HomeMy WebLinkAbout2309 HALF MOON LN - Building Permits� . 1
CITY OF COSTA MESA
BIIILDING DIVISION
77 FAIR DRIVE, CqSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754�856 • wv+w.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626 .
PERMIT NUMBER: E08-00376
PERMIT TYPE ELEC STATUS: ISSUED •.
APN: 43926318 DATE ISSUED: 09/26/2008
_.ISSUED BY: BJK
JOB ADDRESS: 2309 HALF MOON;LN CM '• Suite/Unrt �"
Vicinity: REAR YARD ` ' ` �� �� � � �
SCOPE OF WORK: TWO 3/4" GAS STUBS FOR BAR B-Q �AND FIREPLACE PIT, ONE;15 AMP ECEC OUTLET IN THE LANDSCAPE.
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OWNER: TIMMONS, JEREMY C AND A-A TRUST Address: 2309 HALF MOON LN•. Unit`.+�- �
PHONE: _- � _ City/State/Zip: . COSTA MESA CA ..
APPLICANT: MIKE MUELLER - . -�''Address: �. . ` 1901 NEWPORT BL ` Unit:SUITE 350 '
�� ...:_ ;.�,...� ' ry P...:�; . ESA CA. : :'.��t � .
PHONE: 949-999-2022 _i Ci /State/zZi COSTA M _
CONTRACTOR: DREAMSCAPES-BY M G�R"INC, _ , . , - �-�� , -
Address: 1901,NEWPORT"6LUnit'SUITE350 - � - � � , - � -. .�PHONE:-, 949-999-2022 �' - -
City/State: COSTA MESA, Cq �� � � ZipCode: 92627 � � � - � - - � . � CELL: - �,,,
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ELECTRICAL PERMIT FEES '
,.
Electrical Plan Check Fee ,.:_,; '", $0.00 _ . .-. ` �..; .
Electrical Permit Fee: ;' : $24.60 �.
Reinspection Fee $0.00 ,
TOTAL FEES ',, $24:60 ,.
_ �.s'
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NOTICE: The work authorized by t4is permit shall wmply with all applicable handicap access requirements under Califomia statutes and related
regulatlons. (Ord. No. 92-28, § 1. 12-21-92) . ,� �
EXPIRATION: PERMIT EXPIRES 190 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. .
INSPEC710NS: 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 Tinal apprpval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE/. INSPECTIONTYVE D�IE INTITULS 40�E/ INSiECT10NME DATE IN1RU
1616 Fiaed System Final Fire Prevenlion 206 Final Mechanical �
1286 Pool Spa Final 20B Final Plum6ing �-}��
200 FinalRe-Rool 210 FinalElecUic31 If-�j-�b�(J-.°'�
201
202
203
204
Final Block/Retaining Wall
Final Factory Fira Place
Final Sign
Final Demolition
272 Final Fire Prevention�
220 Final Planning Approval
222 FinalSite
250 Final Building/Occupancy
WORKERS' COMPENSATON DECLARATION:
I hereby aRrm under penalry o( perjury one o( ihe tollowing declarations: ,
❑ I have and will maintain a certifcate of consent to self-Insure for vrorkers
compensation, as provided for by section 3700 of the Labor Cotle, for the
p..e.,/Rormance of Ihe vrork for which this permit is i55ued.
`� LI✓ I have antl will maintain workers' compensation insurance, as requiretl by
section 3700 of the Labor Code, tor the peAormance o� lhe v.ork fa which this
pertnit is issued. My workers' compensa[ion Insurance carrier and policy
number are:
<Camer � Etos l nlS. co .
(ihis sedia� needrol be mmyeletl athe pemW is valuetl at rne huntlretl da'Wrs (St00) a less.)
Poli�Number: (� � � �=QvN 2�Lo02TC��
❑ I certify [hat 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
to [he workers' compensation laws of Califomia, and agree tha[ if I shoultl
become subject to the vrorkers' compensation provisions of Section 3700 of
ihe La Code, I shall forthwith comply vrith these provisions.
%l` ___ �. � .aoL
AOd�����s SignaWre Date�.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,OW), 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 affrm that I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business antl Professions Code, and
my license is in Full force and effect.
,Lic:#>� �� Gass# �. GZ''�
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Cmlracl_o _r's5ignaWre Dale""_S
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CONSTRUCTION LENDING AGENCY:
❑ I hereby atfum that there is a constructbn lending agency for the
peAortnance of lhe v.ork for which this permit is issued. (Sec. 3097, Civil Code).
Lentler's Name:
Lentler's Atldress:
Signature Da�e
z.Y <
OWNER-BUILDER DECLARATIONS: � '�� "r, �
�
I hereby affirm that under penalry of perjury that I a`m EXEMPT FROM 7HE
CONTRACTORS LICENSE LAW (or lhe tollowing.reason (Sec. 7037.5,
Business and Pmfessions Cotle: Any city or county which requires a permit [o
consWct, alter, improve, demolish, or, repair. any structure, prior to its
issuance, also requires lhe applicant for such permit to file a signed statement
�hat he or she is licensed pursuant lo Ihe pmvisions ot the Contrectors
License Law (Chapter 9(commencing with Sec�ion 7000) o( Division 3 of the
Bu5ine55 and Profe55ion5 CIXIe) or thal he or She i5 exempl therefrom antl
the basis for the alleged exemption. Any violation of Section 7031.5 by any
applirant for a pertnit subjecis the applicant to a civil penally ot not more than
five hundred dollars ($500).):
❑ I, as owner of lhe property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and the stmcture is not intended or
offereC for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law dces not apply to an owner ot property who builds or improves
lhereon, and who dces such work himself or herself or through his or her own
employees, provided ihat such improvemenis are not intended or offered for
sale. If, however, the building or improvement is sold within one year of
wmpletion, lhe owner-builder will have the burden of proving that he or she
did not builC or improve for purpose of sale.). � . .
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to construct Ihe projecl (Sec. 7044, Business and .
Professions Cotle: The contractors License Law tices not apply lo an ovmer of
property who builds or impmves thereon, and who contracts fw such project with
a cont2ctor(s) license pursuant to the Comractas License Laws.�.
❑ I am exempt under sec.
Business and Professions Code for this reason:
J051�d6(3I0])
Owner ID verified by drive� _ ncense. ❑ Ves ❑ No
Driver s License No. Expires:
Verification of Ownership by (rype of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby ceAify lhat no excavation frve (5) w mae feet in depth into which a
person is required to descend, will be made in conneclion with v.ork autFronzed
by ihis pertnit, and that no huilding stmcture, scaffdding, falsework, a demolition
or dismantling thereof, vnll be more than ihirty-six (36) feet high. (Chap. 32, Gry
2, M 2, Sea 347, Title 8, Califomia Administralive Code).
❑ As owner-builtler, I will nol employ anyone to do work which would
require a pertnit from the Division of Indusirial Safety, as noted above, unless
such person has a permit to do such work from the tlivision.
APP�����'S Signature Date
Division of Industrial Safery Permit Number
HAZARDOUS MATERIALS AND EMISSIONS CER7IFICATION:
1. will the appliwnt or present or fuNre builtling occupant need to file antl
certify a Business Plan (or emergency response to release or threatenetl
release o( a hazardous material? ❑ Yes ❑ No
(Section 25505 0/ the Califomia Health antl Safety Code requires, with some
exceptions, thal a Business Plan be filed with the Costa Mesa Fire
Department by every business which has at any one lime tluring a reported
year a quantity of hazardous ma[erials equal to or greater than a weight of
500 pountls, or a volume ot 55 gallons, or 200 cubic feet of compressetl gas
at standard temperature antl pressure).
2. Does or will the applicant or present or future building occupant need to fle
a registration fortn for awtely hazardous matedals? ❑ Yes ❑ No
(Section 25533 of the Califomia Health antl Safety Code, wilh some
excep[ions, requires registration wiM the Costa Mesa Fire Department by
each business which at any one time has on hantl a quantiry o( aculely
hazardous matenals equal to or grea[er Ihan a weight o! 500 pounds, or a
volume of 55 gallons, or 200 cuhic fee[ of compressetl gas al standard
temperature and pressure).
3. Does or will �he applicant or present or future building occupan[ neetl [o
prepare an RMPP (Risk Managemen[ and Prevention Program for acutely
hazardous matenals)? ❑ Yes ❑ No
(Section 25534 of the California Health and Safety Code provides tha[ Ihe
Costa Mesa Fire Department may require the preparation, certifcation antl
filing wi[h Ihe Fire Departmen� of an RMPP by businesses which are required
to register awtely hazardous materials wilh the Fire Department.
