HomeMy WebLinkAbout2311 HALF MOON LN - Building Permits,
(714) 754-5273 • Fa�c (714) 754-4056 • www.ci.costa-mesa.BUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 2311 HALF MOON LN
Suite:
Vicinity: LOT 6
Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construction: V-N
Parcel Number: TPN00508 Zoning:
Applicant: WILLIAMS, GARY
Address: 1450 N. TUSTIN AVE
Owner:
Address
Contractor:
Address:
SANTA ANA, CA ,
SHEA HOMES LTD
603 SOUTH�VALENCIA AVE
i�
BREA, CA � � .
OWNER-BUILDER
P
Zip: , �. .
�
Arch : WILLIAM HEZMALHALCH '
Address: WILLIAM HEZMALHALCH ARCHITECTS INC �
SANTA ANA, �CA , Phdne: 949-250-0607
2850 REDHILL AV STE 200
Phone: 714-245-9760 X24
Zip: 92705 �
Phone: 714-985-1300 �
Zlp: 92823 .. . �
Phone:
License: 000000
Eng: '
Address:
Status: ISSUED
Applied: 01/31/2005
Issued: 04/15/2005
ISSUED BY: (
Phone:
Zip: 92705-5543 License: C12920 License:
_ SCOPE OF PERMIi _
LOT6 ,-' '- 'r . _ _ ' ' , .
PLANS 18 _ . . . _ - • . _. �
CONSTRUCT 2257 SF 2-STORY SFD WITH 457 ATTACHED GARAGE. FIRST FLOOR 1036 SF WITH 1221 SF SECOND STORY. A 126 SF
COVERED PORCH WILL BE CONSTRUCT AT THE FRONT OF THE DWELLING. A FIREPLACE MODEL t14236 (ANSI ULt27) WILI BE INSTALLED
IN THE FAMILY ROOM; THERE . � � ., �
WILL BE A 2ND FLOOR LAUNDRY ROOM. - - - - - , - . . . � �
REF: G04-00010, PA-03-47, T-03-06 � - � � � �
SEE PA-03-47/T-16600 � �
Plan Check: $279.79
Permit: ,$1,721.75
SMIP Res: $22.96
SMIP Com: $0:00
Other: $0.00
Inspection: . $0.00
Total: �$2,024.50
SETBACKS
FEE SUMMARY ' .
Calc Valuation: S22s,sa2s2
Claim Valuafion: $o.00
PLANNING & ZONING
e
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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 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for Ihe work authorized under this permit to be consideretl legal, such work must comply with all applicable codes, end all
requlred inspeetlons and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2dA6-08 (N00)
WORKERS'COMPENSAnON OECLARAnON:
I hereby eHirtn under penalty ot perjury one oi Ihe following declaretions:
� I heve end will meintein 8�etlificate of consent to sell-Insure for workers' compensation, es pmvided lar by section 3700 of Ihe Lebor Code, for the pertormance of the
work for which this permit is issued. �
❑ I have entl will meintain wo�kers' crompensation insurence, es reQuired by section 370o af the Labor Cotle, for the pedortnance of the work for which Mis pertnit is issued.
My workers' compensetlon Insurence cerder entl policy number ere: �
Cartier. Policy Num6er.
(This section need nof be crompletetl il the permit is valuetl af one hunOred dollars ($100) or less.)
��certify [hat in the peAormance ol the work br w ich Ihis pertnit is Issued, I shell not employ eny person in any manner so as to become subject to the workers'
ompensation laws ol lifomie, and agree tl should become sub�ect to the workars' campansetion provisions o1 Section 3700 ot the Labor Cotle, I shell forthwlth
cromply with these pr ' ons. �7�
A�pJ„r� �;Sig` ura' �✓ � • �D'e��;�...� �S�_i�
WARNING: FA URE TO SECURE � ERS' COMPENSATIOf OVER � IS UNLAWFUL AND SHALL SUBIECt AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED
TYIOUSAN� RE(St0p,00p N�DITIONTOTMECOST NSATION,OAMAGES/SPROVIDEDFORINSECTION31060FTHEIABORCADE,IMEREST,RNDATTORNEY'SFEES.
