HomeMy WebLinkAbout995 MISSION DR - Building Permits� CITY OF COSTA MESA �
y`"MFS BlIILDING DIVISION
� 9
F� , � 77 FAIR DRNE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • w�wv.ci.costa-mesa.ca.us
°.��`�� FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER: 610-00287
PERMIT TYPE B_ROOF2
APN: 14166417
JOB ADDRESS: 995 MISSION DR CM
Vicinily: FOURPLEX ONLY . . _ . .
Squares: 3250
STATUS: ISSUED
DATE ISSUED: 10I01/2010
ISSUED BY: KJB
Suite/Unit:.:' .
' � -� a Valuation:��� � - �$6;900.00
SCOPE OF WORK: REMOVE EXISTING COMP,�SHWGLES. REPAIR/REPLACE SHEATHING,AS NECESSARY. COVER WITH 30 YEAR COMP
SHINGLES. ROOF PITCH IS 3:'12rFOURPLEX.ONLY. DOES NOT INCLUDE THE ATTACHED GARAGE. -', ,
OWNER: WASSIELY, MOURAD ' - . ' Address:. � 995 MISSION DR �� _ Unit:
PHONE: � '. � � _ City/State/Zip: COSTA MESA, CA � � �
APPLICANT: VAZQUEZ, JOSE � . .
PHONE: 949-812-2209 '
CONTRACTOR: PROFESSIONAL ROOFWG - -� - -
Address: '17431 TEACHERS AVEUnit:
City/State/Zip: IRVINE, CA � 92614 -
ARCHITECT:
ENGINEER:
FEE SUMMARY
Reroof Plan Check:
Reroof Permit Fee:
Reinspection Fee:
Bldg Std Admin Fund
AL FEES
Address:
City/State/Zip:
PHONE:
� License No. �
. . License No.
$o.ao
$139.25 � � . � � . . . ..
$0.00
$1.00 � '. � .,. .. . , . -
t�A09G � _ .. ' .
Unit: :
License No. 926316
949-812•2209
CELL:
PHONE:
PHONE:
HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3/18/2070 - PER CMMG Sec. 13-279
Monday thru Friday - 7:00 am thni 7:00 pm. Saturdays - 9:00 am thru 6:00 pm. Prohibitied all hours - Sundays and the following Federal
New Years Dav, Memorial Dav, Independence Day, Labor Day, Thanksgiving Day and Christmas Day
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenGS under Califomia 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.
CODEp. INSPEC110NTYPE UATE INTIPALS COOEp INSPECiIONME DRTE INTITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof i� iD -� �-� � MP�b _fA� 210 Final Electncal
201 Final 9bck/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 FinalSign 222 FinalSite
204 , Final Demolition 250 Final Buildin<yOccupancy
�
WORKERS' COMPENSATION DECLARATION:
I hereby aKrm under penalty of perjury one of the following declaretions:
❑ I have antl will maintain a certificale of consent to sel(-Insure (or workers'
compensation, as provided for by section 3700 0! lhe Labor Code, for the
or nce o! the work for which this permit is issuetl.
I have and will mainlain workers' compensation insurance, as requiretl by
5 n 3700 Of the Labof Cotle, fw the peAortnanGe Of [he woM for which Ihis
pertnit is issued. My workers' compensa[ion�surance carrier and policy
numberare: ��� /� �U�
Carrier. 1
(�nis serflon need rp10e cnmpe—fe70 d(he perm<is value0 al one nuMrM �llars (5f 00) wleu )
Policy Number: �� � 1��` —��
❑ I certify that in the peAormance of the work for which this permit is
issued, I shall not employ any person in any manner so as to become subject
ro the workers' compensation laws of Califomia, and agree that if I shoultl
become subject to the vrorkers' compensation provisions of Section 3700 of
the Labor Code, I sh �II iorthwith comply wilh these provisions. �
_�Oir2 "Q2c`V�Gz.
