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252 22ND ST - Building Permits
• • CITY OF COSTA MESA . ` BUILDING DIVISION Fk �ep 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us t.. _ k 7 FOR INSPECTIONS CALL: (714)754-5626 % ---- 00 • Q%ownso PERMIT NUMBER: M10-00029 PERMIT TYPE MECH STATUS: ISSUED APN: 42608117 DATE ISSUED: 03/12/2010 - ISSUED BY: KJB JOB ADDRESS: 252 22ND ST.CM . - Suite/Unit:' . Vicinity: • " " SQ. FT: 0 SCOPE OF WORK: REPLACE'FAUIN GARAGE WITH 75K BTU UNIT.CHANGE OUT OF UNIT Ta COMPLY WITH APPLICABLE TITLE 24 REQUIREMENTS. l` - ,- . OWNER: BATES,GENEVIEVE P . Address: 252 22ND ST—Unit: " PHONE: ,' " • '- - •City/State/Zip: COSTA MESA,-.CA APPLICANT: RADKE,DAVE ". , " Address: - 14770 FIRESTONE BLVD Unit: PHONE: 714-444-1243 - - City/State/zZip: 'LA'MIRADA CONTRACTOR: MECHANIC REFRIGIRATIONCOMPANY License No. 697664 Address: 14770 FIRESTONE BLVDUnit-" - " PHONE: 714-444-1243 • City/State: LA MIRADA ZipCode: 90638 - CELL: MECHANICAL PERMIT FEE SUMMARY MECH ITEM FEE: - $38.30 . PLAN CHECK FEE: - $0.00 _ . . - • INVESTIGATION FEE: - $0.00 " REINSPECTION FEE: .$0.00 TOTAL FEES: $38.30 ' 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 P. INSPECTION TYPE DATE INIITIALS CODEA INSPECTION TYPE II fDATE//I a INT— � 171AU 1616 Fixed System Final Fire Prevention 206 Final Mechanical G.7. ` ` 1266 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 ♦ r WORKERS'COMPENSATION DECLARATION: Owner ID verified by drivers license. ❑Yes 0 No • I hereby affirm under penalty of perjury one of the following declarations: • Driver's License No. Expires: O I Move 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 erformance of the work for which this permit is issued. have and will maintain workers'compensation insurance,as required by bn 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 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 a_rner,• 62A51.0(i �- 7i�C�'Ela�( by this permit,and that no building structure,scaffolding,falsework,or demolition dd0000t� or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Gm (This section need nor be completed A the permit is valued al ante tars(Stdd)or less) r' 2,Art 2,Sec.341,Title 8,Califomia Administrative Code). rP,Dlicy.Nuxm�'ber: J�Q 1-7_5D—t*� o As owner-builder, I will not employ anyone to do work which would O I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of Applicant's Signature Date the Labor Code,I •. _-• ..th comply with ese provisions. .l.-sSiS--ta (b Division of Industrial Safety Permit Number: geawre >.DAte 1 HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FA LURE 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. p� a registration form for acutely hazardous materials? ❑Yes 0 No . . L•i t (�si l? 6 _.- ego-,CI- ,#7? `/-r O (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by �- lJ each business which at anyone time has on hand a quantity ofacutely 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 0 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 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 furnished on applications for non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 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 0 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 did not build or improve for purpose of sale.). information.given above is correct. I agree to comply with all state laws and 0 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 ❑ 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 a r at-tq occtl, r allow occupancy of any building auth4TjZf:d by this pe thfim fns � (r� lD Slgnawry-er{eyaLOwn r(s¢ I Date Signature Date e `/-JrL11V\(/�-'�- 3057-46(3/07) 1�^ '� --Fadi cAUNgI+eci Applicant &W Prescriptive Certificate of Compliance: Residential CF-1R-ALT Residential Alterations (Page I of 5) Project Name: Climate Zone 44 �J #'of`oric3 �'a�� .15 - ' - sr Mto - oobac/ General Information Site Address:2_5 a s `C) S lit Enforcement Agency: Date: 3^(-4._i b Building Typ` Siogle Family ❑ Multi Family Circle the Front Orientation N ,S,W,or degrees `11 A Project Type: ❑Alterations 0 Envelope 0 Fenestration 0 Roof DiTh C Conditioned Floor Area(CFA): '1'ZOO Replacement or Change Out 0 Duct Replacement 0 Water Heater NOTE: This Jure is not to be used fist Newly Constructed Buildings or Additions Insulation Values For Opaque Surfaces Oar Furring use the Mass and Furring Strips Construction table below) Assembly Alteration • 0 Opening of framed cavity alone-Alterations that involve the opening of the framed cavity(la wall,ceiling, orjloar must install the int ndatory minimum insulation value per§150 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 flow assembly requires the installation of Component kage-D insulation values in Table 151-C. Fill in Columns A-J. t Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below. . A 'R C D E F C - -._ - H ' - :I — I — d 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 Typen and Size'- or Other factor° Numbers R-valuec R-Value' Cell Values U-factory jj .None:For furred assemblies,accounting for Continuous Insulation R-value,see Page JA4-3 and Equation 4-1. For calculatingJitrred watts use the Mass and i Furring Construction table below 1.