IICENSED CONTRACTORS DECLARATION:
I here6y attirm ihat I am license�l untler provisions of Chapter 9(commencing wilh Section 7000) of Division 3 ot Ihe Business antl Protessions Code, and my license is in full
force and eftect. Lia • Cless k
Contrador's Signature: Date:
CONSTAUCTION LENDING AGENCV:
❑ I hereby aRirtn that there i5 a construction lending agency for the pedormance ot Ihe work br which this permit is issuad. (Sec. 3097, Civil Cotle).
Lentler's Name: Lentler's Address:
I Signatura: Date:
OWNER-BUILDER DECIARAY��NS:
I hereby effirm that untler penalry ol perjury that I em E%EMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7037.5, Business and Protesslons
Code: Any ciry or coun�y which feQuires a permit b construc�, el�er, improve, tlamoli5h, or repair any simcture, prior to its is5uance, also requires t�e applicant for SUch permi�
to file e signed stetement thet he or she is licensad pursuent Io the provislons ol Ihe Contrectors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of the
Business end Professions Code) or thet �e or she I5 ezempt therefrom end the basls for Ihe elleged eaempiion. Any violation ot Section 7037.5 by any applicant for a pertnit
subjetis ihe epPlicani to e civil penelry of not more then live huntlretl tlollars ($500).):
�'�1; as owner of Ihe property. or my employees with weqes es Iheir sole compensetion, WILL DO THE WORK, and Ihe simcture is not intended or oMered for sale (Sec.
7044. Business antl Professions Cotle: The Contractors License Law does not apply �o an owner of properry who builtls or improves thereon, and who does such work
himself or �erSeN or t�muQh his or her own employees, provided lhal such impmvements ere not intendetl or aflered for sale. If, however, ihe building or impro�ement is
sold within one year of coinp�etion, the ownar-�uilder will heve ihe burden of proving Ihal he or she tlitl not huild or improve for purpose ot sale.).
❑ I, es owner ot the properry. em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to wnstruct Ihe project (Sec. 7044, Business an0 Professions
Cotla: The comractors Licanse Law does not appy ro en owner of pmpeny who bulltls or Improves thereon, and who wnireas lor such project wim a comractor(s)
license pursuani �o the Contraclo� Liypnse Laws.).
❑ I em exemy� under 5ac� _����� l� Business and Pmfessions Cotle for Ihis reason: _ _
r's IicBnse. � 0 No �
by (type oi documem, i.e. - property tax bill or deetl):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereDy cenify that no exca�ation tiva (5) or more teet in depih into which a person is required to descend, will be made in connection with work authonzed by this
permit, and that no building sWdure, scaflolding, talsework, or demolition or dismantling thereot, will be more than Ihirry-six (36) feet high. (Chap. 32, Gry 2, An 2, Sec.
341, Tile B, Calitomia AtlrYiinisirative Cotle).
❑ As owner-builder, I will not employ enyone to tlo work which would require e permit irom ihe Division of Industnal Safery, as noted above, unless such person has a
pertnii to do such work from the division.
SignaWre: Date:
Division ot Indusirial Safery Pennit Number.
HAZAHDOUS MATERIALS AND EMISSIONS CERTIFICATON:
1 Will ihe applicant or present or future building occupant nead to file and certiry a Business Plan lor emergency response to release or ihreatened release of a hazardous
matenal? ❑ Ve5 ❑ No
(Section 25505 of ihe Califomia Heall� and SafeN Code requires, wi�h some exceptions, Ihat a Business Plan be tiled with the Casta Mesa Fire Department by every
business which has at any one time during a reported year a quantiry of hazardous matenals equal to or greater Ihan e weiqht of 500 pounds, or e volume ol 55 gallons,
or 200 cubic feet oi compressed gas at standard temperaWre antl pressure).