A00����� s Signalure ate
WAftNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($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 aKrtn that I am licensed under provisions ot Chapter 9(commencing
with Section 7000) of Division 3 of the Business antl Professions Code, and
my license is Gin (ull fo!rce and eflect.
Lic. # / Z b� � G Class # C 3�-j
Cwtraaor's Signawre Date
CONSTRUCTION LENDING AGENCY:
❑ I hereby affrm that there is a constructbn lending agency for the
peAormance of the v.ork for wfiich this pertnit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lentler's Address:
Date
OwNER-BUILDER DECLARATIONS:
I hCr¢by eK�m Ihal untler penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW (or lhe (ollowing rea5on (Sea 7031.5,
Business and Professions Code: Any city or counry which requires a permit to
constmct, alter, impmve, demolish, or repair any slrucNre, pnor lo 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 wiih Section 7000) of Division 3 ot the
Business antl Professions Code) or that he or she is ezempt [herefrom and
the basis for the allegetl enemption. Any violation of Section 703L5 by any
applicant for a permit subjects the applicant to a civil penalty of not more [han
five hundred dollars (5500).):
❑ I, as ovmer of ihe property, or my employees with wages as their sole
compensalion, WILL DO THE WORK, and Ihe structure is not intended or
offered for sale (Sec. 7044. Business and Professions Code: The Contractors
License Law does not apply to an owner of property who builds or improves
thereon, and who does such vrork himself or herself or lhrough his or her own
employees, provided lhat such improvements are not intended or offered for
sale. If, however, the building or improvement is sold vrithin one year of
completion, Ihe owner-builder wiil have the burden of provinq that he or she
did not build or improve for purpose of sale.).
❑ I, as ovmer of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to consWct the project (Sec. 7044, Business and
Pmfessbns Code: The contractas License Law dces not apply to an owner of
propeny who builds or impmves thereon, and who contracts for such project with
a contracla(s) license pursuant to the Contractors License Laws.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
Signawre Date
]09-a6 (3/0]�
Ovmer ID venfied by tlriver� se. ❑ Yes ❑ No
Driver's License No. Expires:
Verifcation of Ownership by (rype o( document, i.e. - property tax bill or tleed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certdy Nat no excavation frve (5) or more fee� in depth into which a
person is requiretl to descend, will be made in connectbn with work authorizetl
6y this pertnit, antl that no building structure, scaffdding, lalsewnrk, a demolition
or tlismantling thereof, will he more Ihan thirty-six (36) feet high. (Chap. 32. Gry
2, M 2, Sec. 341, Ttle 8, Califomia Administrative Code).
❑ As owner-builtler, I will not employ anyone to do work which woultl
require a permit (rom the Division o/ Industnal Satety, as noted above, unless
such person has a permit to do such work trom the division.
Appicam's Signawre
Division of Industrial Satety Permi[ Number: _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will [he applicant or present or future builtling occupant neetl to fle antl
certify a Business Plan for emergency response [o release or threatened
release of a hazardous matenal? ❑ Yes ❑ No
(Section 25505 of the Califomia Health and Safety Cotle requires, vrilh some
exceptions, [hat a Business Plan be fled with Ihe Costa Mesa Fire
Department by every business which has at any one time tluring a reDortetl
year a quantity o! hazartlous matenals equal to or greater than a weight of
500 pountls, or a volume of 55 gallons, or 200 cubic teet of compressetl gas
at s[andard temperaWre and pressure).
2. Does or will the applicant or present or fuNre 6uilding occupaM neetl lo (le
a re9ishalion fortn for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of lhe Califomia Health and Safety Code, with some
exceptions, requires registra[ion with [he Costa Mesa Fire Department by
each business which at any one [ime has on hantl a quantity of acutely
hazardous materials equal to or greater than a weight of 500 pountls, or a
volume o( 55 gallons, or 200 cubic feet of compressed gas at slandartl
temperalure antl pressure).