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 Fratne type and Size:For Wood, Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc... see JA4 for other possible frame type assemblies. 3. Enter the thickness for mass in inches or Spacing between framing members enter; M"or 24"OC;or Other for all other assembly description such as Concrete Sandwich Panel,Spandrel Panel,Logs,Straw Bale Panel and etc.... 4.Based on the Climate Zone;enter the Standard U factor front Table 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 an Column F Table Number and enter the Assembly 1J-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 R C H) E F C H I 1 IC L M Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation Wails From Reference in Furring Space from Reference Joint Appendix Tattle 4.3.5,4.3.6,4.3.7 Joint Appendix Table 4.3.13 u LU mo �' 3a - • U oL. 5, Lt ° 4 F F o U"u •m u"'u Final Assembly ,c' c` ._° 'q my ��� �•'u Mass Name or JA4 Table 4 a .z u m R i? 't 4 ? g F Assembly Thickness' T e' Number' 5 T i l5 w 5 LL w C Q 'i ,, m U-factorsa Comment Registration Number: Registration Date/Time: HERS'Provider: 2008 Residential Compliance Forms August 2009 • Prescriptive Certificate of Compliance: Residential CR-IR-ALT Residential Alterations (Pare 4 of 5) Project Name: ( Climate Zone II ` tof stories. .35a. a � 5 C /V� • • HVAC SYSTEMS-HEATING Minimum Duct or Piping Configuration Heating Equipment Efficiency Distribution Insulation Thermostat (Central,Split, Type and Capacity''2'3 (AFUE or HSPF) Type and Location" It-Value Type Space,Package or Hycconic) 'SC) �i�,ro 5il-e i N 1 S Cr -I. 1S NI) 0 • / `T\C. fl wb5 6c - 1.IndicaAe Pleating Type(Central Furnace, Wall Furnace, Heat pump, Boiler, Electric Resistance, etc.) 2.Electric resistance heating is allowed only in Component Package C, or except where electric heating is supplemental(i.e., if total capacity <2 KN'or 7,000 Btu/hr electric heating is controlled by ci tine-limiting device not exceeding 30 mimrtet). See§151(h)3 exception. 3.Refer to the HERS Verification section on Page 4 of the CF-I R-ALT Form for additional requirements and check applicable boxes. 4. Indicate Type or Location(Ducts,Hydronic in Floor, Radiators, etc.) HVAC SYSTEMS-COOLING Minimum -- - Efficiency Duct or Piping Configuration Cooling Equipment (SEEIUEER or Distribution Insulation Thermostat (Central,Split, Type and Capa P COP) Type and Location' R-Value Type Space,Package or Hydronic) I. Indicate Cooling Type(A/C,Heat pump, Evap. Cooling etc) 2.Refer to the HERS Verification section on Page 4 of the CF-IR-ALT Form for additional requirements and check applicable boxes. 3.Indicate Type or Location(Ducts,Hydronic in Floor,Radiators, etc.) .WATER HEATING 'List water heaters and boilers far both domestic hot water(DHW)heaters and hvdronic space heating. Individual dwelling DHW heaters must be gas or propane fired, and may not exceed 50 gallons. Hot water pipe insulation from the DHW heater to the kitchen(s)and on all underground hot water pipes is required in all component packages in all climate zones. External Tank Water Heater Type/Fuel Distribution Type Number In Tank Energy Factor or Insulation Type' (Standard,Recirculating)' System Capacity(gal) Thermal Efficiency R-Value3 I.Indicate Type(Storage Gas.Heat Pump,Instantaneous, etc.) 2.Recirculating systems serving.multiple dwelling units shall meet the recirculation requirements of§15000. The Prescriptive requirennents do not allow the installation of a recirculating water heating system for single dwelling units. 3. The external water heating tank and pipes shall be insulated to ruled,the requirements of§1500). SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features spectfted in this checklist below. These items ma'require written justification and documentation and special verification. NEW ROOF ASSEMBLY-Radiant Barrier The radiant barrier requirement of§1 51(1)2 does not apply to roof alterations. Slab Edge(Perimeter)Insulation ❑ YES ❑ NO YES: In Climate Zone 16 in Component Packages D, R-7 insulation is required. Heated Slab Insulation ❑YES ❑ NO YES: Slab edge insulation required for all heated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab Insulation ❑ YES ❑NO YES:In Climate Zones I,2, I I, 13, 14& 16,It-8 insulation is required:in Climate Zones 12& 15,R-4 is required under component Package D. - Thermal Mass To obtain Compliance Credit for the installation of thermal mass,use the Performance Approach. Registration Number: Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF-11R-ALT Residential Alterations (Pale 5 (if S) Project Name:: ^ p 51— Climule Zone it #of Stories C9cas 69 t HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified in this checklist below. A completed and signed CF-41?Form for all the measures specified shall be submitted 10 the building inspector before final inspection. Duct Sealing & 'besting TIERS 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 per§152(b)IDii and the newly installed ducts are to be insulated per§151(1)10. 