HomeMy WebLinkAbout2310 HALF MOON LN - Building PermitsINSULATION 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
' ��,�` /� rHALF MOON LANE-PHS-I-TRACT 16600-COSTA MESA
(" ' � LOT-14
CEILINGS:
TYPE: Fiberglass Batts MANUFACTURER: Owens/Corning THICKNESS: R-19 6-1/2"
WALLS:
TYPE: Fiberglass Batts MANUFACTURER: Owens/Corning
GENERAL CONTRACTOR: SHEA HOMES
�
THICKNESS: R-13 3 1/2"
LICENSE#
SCHMID INSULATION CONTRACTORS, INC. LICENSE #221517 C-2
BY: �u�cC '� �..GLln�vH TITLE: PRODUCTION ASSISTANT DATE: 11/23/2005
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-I-TRACT 16600-COSTA MESA
LOT14
CEILINGS:
TYPE: Fiberglass Batts MANUFACTURER: Owens/Corning THICKNESS: R-19 6 1/2"
WALLS:
TYPE: Fiberglass Batts NIANUFACTURER: Owens/Corning
GENERAL CONTRACTOR: SHEA HOMES
�
SCHMID INSULATION CONTRACTORS, INC.
THICKNESS: R-13 3 1/2"
LICENSE #
LICENSE #221517 C-2
BY: Cli2 ��n., TITLE: PRODUCTION ASSISTANT DATE: 11I23/2005
A NETTE PATTERSON
-7'�y`��'I;S'1'1��11:
AIH CONDITIONING INC.
Installation Certificate : Residential CF-6R
Site Address
2310 HALF MOON LANE Bldg: - Unit: - ��'
1. BUILDER INFORMATION
Shea Homes
603 S. Valencia Avenue
Brea, CA 92823
INSTALLING CONTRACTOR:
2. PROJECT INFORMATION
DISTRIBUTION TYPE
Flexible Duc[work in
Attic and Between Floors
PERMIT #
SUBDIVISION: Half Moon Lane
CITY: COSTA MESA
COUNTY:ORANGE
WESTPAC AIR CONDITIONING
DUCT OR PIPING R-VALUE
Flexible Ductwork Will have
a R-Value of 4.20 or Better
I, the undersigned, verify [hat the equipment listed in the category above my signature is the equipment installed and that the equipmen[ mec
or exceeds the requirements of the Appliance Efficiency Standards. In addi[ion, I have verified that the equipment is equivalent to or more
e�cient than the equipmen[ specified on the Certificate of Compliance submitted to demonstra[e complience wi[h the Energy Efficiency
Standards for residenkal buildings.
3. HEATING INFORMATION
HEOUIP.G �MAKECT HE�O LUNIT °'C A UE FF. HECAPACITY IP HLO DG
Furnace Lennox G40UH-60C-110X 80%
4. COOLING INFORMATION
COOLING MANUFACT COMPRESSOR ACTUAL EFF. COOLING EOUIP HEATING
EOUIP. MAKE MODEL # SEER CAPACITY LOAD
A/C Lennox lOACC-048 10%
The building design heat loss and design heat gain rate have been determined using a method specified in Section
150(h) of the Energy E�ciency Standazds, and are two of the criteria used for equipment sizing and selection.
5. THERMOSTATIC EXPANSION VALVE (TX�:
Thermostatic Expansion Valve (or Commision approved equivalent) is installed and access is provided for inspection.
6. SUBMITTED
\W lexis\CrystalAeportsNwchasing\CF6R_Report. rpt
Job#: 4887 Lot: 14 Bldg: - Unic -
YES Q NO Q N/A Q
Z� 7 � �
Date
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 231 O HALF MOON LN
Suite:
Vicinity: LOT 14
Primary Occ: R3 Dwellings/ Cong Res <10 Type of Construction: V-N
Parcel Number: TPN00519 Zoning:
Appticant: 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-BU I LD E R
Address: � ' .
Phone: 714-245-9760 X24
Zip: 92705
Phone: 714-985-1300 '
Zip: 92823 . � . ' ..
ISSUED BY:
Status: ISSUED
Applied: 01/31I2005
Issued: 04/18/2005
Phone:
- Zip: � � "License: 000000 . � � � . � - � �
Arch : WILLIAM HEZMALHALCH ' � Eng: • ,
Address: WILLIAM HEZMALHALCN 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 14 � - . . . . .
PLANS2A - - � . ,_ . . .
CONSTRUCT 2560 SF 2-STORY SFD WITH 449 SF ATTACHED GARAGE AND 72 SF PORCH. FIRST FLOOR WILL BE'1225 SF WITH 1335 SF
SECOND FLOOR. A FIREPLACE MODEL #4236 (ANSI UL127) WILL BE INSTALLED IN THE FAMILY ROOM; THERE WILL BE A 2ND FLOOR
LAUNDRY ROOM. , �
REF: G04-00010, PA-03-47, T-03-O6 _ � ' � - �
SEE PA-03-47/T-16600
FEE SUMMARY'
PlanCheck: $305.27 _ CalcValuation:�;� .� ,�Szs�,5�s.3a
Permit: $1,878.55 _ Claim Valuation: So.00
SMIP Res: $2576 � � " � � �- ��'-' ' -
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $2,209.58 �
SETBACKS
MAIN STRUCTURE Fmnt 6- 0 , :Real - 10- 0
PLANNING &"ZONING ' .