3. Does or will the applican[ or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Sec�ion 25534 of �lhe Califomia Health and Safety Cotle pmvides that the
Costa Mesa Fire Depariment may require the preparation, certificalion and
filing with the Fire Departmen[ of an RMPP by businesses which are required
to register awtey hazardous ma[erials wilh the Fire Department.
4. If an RMPP is presently require0. has Section 25534 of Ihe California
Health and Safety Code 6een fully wmplied vr,th? ❑ Yes ❑ No
5. Does or will the applicant or present o� (uture building occupanl r2quire (o�
the work which is the subjec[ of ihis applicalion a permit for such construction
or modifcation from the South Coast Air Quality Mana9ement Districl or from
any other air polWtion control district or agency? ❑ Yes ❑ NO
(Seclion 65850.2 of the Califomia Govemment Code requires that me requestetl
infortnation be fumishetl on applicalions far non-resitlential builtling pertnits).
6. Will any part of Ihe facility to be consWcted under this permit be within
1000 feet from the outer boundanes oF a school? ❑ Ves ❑ No
Qf'yes", the tacility must meet the requirement of Sections 25534 and 42303
ot lhe Califomia Health and Satety Code).
7. If a permit from the South Coast Air Quality Management District or other
air polWlion control district or agency is required (or the vrork which is Ihe
subject of this application, have all of the discbsures prescribed by Califomia
Health and Safery Code Section 42303 been made? ❑ Yes ❑ No
8. (If'yes", attach certificale of compliance from the appropriate air pollution
contml oKcer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
infortnation given above is correct I agree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
Signature Da�e
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalry of perjury that I have read lhis application and state that
the information given is correct I agree to comply with all state laws and ciry
ordinances relating to building construction, and authorize representaiives of
the City of Cosla Mesa to enter upon the above-descnbed property for
inspection purposes. I agree not to occupy or allow occupancy ot any building
auth nzed by Ihis permit until fnal inspection.
� � v�-� �� F�
Signalure of Lega Owner(s) Oal�=
� � �
AntllOr Aul�onrea AppLranl O le
Prescriptive Certificate ui'
Resitlential Alterations
Prqjecl IVamc: / , i _
General lniorm��timi
Sile Address:
Building T),pe 1Single Fumilp
Conditioned Plooi Hrea (C�A)�
n ce:
Niulti Pamilp
Climate "Lonc �
Z,nlurcemenl Agency: � � I Uate
Circle tl�e Froni Orientation� h, E, S, V�', or degrees
Yroieci Type:
- O� �
CF-1R-Al
(Ya�e ] of' �.
DI 01 Uf Stories
������
Envelope � Fenestration�ltoof O HV
Uuci keolacemeN ❑ Wate Henter
NOTL•: T6is Inru� i.v noi ta hc used /nr Ne�vli� Coustr�reter/ Iluilding.c nr fldditinns . .
l�isulntimi Nalues For Opnquc S�q'jaces (/or Fw'ring uar (he Mas.r anc! Fm'ring S7rips Cavsn�e+c�ion mble Lelowl �
Assembl�• Alteration � �
❑ Opening of framed cariq• ulone- A6eraiions thrn innoh�c die opening of7he framed coviq� o/�� wall, ceiling, oi _Jloor musr insia(! !he
manduim�p minimum i�vsidutim> >•nlue yer ,�750 for Ihe nhered assembf7�. Fill i�v Columns A—C and enier mandalm�p insula�ion value in Caitrnm H.
❑ Replucement of entirc nssemhlp-Reylacemciv� aJau en�irc wall, ceihno, orJloor assemGl�� re9uires the instal/ation ofComponenr
Paek"aRe- L inxidmiai vo/ues in ToGle I57-C. l�ill !n Cohimns �l - J.
ue Surl�ace DetaiiS Ror tl�e furred pm•tioned uf Mass Waiis see
N I C ll i �
Tag/ Assembly Name Material Spacing, f U-
ID� or Ty e� and Size' or O[her' � factor'
'o�c: Fa� _lurred assemGlies, acroun�ing for Conlmumu' Insulalmn R-value, a'ee Pi
F
7A4 Table
Construction Tab(e below.