0 EXCEPTION: Existing duet systems that are extended,which are constructed,insulated or scaled 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)1 Di. ❑ 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)1E. ❑ EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS verification in accordance with procedures in the Reference Residential Appendix RA3. _. . .. ❑ EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space. • _ - 0 EXCEPTION: Existing duct systems'constructed,insulated or sealed with asbestos, Refrigerant Charge- Split System TIERS verification is required for this rnean:1'C. ❑ YES 0 NO YES:In Climate Zones 2 and S-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§I 52(b)1F. 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 Beat 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(HVAC equipment and ducting)is . _ replaced,the airflow and fan watt draw shall be verified per*I 52(b)1Ci to meet the requirements of§151(f)7B. Documentation Author's Declaration Statement • I certify that this Certificate of Compliance documentation is accurate and complete. Name: Signature: Company: Date: Address: If Applicable 0 CEA or 0 CEPE (Certification tt): City/State/Zip: Phone: Responsible Building Designer's Declaration Statement • I ant eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. • 1 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 fortes,woksheets, calculations,plans and specifications SubmiI Cl t the enforcement agency for approval with this building permit application. ,r net Signaiis A Company: Date: t > tS'-e_ kE e-P:�,to Ct ''1"J--16 Address: F �'`o � License:109/Co C9 4 I i{ZZC� tt2�5sObJG ,q`-u � � (5� City/State/Zip: phone, For assistance or questions regtirdiug the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. II Registration Number Registration Date/Time: HERS Provider: { 2008 Residential Compliance Forms rtns August 2009 Mandatory Measures Summary MF'-1R Residential (•Page ) nf 3) Site Address: Enforcement Agency: Date: 3— NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of the compliance approach used. More stringent energy measures listed on the Certificate of Compliance(CF-I R, CF-IR-ADD, or CF-JR-ALT Form)shall supersede the items marked with an asteri.slr(m)below. This Mandatory Measures Summary shall be incorporated into the permit documents and the applicable features shall be considered by a//parties as nrininnmr component performance specifications whether they are shown elsewhere in the documents or in this summar . Submit all applicable sections of the MF-IR Form with plans. DESCRIPTION Building Envelope Measures: §116(a)1: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage. §116(a)4: Fenestration products(except field-fabricated windows)have a label listing the certified U-Factor,certified Solar I-leat Gain Coefficient (SHGC),and infiltration that meets the requirements of§10-111(a). §117: Exterior doors and windows are weather-stripped;all joints and penetrations are caulked and sealed. §118(a): Insulation specified or installed meets Standards for Insulating Material. Indicate type and include on CF-6R Form. .§118(i): The thermal emittance and solar reflectance values of the cool roofing material meets the requirements of §I I8(i) when the installation of a Cool Roof is specified on the CF-112 Form. *§I50(a): Minimum R-29 insulation in wood-frame ceiling or equivalent U-factor. §150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R-Value. *§150(c): Minimum R-13 insulation in wood-frame wall or equivalent U-factor. *§150(d): Minimum R-13 insulation in raised wood-frame floor or equivalent U-factor. §150(t): Air retarding wrap is tested,labeled,and installed according to ASTM El 677-95(2000)when specified on the CF-1R Form. §150(g): Mandatory Vapor barrier installed in Climate Zones 14 or 16. §150(1): Water absorption rate for slab edge insulation material alone without facings is no greater than 0.3%;water vapor permeance rate is no greater than 2.0 perm/inch and shall be protected from physical damage and UV light deterioration. Fireplaces,Decorative Gas Appliances and Gas Log Measures: • §150(e)IA: Masonry or factory-built fireplaces have a closable metal or glass door covering the entire opening of the firebox. §150(e)IB: Masonry or factory-built fireplaces have a combustion outside air intake, which is at least six square inches in area and is equipped with a with a readily accessible,operable,and tight-fitting damper and or a combustion-air control device. §150(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket,when that indoor air is vented to the outside of the building,are prohibited. Space Conditioning,Water Heating and Plumbing System Measures: §110-§113: HVAC equipment,water heaters,showerheads,faucets and all other regulated appliances are certified by the Energy Commission. §113(05: Water heating recirculation loops serving multiple dwelling units and High-Rise residential occupancies meet the air release valve, backflow prevention,pump isolation valve,and recirculation loop connection requirements of§113(c)S. §1 15: Continuously burning pilot lights are prohibited for natural gas: fan-type central furnaces,household cooking appliances(appliances with an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool and spa heaters. §I 50(h): Heating and/or cooling loads are calculated in accordance with ASHRAE,SMACNA or ACCA. §150(i): bleating systems are equipped with thermostats that meet the setback