HomeMy WebLinkAbout1982 FULLERTON AVE - Building Permits _ •
CITY OF COSTA MESA
05014•44 BUILDING DIVISION
r77 FAIR DRIVE, COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714)754-5626
PERMIT NUMBER: B10-00221
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 42603226 DATE ISSUED: 07/28/2010
ISSUED BY: RMD
JOB ADDRESS: 1982 FULLERTON AV CM Suite/Unit:
Vicinity: HOUSE AND GARAGE •
Squares: 1900 Valuation: $7,200.00
SCOPE OF WORK: TEAR OFF EXISTING MATERILAS, INSTALL A MINIMUM OF 2 LAYERS OF 15#FELT AND REROOF WITH 30
YEAR COMP SHINGLES ON A DETACHED HOUSE AND GARAGE,APPROX 19 SQUARES. REROOF OF HOUSE AND
GARAGE WILL BE DONE CONCURRENTLY. COMPLIANCE FORMS ATTACHED TO JOB CARD AND CITY PERMIT.
OWNER: CONFORTI, LORETTA GAY TR Address: 1982 FULLERTON AVE Unit:
PHONE: 949-645-9465 City/State/Zip: COSTA MESA,CA
APPLICANT: LANGDON,JOSEPH Address: Unit: :
PHONE: 714-608-8226 City/State/Zip:
'CONTRACTOR: J N L ROOFING AND REMODELING License No. 648337
Address: 16312 ARLINGTON LNUnit: PHONE: 714-608-8226
City/State/Zip: HUNTINGTON BEACH,CA 92649 CELL:
714-536-1816
•
ARCHITECT: License No. PHONE:
ENGINEER: License No. PHONE:
FEE SUMMARY
•
Reroof Plan Check: $0.00
Reroof Permit Fee: $153.25
Reinspection Fee: $0.00
Bldg Std Admin Fund $1.00
TOTAL FEES $154.25
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 O. INSPECPON TYPE DATE INTITIALS CODES INSPECTION TYPE DATE INi1TIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final p 208 Final Plumbing
200 Final Re-Roof 0—a -/0 -67 210 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
WORKERS'COMPENSATION DECLARATION: Owner ID verified by drivers license. 0 Yes ❑No r -
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance, as required by DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
section 3700 of the Labor Code,for the performance of the work for which this
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
by this permit,and that no building structure,scaffolding,falsework,or demolition
Carrier:>
(Thissecton need not becompleled Athee permit is valued at one hundred dollars(Sr00)orte55.) or,At 2, Sec thereof,will be more than thirty-six(Co feet high.(Chap.3.2,Grp
Policy Number:
/40 Zs If
2,Art 2,Sec.341,Tile 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would
❑ 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 thers' compensation laws of California, and agree that if I should
become • • -ct 11{• the workers' compensation provisions of Section 3700 of Applicant's Signature Date
the Labor .4 e, all forthwith comply with these provisions.
7'—2.13—MDivision of Industrial Safety Permit Number:
Q5`.nt's&igna cfe . HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
W'RNING: AI, RE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS NLA FUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PEN• S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 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 livens- is in full force and effect. /' 2 a registration form for acutely hazardous materials? ❑Yes 0 No
Lic..#.- f, .j r-Class.#�. C '' l9 (Section 25533 of the California Health and Safety Code, with some
7 Y exceptions, requires registration with the Costa Mesa Fire Department by
C�.z A .s--- —�1U each business which at any one time has on hand a quantity of acutely
am ctors:Stgnature - `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
CO '-UC ON LENDING AGENCY: temperature and pressure).
❑ hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Dale
4. If an RMPP is presently required. has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑No
issuance,also requires the applicant for such permit to file a signed statement (Sectbn 65850.2 of the Califomia Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits).