C I H
Cavip�
Lgvmiai 4-l. Fa��
:ontinuous JA4 Proposed
lnsvlation Assembly � Asaembly
R-Value' Cell Value6 U-faccorv
use
l. h or' 7'ng/ID indicaie the iderui�ca�ion name dm� mntches d�e building plans.
2. Indicaie the Assem6l�� Nume ar rype.' Roof�Ceiling, Walls, Floars, Slabs, Craw! Space, Loors ond eic...lndica�e fhe Frame type and Size,- For
N'nod, Me�al, Meial Buildings, Idass, en�er ?z4, ?x6, m� etc.., see JA4 for other passible �rame rype assen;blies.
3. Eie�er7Hc 71�lckness jor noas�� iiv inchea� a� Spaci�ed behneeio f"aming membenr enter; 1 G"ar 29 "OC; a� O1he�:jor all olher assenrbl�� dee�cription
such as Cnncre�e SmidwicG Pane!, Spanarel Yanel, Logs, StraH� Ba1e Yanel and e�c....
4. Bm�ed wr ll�e Cfimate Zone,- e�:ter the Standard U.facta _j�am Toble 1� I di. C m� D ja� coclv d fjerenr assembl�� Name or� t� pe.
5. Enter Ihe Tab1c uumber Ihai cl ose17� resembles Ihe propoa�ed as•sem61��.
G. L•nterlbclf-volue d1�1 isGeing ins�eulfed in Jhr wul/ cunlq� ar between !he fimning; ollre�wisr, enler "0",
Z L• Ner !hc Cnntinuoua ]nndo�ion R-��alue for the proposed ussembl��; o�heiryvise, emer "0".
b'. Enter tlre rnw� and culumn qJihe U-foctm� voluc bosed on C�lumn F7'uble Number ond en�er !he Assenablp U-fuclor in Colunae J .
>. The Proposed Ae�e•emLlr U-fnc�or, Colu�mi J, mus� be equo! io w� lesa� �han tlre Standrsrd U-facmr in Cofwrxn E in compl7�.
Fun'in� Strips Construction Table for Mass l��a]Is Gnly
A B C 'D L. F G H 7 J IS L M
Propuse[I Pruperties uf Masonr�• and Concretc Added ln[erim' or Exterior ]nsulntiun i
�A';dls Prom Reference in Furring Space frum Referenee I
doiul A>>eudi>. Table 4.3.5. 4:1.G. A3.7 .ininl A endix 7'able 4.313 �
- -� I v — _
V '" < ° ' V
u. L ` �' C •U G• G � I
G
hsscmblp �-a �', ° o.- F ~'9 a�'.� =.= _' �., Final
IJixss Numcoi .INA'Iablu = � � E rt o 't � G_ "= Assembly
'Phiclmesf�� Typ:' iJum6er � `�. w° �`_ LL 5 i: r = w r U-fuCtoi�'� CDmme�l
� i
I � I
I I I I
� I I I
Ifegi.su'uiinn Nuniber: Iicgi.sv�iion Uaie/7'iinc: HGRS'Prnvider:
20(l�; Rea�idential Cnrnplicuice Porm.r � dud .sl 200<)
Prescriptive Certificate oi' Compliar Zesidential CF-1R-.A]
Residential A[[erations � (.Paee 3 of
Climatc Zwme N / � tt
aoorirvc raonocTs (cooL izoors> §rst�l�
N�Len !he nren qf exterior rnofs�qface tn be�replaced ceceeds mnre Ihan SO% ojlhe esistinb• r�iofaren, m� xinrr. 16an 1,000 jf, �vhichever is
less, (Le ne�n roofing arert mrsst mee! U:e roofing yroduc! "Coo(lionf' requiremenis oj§I51(h)INi, ]i2(L)1Hii, nr l52(bJlHiii.