requirements of Section 112(c). §1500 BA: Storage gas water heaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped with insulation having an installed thermal resistance of R-12 or_greater. §1500)1B: Un Dred storage tanks,such as storage tanks or backup tanks for solar water-heating system,or other indirect hot water tanks have R-12 extmnaI insulation or K-16 internal insulation where the internal insulation R-value is ii di en ted on the exterior Of the tank. §I 500)2: First 5 feet of hot and cold water pipes closest to water heater tank,non-recirculating systems,and entire length of recirculating sections of hot water pipes are insulated per Standards Table 150-8. §1500)2: Cooling system piping(suction,chilled water,or brine linesi.and piping insulated between heating source and indirect hot water tank 1 shall be insulated to Table 15(1-B and Equation 15(1-A. §1500)2: Pipe insulation for steam hydronic heating systems or hot water systems>15 psi,meets the requirements of Standards Table 123-A, §I 500)3A: Insulation is protected from damage,including that due to sunlight,moisture,equipment maintenance,and wind. §I500)3A: Insulation for chilled water piping and refrigerant suction lines includes a vapor retardant or is enclosed entirely in conditioned space. 2008 Residential Compliance Forms August 2009 Mandatory Measures Summary NMF-LR Residential (Page 2 of 3) Site Address: Enforcement Agency: Date: -b3- OtjNc, %T -3-1 -\c� §150(j)4: Solar water-heating systems and/or collectors are certified by the Solar Rating and Certification Corporation. Ducts and Fans Measures: • §150(m)1:All air-distribution system ducts and plenums installed,are sealed and insulated to meet the requirements of CMC Sections 601,602, 603,604,605 and Standard 6-5;supply-air and return-air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic,tape or other duct-closure system that meets the applicable requirements of UL 181,UL 181 A,or UL 181B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch,the combination of mastic and either mesh or tape shall be used §150(m)1:Building cavities,support platforms for air handlers,and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. §I50(m)2D:Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. §150(m)7:Exhaust fan systems have back draft or automatic dampers. . ..-§150(m)8:Gravity ventilating systems serving conditioned space have either.automatic or readily accessible,manually operated dampers. §150(m)9: Insulation shall be protected from damage,including that due to sunlight,moisture,equipment maintenance,and wind.Cellular foam "'" " insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that . can cause degradation of the material. §150(m)10:Flexible ducts cannot have porous inner cores. §150(0): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air Quality in Low-Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation required in Section 4 of that Standard. Pool and Spa Heating Systems and Equipment Measures: §114(a): Any pool or spa heating system shall be certified to have:a thermal efficiency that complies with the Appliance Efficiency Regulations; • an on-off switch mounted outside of the heater;a permanent weatherproof plate or card with operating instructions;and shall not use electric resistance heating or a pilot light. - §114(b)1:Any pool or spa heating equipment shall be installed with at least 36"of pipe between filter and heater,or dedicated suction and return lines,or built-up connections for future solar heating §114(b)2:Outdoor pools or spas that have a heat pump or gas heater shall have a cover. §114(b)3: Pools shall have directional inlets that adequately mix the pool water,and a time switch that will allow all pumps to be set or programmed to run only during off-peak electric demand periods. §150(p): Residential pool systems or equipment meet the pump sizing, flow rate,piping,filters,and valve requirements of§150(p). Residential Lighting Measures: §150(k)!: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies contained in Table 150-C and is not a low efficacy luminaire as specified by§I50(k)2. §I50(k)3: The wattage of permanently installed luminaires shall be determined as specified by§130(d). §I50(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have an output frequency no less than 20 kHz. §I50(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line-voltage socket or line-voltage lamp holder;OR shall be rated to consume no more than five watts of power as determined by§130(d),and shall not contain a medium screw-base socket. §I50(k)6: Lighting integral to exhaust fans, in rooms other than kitchens,shall meet the applicable requirements of§15000. §I50(k)7: All switching devices and controls shall meet the requirements of§I50(k)7. §I50(k)8: A minimum of 50 percent of the total rnted wattage of permanently installed lighting in kitchens shall be high efficacy. EXCEPTION:Up to 50 watts for dwelling units less than or equal to 2,500 ft2 or IOU watts for dwelling units larger than 2,50(1 lig may he exempt from the 50%high efficacy requirement when:all low efficacy luminaires in the kitchen are controlled by a manual on occupant sensor,dimmer,energy management system(EMCS),or a multi-scene programmable control system; and ail permanently installed luminaries in garages,laundry rooms,closets greater than 70 square feet,and utility rooms are high efficacy and controlled by a manual-on occupant sensor. §I50(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of illuminated cabinet. §150(k)10: Permanently installed luminaires in bathrooms,attached and detached garages,laundry looms;closets and utility rooms shall he high efficacy. 