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑ No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property. or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK. and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044,Business and Professions Code:The Contractors subject of this application. have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No
thereon,and who does such work himself or herself or through his or her own
8. (If"yes",attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
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
properly 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
10am exempt under sec. the information given is correct. I agree to comply with all state laws and city
Iordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
U. S
slitili Legal Owner(s) Date
Signature Date 7-2_8-M
3057-46(3/e7) _ ,-7,, oht*rr� COBte�
tr,i
LA
4 Pre: riptive Certificate of Com_p....nce: Residential CP-1R-AT
Residential Alterations (Page 1 of 5)
Pr jc�.d.Nttnm: {imate•Zune ii #of-Stori
CONT Ti (p
ti
-"General Information
Site Address: /'9 Z COI
-` t Enforcement Agency: I�e„)3 ,^ ,r te: 7,.Zg-,
Building Type�7 Single Family ❑ Multi Family Circle the Front Orientation:N,E,S, NO' or degrees
Conditioned Floor Area(CFAj: Project Type: D Alterations D Envelope D Fenestration Roof D HVAC
Replacement or Change Out D Duct Replacement D Water Heater
NOTE: This fort is not to be used fur Newly Constructed Buildings or Additions
!t rsulation Values For Opaque Surfaces(for Furring use the Mass and Furring Strips Construction table below)
Assembly Alteration
D Opening of framed cavity alone-Alterations that involve the opening of the framed cavity of a wall, ceiling, orfloor must install the
mandatory minimum insulation value per§150 for the altered assembly.Fill in Columns A-C and enter mandatory insulation value in Column H.
D Replacement of entire assembly-Replacement of an entire wall, ceiling,or floor assembly requires the installation of Component
Package-D insulation values in Table 151-C. Fill in Columns A-J.
Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below.
.A II I C D • E - • F - G H - .I. - II. .J
Proposed See Note Standard Values From JA4 Table
Framing Thickness, Framed Continuous JA4 ' Proposed
Tag/ Assembly Name Material Spacing, U- 1A4 Table Cavity Insulation Assembly Assembly
Numbers ID' , or Type' and Size2 or Other' factor" Ns R-value' R-Value' Cell Values U-factor
Note:For furred assemblies,accounting for Continuous Insulation R-value,see Page JA4-3 and Equation 4-). For calcul ming furred walls use the Mass and
;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 Frame type and Size:For
Wood, Metal, Metal Buildings,Mass,enter 2x4, 2x6,or etc...see JA4 for other possible frame type assemblies.
3. Enter the thickness for mass in inches or Spacing between 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, Cor 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 U factor value based on Column F Table Number and enter the Assembly U-factor in Column J
9.The Proposed Assembiv U-factor, Column J, nasi be equal to or less than the Standard U factor in Colunm E to comply.
Furring Strips Construction Table for Mass Walls Only
A I It C D I E F G H I J K L M
Proposed Properties of Masonry and Concrete Added Interim'or Exterior Insulation
• Walls Front Reference in Furring Space from Reference
Joint Appendix Table 4.3.5,4.3.6.4.3.7 Joint Appendix Table 4.3.13
_
• U , -i0i ' '> U
d O -E a
Assembly '" � .`c_ R �- �' ° a,''in .v "b Final
Mass Name or JA4 Table > u v = R R o 'E A o = v n Assembly
Thickness' Type2 Number' < .•a < v , c I u`. if S > w U-factor'' Comment
I
S I I '
I i I
Registration Number: Registration Date/Time: HERS Provide:
2008 Residential Compliance Forms August 2009
Prescriptive Certificate of Compliance: Residential CF-IR-ALT
Residential Alterations (Page 3 of 5) I
Project-Name: CIimaterZone# /. #rf•Stories
Cd
•
ROOFING PRODUCTS(COOL ROOFS)§151(/)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 f?, whichever is
less,the new roofing area must meet the roofing product"Cool Roof"requirements of§152(b)1Hi,152(b)1Hii,or 152(b)1Hiii.
Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof requirements.Note:if any
one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in
ݤI i)are not applicable.Do not fill table below.
Cool Roofs Not Required in Climate Zones 1-12, 14,and 16 with a Low Sloped. Less or 2:12 pitch.