4. If an RMPP is presently requiretl, has Section 25534 of l�e Calitomia
Heallh and Safely Code been fully complied wi[h? ❑ Yes ❑ No
5. Does or will the applicant or present or future builtling occupant require !or
the work which is [he subject of this application a pertni[ for such construction
or modification from Ihe South Coas[ Air Qualiry Management District or from
any olher air pollution con[ml district or agency? ❑ Ves ❑ No
(Section 658502 of Ihe Cali(omia Govemment Code requires Ihat Ihe requested
information be fumished on applications fa non-residential building permits).
6. Will any part of the facility [o be constructed under lhis permit be within
1000 (ee[ (rom the outer boundanes o( a school? ❑ Yes ❑ No
Qf'yes", Ihe facility musl meet the requiremen[ o( Sections 25534 and 42303
of [he Califomia Health and Safery Code).
7. If a permit from ihe SoWh Coast Air Quality Management DisMcl or other
air polWtion control district or agency is required for the work which is Ihe
subject of this application, have all of the disclosures prescnbed by Califomia
Health and Safery Code Section 42303 been made? ❑ Yes ❑ No
8. Qf'yes", atlach certificale of compliance from the appropriate air pollution
con[rol oKceq. � � � � . � �
CERTIFICATE OF COMPLIANCE: I certi(y�that undar.penally of perjury the
information given above.is covecL I agree to wmply with all state laws and
ciry ordinances,regarding Haiardous Matenals and Emissions. � '
SignaWre -
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 correcL I agree to comply with all stale laws and cily
ordinances relating to building construction, and authorize representatives of
the City of Costa Mesa to enter upon the above-descnbetl property for
inspection purposes. I agree not to occupy or allow occupancy of any building
aWhorized by this permi[ until (nal inspection. .� -
�naWre ol legal Owner�s) Dale
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AnE/w Au�M1anxeO Appl¢dnt „Dale
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CITY OF COSTA MESA �
BUILDIN6 DIVIS/ON
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • ww�v.ci.costa•mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER: P08-00210
PERMIT TYPE PLUM STATUS: ISSUED
APN: 43926318 DATE ISSUED: 09/26/2008
_, . - _ JSSUED BY: BJK
,,.: ..
JOB ADDRESS: 2309 HALF MOON.LN CM ' Suite/Unrt
Vicinity: REAR YARD '�� - � �
. ., ..;.,... .., . . , .,, ,,
��'� ,
SCOPE OF WORK: TWO 3/4";GAS STUBS;F,OR BAR-B-Q AND FIREPLACE PIT, ONE 15 AMP ELEC OUTLET IN THE
LANDSCAPE. 1 GAS OUTLET, (1 4) _ ��'
OWNER: TIMMONS, JEREMY C AND A�A TRUST . Address: `� 2309 NALF MOON LN �_
PHONE: ' " ' _, ' Ciry/State/Zip: . �. COSTA'�MESA CA ' .
APPLICANT: MIKE MUELLER � '= - �� � Address: � � � -' 1901 NEWPORT,BL •:SUITE 350 � . ..
PHONE: 949-999-2022 ��.`.+ City/State/zZip: COSTA�MESA CA; -- ,'�;;
CONTRACTOR: DREAMSCAPES BY M�G�-R INC� ��� � � � � ��� � ��- - License No.�.. ; ,����.. � �,� '
Address: 1901�NEWPORT�BL' -��SUITE350`, - ,. � , -, . . � . .�PHONE:- �949-999-2022 ��"
City/State: COSTA�MESA, CA� �, �-ZipCode:- 92627 � - CELL:. -. �
ARCHITECT: "„ �- 9' �. _ . r. License No:- : � �, -_.. - - -` , -: PHONE '�' - �
ENGINEER: . � 7 "� ° �� � License No. � � _ =- � - -- . �r PHONE. ;r -
, .. . - r „ ;�� . .
�
i
, � PLUMBING PERMIT FEE SUMMARY
PLAN CHECK FEE: $0 00 ''�°
PERM IT. FEE. . $29:65-'
TOTAL FEES: $29.65
1�1�I P 4
NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-26, § 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 expiretion of this permit.
GODE/, INSPEC110NTYPE
1816 Fized System Final fire Prevention
1266 Pool SDa Final
200 Final Re-Root
207 Final Block/Retaining Wall
202 Final Factory Fire Place -
203
204
Final Sign
Final Demolition
D�TF INTITIRL CODE/ INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Eledrical
212 Final Fire Prevention .
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
D� IN7111R1
iu,�i��� by1��)
WORKERS' COMPENSATION DECLARATION: -
i hereby aKrm under penalty of peryury one oi the following tleclarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'
compensation, as provitleC (or by section 3700 of the Labor Cotle, for the
peAormance ot the work tor which this permit is issued.
G�have and will maintain v.orkers' compensation insurance, as required by
section 3700 of the Labor Code, fw the peAortnance of the vrork (or which this
permit is issued. My vrorkers' compensation Insurance cartier and policy
number are:
Cartier:� nEi.AS IniS. CC7
(Tha se[fon neetl no1 pe cnmple(edAtne peim4 is valued af ine hurMretl tldlais (3f00) w less)
PolicyNumber. Q� O��V1/� �-Zc� 1 2�%t�
❑ I certify that in the peAortnance of the work for which this permit is
issued, I shall not employ any person in any manner so as to become subject
b lhe workers' wmpensation laws of Cali(omia, and agree [hat if I shoultl
� become subject [o the workers' compensation provisions of Section 3700 of
Ihe Labor Code, I shall /orthwith comply with these provisions.
il _—_ �i. zb ' �9'
Ap \ n s ignaWre• �- Date'
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($700,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrtn that I am licensetl untler provisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business and Professions Cotle, antl
mglicense is in full force and effect.
Lic # � Class# GZ'-�
/1�-_ �._u u�
Convaaor's5ignawre ""-Date
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for lhe
peAormance o( the work fa wfiich this permit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
Date
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury Ihat I am EXEMPT FROM 7HE
CONTRACTORS LICENSE LAW (or the lollowing reason (Sec. 703L5,
Business and Professions Code: Any city or county which requires a permit to
construct, alter, improve, demolish, or repair any sWCNre, pnor to i[s
issuance, also requires lhe applicant for such permit to file a signetl statement
that he or she is licensed pursuant to the provisions ot the Contractors
License Law (Chapter 9(commencing with Section 7000) of Division 3 0( lhe
Busine55 3nd Pro(essions Code) or that he or she is exempt [here(rom antl
the basis for the allegetl exemption. Any violation of Section 7031.5 by any
applirant for a permit subjects the applicant to a civil penalty of not more ihan
five hundretl tlollars ($500).): . ,, ,�;;_c� • .;- .
��,: - y �, ., � �',..��.:
❑ I, as owner,of �he property, or�my employees with ivages,as �heir sole
compensaliori,_WILL DO THE WORK, and�,[he shucture is not intended or
oHered for sale (Sec. 7044, Business and P,rofessions Cotle: The Contracrors
License Law`dces not apply to an owner of property who builds or improves
thereon, and who dces such work himself or herself or through his or her own
employees, provided that such improvements are not intended or oKered for
sale. If, however, the building or improvement is sold within one year of
completion, the owner-builder will have [he burden of proving lhat he or she
did not build or improve for purpose of sale.).
❑ I, as ovmer'of lhe properry, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business and
Pro(essions Code: The crntractors License Law dces nol apply to an owner of
property who builds or improves thereon, and who contracls for such project with
a cont2cta(s) license pursuant lo the Contractors License Laws.).
❑ I am exempt under sec.
Business and Pro(essions Code for this reason:
305]-a6(3I01�
Owner ID verified by drivc. _ ��cense. ❑ Yes ❑ No
Driver's License No. Expires:
Verifcation of Ownership by (type of document, i.e. - property �ax bill or deed):
DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: '� �
❑ I hereby certify Ihat no excavation frve (5) or more feet in tlepth inlo which a
person is requiretl to descend, will be made in connection with xork authorized
by ihis pertni�, and lhat no huilding structure, scaffddinq, (alse�wrk, or demolilion
or dismantling [hereof, will be more ihan Ihirty-su (36) feet high. (Chap. 32, Grp
2. Art 2, Sec. 341, Ttle 8, Cali(omia Administrative Code).
❑ As ovmer-builder, I vrill not employ anyone lo do vrork which wnuld
require a permit from the Division of Industrial Safely, as noted above, unless
such person has a pertnit to tlo such vrork from the division.