2008 Residential Compliance Forms August 2009 r5:t:w� � CITY OF COSTA MESA y �.,) BUILDING DIVISION ;' ' DEVELOPMENT SERVICES DEPARTMENT J • ,� PERMIT PERMIT N MBER B99-00395 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 • BUILDING PERMIT Job Address: 252 22ND ST Status: ISSUED Suite: Applied: 03/23/1999 Vicinity: Issued: 03/23/1999 Parcel Nunmber: 42608117 Zoning: Applicant: VALVANO, DOMENIC Address: Phone: Zip: Owner: BATES, GENEVIEVE P Address 252 22ND ST • Phone: COSTA MESA,CA Zip: 92627 Contractor: TODD ALLEN CONSTRUCTION Address: 3345 NEWPORT BLVD.#206 Phone: 949-675-6705 NEWPORT BEACH, CA Zip: 92663 License: 698984 Arch : Eng: Address: Address: Phone: Phone: Zip License: Zip: License: SCOPE OF PERMIT REROOF-T/O, NEW 30 YR ELK PRESTIQUE COMP SHINGLE ROOF. • FEE SUMMARY Plan Check: $0.00 Calc Valuation: $5,000.00 Permit: $99.75 Claim Valuation: $5,000.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $100.25 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: / \O \e) V 111 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 DECLARATIONS • WORKERS'COMPENSATION DECLARATION: I her y 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: Cartier: — -. Policy Number: e""e7/gr# y/,C/-�ey (This section need not be completed i/the permit is valued et one hundred dollars($700)or less.) ❑ I 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,and agree that If I should come subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: i Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT Ni EMPLOYER TO CRIMINAL ES AND OVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed underrovlsions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Profs/ions Code,and my license is in full force and effect.Lic.Is c'7S'7S' Class# !l '—/ G— 3 7 Contractor's Signature: i- _e tC.� ! �_ 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). Lender's Name: Lenders 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 subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,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 properly 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 under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-properly tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more teat 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 Safely,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? 0 Yes 0 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? 0 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 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this[rarefication a ppermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes ❑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 part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑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 0 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 COMPLIANCE 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 to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the Ciry of Costa Mesa to enter upon the above-described properly for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. S n: • :.•. Own ate And/Or Authorize.Applican / Date COOE L MUM=TYPETYPE QAIF ICAIS =OGEt INSPECTION TPF RAIZ INIAL$ 1616 Fixed System Final Fire Prevention 208 Final Mechanical 1266 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 244646 tuunUrPitt, nowara - ' - ii C,./ (C JOB ADDRESS 252 E. 22ND St. BUILDING PERMIT NO. 35724 GENERAL CONTRACTOR Owner Builder DESCRIPTION of WORK Demo. Shack,Barn,Shed AP No. LOT TRACT FIRE ZONE VALUE $ 1100.00 It CTIONS Signature Date GROUP J TYPE V ZONE son_ PERMITS ISSUED GAS SUBCONTRACTOR Dote I Number Signature AWATER Plumbing ROUGH PLUMBING PROP. SWR. LINE 0 HOUSE CON. 0 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND n POWER El ROUGH WIRING Heating and Vent. TRENCHES 0 FORMS 0 STEEL REINF. 0 FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING — IN n OUT n PLASTER, BROWN COAT ST' -TURAL, FINAL Electric HE 3, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL 5y t Q BUILDING, FINAL 9-7/.:t .0(A4 Corr Is' PrIIIIIRFMFHTG 35724 d • COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 93626 • 'PLIC•TION FOR BUILDING PERMIT For ' nt to Fill in Completely REC'�/V D•TE ISSUED'? BUILD! G — ZI••/Zi/ ADDRESS 75 2.. .5 7�--....-4•T. �7 ///��� �.lf /n� //^� / 'ERM$3Nq. 4 OWNER D7,r //„:7-4, _r_��4i,,,n /2,ti C A.P.NO. /MAIL - / • BUILDING E -- r ADDRESS / )— O!-i!r-� �- H:,c). IF� �/4 ADDRESS „,„52. 2Z� Si W U /� ..{-- AA / TEL. a Z CITY L 'A 5 t' ,4 ,. vb NO(4(r,C j'7 TRACT I LOT BLOCK ZQ CONSTRUCTIONEDEf/ iJ �� NEW ADD ALTER REPAIR MOVING f1FMDL15/i. O N LENDER D✓t7 S' t ✓�-'.`.. /\x/` am 1 J D BRANCH �; I A„i 1 Oa3 J ADDRESS /7'•" ,S fi OWNER / i /C-T]�()�% V ! E �''.v{/ m ARCHITECT -,'/ p / TEL.. USEY/QK.rJ♦9KA1 s�k'I'1 % � J Q OR ENGINEER WCC 5 t-.