Left 5- 0�� �' Right 5- 0
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, 12-27-92)
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 orde� for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
zaae<n�vuu�
WORKERS'COMPENSAnON DHCLARAnON:
I hereby aHirm under penelty ot perlury one ol Ihe tollowing tlecleratlons:
❑ I heve and will meintein e ceR��icate ol consent to sel4lnsure lor warkers' compensatlon, es providatl for 6y section 3700 of the Lebor Code, tor the peAormence oi tha
work tor which this pertnit is issued.
❑ I have and will meintain workR�s' compensation insurance, es required by sectlon 3700 of the Lebor Code, for the pedormance of the work lor which this pertnit is issued.
My workers' compensellon Insurence cerrier end pollcy number are:
Cerrier: Policy Number.
(Th/s sectlon need not be completPd il the permit is velue0 et one hundred dollars ($100J or less.)
��rtiy that in the pertortnence ot the work tor wh�ph Ihis permit is issued, I shall not employ eny person in any manner so as to become subject to the workers'
~compensetion laws ot C lifomie, end egre t I should become sub�ect to the workers' compensation provisions of Se tion 3700 ot the Labor Cotla, I shall torthwith
�ply.vWlthyhese ns. l/ p'
Applirant Sig"�nature: � 6at`�. I �O /��
WARNING: FAILUPE TO CU OR� RS' COMPENSATIOt COVERAGE I NLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE MUNDRED
TKKISANDDOILARE(5100,000),INAD TIIXJTOiHECOST WMPE ION,OAMAGESASPROVIDEDFORINSECTION3lO60FTNEL4BORCODE.INTEREST,ANDATTORNEV'SFEES.
LICENSED CONTRACTORS OECLARA710N:
I hereby aBirtn Iha� I am licensed under provisions of Chapler 9(commencing wi�h Section 7000) of Division 3 0l �he Businass and Professions Code, and my licen5e is in full
torce and efrect. Lic. n Class e
I Coniractor's Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby aftirtn that there is a construction lending agency for Ihe pedormanca of the work for which this parmit is issued (Sec. 3097. Civil Cotle).
Lender's Name: Lentler's Adtlress:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby ettirtn thel under penelry tl� Perjury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW br ihe following reason (Sec. 7031.5, Business antl Professions
Code: Any tlry or counry which requires e permit to construcl, alter. improve, demolish, or repair eny stmcture, prior to its issuance, also requires the applicant for such pertnit
to file e signetl statement Ihat he ar she is licensed pursuent to the provlsions af Ihe Conlrectors License Lew (Chapter 9(commencing with Section 7000) ot Division 3 ot Ihe
Business end Professions Code) tlr lhet he or she i5 exempt therelrwn and the basls tor ihe alleged ezemption. Any violation ot Section 7031.5 by any applicant for a pertnit
sub'ects the applicant ta a civil penaly ot not more than five huntlretl dollers ($500).):
I�as owner oi the properry, o� my employees with weges es their sole compensation, WILL DO THE WORK, and the stmcture is not inientletl or ottered for sala (Sec.
70at, Business entl ProfessiPns Code: The Contraciors License Lew tloes not apply to en owner of property who builds or improves ihereon, antl who does such work
himsell or herself or thmugh his or her own employees, provided ihat such improvements are not intanded or oNered lor sale. If, however, the builtling or improvement is
soltl within one year oi completion, the owner-builder will heve the burden ot proving that he or she did not build or improve for purpose oi sale.).
� I, as owner oi the D�oPerty, am EXCLUSNELV CONTRACTING WITH LICENSEO CONTRACTORS to constmct the prolect (Sec. 7044, Business antl Protessions
Code: The con(rectors Licen4e Lew tloes noi apply Io an owner ol property who builds or improves t�ereon, antl w�o contracis for such prolect with a contracmr(s)
license pur5uant b lhe ConirBdor�L�ensa Laws.).
�
Owner ID v�itietldSv tldvaf's license.
Business and Protessions Code for ihis reason:
No DriVefS'�LIC�npO;ND:
Venfication ot Ownership by (rype 0� tlocument, i.a. - property tau hill or deed):
DIVISION OF INDUSTRIAL SAFE'n' PERMIT CERTIFICATION:
❑ I hereby cenify t�at no excava�ion five (5) or more leet in dep�h into which e person is required to descend, will be made in connection with work authonzed hy ihis
pertnit, and that no building s�Naure, scaHolding, lalsework, or demolition or dismantling thereot, will be more than thirty-six (36) teet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title 8, Califomia Atlmini5�ra�ive Code).
❑ As owner-builder, I will not employ anyone to do work which would require e permit irom ihe Division of Industnal Safery, as noted above, unless such person has a
pertnit to do such work trom 1he division.
Signatura: Date:
Division of Intlustnal Safery Permit Numbar:
CEN7IFlCATE OF COMVLIANCE AND AUTH �R TION OF ENiAY: I ceeify untlar penalry of perjury ihet I have reatl Nis application entl state that I�e information given is
wrrecc I agree to w ply with all siat la city ordinences releting lo building constmction, and authonze represeNatives of ihe Ciry of Cosla Mesa to enter upon Ihe
above-descnbed pr rty br in pe�ti p s. I agree not occupy or allow xcupency of any building eulhorized b�is d� «ryt��l li�pection.