Appliwnfs SignaWre
Division of Induslrial Safery Permit Number: _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or fuNre building occupant neetl ro fle and
certify a Business Plan for emergency response to release or lhreatenetl
release o( a hazardous matenal? ❑ Yes ❑ No
(Sec[ion 25505 of the Calitomia Health and Safety Code requires, with some
excep[ions, that a Business Plan be filed with the Costa Mesa Fire
Department by every business whic� has at any one lime during a reported
year a quantiry oF hazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet o( compressetl gas
at standartl temperature and pressure).
2. Does or will the applicant or preseM or fuNre building occupant need to fle
a registra[ion form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the Califomia Health and Safety Cotle, with some
exceptions, requires registration with [he Costa Mesa Fire DepartmeM by
each business which a[ any one [ime has on hantl a quanlity of acutely
hazardous materials equal to or greater [han a weight of 500 pounds, or a
volume o( 55 gallons, or 200 cubic feet of compressetl gas at standard
[emperalure and pressure).
3. Does or will the applicant or present or (uture building occupant neetl to
prepare an RMPP (Risk Managemen[ and Prevention Progiam for acutely
hazardous matenals)? ❑ Yes ❑ No
(Section 25534 of the Califomia Health and Safery Code provides tnat the
Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire �epartment of an RMPP by businesses which are required
ro register acutey hazartlous materials with the Fire Depariment.
4. I/ an RMPP is presently require4 has Sec[ion 25534 of the Califomia
Health and Safety Code been fully complied vrith? ❑ Yes ❑ No
5. Does or will the applicant or present or future builtling xcupant require for
the work which is ihe subject of this application a permit for such construction
or motli(cation from the South Coast Air Quality Management DisM[t or from
any other air pollu�ion control distric[ or agency? ❑ Yes ❑ No
(Sec�bn 658502 0( the Cali(omia Govemment Code requires that the requestea
intortnation be fumished on applications for rron-residential building pertnits).
6. Will any part of [he facili[y to be constructetl under this permit be within
1000 feet from lhe outer boundanes of a school? ❑ Yes ❑ No
(If'yes", the facility must meet Ihe requirement of Sections 25534 and 42303
of lhe Califomia Health and Safery Code).
7. If a permit from [he Soulh Coast Air Qualiry Managemenl District or o[her
air pollution control district or agency is required for the work vmich is the
subject o( this application, have all of the disclosures prescribed by Califomia
Health antl Safety Code Section 42303 been made? ❑ Yes ❑ No
�8. Qf'yes", attach certificate of compliance �from Ihe appropnate air pollution
control oKcer). � _ - - .�. . ,.
CERTIFICATE OF COMPLIANCE: I�certify�that under penalty of�perjury�ttie
information given above is correct I agree to comply with all state laws and
city ordinances regarding Hazardous Matenals and Emissions. .,, '
aignamre Uale • �
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION'OF ENTRYi I
certify under penalty of perjury that I have reatl ihis application and.s[ale that
the information given is correct. I agree to comply wit� all state lavrs and city
ordinances relating to building consWction, and authorize representatives of
the Cily of Costa Mesa to enter upon the above-describetl pmperty for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this pertnit until final inspection. -. . .
S'gnaWre of Legal Owneqs) oate
/f `%26•a�
AntllocAul�onze0 Applrwnt �� ��¢�
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 2309 HALF MOON LN
Suite:
Vicinity: LOT 5
Primary Occ: R3 Dwellings/ Cong Res <10
Parcel Number: TPN00507
Applicant: WILLIAMS, GARY
Address: 1450 N. TUSTIN AVE
SANTA ANA, CA
Owner: SHEA HOMES LTD
Address 603 SOUTH VALENCIA AVE
BREA, CA
Contractor: O W N ER-B U I CD E R
Address; . ' �
�
Type of Construction: V-N
Zoning:
Phone: 714-245-9760 X24
Zip: 92705
Phone: 714-985-1300
Zip: 92823 � .
Phone:
;�License: �000000
Status: ISSUED
Applied: 01/31/2005
. Issued: 04/18/2005
ISSUED BY: RC �/
Arch : WILLIAM HEZMALHALCH � . Eng: - `.�l' '
Address: WILLIAM HEZMALHALCH ARCHITECTS INC �- Address: � � �-
SANTA ANA, CA . � Phone: 949-250-0607 � Phone:
2850 REDHILL AV STE 200 � . �
Zip: 92705-5543 License: C12920 License: �
SCOPE OF PERMIT
LOT 5 ' - - . . " ' . . - -.
PLANS 28 . . - -'. ''- - .
CONSTRUCT 2560 SF 2-STORY SFD WITH 449 SF ATTACHED GARAGE AND 72 SF PATIO. FIRST FLOOR WILL BE 1225 SF WITH 1335 SF
SECOND FLOOR. A FIREPLACE MODEL 1i4236 (ANSI UL127) WILL BE INSTALLED W THE FAMILY ROOM; THERE WILL BE A 2ND FLOOR
LAUNDRY ROOM. � '
REF: G04-00010, PA-03-47, T-03-O6 � � ' . . '
SEE PA-03-47(f-16600 � '
Plan Check: $30527
Permit: $1,878.55
SMIP Res: . 525:76
SMIP Com: $0.00
Other: $0.00 �. � �'
Inspection: $0.00 ��
Total: $2,209.58
SETBACKS
MAIN STRUCTURE Fron� 6- 0 � Rear 16- 0
FEE SUMMARY
. . Calc Valuation:�� �� ,' � � $257,575.3a
� Claim Valuation: 50.00
PLANNING & ZONING
Left 5- 0
Right 5- 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 72-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
(or 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
requlred Inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
2dC6d6 (8�00)
WORKERS'COMPENSAnON DECLARAnON:
I hereby effrtn under penalry ot perjury one of the followinq decleratlons:
❑ I heve end will meintein e certiticete ot wnSeM to 5e141nsure lor workers' compensetion, es provitletl for hy section 3700 of the Labor Code, for the pertormance of ihe
work for which Ihis pertnit is issued.
❑ I have and will main(ein wo�kers' compensetion insurence, es required by section 3700 of the Lebor Code, for ihe pertortnance of the work For which ttiis permit is issuetl.
My workers' compensation Insurence ceMer end policy num6er ere:
Cerrier. Poliq Number:
(This secf/on neetl naf be complefed il the pertnif is velued ef one hundred dallars ($100) or /ess.)
�Ppertify that in Ihe perfortnance ot lhe work for which this permil is issued, I shell not employ eny person in any manner so as to become subjecf b ihe workers'
compen5ation laws ot Celifomie, end egree I' I should become sub�ect to ihe workers' compensetion provisions of Section 3700 of �he Labor Gode, I s�all fotlhwllh
A� compty with these pro �ons. ���,�/��
ticaMS.i�gneture:
W�RMNGi FAILURE O SECUF WOA� RS' CqAPENSATION V GE IS UNIAWFUL AND SHALL SUBIECT AN EMPLQYSR'i0 CFIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED
T110USANDDOLLAR Et00 .INAO ITIONTOTHECOSTOF MPENSr1TION,DAMAGESASPROVIDEDFOqINSECTION3)O60FTHEIABORCODE,IMEFEST,ANDATTORNEYSFEES.
LICENSEO CONTAACTORS DECLARATON:
I hereby attirm that 1 am licensed under provisions of Chapter 9(commencing wilh Secllon 7000) ot Division 3 of Ihe Business and Profassions Code, and my license is in full
torce and effecL Lic. a,
Contractor's Signature:
Class a
Date: _
CONSTAUCTON LENDING AGENCV:
❑ I hereby attirm ihat there is a consiruction lending agency for Iha petlormance of iha work for which ihis permit is issued. (Sac. 3097, Civil Coda).
Lender s Name: LenOer's Atltlress:
Synature�. Date�.
OWNER-BUILDER DECLARAY�ONS:
1 hereby ettirm that under penalry oi perjury thei l em EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 703L5, Business and Professlons
Co�e: Any ciry or crounry w�ic� requires e permit to constmct, el�er, Impmve, demolish, or repeir eny simcture, prior to its issuance, also requires tha applicant for such permit
to file a signetl statemeni t�ai he or she is licensetl pursuent to the pmvisions ol ihe Contrectors Licanse Lew (Chapter 9(wmmencing with Section 7000) 01 Divlsion 3 of the
BuSiness entl Protessions God6) or thet he or sha is exempt therefmm end tha basis for Ihe alleged e:emption. Any violation of Section 7031.5 by any applicanl lo� a pertnit
5ubjetis the applicant to a civil penelry oi not more ihen five hundred dollers ($500).�:
��l�es owner ot ihe properry, or my employaes with weges as their sole compensetion, WILL DO THE WORK, antl the stmcNre is not intentletl or offeretl for sale (Sec.