- Xi2 //VT NO 1 TEL.--_,, U Q / Q FIRE / / WCC ADDRESS4.\! G/ (2‘..,,,,;..4..... /ec/ T,f e.,. ZONE TYPE' / GROUP ` 7 aw W Z APPROVED J O CONTRACTOR A�^y�+ BY DATE mZ J Q ADDRESS h W w TEL. ZONE NO.OF USE OF NEW ZI- CITY t' NO. PLANS BUILDING W0 STATE CITY YARDS APPROVED YARDS APPROVED to 2 LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING D 0 SIZE NO.OF B (FROM C/L STREET) OF LOT,3ir3}( /,Q7 INOW ON 3 > :OW FT. FT. USE OF EXISTING BLDG.,/94t.t,y e 4- ..rt 1-4-,, &SIDE FT. FT, I— SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L SIDE FT. FT. tel EXTERIOR WALL ROOF COVERING I COVERING REAR FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN& 0 a MAIN BLDGS. ACCESS.BLDGS. Q .y VAR.* DATE O 42 a/t t,;..— C.U.P.lb APPROVED APPROVED f/) BY DATE Z 0 • a U I hereby acknowledge that I have read this application and state I E D that the above information is correct and agree to comply with 0 j CC all laws regulating building construction, end I shall not employ ft F any person In violation of the workman's compensation laws of U) the State of California. m ZI hereby certify that I am properly licensed as a contractor under SQ. FT. TOO the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR b• Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT V: a am exempt from the provisions of the State of California Business VALUATION Dr and Professions Code, Division 3,Chapter 9. nA) co (J tj.�PERMIT FEE Signature�f� �j� _a` OD ✓ mPermittee Z�-�"Y '/ PLAN CHECK $ E !i' o LL Authorized Agent TOTAL FEE $ h JOB ADDRESS 252 E 22ND St. BUILDING PERMIT N0. 35665 M GENERAL CONTRACTOR Owner Builder DESCRIPTION of WORK Res. w/att Gar. "_AP No. 118-161=02 LOT TRACT FIRE ZONE VALUE $ 27,000.00 IP CTIONS Signature Date GROUP I & J TYPE V ZONE R-1 Top._ 415 / .r73 PERMITS ISSUED J SUBCONTRACTOR Date I GAS I Number Signature WATERQ'MSL.-tel ,--7j / PIu 9 �-p �`PROP. RMLING /L2 yS-13 C /`c �/G �_ 3. PROP. SWR. LINE [MOUSE CON. [� M�^C{i -/'3 C / - a?-/ SPRINKLING SYSTEM ft'S(_ _' y-79 / �j 4, r MISCELLANEOUS ,,,,''// ROUGH HEATING AND AIR CONDITIONING `t{(,7 3,5--,7-4 TEMPORARY SERVICE OR POLE , UNDERGROUND ❑ POWER 0 ROUGH WIRING J ,3Z-73 HeQ1 inq and Vent. TRENCHES ❑ FORMS ❑ STEEL REINF. g-it (- s- j/ tecA,q'y, /y/ , ,/ 9' 4L'/ - FLOOR SYSTEM 0/1-1'2_73 0 BOND BEAM n STEEL REINFORCE A t..j./i 3 SHEATHING _ ,, a-1-2-J7"""93 FRAME AND FLASHING lie lie. .e6-11 LATHING - IN 1 ,OUT / Q r-/9-7/ PLASTER, BROWN COAT L,t-/-7 3 ST,-'TUfiVENT.,FINAL RE / Electric t O J HE 3, VENT., REFRIG. AND A.C., FINAL 11147;"'A -17-25 !T�' -�Q['-. '///r�{p!/ 3S3S � PLUMBING, FINAL AND GAS TEST n V[ t-/9 7 ELECTRIC, FINAL -}ji'7 BUILDING, FINAL 6041 C. A—_2.1- /, SPECIAL REOUIREMENTS . / ,in 7-/O-)$ PAID00 281* ****1;8.89 z 35665 .:ov -8-721—c• 'f COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 XPPItTION FOR BUILDING PERMIT For Applicant to Fill in Completely J RE EIV D V gA/-kiVED Dii-TE all--- Zr EUgD ADDRESS "7!/ 2 sT. ' /j / nrlq ` p(,// !/'� A.P. NO.//d/C/- Va PER Jt]OC75 OWNER A-1.�4-.4 r /Ala zinc,s•-c� BUILDING MAIL . ADDRESS -f /%r4 • C' i-,a %- ADDRESS Z /^y s/4 *EC✓OO 'if[. &O ( r CITY - 7t .44 co NO.e4sl 171 TRACTAkVC,/n LO 074y BLOCK Z Z CONSTRUCTION �I EW ADD ALTER REPAIR MOVING OFMOI ISH -N LENDER /\x/ p- ' J M 7 BRANCH `/ /y� J N OWNER �'C.p{OF/-P j / ' OLUf/L� C w ADDRESS VAALUE �/� y� CCI-CO ARCHITECT • TEL. S_ - a5 W *ITT' � $ Ali JN OR ENGINEER . . - ICS ,.e. n• S iia f/ FIRE W4C CC ADDRESS .4- 6/ �..-ises� R / 7N cfrq ZONE TYP GROUP / k� p-w APPROVED J W Z CONTRACTOR ©m•27 P r BY DATE 03- Z JCC ADDRESS W w TEL. ZONE NO.OF q USE OF NEW/�S&yr/ O= CITY NO. /Q^/ (PLANS CY— BUILDING 6A/eA Lc ZH w O STATE CITY YARDS APPROVED YARDS APPROVED co Q LIC.NO. LIC.NO,t MAIN BUILDING ACCESSORY BUILDING DO (FROM C/L STREET) SIZE OF LOT NOW ON LO ssx /Z�. s -Fmss,� FRONT 45-FT. FT. USE OF EXISTING BLDG. R.SIDE 9 FL FT. I- SIZE OF -L. NO.OF / Z NEW BLDG./fo5� 9' ROOMS 6 STORIES I L.SIDE CO FT. FT. VEXTERIOR WALL �OOL'I t ROOF �,r D ,r _ COVERING .S':uc'f-o I COVERING yy,�sw C, REAR z '6FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 1 a MAIN BLOCS. ACCESS.BLOCS. < VAR.#W DATE O i{int 1 p C.U.P.# APPROVE • TE I- APPROVE //j CO —B-Y iV/Cty3/ DATE/ - 4I Z o H/1QR SPEC REQ VI hereby acknowledge that I have read this application and state '�// r D that the above information is correct and agree to comply with Y/ ---- CC CC all laws regulating building construction, and I shall not employ I_ any person in violation of the workman's compensation laws of CO the State of California. / �/ m ZI hereby certify that I am properly licensed as a contractor under --�(�� 0 SO. FT. �� / O the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR s Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e CE am exempt from the provisions of the State of California Business and Professions Coda,Division 3,Chapter 9. VALUATION .C--.