/ Q V
Ignetute�O� egal. i er T i Da�e
�.�"�__` ^' C _,��_��.�,
And/O�Aulhorized Applicant Da1e
COOE �. INSPEGTIONTYGE
1616 Fixed System Final Fire Prevemion
7286 Pool Spe Finel
200 Final Re-Rooi
207 Final Block/Retaining W ell
202 Final Factory Fire Place
203 Final Sign
204 Final Damolition
PAIE INTRIALg
CODE� INSPECTIONTYPE
206 Final Mechenical
200 Finel Plumbing
210 Final Electrical
212 Finel Fire Prevention
220 Final Planning Approval
222 Final Si�a
250 Finel BuildinglOccupancy
D�TE ItRIIlsli
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
PLUMBING PERMIT
1ob Address: 2310 HALF MOON LN
Suite No
Vicinity: LOT 14
Parcei Nunmber: TPN00579
Applicant: WILLIAMS, GARY-,'
Address: 1450 N. TUSTIN AVE�
SANTA ANA, CA � �
Ownec SHEA HOMES LTD '
Address .603 SOUTH VALENCIA AVE
� BREA, CA �
Contractor. �OWNER-BUILDER �
�,� 'Address: " " � ' + ',
*
ISSUE FEE � �
BackFlow irngation
Backflow Preventer �
Bath[ub
Clarifer System
Connect (Ice,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Phone:
Zip: � 92705
Phone: 714-985-1300
Zip:, 92823
Phane:
Zip:
License: 000000
Status: ISSUED
Applied: 04/22/2005
I ssued: 04/22/2005
ISSUED BY: �'v
" � SCOPE OF PERMIY - ' �
LOT 14
PLAN 2A ` � . .
i
PLUMBING PERMIT FOR,NEW SINGLE.FAMILY RESIDENCE FOR "SHEA HOMES". INSTALL 3. �
BATHTUBS, 1 DISHWASHER, 7 GAS OUTLETS, 1 WASHER, 1 PRESSURE REGULATOR, 1 SEWER � � �
CONNECTION, 3 SHOWERS, 1 KITCHEN SINK, 1 SERVICE SWK, UP TO 4 VACUUM BREAKERS, 3� ' -
WASH BASINS, 1 WASH BASIN SET, 1 WASTE & VENT SYSTEM, 4 WATER CLOSETS, 1 WATER . �� '.�
HEATER, 1 WATER PIPING, & 1 WATER SERVICE. . ' , � � , . , � -
REF: BD5-00173 - - � " . � �
AMT
$23.50
$0.00
$0.00
$29.40
50.00.
$0.00
50.00.
59.80 ;
so.00
$0.00
$0.00
$0.00
� ' .. �,, - ' �
` ��FEE�SUMMARY " � ��'��
� QTY.,=. � ; , - - .. , :- AMT' �QTY "' , , . '. AMT
- ' � Laundry Tub / Washer $9.80 1 . Sump Pump,, ' $0.00
0� � . Landscape Irrigation = $0.00 0 . - Swimming�Pool� ' , � $0.00
. 0 _ �' P-Trap " $0.00 0 .�� Trap Primer% „ � $Q00
. 3 Pressure Regulator� $9.80 1 - - Urinal, � . ' " $0.00
0' � Process Piping (per 10 ft) $0.00 0 �� �Vacuum Brkr,Bkflow(1-4) $12.30
0 � . Receptors � � � $0.00 0 - . . Vacuum Brkr BkFlow(5+) $0.00
0. Septic Tank $0.00. : 0 .: Wash Basin � 529.40
-�1 ' Sewer Cap for Demo 50.00 �,0 - Wash" Basin Set $9.80
- 0; , Sewer ConneCt . $24.65 1 . � Wasle end Vent System $9.80
0 , . Sewer Private Line � � $0.00 0 � . Water Closet (Toilet) $3920
0 �� Shower 329.40 -,= .3 � �_ Water Heater I vent $12.30
0 Sink, bar -- �$0.00_.� 0 Water Piping (Inst or Rep.) $9.60
a
QTY
0
0
0
0
t
0
3
1
1
4
1
1
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this pe�mit to be considered legal, such work must comply with all applicable codes, and all
required Inapections and final approvel must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
...,�.. . ���
WORKERS'COMPENSArON DECLARAnON: —
I hereby ettirtn unAer peneliy of perjury one ol the following declarelion5:
❑ I heve Bnd W��I m8iniein e certificete of consant to self-Insure for workers' compensetion, as provided for by section 3700 of �he Labor Cotle, for the pertortnance of �he
work for whiFh this pertnil is issued.
❑ I have and vri�l meintain workere' oompensation insurance, es reQulred by section 3700 of ihe Labor Code, for tne pedortnance of the work for which this permit is issued.
My warkers' �mpensation Insurance cerder end policy number ere:
Cerrier. Policy Number:
(This secfion need �af be completed i! the DBmuf is velued ef one hundred dollars ($ f00) or less.�
❑ I certify that i� the pertortnance oi the work for which this permil is issued, I shell not employ any person in eny manner so as to become subject b the workers'
compensatio� laws ot Celifomie, end egree thet il I should bacome sublect to the workers' compensation provisions ot Section 3700 of the Lebor Code, I shell forthwith
comply with lhese pmvisions.