70a4, Busineu and Profe55ions Code: Tha Contractors Licensa Law dces noi apply to an owner ot Droperry who builtls or improves thereon, and who tices such work
himsell or herself or through his or her own employees, provided thet such Impravements ere not Intended or ottered for ule. If, however, the building or improvement is
soltl within one yeer 01 cor�plelion, the owner-builder will heve Ihe burtlen Of provinq Ihat ha or she did not builtl or improve for purpose ot sale.).
❑ I, as owner of the properry. am E%CWSIVELV CONTRACTING WITH LICENSED CONTRALTORS m constmct the prolect (Sec. 7664, Business and Profeuions
Code: The contractors Llcense Lew does not eppty to en owner of proparty who bullds or improves Ihereon, antl who contracts lor such project with a contrector(s)
license pursuent to the Contrectors License Laws.).
❑ lem
Venfication oi Ownership by (type ot
Business and Professions Code for this reason:
a�? ❑ No
i.e. - property �ax bill or deed):
DIVISION OF INDUS7RIAL SAFETY PERMR CERTFICATION:
❑ I here6y certify that no excevetion five (5) or more feet in depth into which e person is required to descend, will Ce made in connection with work authonzetl �y /his
permit, and ihat no buildin9 strucWre, sceflolding, falsework, or demolition or dismanNing Ihereof, will be more than ihirty-six (36) leet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle 8, Califomia Adm�nisirative Code).
❑ A5 owner-builEer, I will no� employ anyone to tlo work which would require e permit from the Division of Indusinal Safery, as notea above, unless such person has a
pertnit to do such work irom the division.
Signature: Date:
Division of Intlustrial Safery Pertnit Number.
CERfIFlCATE OF COMPLIANCE 4N0 AUTHORVA710N OF ENTRV: I cenity under penalty ol perjury thel I have reatl this epplication entl state Ihat Ne inbrmation 9iven is
wrrect. I agree to w ly with a�l stete I s ena city ordinances relating to 6uiltling construction, entl euthodze representatives of t�e City of Costa Mesa to enter upon I�e
ebova-descnbetl e ly for insP ction . 1 e9ree no o accupy or allow xcupency oi any building aut�orized by this permil unul)inel inspection.
� , ov/�5f/�
s� Jw�e.or,cae�o e �Oate—�..
And�Or Authorize0 Applicant Date
LOUE �. INSVECTIONTYPE
161fi Fixed System Final Fire Prevention
1266 Pool SOa Finel
200 Final Re-Rool
201 Final Blak/Retaining Wall
202 Final Faclory Fire PIacB
203 Final Sign
20d Finel Demolition
U�iE ItlI17Ja15
S�4PEd INSPECTIONTYPE
206 Final Mechanical
20B Final Plumbing
210 Final Electrical
212 Finel Fire Prevention
220 Final Planning Approval
222 Final Site
-250 FinalBuilding/Occupancy
�F
INTRULS
(714) 754-5273 • Fa�c (714) 754-4856 •�www.ci.costa-mes�a��TRICAL PERMIT n�FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Vicinity:
2309 HALF MOON LN
LOT 5
Parcel Nunmber: TPN00507
Status: ISSUED
Applied: 04/27/2005
Issued: 04/27/2005
Applicant: WILLIAMS,GARY '- ":�--;�;";"'"`-•>�. � �..1
- �_' .�.,=.=�-��l-��w�� �--.� ISSUEDBY:
Address: 1450 N. TUSTIN AVE � y.,� -, ,. �- � -- � � � 7�'� ' �
J �•-..�
x�'��r�-� L. V Phane: . ' ± i J/ �� �' �.`,\
SANTA ANA.,CA �` , , Zip 92705 � Il1 � / �.,, � � ��„`
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NStY � � �� � �� �..�'�- l . � - - ., . ,��L- __- A`�� � � ( ,� � °�\
Own� jSHEAHOMESLTDii/ �- - �`^ ���-�3, ti �,�,;�\
Address � 603 SOUTH VALENCIA�AVE' �-,� � � % \ �`� �
�
� tl � . .�� /�, �.�y ,.;'�'�.A'�� � �����
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,�,i �,� � %,�,�j Phone: 714-985-1300 ����'� / , \ � .
�;��r'% BREA. CA ;':%r Zip: 92823 �� ��,\� '� %/ \�,' .
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A tlress /'I;% ' '` ,. � " � �� ,� �.-r-, �^„".�\v ' ( �! `t ` ' ,
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.w i t,�/f � f '� 1 �� rr,�' "Zip: � � . _ " ' '�� � � �J � 1 ' � �
�� t t � . f � 7� _. License: 000000 ir '� " x` ' _ � � �
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j:`I ������ i. - - �/ � �.� ` 'a'ri,�,i ` ' �i
� � / ' � �` `a j �''`"+�%* SCOPE OP+P.ERMIT �s r.rt '+C� � -� �+' ' � - ' �� �
3 �%
' � � � iLOT 5/PCAN°28 � A..� � i� {f �{�'`,i` �� �� � Il.r /�'u. �' : � t,�.�1 � � - ; % - - .
� .�' : . --- . _ _ . .V.__�......--- -- — - - � � .., � 4 . "_; , �� �
rv� _,�--t �� ,) ELECTRICAL PERMIT FOR NEW 2560 SF SINGLE FAMILY RESIDENCE FOR "SHEA HOMES WSTALL j - : ��-
_ 4 � 1��'' 2 LIGHT FIXTURES, 3 RECEPTACLE.OUTLETS, & 1 SWITCH4N GARAGE, AND 1 RES A/C
, =�
s
"�PACKAGE. � - _`r � �. �a,�. � .�„'�"Y.- 5',Tt:f ���, . � ,,
�i > � � � i .; _ � �- .. .c - � ,s " . : _ .
` . ��REF:BOS-00172 , " - " _ _ - r'�. ...5 �" p "".__'_'"�:� . .'i
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.,.,��' � // i Lf! _.� ,' r
� ,. ; � ;� � FEE SUMMARY� _"�� � �i�J�� � � � i��l
i " •:.. ' � `.� ' Quantity ' Quantityrr �,�,,. `� f� �_•
+� .-. i /-
ISSUEtFEE��,! \�:$23.50 ` �,��� Temp�DistSystem/Lighting $0.00 ��Or �, �'-�� �
Temp service test � �;. $0.00 , .•Busway %100.ft $0.00 ;?fP,O � r r. ,
Res. a/c package �-� $50. 50 � Standing`Se`ctwn'y $0 00�� 0.,� ��' ���
New Res (1-2 units) K $143.36 , 25601c,' .� � Misc'Eleclncal Equipment' z�� $0 00;� 0 �.= //+ ,
New Res (3+units) � $0.00��� 0 �-2� -'Transformers up to�1 kva/,kw"��'.'r-'$0�00 _ 0 -' - � /
Pool / Spa � � �,� � � $0,00 � V��0 ,y, , ��� � up to 10-kva/kw �„�50.00 � � 0 ; -"� �
Lighting Fixts �, ���1 $220 ��2�, �" ;.� . up to 50 kva%kw�� $0.00� �UOt � jj f
ReCept Outlets ` `�� t $3.30 � �3 �A� ' ' ` K � .: up to j100 k�2/kW /$0 00� A 0 . /� ; %
Swltches - �` .• '$1.10 /�"V t��` �s� c " . ��ovey-100:kva7kw �$0.00� 0%j���
Non Res Appl �-� �$0:00 � � � �,0� ='_ � Low-Voltage�Equipment �� $0 00 � 0��'
Res Appl �� -$0.00 �,. � 0_��; r., -�, __ Low Volt Widng System / Ckt U.$0.00 �i 0 "
Service to 200a ` �'\$0.00 -, .'0 � � - � -� Misc.-Conduit (,.,'.,, ` `��) 50:00 ��� 0
Service to t000a $0.00 �., � O��i 1 � , � �' �� Misc.,Conductor"..:..� �;J ✓$0:00-' 0
Service over i000a $0.00 �- � '� "0�. '� -�r �� � �`Circus ( gen or ride) J: �;,J1�'�$0.00 0 -
Motors to thp $0.00 ' -0 �� -- . Circus (mech,ride or lights)� �` � $0.00 0
Motors to tOhp $0.00 0 �� � � - ; -- Christmasdree�Stand ' � 50.00 0
Motors to 50hp $0.00 0 � �-- -- �Fireworks�Stantl ` 50.00 0 -
NOTICE: The work aulhorized by lhis permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92) �
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 780 days.