Check applicob(e nl�ernn7ive m� exceplim� below if the roof al�era�ion is esemp� fi�om fne roofing produci "Conl RooJ". renuirements. Note: )f an��
ane of dee al�erna�ives or e>ception beloH� i.r checked, �he dged Solm' RgJlec�ance and Therma! Emittance requirements;jor roqfing products in
,�/IB(iJ m�e no� applicable. Do not fi/1 �able below.
'�❑ ool Roofs Nnt Required in Climate Zones 1-12, 14, and 16 with a Low Sloped. Less or 2:12 pitch.
ool Roofs Not Required in Climate Zones 1 through 9 and I 6 with a Steep-Sloped Roofs (pitch greater than 2:12) and produci unit weight less
Alternufives tn §152(b)1H� and §152(b)Hii, Steep-sfupe ruof (pi�cli > 2:12J
❑ Insulatiou witli a thermal resistance of at leas� 0.85 hrft �°F/Bni or at least a 3/4 inch airvspace is added to the mof deck
over an attic; or
❑ Existing ducLt in the attic are insulated and sealed according to §151(�10; or
O]n climete zones 10, 12 and i 3, with 1 ft'. of free ventilation area of attic ventilation for every I50 ft'' of anic tloor erea� and
where at least 30 percent of the free ventilation area is within 2 feet vertical disisnce of Ihe roof rid@e; or
❑ Building has a[ leas[ R-30 ceiiing ins�lation; or . �
❑ Building has radiant b.vrier in the attic meeting the requiremen�s of §151(�2; or .
O Building has no ducts in lhe attic; or .
❑ In climate zones ] 0, ] 1, l3 and 14, R-3 or greeter roof deck insulation above vented attic.
Exception w §152(b)1Hiii, Low-slope roof (pitch <,�,:12)
❑ Building has no ducts in the attic.
❑ Roofmg area covered by building integrared; phoiovoltaic panels and solar�[hermal panels are exempt frmn the below Cool Roof criteria.
❑ Roof constructions thai have thermal mass over the mof inembrane with at least 25 Ib/ft is exempt from the oelow Cool Roof criteria.
Notc If no CRAC-1 label is available, [his compliance method cannot be used, use the Performance Approaeii to sno��� compliance, otherwise,
Check the a niicable boa below if Exempt from the Roofin Products "Cool Roof' Requirement: �
Roof Slope I Product Weight Yroduct A@ed Solar Thermal
CRI2C Product 1D Numder� < 2:12 > 2:12 �< SlbiftZ > Slb/ft� Tyoe'' Reflectancel'� Emittance SRIS
� ❑ � ❑ ❑ ❑ I lo°I
❑^
❑4
❑°
TLe CRRC Producl lU Num�er cmi Le obininedjr�om Ihe Cool RvofRaiing Cmmci!'s Raled Produc! Dir'ecmry pl w�vm.coalraofs orv/producrr/ee r I I
lndicaie !6r ryrye of prnduel �s bewg �ueA(ar' the rnoJtop, i.e. single-pIJ� raof, aspboll roof. +ne1o( rooj, elc.
1/rhe AgeAlte/lecmnce i.s nn� ovuiloLle in.rhe Cool Iioo(Itaiing Cwmcil's Ro�ed Produc� Direcmp� ii�en u,m tlre Iniiial keJleclance valuc %r�om !he sanie
direcmr�� ond use Ihe e9�mlion (O.1+p.7((������;��— 02J �o obmin n calndaied aged vul�rc. Where y is �he briiio! Solm' Reflectmice.
CHeck tioa i%Ihe �ged Re/lecia�rce ia' n ca/ndoied nalue using ihe egam�ion o6ove.