Applicam Signeture: Dete:
WARNING: FAILURE i0 SEWRE WORNERS' COMPENSATION COVERAQE IS UNLAWFUL ANO SHALL SUBJECT AN EMPLOVER TO CFIMINAL PENALTIES AND CIVIL FlNES LIP TOONE HUNDRED
iHIX15AND DOILARE (5100,000), IN ADDITION TO THE COST OF WMPENSATION, DAMAGES FS PROVIDED FOR IN SECTION 3)O6 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES,
IICENSED CONYF:P.CTORS DECIARA�ION:
I hareby aHirtn iha� I am IicenseU under provisions of Chapler 9(commencing with Sectlon 7000) ot Division 3 ot the Businass antl Pmfessions Code, antl my license is in full
force and eHect. Lic. � Class a
Contractor'S Signa�ure: Dete:
CONSTRUCTION LENDING AGENCV:
❑ I hereby attirm that there is a consiruction lending agency for the pertormanca ol the work for which this permit is issuetl. (Sec 3097, Civil Cotle).
Lentler's Name: Lender's Address:
Signature: Date:
OWNER-BUILDEfl DECLARATIONS:
I herehy affirtn Ihat under penalry of perjury t�et I am E%EMPT FROM TNE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business antl Protessions
CoOe: Any dry or Counry whic� requires a permit to construct, alter, improve, tlemolish, or repair any stmqure, prior to its issuance, also requiras the applicant }or such pertnit
to file a signatl statement Ihat ha or sha is Ilcensed pureuent to the provisions of the Contrecbrs License Law (Chepter 9(wmmencing wiih Section 7000) of DlWsion 3 of the
Business antl Professions Code) or that he or she is exempt therelrom end ihe basis lor the elleged eKemption. Any violation of Section 7031.5 hy eny aDPlicant for a pertnit
subl he applicent to a civil penelty ol not more Ihen live huntlred dollers ($500).):
as owner o� the pmperry, or my employees with wages es ihelr sole compensatlon, WILL DO TME WORK, antl the stmcture is not intentled or ottered for sale (Sec.
7044, BusinBss and ProFessions Code: The Con(ractors License Law does not applY to an ownar ot properry who builds or improves Ihereon, and who does such work
himself or herself or ihmugh his or her own employees, provitletl thet such improvements are not inten0etl or ofleretl for sale. If, however, the builtling or improvement is
�sold within oPe year oi completion, ihe owner-builder will heve the �urtlen of proving ihat he or she did not builtl or improve for purpose of sale.�.
I, as ownar nt the pmperry, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct ihe project (Sec. 7044, Business an� Pmfessions
Code: The cOntractors License Lew does not epply to an owner of property who 6uilds or Improves theteon, antl who contracts /or suCh pm�ect with a contrettor(s)
license DursVent to the Contrectors Licep6g,�aws.).
❑ lem
Owner IL� venfiBd
BuSiness and Professions Code lor Ihis reason:
� Date: � 2
licen5e. es No DnvafsLicenseNo. �$� ��{�� Expires:
(type ol tlocu ,.e. - pmperty tax bill or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION:
❑ I �ereby catlify thet no excavation five (5) or more feat in tlepth into which e person is required to descend, will ba matle in connection with work amhonzad by this
pertnit, antl ihat no builtling sWcture, scalloltling, falsework, or demolition or dismantling thereof, will be more Ihan ihirry-siz (36) feet high. (Chap. 32, Grp 2, Art 2. Sec.
341, 7tle B, Celifomia Atlministrativa Cotle).
❑ As owner-builtler, I will not employ anyone to do work which would require e permit from the Division of Industnal Safery, as noted above, unless such person has a
pertnit to do such work from Ihe division.
SignaWre: Date:
Division oi Industrial Safery Pertnit Number:
CER71FlCA7E OF COMPLIANCE AND AUTHOFVATON OF ENfAV: I cenity under penelty of perjury ihat I have read ihis eOPlication and state I�at ihe information given is
correct. I agree} comply with all state I ciry ordina s relating to building cons�mction, end authodze representatives of Ihe Ciry of Costa Mesa to enter upon the
ebove- �66d ro ert f r in Eio ses. I agre ot occupy or ailow occupancy of eny building authorizetl Dy �h� permit unlil tinal inspection.
. �
Signat re O (s � �` Date
_ y�.�o�.
d/Or Authonze p' nt � Date
�ODE I �y$�Qj�SI'PF
7fi16
1266
FixeO Sys�em Final Fire Prevention
Pool Spe Final
200 Final Ra-H��
201 Finel BlacklRetaining W ell
202 Final Factory Fire Place
203 Final Sign
204 Final Dert�olilian
PdIF IN1IiI�LS
LODE 1 INSPECTION TYPE
2a6 Final Mechanical
208 Final Plumbing
270 Finel Eleclricel
212 Flnal Fire Preventlon
220 Final Planning Approval
222 FinalSite
250 Final BuildinryOccupancy
2H � 1 _
_� /
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(714)�.754=5273 •' Faz (714j754-4856 �• -www.ci.costa-mesa:ca.us �77fA1R DRIVE, COSTA MESA, CA 92626
JobAddress: 2310 HALF MOON LN
Suite No
Vicinity: LOT 14
Parcel Number: TPN00579
Applicant: WILLIAMS,.GA
Address: 1450 N TUSTIN A
��/ �; �
i ..J 4r �� �' ♦ �
SANTA ANA, CA � �
1 �': � �
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fi.:.Y�'r �". .
MECHANICAL PERMIT
.Status: ISSUED
Applied: 04/27/2005
Issued: 04/27/2005
. _. . . _,: ,�' _ , .
" _ '.--'-- 4`,z: �:�>-._ ISSUED BY: �
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Address: ��603 SOUTH VAGENCIA AVE � \ ��:.,��`'�.t,�\.� ��, `� /` �
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� ' �� '�',1%� �C� Phone: 714-985-1300 ';��,c��`�-� `�
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y -� � i ;� BREA-CA!� Zip: ;'92823 .����� J` . .