/ 0 col Roofs Not Required in Climate Zones I through 9 and 16 with a Steep-Sloped Roofs(pitch greater than 2:12)and product unit weight less
than 51b/ft2, _
Alternatives to§152(b)1Hi and§152(6)Hii,Steep-slope roof(pitch>2:12)
ia❑ Insulation with a thermal resistance of at least 0.85 hrft2:°F/Btu or at least a 3/4 inch air-space is added to the roof deck
over an attic;or
❑ Existing ducts in the attic are insulated and sealed according to§151(1)10;or .
❑ In climate zones 10,12 and 13,with 1 ft'-,of free ventilation area of attic ventilation for every 150 fie of attic floor area,and
where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge;or
❑ Building has at least R-30 ceiling insulation;or
❑ Building has radiant barrier in the attic meeting the requirements of§151(02;or
❑ Building has no ducts in the attic;or
❑ In climate zones 10, II, 13 and 14,R-3 or greater roof deck insulation above vented attic.
Exception to§152(b)1Hiii,Low-slope roof(pitch<2:12)
❑ Building has no ducts in the attic.
Other Exceptions
0 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/fl 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 Number' < 2:12 >2:12 < 51b/ft2 a 51b/ft2 Type2 Reflectance3'4 Emittance SRI5
—
❑ 0 0 0 ❑4
❑ ❑ ❑ ❑ ❑4
❑ ❑ 0 0 04 .
❑ ❑ 0 0 ❑4
❑ ❑ ❑ ❑ ❑4
I, The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolroo/r.org/products/search.php
2. Indicate the type of product is being used for the roof top,i.e.single-ply roof asphalt roof,metal roof etc.
3. t(the Aged Reflectance is not available in.the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value front the sante
directory and use the equation(0.2+0.7(pp,urur—0.2)to obtain a calculated aged value. Where p is the Initial Solar Reflectance.
4. Check box tithe Aged Reflectance is a calculated value using the equation above.
5. Calculate the SRI value by using the SRI-Worksheet at httn://wwuv.eneray.ca.unv/tide24/and enter the resulting value in the SRI Column above and attach acopy of
the SRI-Worksheet to the CF-I R.
To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage
recommended by the coatings manufacturer and meet minimum performance requirements listed in§1180)4. Select the applicable coating:
❑ Aluminum-Pigmented Asphalt Roof Coating 0 Cement-Based Roof Coating 0 Other
1
Registration Number: Registration Date/Time: HERS Provider:
2008 Residential Compliance Forms • August 2009
} • .
' _Prescriptive Certificate of Compliance: Residential CF-7R-ALT
_Residential Alterations (Page 5 of 51
Pru ecl-Name: C-timate Ziii p 1 i of, ' a
HERS VERIFICATION SUMMARY The enforcement agency should pay special attention nr the HERS ddeasres specified in this
checklist below. A completed and signed CF-417 Form for all the measures specified shall be submitted to the building inspector before final
inspection.
-Duct Sealing & Testing HERS verification is required for this measw'e.
D YES ❑ 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)1Dii and the newly installed ducts are to be insulated pet §151(f)10.
D 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 IZA3.
❑ EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space. .... . .
O EXCEPTION: Existing duct systems constructed,insulated or sealed with asbestos.
Refrigerant Charge- Split System HERS verification is required for this measure.
❑ YES ❑ NO YES:In Climate Zones 2 and E-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§I52(b)IF.
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(HVAC equipment and ducting)is
replaced.the airflow and fan watt draw shall be verified Per§152(b))Ci to meet the reouirements of§151(f17B.
Documentation Author's Declaration Statement •
I certify that this Certificate of Compliance documentation is accurate and c,'lets
Name: Signet
Cs : Jr" kid L-/Ot` L IJ
Company: ot- i /J i Date: at /�
v � .72--7/1/4
Address: / / A // If Applicable D CEA or 0 CEPE
• / 6 ( E /t'Y( - A/(/J (Certificatationn II): �9
City/State/Zip: !! ell q zq� P)tQ_u7e. / Ta D 2z-6
=Responsible Building+Designer's teclaration Statement
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on
this Certificate of Compliance.