Ca1c�Jaielhe SRI value Lr ��sing dic Sltl- Workshee� a( hun://�v�nm.eneri��.ca.gnv/�itle24/and emer 1hc resiJring vpluc in dir SRl Colurnrr abone and n�mc6 ucopp
Ihc SR/- IVaiiuheer io rhe CF-1H. �
a apply Liquid rield Applied Cuetings, the coating must be applied across the entire roof surface and meet the dq� mil lhickness or coverage
.commended by the coatings manuiacturer and meet minimum performance requirements listed in §7 18(i)4. Select the applicable coating:�
Alumimm�-PigmentedAsphall RoofCoating
Regisvruiim� NimiLer:
2008 Residentiu! Compliunce
Cemem-Based Roof Coating
Regis�ration Daie/Time:
Uthcr
FIGILS P�nvider:
Augus�2009
e CerCiile,�te oi'
Alterateans
]h'ujecl
identiul
Ch -1 h-ALT
(Pa�e. � ot� ��
tr "Lonc tl! _ � i' ui Stories
H�I:S \'L;P�IF.1 CAT1 ON SUf19111A7t]' 7'hc e�7jorcemeru ngenev e�hauld pni'suec�al �rt�emion m lhe� HEIfS 69eosm�e.c e�pecified m liiia
chccllf�si Lelo�r fi comple�ed nnd s�gned CF-4!! Form for uIl !he inensure.r syecilied shn!! be subnmied �n liic b�ii7dn�g inspector belmr jinol
7)uCl Seil�ille' � 7�CSYilld HF/i$Veri�iCnlian is)'eqzrirL'[�fOrllii.f IDe[Is'iu.e ' � ,
❑ i'Z';S ❑ NO 1'P,S: Li Ciimute Zw�es ° niid 9- I G, il� more thaii 4U lineui itei of ne�v oi mplucemeni ducis nrc ins�.illed in uncondi�ioned
� spnce, th: duc�a ure tn be sealed per y1S2(6)ILii and the newll' mstulled docts are lo be insululed pei 1151(fU 0.
❑ LXC�PT10��. Lsisting duct systems thni are estended. �vLicli :u'e cuush'uc[Cd, insW.�ted ur scaled �vitl� a5beslus.
❑]'�S ❑ NO 1'E5: ]n Climate "Lones 2 nnd 9-16, if tlie eaisting space-condiiioniu� svstem (H\�AC equipmeni auJ ducung� is replaced, the
ducts aie to be sealed pei (152(b)7Li. .
❑]'ES ❑ NO ]'�5: Li Climate "Lones 2 and 9J G, if tlie exisung HVHC equipmem is repluced (including tlie replacemem oi thc ,�ii handler,
ou�door condensing unii of a splii system; cooliug m� heaw�o• coil, or the iurnace liea� er.chnnger) th� ducts are to 6e
sealed per §�sz�n>>E.
❑ EXCL.PT10n'� lluct systems tL, t are documented W�Lave been previuuslv sealed confirmetl thruutL H�7:S �
. veriiicatiou in �ccordanec with prucedures in the Sieference Residential Appendia R.43.
❑�XC�PT)ON: Luct svstems with less than 4� linear leet iu uncmiditiuned spuce. -.. .
.___ ...._.. ,...... ._.._ .._..... . ._ _.. . . . . . _.
❑�XC�PTION: Lxisting duct s��s[ems constructed. insulated m� sealed rvith asbes[os. �
kefriperxnt Charee - Split S)'stem HERS veriJirnrion �s reguired for �hi.r nreaszne.
D 7'�5 ❑ NO YLS�. ln Climete Zones 2 and 5-15, wl�en the existing HVAC equipmeni is replaced (including the replacement of the air
haudler, outdoor condensing unit of a splii system H/C or l�eat pump, coo]ing or heating coil: or the iumace heat
exchaneeri a refriserant cliaree measuremem shall be veri5ed ner GIi2f611F.
Cen�t•al Fan Integrated (CFI) Ventilation System and Fan V�'att Drav��
Tlie ventilation requirements of F15D(oj do noi aoolv to existinc residential homes.
Ducxed Split 5)'stems - Air Conditioners and Aeat Pumps: Airflor�� HERS nerrjicmion is reguired for �his u�easurc.