------. co N PERMIT FEE $ Signature o //�J��//A, l m Permit-tea -$1 /1 - $G /j7/�j PLAN CHECK $ 47� o Authorized Agent / ` ` V t/ ��u TOTAL FEE $ 1 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 , 4 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVED BY DATE RECEIVED //_�- DATE ISSUED BUILDING ��� . l� • 577 &-,P-/--- 7 ADDRESS �I/ / . r /' '• I �t]� PERMIT NO. OWNER �,2T"DQE, ,/1/`d Gv/54PD A.P.NO. 5'"-e-.64)--.. BUIDING MAIL ADDRESS ,n— ' Ib r'r Z ADDRESS ADDRESS �G. �-�/ aW U TEL. TRACT I LOT BLOCK Z CITY NO. Z< CONSTRUCTION NEW f ADD)ALTER I REPAIR MOVING DFMOI EH a g-N0 LENDER -tom. l rI .JJ U) BRANCH OWNER Ae! /yG�C/ , m J ADDRESS JCCC 01,977- �/}�/l VALUE �J.n,, J CO ARCHITECT TEL. USE FES 01,9/ / 0A-,q $d/rr%U'O OR ENGINEER NO. Z < FIREw '/ r}f / CC ADDRESS ZONE TYPE [/ GROUP) !i' Y/ IL W APPROVED W Z CONTRACTOR BY DATE //--ai-7D- -10 In Z J 2 ADDRESS W W TEL. Z OM E / NO.OF USE OF NEW Z= CITY NO. _ R—i PLANS BUILDING H W O STATE CITY YARDS APPROVED YARDS APPROVED in 2 LIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING 512E NO.Of BLOC (FROM C/L STREET) OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. _R SIDE FT. FT. I— SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. VEXTERIOR WALL ROOF _ COVERING COVERING REAR FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 1 a MAIN BLDGS. ACCESS BLOCS. VAR.# DATE 0nAc• ��T e. _ C.U.P.# APPROVED I— APPROVED N RY TE Z 0 C~.1 I hereby acknowledge that I have read this application and state D that 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 N m the State of California. W Z I hereby certify that I am properly licensed as a contractor under SO. FT. 0 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: Q am exempt from the provisions of the State of California Business VALUATION [�// and Professions Code,Division 3,Chapter 9. co PERMIT FEE $ /T.0e9 N D Signature of m Permittee $ PLAN CHECK $ E 0 Authorized Agent ,/ LI. TOTAL FEE $ tie 1 SS n. •` YJ t ,JOB ADDRESS 252 Y15 East 22nd Street BUILDING PERMIT NO. 38063 GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Patio Cover AP M0.118-161-02 LOT TRACT FIRE ZONE VALUE $ 300.00 It CTIONS Signature Dote TYPE V GROUP ZONE R-7 .\ SOIL SUBCONTRACTOR I PERMITS ISSI4ED I GASI Dote Number Signature an WATER Plumbing \1 ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER fl ROUGH WIRING _ N Heating and Vent. TRENCHES fl FORMS U STEEL REINF. 0- 2-(3._7 - FLOOR SYSTEM r��F--YYYY l r BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING • _ LATHING - IN n OUT n PLASTER, BROWN COAT ST' -TURAL, FINAL Electric • HE 3, VENT., REFRIG. AND A,C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL /1 � BUILDING, FINAL (�./' '- f T' % ELIu • •" -x anP 11-7f.c,1� 00 363' uF' ,5.50 _ �t.,— COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT BUILDING�!•1 _ y�./ , RECF�L6J��/ DATE RECEIVED DATEFOR BUIL •ADDRESS t�..A77 O0[[ �^{/� /C C f- 5-/ 7 •OWNER (//R-�I�� / /• t/,//�//C�5 A.P.NO. I�8 _nI rV lid PE RM BUILDING MAIL ADDRESS43Sp��/ Ai �• ''// ADDRESS 25 -. e. LL,u.i2:2_,--d 2_-i' Sr. Li o.0 CITYC51117- � ,4, �� No.64P16/ NI"TRACT• ���• ILOT21 BLOCK CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH F O� LENDER cn Ct.J D BRANCH �� J to OWNER _ CO J ADDRESS ///� / VALUE CO• ARCHITECT TEL. USE_/ 4fta &I/4 ' $ J Q OR ENGINEER NO, Uta FIRE WCC ADDRESS {/�� h ZONE TTYPE ✓GROUP 3 (,//_ 0_4, CONTRACTOR Odnv J/r — /y ld,l APPROVED 77 DATE -//-7 W Z J Q CO J x ADDRESS w w TEL. ZOI`f�� NO.OF USE OF NEW?q�p Z~ CITY �— NO. ' �C..I PLANS. BUILDING cov W 0 STATE , CITY YARDS APPROVED YARDS APPROVED to CC LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING SIZE �s y l SNO.OF BLDGS. (FROM C/L STREET) OF LOT/.2 /� J x 7 INOW ON LOT/ FRONT Asir FT. FT. USE OF 9 EXISTING BLDG. R.SIDE FT. FT. I— SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. UEXTERIOR WALL ROOF •1 /_ COVERING COVERING - REAR K�VJ FT. FT. J & 4o'eg OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN$ 1 MAIN BLOCS. ACCESS. BLOCS. Q /�Lf/ /X / VAR.# DATE Q � C.V.P.qW APPROVED APPROVED ` t� ��// z �AP "• .1",Y DATE /� —7 PE o p Cfc.) o I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with CC all laws regulating tion ng construction, antl I shall not employ Fany person in violation of the workman's compensation laws of fn the State of Californie. / W Z I hereby certify that I am properly •. sed as a contrac.•r under SO. FT. 0 - the State of California Business • Professions Code, • vision 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that s ch li • ses are in full force a.- effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a CC am exempt fro '• s of the State of ornia Business5-`15-1- a p v antl Profession v,si• 3,Chapter 9 VALUATION H ��`� PERMIT FEE $ D Signature of / /jam �j �� m Permittee /j �f/L��� $ Q PLAN CHECK $ E ar �— —00 . �• u Authorized •gent� P. �.�ft,+Cy TOTAL FEE $ evnlNLR ARTFTOFFB/NOTJABf `i"„ b-4-13 AlifJOB ADDRESS 252 22nd' Street BUILDING PERMIT NO. 36746 GENERAL CONTRACTOR Onwer-builder DESCRIPTION of WORK Block Wall ?A" '1. 