• I certify that the energy features anti performance specifications for the building design identified on this Certificate of Compliance conform
to the requirements of Title 29,Pans 1 and 6 of the California Code of Regulations.
• The building design features identified on this Certificate of Compliance are consistent with the information provided to document this
building design on the other applicable compliance forms,worksheets,calculations,plans and specifications submitted to the en lbrcemem
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: 1-800-772-3300.
kegistranon Number: Registration Date/Time: HERS Provider:
2005'Residential Compliance Forms August 2009
IIA^ORESSOPtILDR1G: 1982 FULLERTON AV uxT: CITY OF COSTA MESA - BUILDING PERMIT
OWNERS NAME IF KNOWN CONFORTI, L.-GAY-
ADD ESS: 1982 FULLERTON AVE PERM NO: M 081852
• COSTA MESA,CA 92627 it -R PERMIT NO: M 081852 PLAN CHECK NO: N GOVT; N SUPP: N
645-9465
APPL.MARINO ADDRESS CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC PURPOSE: OTH
ARCNnECT ORENGDIEER: uc.NO.: JOB DESCRIPTION : GAS REPIPING FOR RESIDENCE SQ FT:
ARCH.OR ENG.'S ADDRESS: UNT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /
CONTRACTORS NAME:
CONTRACTOR'SMMUNG COMMENTS: RESIDENTIAL REPAIRS
ADDRESS: UC.NO.: ***1ECEiHiECEd *****k************iH#kitdEdE#dflHdEdEdEiEdE****iE******#ib****#!E*iEiEdEiECEiEdEd ****k*ick**
UMT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under peneky of perjury that I em licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Professions Code,end my license is in full force end effect.
CITY LIC.NO.: UC.CLASS: UC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Date: Caaactoc LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
OWNER BUILDER DECLARATION:I hereby effinn under penakky d perjury than am exempt from the Contractors License Law for the
talowing reason(Section 7031.5 Business and Professions Code:Any ply ce ooumy whirr requires a permit to construct.after.improve, PARKING REQ: PROV: PARCEL: 42603226 Z N E: REF NO:
posh,or repair any structure.prior to is issuance,abo requires the applicant for such peto file a signed statement that orer hes
tin permit
pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Daimon 3 of the PLANNING N TES>
,r`Usineae and Professionso Mal or
Code] t heshe is exempt therefrom and the basis la the alleged exemption.Any violation of Section >• -
"i031. 5byanyapplicantl«sperms suq«Js to applicant a dal penalty sat more than free hundred dollen 155001). cEiEtERHdE♦E1E**1E9EdE*Sf9b**N•tHlbdECEfECE9EtEREdEN''tEtEtE*cEMCEck*!cE****dEtE#****dECECEdEtE1H1E1FCECEdE9EchdEdE9E*#9HdE1ERH9EdEdE9E9f9E
❑ Las owner ofta ProPeny«my«nployees vein wages as thee sole compensation,will ea the and me structure is not intended DEVELOPMENT S E R V•,i, C E S REQUIREMENTS
or offered for sale(Section 7044.Business end Professions Code:TheContractors License Law does not appytoan tomer of mammy
who[Wads or improves thereon,end who does such work Mese or herself or through Ie or her own employees.provided that such
improvements are not intended or offered for sale.II,however.the building or improvement is sold within one year of compkgon.the ZONING APPROVED BY DATE:
owner-builder will have the burden of proving he or she did not build or improve fa the purpose of sale).
AO Ivasowner ofthe property,an exclusively contracting with licensed contractors toeonMm the project(Section 7044,Business and BUILDING APPROVED BY : DATE:
Professions Code:The Contractors License Law does not appy to an owner of property who builds or improves thereon and who
contracts for such projects with a contract«(s)licensed pursuant to the Contractors License Law).