❑ Y�S ❑ NO 1'L�S: ln Climate Zones 10 through 15, when the exisiiog space-conditio�ing system (H VA C equipment and ducting) is
reolaced. the airflov: and ia» watt draH• sliall be verined ner §7;2(b)I Ci to meet the renuirements of � I�l (f17B
thaf
Company
�0.
�
Ua[e:
�e._e�l—ID
]f Hpplicable O CEN or O�
(Certifica�iou tJ):
Piionc:
`�`fy - `is� 2- zz
Respm�siblc Buildime Designur'e Leclaratiur Statement ' �
o] un�i eligible underLivision ; nf the Culilomia Fsusiness und 1'ro(essions Code to accepi responsibiliiy (or the bulldiug design identi$ed on
this Certificate of Compliance.
. 1 ceniSy tiiai tbe energ�� Seature:�, and performanee speci5entimr.. for the Uuilding design identiiled un this Ceniiic,ne of Cump}�i,ii��� cuniorm
tu thc rcquiiement:�, of Title 2q, Par1s 1 aod G o9� the Caliibrnia Cnde of ILe�ulallous.
. The buildin�: desi�.n feattrze;; itlentiGed on this Cenificau.: of Compliance nre cunsistem wilh lhe inlonnaiion provided to ducwnem thi:�.
buildinp tlesign on tlie n�her xpplicablc conp>li�mcc fonnc, wod:shcet:.-, culculatimie, plan:. und specifictnion;, subnilttcd w thc cml'orcemeN
ucencv foi apprnval with this buildinr permii apPllcution. �
Namct Si�naturc�.
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L,ICL'115�'
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Tor us.ri.ttaucc or q+rc-.rtiuras regurdin� the LriergP Stemdrtrd:;, cmtutet 1hr L'nergl� Nn1li�ac ut: 7-H00-7i2-33b(1.
I(c�irtrabon knnnc��" l(e�rtev�oum: Lme/Timr 1/E1;ST'rnviqer:
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City of Costa Mesa -
Building Safety Department C E R T I F I C A T E O F O C C U P A N C Y N� 1850 C
P. O. Box 317
�j Costa Mesa, Californio
The Building located at QQS �'Ti�^T�r ���i 1i-�
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group �� �3 '� Occupancy.
Use of Building r�'-z'T�1C:c W1•tr Qt1:AChGd E'-�2'IIpC _
Legal Description �t 1A- 'M'n�t t.n»
(See reverse side for Metes and Bound�)
Building Permit No. �-��� Elecirical Permit No. '�10�_ Plumbing Permit No. ��'
Floor Load Signs have been installed as Room Capacity Signs have been instaled as
required under Sec. 2308 U. B. C. . required under Sec. 3307 (1) U. B. C. .
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging ho�se shall be used or occupied
until the owner or operator has been issued a valid certificate of occupancy by the enforcemenf agency. �
(b) A new certificaTe of occupancy shall be obtained whenever there is a change in:
1) Occupancy classification of a building or portion thereof
2) The number of apartments or guest rooms
3) Ownership
If Group H Occupancy, number of apartmenis and/or guest rooms as required �nder•Sec. 17050.1 (d), California
Adminisirative Code, Title 8, Chapter 9, Article S. '-
Number of apartmenTs_ �' and/or guest rooms "
ISSUED TO: Building affi I
HYCROI'T TIItRACE, II�. b,�����_
Date 7�'a+bninrRd lQ. l�l�
'ihis Certificaie of Occupancy SHALL BE posted in a eonspicuous place on fhe premises and SNALL NOT BE removed
except by the Building Official of ihe City of Costa Mesa under Sec. 306 (e) U.B.C. Fo�,,, susa-irvi—�i-a�s-B r
City of Costa Mesa
Building Safety DeparimenT
P. O. Box 377
CosM Masa, Californie
CERTIFICATE OF OCCUPANCY N� IHSO B
The Building located at 99� Pti.3sion D-rive, A-d➢
has been inspected and found to compiy with the provisions of all City of Costa Mesa Ordinar.ces applicable thereto
Ii& J .
for a Group Occupancy.