INSPECTIONS: In order for the work aulhorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inepeetions and final�approvel musl be�obtained. Failura to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2466-d8(8/00)
WORKERS'COMPENSAnON DECLARAnON: � ' ' ' � � -
I hereby eMirtn under penelty of perjury one ot the tollowing tleclaratlons � ' ', � . ' ,.
❑ I have end will meintain a certificate of consent to self�lnsure for workers' compensatlon, as provided for by saction 3700 ot the Lebor Code, for the pertortnance o1 the'
work for which ihis permit is issuetl. � � � �
❑ I �ave antl will maintain workers' compensation insurance, es raquired by section 3700 ot the Lebor Coda, for the perfortnance of t�e work for w�ich this pertnit is issued.
My workers' wmpensatlon Insurence carrier antl policy number are: .
Cerrier: Policy Numbec -
(This section need not be crompleted il the peimit is velued et one hundretl tlollars ($100) or less.)
I�i I certity that in the�peAormance of the work for which tfiis pertuit is issued, I shall not employ eny person in any manner so as to become suhject to Ihe workers' '
�� wmpensation laws ot Califomia, and egrae that " I hould become subiect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall torihwith
comply with these Drov' ions. /
Applicant Signeture� � • Date: ��7 OS
WARNING: FAILURE SECU WOR RS' COMPENSATION CA GE IS UNIAWFUL AND SHALL SU8IECT AN EMPLOVER TO CRIhllNAL PENALTIES MID GVIL FlNES UP TOONE HUN�RED
THOUSAND OOILAFE , ), IN AD RION TO TME COST OF CAMPENSATION, DAMNGES AS PROVIDED FOR IN SECiIIXJ 3/O60F THE L4BOR CADE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARA710N:
I hereby aHirtn that I am licensed under proNsions oi Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Pmfessions Cotle, antl my license is in tull
force antl ettect. Llc. M Class k
Comractors Signeture: Date:
CONSTRUCTION LENDING AGENCV: . .
❑ I hereby aHirm that there is a consiruction lending agency for the pedormance of ihe work tor which ihis pertnit is issued. (Sec. 3097, Civil Code).
Lender's Neme: Lendefs Address:
Slgnaiure: Date:
OWNER-BUILDER DECLARATIONS:
I hereby attirtn thet untler penelry of perjury ihet I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Busineu antl Protessions
Code: Any ciry or counry which requires e pertnit to coretruct alter, improve, demolish, or repair any structure, pnor to its issuance, also requires t�e epplicant tor such pertnit
lo tile e signetl statement Ihat he or she Is Iicensetl pursuant to ihe pmvisions ol the Contractors License Lew (Chapter 9(commencing with Sectlon 7000) of DiWsion 3 of the
Business entl Professions Code) or that he or she is exempt therefrom end the basis for the elleged exemption. Any violetion of Sectlon 7031.5 by any epplicant tor a permit
sublecls the applicent to a civil penalry oi not more then five hundred tlollars ($500).):
❑ I, es owner ot iha property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the siructure is not Intendad or ofteretl lor sale (Sec.
7044, Business and Professlons Cotle: The Contractors License Lew does not apply to an owner of property who builtls or improves thereon, and who does such work
himself or herseli or through his or her own employees, pwvided that such improvements ere not Intendetl or oNered for sale. If, however, iha building or improvement Is
soltl within one yeer of completion, the owner-builder will have �he burden of proving �hat he or she did not 6uiltl or improve for purpose of sale.). �
� I, as owner of the property, em E%CLUSIVELY CONTAACTING WITH LICENSED CONTRAC70RS to consWct the prolect (Sec. 7044, Business antl Professions
Code: The comreaors License Lew tloes not apply to an owner oi properry who bullds or impmves thereon, antl who conirads tor such project wi[h a contrector(s)
license pursuenf to �he Contractors License Lews.). -
❑ I em e:em t u r sec. Business and Professions Code for ihis reason:
P n
Signature: P.—f G[ � Date:
Owner ID v'fied by "ve s licensa. Ves` o Driver's License No. �$/ Expires: �
Venfiwtion of Ownership by (rype ot dwument, i.e. - pwperry tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ 1 hereby certity Ihet no excavation tive (5) or more Feet in tlepth into which a person is required to descend, will be made in connection with work euthorizetl by this
permit, and ihat no building sWcture, scettolding, falsework, or demolition or dismantling ihereof, will be more ihan ihirty-six (36) feet high. (Chap. 3.2, Grp 2, An 2, Sec.
341, Title 8, Celitomle Aaminisirative Code).
❑ As ownervbuilder, I will not employ enyone to do work which would require a permi� trom the Division oi Industnal Satery, es noted above, unless such pereon hes e
pertnit ta do such work irom ihe division.
Signature: Date:
Divisian of IndusMal Sefery Pertnit Number:
CER7IFlCATE OF COMPIIANCE AND AUTNORVATION OF ENTRY: I certify under penalry of perjury ihat I have read Ihis epplication and state ihat the intortnalion given is
correcL I agree to wmply with all state laws and cl r inances relating to building conswciion, and authodza representatives oi ihe Ciry ot Costa Mesa to enter upon the
above-described pro 6! tor inspectlon p rpos 6. not to occupy ellow occupancy of any building authorized by is pe it until final inspection.
- ., Z, To�
Si ture Oi Legal Owner(s) ' Date
AnNOr Authorized Applicant Date
GOUE l INSPECTONTYGE ' ' ' " ' " ' ' ' PAIE'" L�P15�
1816 Fixetl System Final Fire Prevenllon '
1266
200
201
202
203
204
Pool Spa Final
Final Re-ROa� - �
Final Block/Retaining Wall
Final Factory Fire Place
Final Sign
Final Demolition
COOEt INSPECTIONTYVE '
206 Final Mechanical .
200 Final Plumbing
270 Final Eledrical
212 Final Fire Prevention
220 � Final Planning Approval
222 Final Site �
250 FinalBuilding/Occupancy
. . . Q91f. • �$
(714) 754-5273 • Fax (714) 754•4856' ••www.ci.costa-mesa.ca.us 77 FAIR DRIVE; COSTA MESA, CA 92626
Job Address:
Suite No
Vicinity:
2309 HALF MOON LN
LOT 5
MECHANICAL PERMIT
Status: � ISSUED
Applied: 04/27/2005
Issued: 04/27/2005
. . .,r. n J`��
ParcelNumber. TPN00507 , - " �-�=>`''}-T�+`d�-��_ ISSUEDBY:
Applicant: WILLIAMS,,GARY�� = �, i�-� � �' ����� ��c'�
_.,, i ,�,
� r �` �
Address: 1450N TUSTIN�AVE.� � � � � � � ; � � � ``
�-*" � t
�?f%, , �- ' 1 � ( 1 "7(. �..ti �'���'
r� \
r a � �L= �, \ , . : Phonei � � {/ .. � �/'\�` \
a
SANTA ANA�CA \ ��-.' �' -Zip.� _ < 92705 � .. - � i �.�`') � ��~ �`�.� �
� Y e p f�� � �,, p ,,i . .r F `'Y. � ` ,.,� 'J a. l � � � .,,! �
/
f/si'�f �a���/%'��'">� \ �-� �/r) � \
Owner I�SHEA HOMES LT.Df' �,' �_3',/l f��V���
:.f, t �!///. A� ' : ��,
Addresai 603SOUTHyACENCIAAVE ���.;;;.�V�\J'��' �� �`�,�.
'�v `�� a' ^.;;:ij .. �� � � .
� .� ,r'� `- ,,:f �; Phone: 714-985-1300 '��:�;�A�r- ..
��\\� �
.��; � !BREA;•CA.:= Zip: 92823 � �� ' , ,
/ ��jr . .. . . �
i � ,l �lJ i"ft� rr�l .
�
, Contractor.
AddreSs
�, �_ i
t�l �
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SCOPE-OF PERMIT '
� • . . � ; �LOT 5/PLAN 2Ba i �.r7 �; n+ i /,' �. �i 'i%'j,�lT 1' /` x-�. �t '�•
' . - ,{ �..._ .!. / . .. S� .: �� li li �..., f;�. �.'. ,� . � .
,�'" MECHANICAL PERMITFOR�NEW 2560 SFSINGCEFAMICYRESIDENCE�POR "SHEA HOMES". ,'� i��.".'