❑ I am exempt under Section: 8.AP.C.. Ne APPLICATION ISSUED BY: - DATE: 2 - 27 -
1EPPLICATION#ISSUED*BfElEiEIEiFIEiFiFIFiEiFlEiEiEiE1E1E1E#iEifiEi *** tic iE 1EiE1ElElfiflEiflElElEifviF#if3flEiF*** *** 1E
Ni Dae: oZ— �I-9� Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
I do hereby certify Nal I em aware of and understand the requirements of iomia h end Safe‘Code Sectors 25505,25533,and
25534,and that I or any sure building occupant will/will not(circle one)need to comply wlh said Mete codes and the requiremamsM BLDG PMT PLUMBING ELECTRIC. MECHANIC FIRE SMIP/RES GRADING
e panic Lor construction o modification barn the A'roaageent District.Residential c« an applications are exemafrom
retctiolicatthese
provisions m ,. , PERMIT �' L`` - - 5 , 50
Date: Applicant: • 2 5% SMIP/NON-RES
PLAN _ -
WORKER'S COMPENSATION DECLARATION:I hereby alum under penally d perjury one of the following declarations: ISSUE FEE - 22 .00
❑ I have and MI maintain a certificate of consent to self-insure for workers'compensationas provided for by SeC0011 3700 of the Later BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL •
PAID DUE
Code,for the performance mthe work for which this permit leissued. TOTALS----> 5 . 50 22 . 00 ' 0„00 27 . 50 27 . 50 . 00
❑ I have end veil maintak workers'compensation insurance,es required by Section 3700 of the Labor Code,to the performance of the
work for which this permit is issued.My workers'compensation insurance carrier and policy number we:
Carrier: REVENUE DIVISION TOTALS--> COLLECTED: 27 . 50 OVER/SHORT: . 00
Policy Number BLDG PMT PLUMBING ELECTRIC MECHANIC -- FIRE SMIP/TOT GRADING PLAN-CHECK
...hhsection ction need not be completed I the Pacer is b one hundred dollars istpfl a bMSS)MSS) • 17 . 5 0
vlfL
aI certify the in the performance of the work for which this permit is issued.I shall nd employ any person in any manner so a to h -
become subject to the workers'compensation lave o California. end agree that A l should become subject to the workers' ********************if****1E9fif****IE**'**%******1E1f********1E**1E**1E******1E*1E*****1E***
compensation provisions of Section 3790 of to Labor Code.I shall forthwith oompy with those provisions. INDIVIDUAL F. E E BREAKDOWN
k Date: Applicant:
Warning:Failure(0 secure workers'compensation coverage is unlawful,and shall sm(act an employer to criminal penalties end'- .TYPE _-.,,,.QTY D E S C R I P T I O- N • UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars($104000),M addition to Me cost of compensation,damages as provided for In
Section 3706 of the Labor Code,Interest,end attorney's fees. MEC . 1 GAS PIPING SYS 1 - 4 OUTLETS 5 . 50 5 . 50
CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury Mal there is a construction lending agency for the END ,OF FEES
performance of the wank for which this permit is issued(Section 3097,Cis C).
LENDER'S NAME:
LENDER'S ADDRESS: '
I certify that I have read this application and state the the above information is correct I agree to campy with all cry and county ordinances •
and stale laws relatig to building construction and hereby authorize representatives of this cry to enter upon the above-mentioned properly a.
for inspection purposes.L GAY CONFORTI
k Poon - 02-27-1997/12:19 PM/$27.58
I. - .�� _:,<� Date: gZ—�?-9'J RCPT8:01-8882788
Sig -, .of e . Agent/A.. : 7'. tractor
PERMIT:081852
(5151-46.WP) White-Building A Safely.Green-Fe:Cann-Applicant:Pink-Revenue;Goldenrod-Assessor A
4=--.-:-...- .