118-161-02 LOT Por 294 TRACT Npt Fits FIRE ZONE VALUE $ 200.00 Tit -CTIONS Si nat re Date GROUP TYPE ZONE RI. SOIL PERMITS ISSUED GAS SUBCONTRACTOR \WATER Plumbing Date I Number Signature <ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. E SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND fl POWER E ROUGH WIRING C Heating and Vent. TRENCHES fl FORMS fl STEEL REINF. FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING — IN rl OUT rl PLASTER, BROWN COAT S' 'URAL, FINAL Electric HE, .dG, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL _.... ....._ _..... ii P]_711 _ UWNtN HOWARD, MARK UAIt 11/3O/'(2 'JOB ADDRESS 252 E. 22nd St. BUILDING PERMIT NO. 35753 GENERAL CONTRACTOR John Dodd Co. DESCRIPTION of WORK Demo. Res, CA:AP No. 1iR_lfil_oa LOT TRACT FIRE ZONE VALUE $ 400.00 Q IN CTIONS Signature Date GROUP TYPE ZONE R-1 } SOIL SUBCONTRACTOR PERMITS ISSUED GAS Dote I Number Signature WATER /� Plumbi ROUGH PLUMBING ` \p tµ, &t /1/a'j%/a 6�Qya PROP. SWR. LINE 0 HOUSE CON. E VH SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER LI ROUGH WIRING Heating and Vent. TRENCHES El FORMS 0 STEEL REINF. FLOOR SYSTEM BOND BEAM [] STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING - IN [] OUT in PLASTER, BROWN COAT ST' 'URAL, FINAL Electric HE 3, VENT., REFRIG. AND A.C., FINAL y PLUMBING, FINAL AND GAS TEST []2(at j7 , ey 4457 2 ? 7-73 BUILDIN C, FINAL I�"�P �i ��2j BUILDING, FINAL r �� • PAIL ':OV 30-7215;Oti1100 et****5.50 .. 35713 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 • .4 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely BUILDING // / RE id D V %% R�F,AVED' DATE /I¢¢¢SUE•ry ADDRESS i.L2)� - Fr-17,4„ ��i'r / 7a/7//72- //Se ST 702 OWNER Y/l a/'IC_'4F. /' A.P.NO. 'l." e-It @ PEgM0 5.T MAIL // �r� BUILDING ADDRESS tJ 0 ��,y °L._ �/ /. n ADDRESS ' y (/_� 0* a U CITY '-+r//y._ TNOLbV1 .&Z/ T ACT ` iis LOY�l BLOCK I- Z Z Q CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH O CO F. LENDER a co J J BRANCH �'`''�J/� JN OWNER it S m J ADDRESS E'4 ✓iW/iii �1FLd /VALUE . J_ 40L J CO ARCH! TEL. USE Q U co OR (NEER NO. Q FIRE wADDRESS yj /f//�nJ' ZONE TYPE GROUP W Z CONTRACTOR a % W ABY PPROVED DATE -10 MI C��// z /w,jhY,,(4- J ADDRESS W i TEL ZONE NO.OF USE OF NEW = 5;+ ZFCITY `%C / NO. �.c '�i PLANS,/ BUILDING STATE v/ v/ CITY // �' YARDS APPROVED YARDS APPR VED coWQ LIC. NO(4 4/D3 O 7 LIC.NO.ars MAIN BUILDING ACCESSORY BUILDING D SIZE NO.OF SLOGS. (FROM C/L STREET) , OF LOT NOW ON LOT FRONT FT FT. USE OF C n n EXISTING BLDG. ''"I'� /y(Ca,.'� R.SIDE FT, FT. I SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. . ✓ EXTERIOR WALL ROOF COVERING COVERING REAR FT. FT. 1 USE25F BUILDING SAND WOj RK TO BE PE R�OFfiM E_= MAIN BLOCS. ACCESS.BLDGS. a (I y(z c F� QQ�� q ry < L L_. /LQ- �y• 5 �arr.-7 VAR.* DATE C U.P# APPROVED 0APP/ I 1 q N --ELY , it , () DATE 1I ' 3o-7 Z �V[o� q(J VII hereby acknowledge that I have read this application and state 0/47;\ D that the above information is correct and agree to comply with / CC all laws regulating building construction, and I shall not employ (.....tt G �tany person in violation of the workman's compensation laws ofl(/y the State of California. tOZI hereby certify that I am properly licensed as a contractor under SD. FT. To the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR s Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: CC am exempt from the provisions of the State of California Business VALUATION and Professions Code, Division 3,Chapter 9. co PERMIT FEE $ 5-2-0 N Signature of _ yn (/✓ .�� D Permittee C "'T� $ ' PLAN CHECK $ E ST-6.---C) 8 Authorized antu. TOTAL FEE $ • 36746 . PAID * ***** COSTA MESA BUILDING-SAFETY DEPARTMENT JUN -4-73ESa00 097 5.50 P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely APPLICATION FOR/BUILDING PERMIT 22_5-2_ 2 2 _4, 4 5 RECEI7FZ Yv Ey—DAT F GSI 3 pp{TE IS U y BUILDING L((�� C/C�_ /T/ /3 D , // ADDRESS v /J/ O Z PERMIT N9.� OWNER �,� �lai i A.P.NO.{//� (y( '3YZLL MAIL / BUILDING/ �j � ^' l 7S^ 4 / ADDRESSp7 sem- s JC'r6t Z ADDRESS �. / // gNPO� OL - 0 CITY (� , NO.bcri 2&/ TRACT eVt S LOTeg9V BLOCK Z CONSTRUCTION � NEW /ADD ALTER REPAIR MOVING DFMOI ISH O VI LENDER J D BRANCH �_ /� JN LU ADDRESS 1.------ VALUE �O� j� �fC.(JjQ�/Q-y/ mJ `-CO _ /7 - / cG'r^ �J VALUE •�' JN ARCHITECT wIJ -�Z ^NOL �bO//J VSE ��G�/��EY C'� $ �A�/O FIRE GROlf d W ADDRESS JRA j� l' � ZONE r T// DATE f may- w Z tt APPROVED /LLL.,1.>.{(1` J O CONTRACTOR S BY CD Jir ADDRESS CL-oij.GG--e-r W W TEL ''r'� ZONE NO.OF USE OF NEW/SCOCC 2 F CITY SG[�G4-� NO. S ^-�, )/ PLANS BUILDING eJwt_Z-- -0 STATE CITY YARDS APPROVED YARDS APPROVED tWj)it LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING SIZE 5.--o qq NO.OF BLDGS. (FROM C/L STREET) O /QJ OF LOT x/ iQ INOW ON LOT ( „FRONT FT. 6 /FT.//- USE OF C p EXISTING BLDG. P R.SIDE FT. FT.OJ r F SIZE OF NO.OF /{ 2 NEW BLDG. ROOMS STORIES L.SIDE FT. 6 FT. UEXTERIOR WALL I ROOF ,_ COVERING COVERING REAR FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& n• MAIN BLDGS. ACCESS. BLDGS. C az_ a r „c.f.i., VARVAR.* DATE O C.U.P.# APPROVED F APPROVE 4-57-7-3 to /-57-7J to _$Y L" IC.>2 r/ a . DATE J Z Y O STATE VI hereby acknowledge that I have read this application and state D that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employF any person in violation of the workman's compensation laws of 0 the State of California. ( , 5c' TAR 2 I hereby certify that I am properly licensed as a contractor under SO. FT. O the State of California Business and Professions Code, Divisicn 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; o CC am exempt from tl a provisions of the State of California Business 5 VALUATION O U and Professions Co e, Division 3,C•.- er 9. J co / 00 PERMIT FEE $ D Signature of /o /Ora .r"-- 41 Permittee G'� ` $ 00 PLAN CHECK $ ' E 5'7° o Authorized Agent a TOTAL FEE $