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SCOPE OF=PERMIT- - , ��; � C
� ' LOT 14/PLAN 2A � A's' �! `'� r, v r � �f z rf�rt �� � �i� i � s � . ; �,`� � �. . , � ;
y.., ii �C .': �e" L� ti 11 L u r Cu....-t •, .
. � � ='MECHANICAL�PERMIT�FOR'NEW2560�SFSINGLEFAMILWRESIDENCEFOR"SHEAHOMES C� �� �`�,
�- �-,---� ��y WSTALL 2 FAU'S�1 DUCTWORK, 2,FACTORY FIREPLACES, 6 VENT'FANS, 2 FIRE DAMPERS ��� � -\� �
� �,., & 2 A/C CONDENSORS.. r.-,, ;'� a �. n ` �' � ' - � . i
.�-. . t� �, i ✓t, � ��.�.ti';r=. �2��� �.�_,rN _ ;� , ;,
� , REF: B05-00173 � � .-'_ _ '*,' -^- . ^' _ -- � �� . ` �
_ , .. _ -� ; —' 1
Q � r;' -- +�;
' � � FEE SUMMARY- ',' �- ''` �-_ „y� �
. - �� � ..:�., Quantity ��' � .._ _.e.. -,�,,� �,_`-. :,Quantity
. � ' ;i
ISSUE�FEE '.`'�,j` � '���\�' $23.50 ,,,.r.�y�,,._Repair/AltAbsorblionUnit , f'/f;=% � 50:00� O�q�i�
i
Inst FAU <700 k-BTU' � ��' � $29.60 2 .�-_��: �1� �_";�Repair/Alt Refrigeretion Unit � �� % ��$0.00' A;i :
Inst FAU >100 k BTU ��_ ,� $0.00 0 ., '� �-z' �� ' Ventillation System �:,..% $0.00 i ,0
Repair / Alt Cooling/Heat� � � � $73 70 1 , . - Evaporative,Cooler . j �� t� $0.00,/,'�0 �
Inst / Rep. Recess Wall Htr � �'�$0 00 �..,0 .r�i;' � - .'Commerciaf Incinerato�,���s%�!/ L_ -' $0.00�� � 0 �
Re(ng Sys <100 k BTU � > � �$0 00 0 L�' � �. �Domeshc IncineratorL ���-' /, ti ` $0.00�:�0
RefdgSys>100�k�BTU � %i $000��0 c - � �Compressbrs/,Absorption:SYstems</> `-, �'� :
Gas Piping � :� �' i � $0 00��0 � � ,�' - " Up to 3 Fip !"100 k BTU:� � '_ l� � /�,$0.00 0
Factory Fireplace ^�-` ,.� $21:30 2;� � ��3 To�15 hp,/:500 k'BTII r 1�C� , �� $0.00 0
Hood w/Mech Exhaust �-� � ;; 50.00 :�0 � '� . , . < -15 To 30 hp'/-1 000 k BTU � � � .' i, i �' $0.00 0
VAV Box �'��',z_", �`•$0.00� /0�",�;, . . ' . -'.- -30.To�50�hp/ 1.750 k BTO' �:�,:�_.. /i-;�� $0.00 0
Vent Pari�/ Single Duct ,- �;$49 50� i 6, � � Over 50 hp�/ Over •1,750 BTU /L,; '� $0.00 � 0
Appliance - $0 00 O 1 � ��i�� • i - � �� � Boilers � �� �,� � /� �,
Fire Dampers ~``$14.50_�,�2 ` • ' � !� � '� ' � � 4:- Up to 3 hp'%.---� ' $29.40 2
% � �--
SmokeDampers $0.00; i0, -� =��'_,:" 3-Tol15fip -� ./_?�/ So.00 0
Inst or Relocate Appl Vent $0.00 �-0 ��-_: - 15 to.30 hp : iG� ;,i � $0.00 0
Air Handlers < 10000cfm $0.00 0 .�- 'r_r� .�,r �,30 to�50�lip� - $0.00 0
Air Handlers > 10000cfm $0.00 0 �- ��- -�---Over 50 hp $0.00 0
'NOTICE: �The work:authorized by�.this.permit shall�compty�.with�all applicable'handicap access�requiremenis under California statutes and related
�regulations. (Ord.�No.�92=28,;§�,1,.12-21-92) �
"EXPIRATION: Thispermit shalRautomaticallgexpire and.become�,void�if workis�noDcommenced�within-180'days,�onif�work�is suspended orabandoned
for,a�period.of 180.days.
aNSPECTIONS: 9n.order�forthe work�aulhorized�underthis;pertniflo�be�considered.legal,�such�.work�must�comply with ell.applicable codes, and all
�requfredlnspeetlons�and•finaLapprovahmust'he�obtained.'FaiWre��to��obtaln inspedions�and final,approva6wi11 result indhe�expiration of this permit.