Use of Buildina
Pouxpl.ex Srith attached
Legal Description—��� '4. �s'raci S011
(See reverse side for Mates and Bo�nds)
Building Permit No. 1�$�'� Eledrical Permit No. 27.038 Plumbing Permit No. �,SQ _
Floor Load Signs have been installed as Room Capacity Signs have been instaled as
required under Sec. 2308 U. B. C. —. required under Sec. 3301 (7) U. B. C. —
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied
until the owner or operator hos been issued a valid certificate of occupanry by the enforcemenT agency.
(b) A new certificate of occupancy shall be obtained whenever there is a change in:
1) Occupancy classification of a building or portion thereof
2) The number of apartments or guest rooms
3) Ownership
If Gro�p H Occupancy, number of apartments and/or guesf rooms as required �nder $ec. 17050.1 (d), California
Administrative Code, TiTle 8, Chapter 9, Article 8.
Number of apartments—�' and/or guest rooms
ISSUED TO: by Iding iu���
HY'CRCFT 7.�;ItFACE, IIvC.
��
Date Pebi-n:,z-c 19. 1�1b1�
This CertificaTe of Occupancy SHALL BE posfed in a conspicuous place on the premises and SHALL NOT BE removed
except by fhe Building Official of the Cify of Costa Mesa under S@C. 3OG (0� U.B.C. Form BU34-1M-11-6&—S-B P
. . 49�Q�
' COSTA MESA BUILDINGSAFETY DEPARTMENT
P.O. BOX,ff C09TA MHBA, CALIROPNIA
�
ior Applicant to �iill In Comple►ely
TYPE OR PRINT
eui�oino ssion rive
aooaess Lot 1 Tract 011 '
. COS7A MESA. CALIFORNIA
� ARCHITECT
Anh.
STATE THL.
LIC. NO. NO. 5'STRO
6IZE ' ' I NO.OF6L003.
OF LOT '' NOW oN LOT
USEOF .
EXISTING BLDG. •
BETBACK LINE FROM 1� '
cENTER oP BTPEflT 4O � REAR YARD ZO �
SID6 YARD I Li � I RI6HT' �-�- �
D@SCRIPTION OF WORK
no. or 2
� X %i � wnnrna arnw�va
shake
�j US60F
1 HEREBY ACKNOW�gO08 THAT i HAVB P8A0 THIB APPLIGTION
sTwSH TifwT TN6 ABOVR 16 COFF6CT ANO AOftEB'TO COM.
PLY WITH ALL QTY ORDINANC6i ANO 6TAT[ LAWB HQGUTATINO
emto�rvc corverwu�ion.
SIGNATIIREOF NYCROFT TERRACE, INC.
PERMITTE /� -�//�� ,
AUTHORIZED A6SNT dl - � • ��t��f
FIRH
�eaw�
FEE RECEIVED
i!U N t o T863
C�i�P��'�' P�rier�nn
For Oifice Use Only
rtece��r no. �� p�q.�
6.��j
[IYBDlY p/��6'HCFIVE�..• J�47'i�8s498;
I� / � ��
ZONING
useorxew ,
&HALL BE LESS THAN
VARDSAPPROVED YARDSAPPROVED
' MAIN BUILOING AGCESSORY BUILDING
(FROM C/LSTREETI
.�
REAR � FT. FT. z •
DISTANCE BET. . BET. MAIN @ w
MAIN BLDG9. ACCESS. BL�68. f
VAR.iC � DATE C
0. U. P. APPROVEO =
APPROV _� 1� G d
BY 1 � V� -� DAiF �J I �
,
Q
U
�
if, ��%so.Fr. 1�1f�7-Q m v°'i
� _
XE AMOUNT BHOWN IINDEP VALUATION IB FOP THE 4 a�
PURPOS¢ OP HBiABL18H�Na ♦ P2RMIT FEE ONLY. o O
VALUATION ' (� �
PERMIT FEE $/�`. 7 O � �
S� ��� PLAN CMECK $ /!Or �S o Z
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