�� ��'"WSTALC 2 FAU'S; �1 DUCTWORK, 2,FACTORY FIREPLACES, 6 VENT� FANS, 2 FIRE DAMPERS,a�� �`
t
� '& 2,A/C CONDENSORS. � "� �
i r ., , ;�. J?t 1 i��l�� ;+,,. �-„��'S i�' -.�..�`t,n'; i�r
'iREF: BOS-00172. yt.-^. . . ' � . . ..� s:---��;%�a "" . _ .�.._,; � ,
1.
OWNER-BUILDER �,•� ,-..„,
lir � r . r.i .. �, � �..
� rr.i�' r i ,� 1, :
�Il��`'�.^'! �";���`^�'� tr���ho e � -- �
i I (!,, $Y _ ��f ��{.��el �' ZI
: / � r � / ��_� �i-r.aa/' � {):
/ License: 000000
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" FEE SUMMARY� - - ' �%;
,.:
.. . ; '",�-.. � ' , Quantity ..:.� �_. _��_;_ , .r,��r � �' ��:,; Quantity:
ISSUEFEE `i',_!' �' ';�� $23.50 ,,. .t.�i�.Repair/AltAbsorblionUnit ;;i11' f$0;00 �� 0����,`
Inst FAU <100 k BT,U� � �� - $29.60 2 ;; �.c�'�:�'. _' Repair / Alt Refrigeration Unit � i''�; � `�$0.00( 0 � �
Inst FAU'>100 k BTU �� �� � � $0.00 0 '�"- . � Veritillation,System , �!--' / 50.00 0'
Repair/Alt Cooling/Heat,� ���,$1370 7 , � � �,,Evaporetl(%e:Cooler %j/ � ^ $000�(�0;�
Inst / Rep. Recess Wall'Hti •�� $0 00 . 0-iR�-; , . , �tCommercial�lncinerator�s,� -�Y,�,�'/� j.T�$0 00 �;� 0 �
Refrig Sys <100 k.BTU �` �$0 00 0 �-- i �d , Domestic Incmerato y 6"��,' /--� $0 00 ;�0
RefigSys>100kBTU -'i���' $000�0 � �Compresso�s'/AbsorptlonSvstems, �,. /=i,�
Gas Piping "`�. �!��` '� $0 00 �0��7 a ��Up to 3�hp L100�k BTU�;'�'% f% �/j./ �$0.00
Factory Fireplace . '$21 30 2\��" � ' 3 To 15 fip /;500 k BTU'F / t�, �. � ��$0.00
Hood w/Mech Exhaust ��' � �. $0 00 0 `^ _ c,15-To 30�F'p�/ 1 000 k BTU �//' ��1/ $0.00
VAV Bax �'� �$0 00 r O�r`� ' _�30 To 50 hp / 1 750 k BTU� ,,, ,_ fj %,� $0.00
VentFanl�SingleDuct t�;,$4350�_�6 "_!j , _ Over50hp-/Over�1,7506TU -%^��� $OAO
Appliance `-��. $0 00 0 r �', � � 1 r�.8oilers'� G�� �} 1 � i
FireDampers '�$14.50'��,2 ����' ;4; , �,i Up,to,3hp�-;L �.- ��-''� $29.40
i. �
Smoke Dam ers $Ob0' - �0� ' � � _, . , .'3:To 15 Fi ` -" "�f�'`�
p . P� ='i;.- $0.00
Inst or Relocate Appl Vent 0.00 0_�- i 5 to 30-hp� �.-, . �� 0.00
Air Handlers < 10000cfm $0.00 0 . � F ;-�. _, �` -�t30 to 50-hp ��--`' $0.00
Air Handlers > 10000cfm $0.00 0 �'�-��- --- -Over 50 hp 50.00
�
�
�
�
�
2
0
0
0
0
NOTICE: The work authorized by this permit shall comply wilh all applicable-handicap�access requirements under.Califomia.statutes and related
regulations. (Ord. No. 92-28, § 1, 1241-92)
EXPIRATION:. This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
, INSPECTIONS: In order for the work authorized-under this permit•to be considered.legal; such work must�comply.with�all applicable codas, and all
. required Inapeetiona�and tinal approval must he obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
; FOR INSPECTIONS CALL: (Z14) �7545626 �
seaws �sroo�
WORKERS'COMPENSAnON DECLARAnON: — ' ' � "� � � �
I hereby aHirm under penalry of Derlury one oi ihe tollowing tleclarations'� .- � � _ ' �
❑ I heve antl will maintain e certificate of consent to self-Insure for workers' compensation, as providetl for by section 3700 ot Ihe Labor Cotle, tor the pertormance�of the
work for which Ihis permit is issuetl. � � � � ' � ' � � . .
❑ I have entl will maintain workers' compensallon insurance, as required by section 3700 of the Lebor Cotle, tor the perfortnance ot the work tor which Ihis pertnit I5 issuetl.
My workers' compensatlon Insurance carrier antl policy number are: ' ,
Carnec Policy Number:
(This section nee0 not be completed i! the permi( is velued ef one hundred dollars ($100) or less.) �
�I ceNiy Ihat in Ihe pertortnance �of ifie work tor w�i � his permit is issued, I shall not employ eny person in eny manner so as to become subject to the workers' "
compensation laws oi Cel/' omia, antl egree that' ould baco a subject to tha workere' compensation provisions of Saction 3700 ot ihe Labor Cotle; I shall torthwith
comptywiihlhesaprovi �6 s. � �/27/��
Applicam SignaNre: • Date:
WARNING: FAILURE O SECURE 1 FK S' COMPENSATION VERA IS UNLAW FIIL AN� SHALL SUBIECT AN EMPLOVER TO CRI NAL PENALiIES AND CIVIL FlNES UP TO IXJE HUN�RED
THWSPNDDOLU (5100,000 A� TIIXJTOTHECOSTOF NSATION,�AMAGESASPROVIDEDf-0RINSEGTION31060FTHEUBORCODE,IMEREST,ANDATTOqNEVSFEES.
LICENSED CONTRACTORS OECLAFiAT10N:
I hereby aHirm that I am licensed under provisions ot Chapter 9(commencing with Section 7000) oi Division 3 ot Ihe Business and Protessions Code, and my licanse Is in full
force end effect. Lic. # Class a
Contractofs Signature: Date:
CONS7RUCTON LENDING AGENCY: �
❑ I hereby ettirtn that Ihere is e construction lending agency tor the performance of t�e work For which this permit is issuetl. (Sec. 3097, Civil Code).
Lentlar's Name: LentleYs Aatlress:
Signeture: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eRirm �hat undar penalry of per�ury.thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe tollowing reason (Sec. 7031.5, Business antl Protessions
Code: Any city or wunry which requires a permit to construct, alter, improve, demolish, or repair eny structure, pnor to its issuance, also requires the epplicant tor such permit
to tile a signed stetement ihat he or she is licensetl pureuent to the provlsions ot the Contrectors License Lew (Chapter 9(wmmencing wit� Sectlon 7000) of Didsion 3 ot ihe
Business end Professions Code) or that he or she is ezempt therefrom and the basis tor the alleged exemption. Any violation oi Section 7031.5 by any applicent for e permit
subjects Ihe applicant to a civil penelry of not more Ihan five hundred dollars ($500).):
❑ I, es owner oi Ihe properry, or my employees with weges as their sole compenution, WILL DO THE WORK, and the siructure is not intended or oHeretl for sale (Sec.
7044, Business and Profassions Code: The Contractors License Law does not apply to an owner of properry who builds or improves Ihereon, and who does such work
himselt or herself or thmugh hIs or �er own employees, provided that such improvements are not intended or offeretl for sale. tl, however, ihe building or improvement Is
sold within one year of comptetion, ihe owner-builder will have ihe burden of proving ihat he or she did not build or improve for purpose of sale.). �
'B7 I, as owner ot the property, am EXCLUSIVELV CONTRACTING WIT}f LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business and Protessions
�� COEe: The contractors License Lew tloes not eppy to an owner of property who bulltls or improves thereon, antl wha contrects for such pro�ect wlih e contractor(s)
license pursuent to the Contractors Licen� Lews.).
❑ lam
Owner
(type of tlocument, i.e.
�usiness an0 Protessions Code for this reason:
�
� E:pires:
lax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATON:
❑ I hereby certity that no excevetion five (5) or more fee� in depth into which a person is required to descend, will be made in connection with work authonzed by ihis
permit, an0 that no building structure, scaHoltling, falsework, or demolition or dismentling Ihareof, will be more Ihen ihirry-six (36) teet high. (Chap. 32, Grp 2, A� 2, Sec.