FOR'INSRECTIONS��CALL: i(Z14)754-5626
2466-6fi(fi/00)
WORKERS'COMPENSAnON DECLARAnON: — � � � �
I hereby aHirm untler penalry of perjury one of the following declarations>. � ', . '' ., . �
❑ I have and will maintain a cetlifiwte of consent to sell-Insure br workers' compensailon, es provitletl tor by section 3700 of the Lebor Cotla, tor the pertormence of Ihe
work for whic� �his permit Is issued. � - - � � � �
❑ 1 have antl will maintein woAcers' compensation insu2nce, as requiretl by section 3700 of Ne Labor Cotle, tor ihe pertortnance oF t�e work for which this pertnit Is Issuetl. �
My workers' compensatlon Insurence carrier and policy number are: '_ ;
Cartier. Policy Number: '
(This section need not be complefed i! fhe permit is value� af one huntlretl tlollars (5100) or less.) " �
�1 certity that in the. pertortnence of Ihe work for which ihis pertnil is issued, 1 shall not employ any person in any manner so as to become su�iect to ihe workers'
compensatlon laws ot Calitomla, an gree that ii I shouV be sublect t the workers' compensation provisions ot Section 3700 oi ihe Le6or Cotle, I shall fotlhwith
comply with ihese provisions. � � U/2 7/� r� .
Applicent Siqnamre: • Deta: ���
WARNINO: FAILURE TO SECURE ORKERS' MPEy AT10N COVEMGE IS U� �N UL AND SHPLL SU&IECT MI EMPLOYEF TO CRIMINAL PENALYiES AND GVIL FlNES UP TOONE HUN�RED
THOUSANDDOLLARE(5100.000),I Dfil OTHECQSTOFQOMPENSATIO�.GAMAGESASPROVIDEDFORINSECTION3]O60FTHELABORODDE,IMEREST,ANOATTORNEV'SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm ihat I em licensed under prwislons of Chapter 9(commencing with Section 7000) oi Division 3 ot the Business and Professions Cotle, entl my license Is in full
force antl ettecL Lic. M Class a
Conireaor's SignaWre: Date:
CONSTRUCTION LENDING AGENCY: �
❑ I hereby aNirm that there is a construction lentling agency for iha peAormance of ihe work tor which this pertnit is issuad. (Sec. 3097, Civil Gode).
Lentler's Name: Lenders Adtlress:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aflirm thet under penalty oi perjury.that I am E%EMPT FROM THE CON7RAC70RS LICENSE LAW tor Ihe following reason (Sec. 7031.5, eusiness and Professions
Cotle: My ciry or counry whic� requires a pertnit to construct, alter, improve, tlemolish, or repair any structura, pnor to its issuance, also requires the epplicant for such permit
b tile a signed statement thet he or she is Ilcensetl pursuant b the provisions at the Camractors License Law (Chapter 9(commencing with Sectlon 7000) ot Division 3 ot the
Busineu antl Protessions Code) or that he or s�e is exempt therefrom and the besis for Ihe ellegad exemption. Any violation of Section 7031.5 6y any applicant for e pertnit
subjects the epplicant to e civll penaliy oi not more ihan tive hundred dollars ($500).):
❑ I, as owner oi the properry, or my employaes with wages es Iheir sole compensetion, WILL DO THE WORK, and the siructure Is not Intanded or offeretl tor sale (Sec.
7044, Business and Professions Cotle: The Contractors License Law does not apply to en owner of property who builds or improves ihereon, and who tloes such work
himseN or herselt or ihrough his or her own employees, provided thet such improvements ere not intended or ottered for sale. If, howaver, the building or improvement Is
sold within one year of wmpletion, the ownerbuiltler will have the burden of proving that he or she did not builtl or improve for purpose of sele.). �
�I, as owner of the O�operty, am EXCLUSIVELV CONTRACTING WI7H LICENSED CONTRACTORS to construct tha project (Sec. 7044, eusiness end Pmfessions
Cotle: Tha coniractors License Lew does not appy to an awner of pmpeny who builds or Improves ihereon, end who comrects tor such project with e contrector(s)
license pursuant to the Contrectors License Lews.).
❑ I am gs�m/y�untler sec.
Owner ID Jqp(jbd'by d'rykfs license.
Verilication ot Owners�ip by (rype ol
Business entl Protessions Code lor this reason:
�- �noe'
exao-es: _ ly o4
i.e. - properry tax bill ar tleetl):
DIVISION OF INDUS7RIAL SAFETY PERMIT CERTIFICATON:
❑ I hereby certify that no excavetion five (5) or more tee� in tlepih into which a person is requiretl to descentl, will he matle in connection with work authonzed by �his
pertnit, and thet no building structure, scattolding, falsework, or demolition or dismantling Ihereof, will be more than thirty-six (3fi) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Calitomia AtlministraWe Code).
❑ As owner-builder, 1 will not employ anyone to do work whic� would require e permit irom the Division of Industrial Satery, as noted ebove, unleu such person hes e
pertnit to tlo such work trom the division.
Signa[ure: Date:
Division of Industrial Satery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUfHO T10N OF ENTAV: I certity under penalry of perjury that I have read this applica6on and state ihat the infortnation given is
correcL I a ee to compty with all state 1 s d ciry ortlinances relaiing Io building consiruction, and authonze representatives of Ihe Ciry of Costa Mese to enter upon the
ebove-des ' bed property tor' spe IL�ion r ses. I agree not to acupy or allow occupancy of any building auth[ori'ze� y Ihis rmit until finel inspection.