CONSTRUCTION AND PLANNING - PO01 P,A
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
--,a.:Electrical Conduit Utility-Undrgrnd. . 54. Forms 7
1I G4!(Electrica I Conduit-Undrgrnd. 55. Electrical Bonding
- ;_=t_.¢teel Reinforcement 56. Rough Plumbing & Pressure Test
t 1.:,;: lectrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE -
r
=TT, Footings 58. Electrical Conduit-Undrgrnd.
i'` -'8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
„.. i9' 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 Plumbing r.. . 65. Electrical-Final
15. Rough Electrical-ConduitT. • 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 Fire(ilace ' `^t`• ` - =' c'''
t= APPROVArel) - Permit# ` `r
21. -Ducts, in_Strtrcture •' •• •• -C r S C' 7• 70.`'Undergro�r4d f}ydro '
22..Ducis, Venti ting,' ` C� z . < r 71. Prodi eping ETGas bOi1
23."Gas Pipe-Rough& Test .r_' p. 7 a• 'fr- 72. Undergrouhd Flush ..
24.-:RooT Framing' ?'. " - , = L. - ; 73. Undergr d.Stoiraje Tang 0 Gas 0 Oil
25. Roof Sheathing o, .`c ,n ,-- `:: = I, + 74. Overhead Hydro_
26. T-Ba? Ceiling (Structural) &Moat ' Cr: : =' 75. Dry Chemical ._ K `-
27.:Frameand Flashing _,ro•• r 76. DryStauttpipeVa *
- 2 - •- - n- "-
r 28. Lathing'& Siding," -- ^ig;Z Q g7- •• ,. `';. 71 FIXED3ST€NKFINAL_ ..•
29. Insulatio• .. -
4+t � _ # r_ 7B. FIRE PREY. FIa3QL - _
•
30. Drywall Nailing c x iF 3HEALT{F) DEPT'.•REQUIREMENT
31. Plaster gown Coates ' ni-n '- j k t- 71. FINALaNSPECT10N ;e r
32.:Electrical Power Meter-Final ; y, '-J It :: 80:. FOOD CERTIF_IEATE (;SUED `
33.Final-Electric ice" PleiC
_ ` a: -I Notes:?_3^91> -4r 5 o .T __�:t'!-�
34. Final'Heating-784 AinCoriditioniFgs -~ cx - t f" + 1.--.572-144-7C
j �,A�nn"z tom.-..,- � ,4: _
35. Finaa-1 Ga.•PI e-Test; _ °' •7
.1
p �1_�7j =-34` 2CR�c7(oK ��(o7iCr (3N
c. 36. Hood orcanopy _ s !<: s_ f- o t t=
5411^
�' 37. Fina7;Factory Fireplace.;. _ _ _ ! l -K " _ r
38. FinatPlumbing l ' - 1 ,c.• -,,,1•� i �i a
r. m '-e Cr 5-4 ft rr
39. Water Service-Final" 'I ' :I' � "`'7, -4. _
40. Gas Service-Final a r-: L...-7r,-- : - C,i, nx
; • -
4
m .4 's r- • at n ,C
41. Solar Domestic-Final c r. N M -
T♦ 'F 71 O - -
42. Backf low Preventer' q i k „ ,L ^ ,-
F-.- ,- c .. -1r', r-
43. Backflow Irrigation'. == ° x -F' a
..-, k T, Rim Er r
---;44. Landscape Iriigation Systenwi4 : _ ;HI C' C' ny it cu co C(J C'
. . e• � ^ 5 L' G t 5 r
-745_1:Sound Qttenu '"
ation; 'x'" r" ` `- f-, -• `'t E -' i c' 3:
r46..Handicap.Regulations _ :. r ii. -..r. s �c =
47.:,-FINAL STRUCTURE & BUILDING , r * -I r; r
48._FINAL PLANNING- r -, 'I'. 5 m •c x 4- -
119.-electric Release to Edison •" a c' I r. •
•• . FT C •r,
50.Gas Release to Southern California Gas Co .. E- -
_61. CERTIFICATE OF.OCCUPANCY y < ' C x --
No. Date
j\
r
7' 8" VERTICAL
d
a
a Z O •• FUTURE CONNECTION
EXISTING 9' 5" 36'9" TOTAL LENGTH
Iy`.0 ;
Ett FIREPLACE II
FROM FIREPLACE
UNKNOWN BTU WALL FURNACE
t/ efAlli
Z
11'2" ACROSS
■ SLANTED CEILING
9'6" VERTICAL\•
25.)6() 1L •
WALL FURNACE
05iG�z - 2-SIDED 12"
LLL 50,000 BTU INPUT VERT. 7" GAS CO
GCI 35,000 BTU OUTPUT METER
w,
'�+ 575 Jfi Lz) 6' S STOVE "
d OM 2 OVENS G'_" 4
1 ) 4 TOP BURNERS
,«, UNKNOWN BTU
c ' T „ (// 6'4"
CI
HO) lice 6 0"
WATER HEATER L/
r
s I aj at 1,0„ 32,5000 BTU INPUT 0.