341, 7tle 8, Celifornla Administretive Cotle).
❑ As owner-builtler, I will not employ enyone to tlo work which would require e parmit irom ihe Division of Indusinel Sefery, as noted ebove, unless such person hes e
pertnit to da such work trom the tlivision.
Signature: Date:
Divislon ot Industrial Safery Pertnit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I cenify under penalry of perjury that I have reatl this epplication and state that tha infortnation given is
correcL I agraa to compy with all state laws end ciry ordinances ralating to building construction, antl authonze representatives of the Ciry of Costa Mesa to enter upon Ihe
ebove-desc � ed property for insp Ion � Qoses. I agree no occupy or allow occupancy of any building authorized by this pq� it untiy final inspection.
' Ov/�7/o�
SianaWre Oi Leaal wne (s) �� � Date
COpE 1, INSPECTIONTYPE ..•• ^ • - .. . • QdIE .'. ' I�LAL$
7616 Fixetl System Final Fire Prevention � '
1266 Pool Spe Final
200 Final Re-Roof �
201 Final BIocWRetaining Well
202 �Final Fectory Fire Place ,
203 Finel Sign
204 Final Demoli�ion
^- �I MSPEGTIONTYPE ��
206- Final Mechanical
208 Final Plumbing
� 210 � Finel ElecMcal
212 Final Fire Preven�ion
220 � Final Planning AppmvaP
222 Final Site �
250 Final Building/Occupancy
d
(714) 7543273 • Fan (714) 754-4856 • www.ci:coste-mesa.ca:us 77�FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Vicinity:
2309 HALF MOON LN
LOT 5
Parcel Nunmber: 7PN00507
Applicant: WILLIAMS,
Address: 1450 N TUSI
PLUMBING PERMIT
. ' " "�'<�'"`''�"'�-�'_ ISSUEDBY:
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SANTAANA,-CA��'��� � �- Zip.� 92705_ _/' �� .�Ji � �� ��� �\
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•'SHEA HOMES�LTD=! z `�,; �- ` � �i��'
Address 603'SObTHVALENCIAAVE '��.T�?�~����
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%; ,� f, Phone: 714-985-1300 �:��\� ��✓
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Contractor fC/
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��,� �Address J,
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Status: ISSUED
Applied: 04/27/2005
I ssued: 04/27/2005
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.EA'.CA�' Zip: �92823 �V� `�, .l ,,,
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NNER BUILDER ` �-.�r,j� "' ' , . ' � \.'� '''i
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, /.� �,; ` j_� Zip: `. � \t� `.. ',
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'� �� �PLUMBING PERMIT�FOR-NEW,2560.SF'SINGLE'FAMICY�RESIDENCE'FOR""SHEA HOMES INSTALL'3 j- �
��� BATHTUBS, 1 DISHWASHER; 7,GASiOUTCETS; TWASNER;=I�PRESSURE'REGULATOR, 1 SEWER'y,'
��CONNECTION 3 SHON/ERS 7 KITCHEN�SINK� 1 SERVICE SINK%UP TO 4 VACUUM BREAKERS�3 � �-�
';
;
�i•
I��
`' r WASH BASINS, 1 WASH BASIN SET, 4 WATER CLOSETS;%1 WATER HEATER,'1 WATER PIPING; & 1 =- �!: ;
.� �'WATER SERVICE.-' ,�- ��'� t. � ` i �'i '
- _ - �
.� _ _ ._._ .,
�� � REF[ BOS-00172 �;j,. J� '
` - i': - itix.w v �J
`t` "i` .: ;F�, �r i�7 /� �/.
� '� ",J \�t , r � `EEE SUMMARYri>-;��,.
- `��' �3 Y��'� AMT .��-QTY� �,. fi,r' �.. � . ` � �� � AMT����TY° ��
ISSUE FEE `� � � � $23.50 ��J V- � `, %Laundry Tub / Washen ;'� $9.80 - P�"e? g"
BackFlowirriga6on,� $000; �0 ��... �;Landscapelrrigahon - °�� $000 �•;0�,� ^� '
BackflowPreventer �p� �`'$0.00�� 0 `���PTrap �.� . �' 'u $000`�,,,°0 -P��
Bathtub .� - `;=�.$29p0 j��3� �;�P.�essureRegulator � -�' � $980 7= , �
Clarifier S stem �,' �<' 0 00 .' 0 � Pmcess Pi in er 10�tt _�$0"00`%0 %'
, Y . y .$ : , r /�1 � .P 81P _ 1
Connect(Ice,Soda,etc) �$000 '�..0 � /�;'�Receptors"�- '- -$000�'�0 _
Dental Units �$0.00 {,;, 0�: _'i j L. Septic�Tank _ $0,00,,.�0','- `';
Dishwasher $9:80 �" � 1,� _ , -.Sewer Cap (or Demo,>, �_; "$0.00 C�O,' � �
Draln, Floor $0.00 ���� 0 �--., "Sewer Connect �'� -' � '_ 1 $24.65, �=-17 �'-�
Drain,Ralnwater $0.00 0��'��'- SewerPiivate'Lin"e',�;, �-. 50.00"""0 %''
Drain,Roof $0.00 0 - - Shower-_ $29.40._--3�.J=p�
Drinking Fountain $0.00 0 `Sink,.bar -�' z-�,��� �.�$O:OOr'�0.--'
Expansion Tank $0.00 0 Sink, comme�rcial--- --- --$0:00 ` 0
a yl��� ' � f> fi� rAMT
SumpPump� ' ',; 50.00
Swirriming.P,00l ' � 7 � / $0.00
� ��, :
Trap,Prime�/. � t $0.00
Uririal��,� �� �"� 50.00
Vacuum'Brkr Bkflow(1-4) $12.30
Vacuum Brkr;Bkflow(5+) $0.00
Wash Basin � � $29.40
Wash`.Basin Set $9.80
Wa'ste�and Vent System $9.80
Water Closet (Toilet) $3920
WaterHeater/vent $12.30
Water Piping (Inst or Rep.) $9.80
Water Re-pipe $0.00
QTY
0
0
0
0
1
0
3
1
1
4
1
1
0
NOTICE: The work authonzed by ihis permit shall� comply with� all�. applicable� handicap� access requirements under. Califomia� statutes and related
regulations. (Ord. No. 92-28,.§ 1�, 12-21-92)
EXP�RATION:. 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 periotl�of 780 days.
� INSPECTIONS: In.order. forthe work�authonzed�under thie permihto�be considered.lagal; such�work mus4comply with�all.applicable cOdes, and all
,. requiredlnepectiona�and'flnallapproval�.musfbe��.obtained:.Failure�to�obtain.inspections andSinal�.approval�will resulYin the�expiration of this pertnit.
�, FOR INSPECTIONS CALC: (714)�754-5626��
246&481N00)
�JRKERS'COMPENSAnON DECLAFiATON: � � " - R � ..
I heraby aMirtn under penalry oi perjury one ot t�e following tleclarations. �. ' . ,
❑ I have entl will maimain a certilicate of consant m selGlnsure for workers' compensetion, as provitled tor by section 3700 ot the Lebor Code, for the'pertortnence of the
work for which this pertnit is issuetl. - ' •�� �
❑ I �ave antl will meintain workers' compensauon insurance, as required by seclion 3700 of ihe Labor Code, tor ihe pedortnance of tha work tor whichdhis pertnit is issued. ��
My woAcers' compensetion Insurence cerrier and policy number ara: � , ��
Carrier: Policy Number. '
(TIJs section need not be comp/eted il fhe peimit is va/ued a( one huntlretl dollars ($100) or less.) -
�I cerlify thet in Ihe peAormance ot t�e work for which this � rtnit is issued, I shell not employ any persori in eny manner so as to become subject to tlie workers'
compensetlon laws oi Cal' mia, and agree thai ii I h �4come subject to the workers' compensation pravisions ot Sectjpn 3700 ot the Labor Code, I shell fort�wNh
comply with ihesa provi ' n. — /'��
ApplicantSignature: ` � Date: � 1�
WARNING: FPILURE SECURE W RKER COMPENSATION WVERAGE I LA�N UL rWD SHALL SUflIEGT AN EMPLOYEP TO CRI NAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED
hbUSPNDDOLURE l�Dij NTOTHECOSTOFCOMPENSi ONr6AMAGESASPROVIOEDFORINSECTION3lO60FTHElABORCODE,IPlrEHEST,PNDATTORNEI"SFEES.
l/
LICENSED CON7RACTORS DECLARATION:
I hereby aflirtn that I em licensed under provisions of Chapier 9(commencing with Section 7000) of Division 3 of ihe Business and Pmfessions Code, and my license is in full
force antl ettect. Lic. tl C1255 M
Coniractor's Signature: Date:
CONSTRUC710N LENDING AGENCY:
❑ I hereby attirm that Ihere is a construction lending agency tor the pertormance oi the work for which t�is permit is issued. (Sec. 3097, Civil Code).