7/i 7��
SignaNr LegalO n� s) �— Date
COOE�' �INSPECTONTYVE' � '�" " PAIE ' �'INIIDSLfl
1616 FixeO System Final Fire Pravention
1266
r��
Pool Spa Final
Final Re-Root
201 Final Block/Retaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
" " 'fzQQ�(' INSPEC710NTYPE �
206 Final Mechanical
20B Final Plumbing
-210 � Final Electrical � •
212 Final Fire Prevention
' 220 - Pinal Planning Approval ' '
222 Final Site
250 Final Building/Occupancy
Date
�� Z
(714) 754=5273 •'Fax (714)�754d856 •�www.ci.costa-mesa€�.�TRICAL PERMIT n FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
� Vicinity:
Parcel Nunmber:
2310 HALF MOON LN
LOT 14
TPN00519
Stams: ISSUED
Applied: 04/27/2005
Issued: 04/27/2005
Applicant: WILLIAMS, GARY :-� �
-- -=>"�+':�:. °`��"^— ISSUEDBY:
Address: 1450 N. TUSTIN AVE,-'� �; �'_ � -_ � - . -- , �`_`, '.�,�^�.,� �; ,---
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SANTA ANA CA �� � � 1 Zip 92705 � 1 �� t / ��.. "� ,�,, .
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SHEA HOMES LTD �,: � - ; \ �' \� \r `j / ` y .\
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603 SOUTH VACENCIA AVE' ��'-�
..... �'�. . ,.�?� ���=' Phone: 714-985-1300 � \;` � `,� �/ / � '' \\'�:.
Zip:
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�"-� i'' �" ,-, v; r,r v SCOPE OF: BERMIT ,. "',�� ;'
' "LOT 14/PL'AN 2A 'i rt -� � 1,�7 ' 1 � .
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�. ',;',i',ELECTRICAL PERMIT FOR NEW 2560 SF SINGLE FAMILY RESIDENCE FOR "SHEA HOMES'l' INSTALL
�+ 2 LIGHT FIXTURES, 3 RECEPTAC'L'E,OUTLETS, & 1 SWITCH IN GARAGE, AND 1 RES A/C .
'PACKAGE. ifi.��/ i.q,� �,Z,U..-�� , �.. c�....16��r
_ �� .
,`,� �. - . - - _ . _ . _
' ,. REF: BOS-00173 ` ' '-� �- - ^ - - t' k --� �
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FEE SUMMARY `
� r� ,
_: ;', : Quantity � � ! Quanhty , )
ISSUE FEE'"� � ` `� , $23.50 . =.';� ;',�T mp;Dist System / Lighting $0.00 „�0 � � �� �% �
Temp seryice test - $0.00 ` � � � � Busway /900 R $0.00 ���, ; 0 ' .'
,�
Res. a/c package ', ��$54 50 � Standing Sechonp $0 00 j r'% 0. � '� _'
New Res (1-2 units) � � � $143.36, � 2560 ,� Misc" Electnca� Eguipment �= $0 00% 0 ; �
New Res (3+units) /, $0.00�� � ; 0 �,Y ' � � � � �`�,- �Transforrtiers`up"to�t kva/kw�� .$Oi00 _ 0 � �� �,��
Pool/Spa � � �,�/ $Q00���-,�0 � ,'� ' = �i up�to'10kva/kw �� � $000���0a �'!
Lighting Fixts �' \Tti ��-�r ..$2.20 �- �2� � � .. .up�to�50kva/kw�i� $0.00�-�jr0� �,} �� -
Recept Outlets '�,�,� � $3.30�, �.3 ��1 ,� � - � - .up,to 100.kva/kw! $0.00';� � 0 �. �."
Switches _ '- � $1 10 . � 1 '- �. -� over4100'k`va/kw r$0 OOi:� 0,�� �
Non Res A'ppl � ��� � $0.0_0,' 0--.,� .._ - Low Voltage'Equipment ��� $0 00� �0', �
Res Appl; ` . :30.00 � .. � � 0.; : f,� �Low Volt Wving System / Ckt � � f $0'00�.` �-0' � � �
Service to 200a ��$0:00, .,, 0 � � � - ` � �Misc: Contluit � � 's � ' $0:00 %r ��0
Serviceto1000a $0.00=��" 0 � - �� ��Misc'�Conductor„�a ,.� �$0.00- 0
�- �
Service over 1000a $0.00 - ��"� ��0 ' , � � � �Circus ( gen or-ride) -�'�� $0:00 0
Motors to 1 hp $0.00 ';�0 _� � Circus (mech ride oclights');r--' $0.00 0
Motorsro70hp $0.00 0� - - . .'ChriStmasTree�Stand�' � 50.00 0
Motors to 50hp $0.00 0 '"-- �-'_Firevrorks SWnd� $0.00 0
NOTICE: The work authorized by this permit shall comply �with all applicable handicap access requirements under Califomia statutes and related
regulatlons. (Ord. No.�92-28,�§-1, 12-21-92)
'�EXBIRATION: This�.permit shall automatically axpire and become void if work is'not commenced within 180�days,�or it work is suspended or abandoned
ior a�penod of 180 days.
INSPECTIONS: 'In order��forthe.work authorized under this�permit to be considered legal, such work must comply with all applicable codes, and all
�requlred Inapectlona.and.finel�approval:musYbe obtained.'Failure to obtain inspections and final approval�will result In the expiration of this permit.
FOR INSPECTIONS CALL: �(714) 754b626
24464fi (H�00�
WORKERS'COMPENSAnON DECLARAnON: � � ' � �
I hereby eHirm under penalry oi Derjury one ot Ihe following declaiations:' - -
❑ I have end will meintein a certiliwte of consent to setl-Insure for workers' compensation, as provided tor by section 3700 of Ihe Labor Code, tor the pertortnance of ihe
work for which this permit is issuetl. " � ' � � ' � � � �
❑ I have and will mainWin workers' compensation insurance, es requiratl by section 3700 of the Labor Cotle, for tha pertortnance of Ne work for which tliis pertnit is issued.