J
V AUC a
!i /�� f
It.' / 0 16'7" ( GALVANIZED
Q ��ta
co
LI / �,�J \.
M. (471'"hell frill'
` fir, NOTES:
jii,i11,/,I)'I 1. PROPOSED PLAN FOR REPIPING DOMICILE
01
2. NOT DRAWN TO SCALE
Q 3. ALL MEASUREMENTS +/- 3"
4. PROPOSED RE-PIPING MUST HAVE CAPACITY FOR
PERMIT NO. M81852 CONTACT: FUTURE RE-CONNECTION TO NOW EXISTING FIREPLACE.
f DATE 2-27-97 L.G. CONFORTI 5. GALVANIZED PIPE APPROX. 12" ABOVE GROUND AND
9 1982 FULLERTON (714)650-4659 NO LESS THAN 6" ABOVE GROUND WHEN OUTSIDE STRUCTURE
RE-PIPING GAS (714)722-2505 FAX 6. GALVANIZED SHALL HAVE MINIMUM I.D. OF INCHES
« 7. DATE SKETCH PREPARED: 3-3-97
ANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT
Broadway BUILDING
SANTATA ANANA,. CALIFORNIALI
'„ter n-�..rr.-v;�y:..'r � �,. s:' _- ..: •., �. i
FOR(� APPLICANT/ TO FILL IN // • FOR OFFICE USE ONLY -
ADDRESSIN \ \� I {_�CeL�I /�/ff/f•� ,V�.O RECEIPT PERMIT NO.
SCHOOL DIST. �• ✓L_ / + L R �
OR TOWN ��(�(�. �/LGGiO�,� R-- EIVED =Y DATE REO`'O. DATE ISSUED
NEAREST
CROSS ST. Z QU• -• GI5... 3.e.4,„0 ice/ / /3-5 9/(/ ---53
OWNER Cw //'�// D'/ 7 W//c�+ allIME _ME 4 Gh..
ADDRESS ./G , , / / 5 it: •,
SCHOOL DIST.
OR TOWN
T /
•
CITY �� k, NEL. (/O. �, 9 , NEAREST —L
CROSS ST. /
ARCHITECT OR LIC. Z NO. OF TYPES GROU
ENGINEER NO. /!Y I/ I PLANS
ADDRESS
A�P`PPRROYV ED 011i/
LIC, BY DATE ��
VTRACTOR iNO.
ADDRESSLEGAL 'J a / CORRECTIONS
DESCRIPTION I NO. 3 / I BLOCK 1 TRACT7�f
I ATTACH METES & BOUNDSI
SIZE OF LOT[/
// 'A / /� NO/ O / NO.WOOF N BLDGS.LOT D
USE OF I NO. OF I NO. OF
EXISTING BLDG. FAMILIES ROOMS -
SETBACK LINE FROM: r n I REAR YARD )1Y.
CENTER OF STREET J L/ • SIDE YARD V
DESCRIPTION OF WORKa
6
NEW I ✓I ALTERATION I I ADDITION I Z
REPAIR I I MOVING I I DEMOLISH I • Dr
SIZE
BUILDING , O 7 7 q ROOMS 5 STORIES I
.,”
EXTERIOR WALL I ROOF /
COVERING COVERING r //
NEW `A;�C/✓✓•" p\V-'(/
LDINGFN
/
APPROVALS
FOUNDATION: LOCATION INSPECTOR DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS. MATERIALS. /�.{
APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDERPINNING /I-r?Q.0
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOPS. -,- 42--.36 J-,A
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. BRACING. BOLTS /� .l ,7
LATH. INT. // ft / I ()it 1 09
SIGNATURE OF / id /,,, e 1_ -' LATH. EXT.
