye. 6 /s" Signature. / iK /a y /G
7 Drivers License or Social Security x: DATE / r/ (/j] ( _ DATE: 01/2419` TInE; 13:41
164n.4e While—Building,Green—Code Enforcement:Canary—Applicant;Pink—Revenue;Goldenrod—Assessor
.f ..
CONSTRUCTION AND PLANNING POO SPA
•APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement •
3. Electrical Conduit Utility-Undrgrnd. 54. Forms _
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding -
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
' 7. Footings 58. Electrical Conduit-Undrgrnd,
8. Foundation i 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 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
13. Roof Drains -- 64. Plumbing System - Final
14. Rough Plumbing65. Electrical-Final
15. Rough Electrical-Conduit -2 66. Solar System-Final _
16. Rough Electric Wiring 67. Fencing & Access Approval •
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING. -
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace - APPROVALS, Perriiit#
21. Ducts,in Structure • .- 70. Underground Hydro
22. Ducts, Ventilating . - - 71. Product Piping 0 Gas 0 Oil
.T;
23. Gas Pipe-Rough & Test . - 72. Underground Flush t-t-
24. Roof-Framing ;, - 73. Undergrnd.Storage Tank 0 Gas ❑Oil
•
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar,Ceiling (Structural) & Monocoat 4 75. Dry Chemical - -
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding 77. :FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL '
30. Drywall NailingHEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat - . , 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED '
33. Final Electric - Notes: .
34. Final Heating & Air Conditioning . . I.
35. Final Gas Pi pA-Test
36. Hood-or Canopy - - - •
37. Final Factory Fireplace -
38. Final Plumbing '
39. Wates Service-Final •
40. Gas Service-Final ,
41. Solar Domestic-Final '
~
42. Backflow Preventer
43. Backflow Irrigation . . .
44. Landscape Irrigation System - .
45. Sound Attenuation
1
46. Handicap Regulations ,
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING •
49. Electric Release to Edison -
50. Gas Release to Southern California Gas Co - I .• . •
51. CERTIFICATE OF OCCUPANCY
No. Date
PROJECT ADDRESS: 142 .E -20TH ST UNIT: CITY OF COSTA MESA - BUILDING PERMIT PEKM NU: L VDrd.d Jr,
OWNER'S NAME: HOEVEL ELIZABETH • =
ADDRESS: 142 E 20TH ST PERMIT NO: E058379 PLAN CHECK NO: N GOVT: N SUFF: N
COSTA MESA,CA 92627
CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE PURPOSE: OTH
645-2573
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : SERVICE UPGRADE SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /
PERMITTEE: ELIZABETH HOEVEL ( 714 ) 645-2573
ADDRESS: 144 E 20TH STREET COMMENTS: SERVICE UPGRADE ONLY
COSTA MESA CA 92627 ******K****7EN-0ElE####)E#IF*******# -**TE#If#MY.3F***-f #%kit-M****K**** EIF** EMdE%3Fi ***fi#lf> k`9f#
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I N G R EQU IR EMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS
CITY LIC.: STATE LIC.: CLASS:
Date: Signature: MAIN BUILDING -.-- ACCESSORY BUILDING
WORMERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' LEFT: FT IN REAR: FT IN LEFT: FT N REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab, C).
POLICY NO.: EXP. DATE: PARKING REO PROV: PARCEL: 42618123 ZNE: REF NO:
COMPANY: PLANNING NOTES>
r] Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division.
>
****************33?F#*****3E*+#*##**K**#3#********K***********3*******#N+****u****
Date: Applicant: DEVELOPMENT SERVICES REQUIREMENTS
EXEMPTION FROM WORMERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)or less).
certify 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'Compensation Laws of California. ZONING APPROVED BY DATE:
ate: 2 ej '1 2 Signature: ALE'Clitett
7442—>"V
j n BUILDING APPROVED BY
NOTICE:II.after making this declaration,you should become suit to the Workers'Compensation provisions of the Labor DATE:
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. TA...._,/,---
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: - DATE•which this permit is issued(Section 3097.Civ.C). ***********#.***#3F***3E* x x *-*x,. >, • • m• . .-. -*•********# * rtF.�i-****KLENDER: ***********5**.KK}:+********3E***************#*,rrtt******************.*.*i4** ***K3E*****3E
ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 1 8 . 50
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 50$ SNIP/NON-RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business P LAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by
any applicant log a permit subjects the applicant to a civil penalty of not more than five hundred dollars(55W). ISSUE FEE 1500
,
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law
TOTALS----> 18 . 50 15 . 00 0 , 0 0 33 . 50 3 3 , S 0 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/berself or through
his or her own employees.provided that such improvements are not intended or offered for sale.II.however the building or REVENUE DIVISION TOTALS--> COLLECTED • 33. 50 OVER/SHORT: 00
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 33. 50
la and Professions Code: The Contractors'State License Law does not apply to an owner al property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware *********************************************le*************.*********K****LA*****
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.8 P.C.
eir2Libis reson: x TYPE QTY DESCRIPTION UNIT COST TOTAL COST
_--Date: • 2-'47 .. 1Z owne. (�`atil 6 ELE 1 SERVICES BELOW 600 V 6 BELOW 201 AMP 18 , 50 18 . 50
I do hereby certify That I am aware of and understand the requirements of CaliforniadtlP�th and Safety Code Sections 25505,25 ,and END OF FEES
25534 and Thal I or any future building occupant wilWwill not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions.