My woAcers' wmpensation Insurance carner and policy number ere: � . ..
Carder. Policy Num6er. '
(This section need nof be comp/etetl i! (he permit is valued af one hundred dollars ($f 00J or less.)
ISS� 1 cetlify lhat in ihe perfortnance ot the work for whlch ihis pe it I5 issued, I shall not employ any person in any manner so as to become subject lo the workers'
7v cbmpensatlon laws at Calilomla nd agree that ii I shou d e subject to e workers' compensetion provisions ol ction 3700 oi the La6or Code, I shall fonhwiih
comply with �hese provisions. . �
Applicant Signature: Date: �J� %���
WARNIN�: FAILURE TO SEC RE WORKE PENSATION Q�VEMGE IS lLAW AND SHALL $UBIECT AN EMPLOVER TO CPIFIINAL PENALTIES AND CNIL FlNES UP TOONE HUNDRED
THOUSAND DOILAPE (5100. OI�O THE 00.5T OF COMPENSATI GES AS PROVIDED FOR IN SECTION 3]Ofi OF THE LABOR CODE, INTEREST, AND ATTORNEI"S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aflirm Ihat I am licensed under provislons of Chapier 9(commencing with Section 7000) of Division 3 ot the Business antl Professions Code, entl my license Is in full
lorce entl aflect. Llc. tl Cless #
Con�rectoYs Signeture: Da[e:
CONSTRUCTION LENDING AGENCV:
❑ I hereby aftirm that there is a consWction lentling agency for the pedormance ot the work for w�ich ihis permil is issuetl. (Sec. 3097, Civil Code).
Lentlers Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATONS:
I hereby efflrm that untler penalry oi perjury ihat 1 am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for t�e fWlowing reason (Sec. 7031.5, Busineu end Protessions
Code: Any ciry or counry which raquires a permit to construct, alter, improve, tlemolis�, or repair any structure, prior m its issuance, also requires the applicant for such permit
to file a signetl stetement thet he or she is Ilcensed pursuant to the provisions of the Contractors License Law (Chapter 9(commencinq wiN Section 7000) of DiWsian 3 of t�e
Busineu and Professions Cotle) or thet he or she is exempt therafrom and the basis tor the elleged exemption. Any violetion of Sadion 7031.5 Dy eny applicent for e parmit
subjects the epplicent to e civil penalry oi not more than five hundred dollars ($500).):
❑ I, as owner of the properry, or my employaes with wages es Iheir sole compensatlon, WILL DO THE WORK, end ihe structura Is not Intentletl or otteretl for sale (Sec.
7044, 8usiness and Prolessions Code: lTe Contractors License Lew does not apply to an owner of property who builds or improves �hereon, and who tloes such work
himself or hersetl or through his or her own employees, provided that such improvemenis ere not intended or offered for sale. If, however, the builtling or improvement is
sold within one yeer of comple�ion, the owner-Duiltler will have the burden of proving that he or she did not build or improve for purpose of sale.). �
ifA I, es owner of the D�aPeny, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consirua ihe project (Sec. 7044, Business and Professions
�� Code: The contrectors License Lew does not app1Y to an owner ot proparry who huilds or Impmves �hereon, and who contrects for such project with a conirector(s)
license pursuant to the Conirectors Li nse Laws.).
❑ I em axemp der sec. Business and Protessions Cotle for Ihis reason:
Signature: Data: � t �
Owner ID ritied dnv rs license. �Yes o Driver's License No. � Expires:
Verification ot nership by (rype of tlocument, i.e. - properry tax bill or deed):
DIVISION OF INDUSTRIAL SAFEN PERMR CERTIFICATION: �
❑ I hereDy cerlity thet no excavation five (5) or more teet in dapth into which e person is required to descend, will be made in connection with work au�horizetl Dy ihis
permi�, and ihat no building sWcture, scallolding, falsework, or demolition or dismantlinq thereof, will be more than thirty-six (36) feat high. (Chap. 32, Grp 2, Art 2, Sec.
347, Title B, Califomia Atlminisirative Code).
❑ As ownar-builder, I will not employ anyone to tlo work which would require e pertnit from the Division ot Industrial Satery, as notetl ebove, unless such person hes e
permit to tlo such work irom the division.
SignaWre: Date:
Division of Intlustrial Safery Pertnit Number:
CERTIFlCATE OF COMPLIANCE AND AUfMORVA710N OF ENTAY: I ceniy under penalry of perjury that I have read this application antl s�ate Ihat the Infortnation given is
correct. I a e ro comply with all state law ity ordinances ralating to builGing construction, antl au�hodze representatives of the Ciry of Costa Mesa to enter upon tha
above-des i ed property tor i spectio p es. I agree not to cupy or allow occupancy of any building authonzed Ihis p mi� uniil final inspection.
v ��J`d�-
Siqnature OI Le9a1 O er( ��y Date
COOE �' INSPECTIONTYPE • � " -
1816 Fixed System Final Fire Prevention
1266 Pool Spa Final
200 Final Re=Roof '
201 Final BIocWRetaining Wall
202 '� Final Factory Fire Place _
203 Final Sign
204 Final Demolition
. . p� . . a.�� ..
CODE1 INSPECTIONTYPE•" '-
206 Final Mechanical
20B Final Plumbing
' 210 ' Fin21 Electrical ' �
212 Final Fire Prevention
220 ' Final Planning Approval� ��
222 � Pinal Site � �
250 Final BuiltlincyOccupancy �