PERMITTEF .% `A�6d ✓•••«1///!!!
/ •
PLASTER. INT.
AUTHORIZED AGT. . yJ.
PLASTER. EXT. 1r//)�c
PERMIT FEE sr l MASONRY REINFORCED II
VALUATION $ `, st.g-5PLAN CHECK E 3-
VY VS J [� BOND BEAM ��� � / y
FEEAL $ / � FINAL "� +/4L `S/
SM 3-30-03
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- - - PLOT PLAN
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property line and between buildings. - _ -. ;
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•1
ANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT
636 North Broadway
SANTA ANA, CALIFORNIA BUILDING 1
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
RECEIPT NO. PERMIT NO.
BUILDING \SCW T....i2
ADDRESS es a 1 go 3 7 ?
SCHOOL DIST. tar, za_(.......inczaa
OR TOWN 0 LIVED BY TE RECD. DATE ISSUED
NEAREST
Ara Al
, 4-,..s-.3
„, 9,2f2.....j--3
CROSS ST. 3
2. 0 ...al -;b. f
ruILDING ____Zalgter________
OWNER GEORGE M. HOLSTEIN & .1'2,1" ADDRESS
MAIL
ADDRESS 166 F,1701 st SCHOOL DIST. e.49,,u......„1..a., Oittael,_.„......
OR TOWN
CITY COSTA MESA,.CALIF TEL
. NO. NEAREST
CROSS ST. OC)
ENGINEER NO. ae...--
ARCHITECT OR LIC.
27,....s." 1 NO. OF
PLANS 1 TGROUP
.Y.S7 I Ir
,
ADDRESS j ___
DAT:it V" 'r
• (PPROVED 2 4/1.--
GEORGE M. HOLSTEIN 8.1-11cIN3 BY
I NTRACTOR No.
Ibb 1. 1/11 St CORRECTIONS
ADDRESS (Tim TA ('SI It .
,
LEGAL I LOT =4:1
I TRACT! 4/ 6' 4
DESCRIPTION I NO. '"''' BLOCK
(ATTACH METES & BOUNDS)
SIZE OF LOT 400/1X II 2,11 I NO. OF SLOGS. 0
NOW ON LOT
USE OF I NO. OF I NO. OF/
EXISTING BLDG. FAMILIES ROOMS -
SETBACK LINE FROM: // s I REAR YARD eV ,
CENTER OF STREET SIDE YARD 5'•
DESCRIPTION OF WORK 0
x
a
NEW IN,1 ALTERATION I I ADDITION I i
REPAIR I I MOVING I I DEMOLISH I I>
r
BUILDING 3 „ .- NO. OF , .
SIZE ROOMS I STORIES i
A
EXTERIOR WAttn....tCOVERING
ow I ROOF
COVERING
OF NEW
OWING
APPROVALS
FOUNDATION: LOCATION INSPECTOR DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS. MATERIALS, 1
APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER.PINNING JJ n'33
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOPS.
BRACING. BOLTS 4)-r-36,41
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
LATH. INT.
SIGNATURE OF a %ea. ?es_ LATH. EXT. ..a" It `30T-3
PERMITTEE-.
PLASTER. INT. -,
AUTHORIZED AGT. re .4-(A3 et- 17—fr
PLASTER, EXT.
PERm IT FEE S ..-- MASONRY REINFORCED
VALUATION $ "7 I- 0 ..... PLAN CHECK $
BOND BEAM
TOTAL
a FEE scr FINAL Z.Ce.,11 Vd•'Tr
SM 3-30-53
• 1111
W
2 -
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•
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STREET.
PLOT PLAN
Show location and distances from
property line and between buildings. •_
.
. .
1