Lentlefs Neme: Lender's Address:
Signeture: Date:
OWNER•BUILDER DECLARAT10N5:
I hereby eflirtn that under penalty ot perjury Ihet I em EXEMPT FROM THE CONTRAC70RS LICENSE LAW for ihe following reason (Sac. 7031.5, Busineu end Professlons
Cotle: Any city or counry which requires e permit to construa, alter, Improve, demolish, or repair any sWcture, Orior to its issuance, also requires the applicant tor suc� pertnit
to lile a signetl statement thet he or she Is licensed pursuant to ihe provlsions of Ihe Contractors Licensa Law (Chepter 9(commencing with Sectlon 7000) of Division 3 01 the
Business and Professions Cotle) ar that he or she is exempt therefrwn entl the basis for the elleged exemption. Any violation of Section 7031.5 hy any applicant tor e permit
subjecis ihe epplicant to a civil penelry of not more then five hundred dollars ($500).):
❑ I, es owner oi Iha properry, or my employees wit� weges as their sole compensation, WILL DO THE WORK, and the strudure is not intentleA or offered for sele (Sec.
7044, Business and Professions Code: The Cont2ctors License Law dces not apply to an owner of properry who builds or improves thereon, and who tloes such work
himself or hereelf or through his or her own employees, pravided that such impravements ara not intended or ottered for sele. If, hov.ever, the builtling or Improvement is
soltl within one year of completion, ihe owner-builtler will have ihe burden ot proving ihat he or she ditl not build or improve tor Durpose ot sele.). �
�I, es owner oi tha properry, em EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Professions
Cotle: The conirectors License Law tloes not epply to an owner of property w�o builtls or improves thereon, entl who coniracts tor suc� project with a contractor(s)
license pursuay to the Contractors Lice ws.).
❑ I am ezempt�idq sec. Business antl Protessions Code tor this reason:
Owner ICj veritietl by
OL...� � Dat�: 2'I /
rt' icense. �Yes o Drivers License No. � Expires:
by (type oi d ument, i.e. - pmperty taa biil or deed):
DIVISION OF INDUS7RIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certity thai no excevation tive (5) or more feet in depih into which a person is required to descend, will be made in connection wit� work authonze0 by this
permiL antl that no building sWcture, scatlolding, talsework, or demolition or tlismantling ihereot, will be more ihan ihirty-six (36) leet high. (Chap. 32, Grp 2, Ar12, Sec.
341, Ttle B, Celifornia Atlminisiretive Code).
❑ As owner-builder, I will not employ enyone to do work which would require a permit trom the Division oi Intlustrial Safery, es notetl above, unless such person has e
pertnit to do such work tram the division.
Signature:
Division of Intlustrial Sefery Pertnit Number:
Data:
CERTIFlCATE OF CAMPIJANCE AND AUTHORIZATON OF EMAY: I certity under penalry ot perjury that I have read this application and state that the information given is
correct. I agree � comply with ell state laws antl rdinances relating ro building constmction, and authonze representatives of tha Ciry ot Costa Mesa to enter upon the
above-tlescrib operty tor inspection purp s ree not to oc y or allow occupancy of eny building authonzed by thi/s�pe rmit u il final inspection,
�'�/'L %�(i �
Signa ure Ot Legal Ow s) �—aate
And/Or Authonzetl Applican Date
400E I. INSPECTIONTYPE" �'� � � ' " `� � PdIIE ' ' II�LS
E
i5ie Fixetl System Final Fire Prevention ' '
7266 Pool Spa Final
200 Final Re-Root
201 Final Block/Retaining Wall
�. 202 Final Factory Fire Place ,
I 203 Final Sign �
I 204 Final Demolition
e COUE1
206
208
210
212
220
222
250
' INSPECTIONTYPE ' � - � •�-
Final Mechanical � .
Final Plum6ing
FinalEleciriWl • � '
Final Fire Preven�ion
Flnal Planning Approval '
� Final Sita �
Final Building/Occupency -�
�.i un.
� , .i
INSULATION CERTIFICATE
This is to certify that insulation has been installed in conformance with the current energy
regulation, California Administrative Code, Title 24, State of California, in the building located at
"ZD. �HALF_MOON_LANE_P_HS-2-TRACT 16600-COSTA MESA
LOT-5
CEILINGS:
TYPE: Fiberglass Batts MANUFACTURER: Owens/Corning THICKNESS: R-19 6-1/2"
W ALLS:
TYPE: Fiberglass Batts MANUFACTURER: Owens/Corning
GENERAL CONTRACTOR: SHEA HOMES
G]"�
SCHMID INSULATION CONTRACTORS, INC.
THICKNESS: R-13 3 1/2"
LICENSE#
LICENSE #221517 C-2
BY: �p.tiU2n�+� TITLE: PRODUCTION ASSISTANT DATE: 02/07/2006
ANNETTE PATTERSON
INSULATION CERTIFICATE
This is to certify that insulation has been installed in conformance with the current energy
regulation, California Administrative Code, Title 24, State of California, in the building located at
HALF MOON LANE-PHS-2-TRACT 16600-COSTA MESA
LOT-5
CEILINGS:
TYPE: Fiberglass Batts MANUFACTURER: Owens/Corning THICKNESS: R-19 6 1/2"
W ALLS:
TYPE: Fiberglass Batts MANUFACTURER: Owens/Corning
GENERAL CONTRACTOR: SHEA HOMES
LYi
SCHMID INSULATION CONTRACTORS, INC.
THICKNESS: R-13 3 1/2"
LICENSE
LICENSE #221517 C-2
BY: �� � TITLE: PRODUCTION ASSISTANT DATE: 02/07/2006
ANNE TE PATT RSON
�N sT���r
�'AIR CONDRIONRJG INC.
Installation Certificate : Residential CF-6R
Site Address /
2309 Iie#LF MOON LANE Bld�: - Unit: - J
1. BUILDER 1NFORMAT[ON
Shca Homes
603 5. Valencia Avaruc
Brea, CA 92823
INSTALLING CONTRAC'fOR:
2. PRO.TECT INFORMA.TION
DISTRIBU'�'[ON TXFE
Flexible Ductwork in
Attic and Between Ploors
PEItMIT !l
SUBDIVISION: Half Moon Lane
CITX: COSTA MESA
WUNTY: OItANGE
WESTPAC AYR COIVDPI'IONING
E1iIn. •.: ' i� t► . ;
Flex�ble puctwork Will have
a R-Value o£ 4.20 or Better
], the umdersigned, verify that the cquipment listed in the catep,ory above my signature is the equipment installed and that the equipment
meets or exceeds thc requiremen�c of the Appliance Efficirncy St�tndards. In addition, J have verified that the equipmeut is ecauivalent to or
more effcient then the cquipment speci6ed on the Certificate of Compliance submitted to demonshete complience with the Bnergy
Efficicncy Standards for residentia) buildings.
3. HEATA�iG �OItMATION
HEATING
EQUIP.
Furnace-FAU 1
4. COOLAVG INFORNIATION
HEATING
LOAD
COOLfivG � CO SO AGTUAL EFF. COO E G
EOUiP. MAKE MODEL # SSER CAPAC?TY LOAD
Coil-FAU I
rVC-STD H52G
Allstyle
Lennox
LENNOX
ASFM60• 18A31 T+S
t OACC-048
EER
10
The building d¢sign heat loss and design heat gain rate have been determined usiz�g a method specified in Sectlon
150(h) of the Energy Efficiency Standards, and are two of the criteria used for equipment sizing aud selecrion.
5. THERMOSTATIC EXPAPISION VALVE (T7i�:
Thermostatic Expansion Valve (or Commasion approved equivulent) is instnlled und uccess ia provided fox inspection.
6. SUBMITTEA BS':
vV�STPAC A,IR CO1vDi7'JOMDiG
Signaturc Insmlling HVAC Contrattor
�Claim\CrystalRcports\Porohasing�CFGR Rcpor[.rpr
obM: 4869 Lot: 5 Bidg: - Unit: -
YES Q NO Q N/A Q
6/30/2006
Aatc