Dale: Applicant:
I hereby certify that I have read this application and stale that the above information is correct.I agree to comply win all city and county
ordinances and state laws relating to building construction and hereby authorize representa'yes of this city to enter upon the ab.ve.mentioned
property for inspection purpose; yi \ �A '/ _
ae 1M CCL. Signaturet'l j 1,' . or �"
Driver's License or Social Security a: ; •
1641'46 While—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
.0
CONSTRUCTION AND PLANNING POOL oA.
r`°ROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1.-Temporary Electrical Service or Pole - 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electric& Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O 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
13. Roof Drains • 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat - 79. FINAL INSPECTION
32. Electrical Power Meter-Final Ahz:
�IT 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning - '
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace -
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic•Final
42. Backflow Preventer
43. Backflow Irrigation
r
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING •
49. Electric Release to Edison .
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
RTMAKT
q JAMESVHIL
JOB ADDRESS 1112 E. 20th Street 11-4-00
BUILDING PERMIT NO. 29323
GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Relocate. Detached Garage
AP No.118_029-o8 LOT 2J1 ' TRACTRpt.Ijgts FIRE ZONE VALUE $ ILOO.00
N" -S CTIONS Signature Date GROUP J TYPE V ZONE R-2
GAS Date PERMITS ISSUED
Date I Number I Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑
ROUGH WIRING Heating and Vent.
TRENCHES ❑ FORMS J STEEL REINF. E
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE In
SHEATHINGME f 2 t
FRAME AND FLASHING r'1 At 4473/69
LATHING - IN n OUT L ,
PLASTER, BROWN COAT
STRUCTURAL, FINAL
HF 'G, VENT., REF RIG. AND A.C., FINAL 40 �. grows Sarl
PL ANG. FINAL AND GAS TEST r] / /
ELECTRIC, FINAL / /'L1-/y - ® ' eg-. 'e`. 91--
BUILDING, FINAL 47f'X //g-7y eAMM
SPECIAL REQUIREMENTS Air {&
29323
Nov —4-68PAIo00 �* .0f
COSTA MESA BUILDING-SAFETY DEPARTMENT CR4A 081 v ****Z
P.O. BOX 1200 COSTA MESA, CALIFORNIA 9262E -
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING k/OI E ALO tit- For Off ice Use Only
ADDRESS /'rot RECEIPT NO. 1 cXT;la,
COSTA MESA. CALIFORNIA D/�/1 `77- REC VED E Y� ¢D IIU
OWNER t//3rnf-5 /Yr/A,C./S m� / A//
MAILLL// eUl 1 G /i� p
ADDRESS I � /27 ELOO y iL A� ADD S L� co*/ / TEL/ ',/ FIRE
CITY (05 1-11- �7f5/Y NO. p/�/ K//i - ZONE T�{YPE GROUP _
APPROVED
TEL
OARCHITECT R ENGINEER (1/..."[Cat NO. JC3P-A- S'� B�'�ROVED �/ DATE������_�
ADDRESS
' 76 W. 9 C 7R %ua / ING
ZON[/T� no.OF USE OP NEW/..A17Ao F
KK PLANS BUILDING
CONTRACTOR A ('C — 13)_JD
-
LEGA. -
ADDRESS usCR ION Ii!? (/J1' .✓..i. d.S
CITY A.P.NO.U2—6,19� a"
NOTE; NO EAVE OVERHANG SHALL BE LESS THAN
STATE TEL 30'TO SIDE B REAR['.L.
LIC.NO. NO.
EAVES
SIZE I NO.OF E1.00E. ALLOWED (U.B.C.REQUIREMENT)
OF LOT NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OP MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(PROM C/LSTREET) (�
SETBACK LINE PROM FRONT }2- Pr. Q /!0 rl F SE Fr.
CENTER OP STREET REAR YARD
SIDE YARD I LEFT I RIGHT
R.SIDE .7 PT. f-P-- PT.
DESCRIPTION OF WORK L.SIDE 29 PT. 12- PT.
NEW — ALTERATION ADDITION I REAR (J RT. '_ FT.
l
Ii DISTANCE BUT. /_ / BET.MAIN B
REPAIR MOVING _DEMOLISH MAIN BLDGB. (/J ACCESS.BLD08.
-
BUILDING NO.OF VAR.OC DATE
SIZE ROOMS STORIES C.U.P.# APPROVED
EXTERIOR WALL ROOF APPROV //'' pp
COVERING I COVERING BY I� T r -- DATE II - —69O
USED,BUILDING AND WORKTT9,BE PERFfORMED 11:3.1
Kfi tic AT �t- �/1.G (p -e., a
BD.FT.
I HEREBY ACKNOWLEDGE THAT.1 NAVE READ TUG APPLICATION THE AMOUNT SHOWN UNDER VALUATION 18 !OR THE G
AND STATE THAT THE A001/6.18 CORRECT AND AGREE TO CAM. PURPOSE OF ESTABLISHING A PERMIT !EE ONLY.
PLY WITH ALL CITYORDINANCES AND STATE LAWS EMULATING VALUATION �—
BUILDINGCONBTEU ON. // .3, .��
/� yr / + PERMIT FEB f✓✓✓ XI
SIGNATURE OF
haat ti .Li, �N ��
PHRMITTE[ a�/
PLAN CHECK ti w
TOTAL PEE 5 d I
AUTHORIZED AGENT _