..__'..... ... .........................................
...................................................................... .. .. . .. .... ............................................................................................................. . .
............... .......................
2 Does or will ihe applicant or present or fuNre building occupant need to lile e registration form for ecutely hazartlous meteriais. ❑ Yes 0 No
(Section 25533 oi the Califomia Health antl Salery Code, with some exce�tlons, requires registretlon with the Costa Mese Fire Department by each busineu whic� at any
one time has on hand e quaniiry of ewtely hazerdous metenels equa to or greater than e weight of 500 pounds, or a volume of 55 gallons, or 200 cubic teet of
wmpresseC gas at stantla�C temperature ena pressure).
..................................................................................................................................................................................................................................................................................................................................................................................._.
3 Does or will Ihe applicant or present or future building occupant neetl �o prepare an RMPP (Risk Management antl Prevention Program lor acutety �azartlous materials)?
l ol the Calito�nia Health an0 Safery Code provides ihat ihe Costa Mesa Fire Deparimem may i
an RMPP by businesses which are required to register acutely hazertlous matenals with Ihe Fire
an
Ves
certification and filing with Ihe Fire
5 Does or will ihe aDPliwnt or p�esem or iuwre ounaing occupenc reqwre ior me worx wrncn is me suoiem oi �ms a Oiicanon a armn mr surn consirucnon or motlmcanon
tmm ihe Soulh Coast Air DUaliry Managemenl Distnct or Irom any other eir polWtion con��ol tll5��ici o� egBnCy? � Yes No
(Section 658502 of ihe CaAfornia Govemmem CoOa requires that the reduesied inbrmation be furnishetl on applications for nomresitlential buildinq permits).
.................................................................................................................................................................................................................................................................._...............
........................ ........................................................................
6 W ill any Dart ot Ihe �aciliry IO 6e conslrucied under �his permit be wiihin 1000 feet irom Ihe ou�er boundarles of a school7 ❑ Ves ❑ No
(It "yes', the lacility must mUet the requiremeni of Sections 25534 and 42303 ol the Calibmia Healih en0 Satety Code).
.......................................................................................................................................................................................................................................................................................................................................................................................
7 II a pertnit from the South Coest Air Oualiry Menagement Disirict or other el� pollution coNml disirict or egency is required br tha work which is ihe suDlect of ihis
application, have all ot ihe disclosures prescdbetl 6y Celifornla Health and Safery Code Sectlon 42303 been matle? ❑ Ves ❑ No
.....................................................................................................................................................................................................................................................................................................................................................................................
B QI yes', attach certificate of compliance from !he apP�opriate eir pollutian control oHicer).
CERTIFICATE OF COMPL�ANCE: I certity Ihat under penaliy of DeQury the inbrma�ion given ebove is correc�. I egree to comply with all state laws antl ciry ortlinances
reqarding Hazardous Materials and Emissions.
Signalure: �a�e:
CERTIflCATE OF COMPLJANCE AND AUfHORIZA710N OF ENiAV: I certify untler penal�y of perjury ihat I �ave read Ihis epplication and state Ihat the information given is
wrreci. I rae to wmply with 811 staG antl clty ordinances relating to 6uilding cons�mction, end authorize representatives of t�e Ciry of Casta Mesa to enter u0on the
ebove-0 c etl ro ert � r inSP CY rposes. ee nol lo occupy or allow wcupancy of eny huilding auihorizetl 6y /1pis per/m}t umil iinal inspection.
P P Y9_� _ "_ /I.�//�
w-✓
Sf-�Wya'6�'Cegel' ner(s) . Lf]ate„_,,,,��
CODE �. INSPECTIONTYVE
1fi16 Fixetl System Final Fire Prevemion
1266 Pool Spe Final
200 Final Ra-Rool
201 Finel BIacWRetaining Well
202 Final Factory Fire Place
203 Fina15ipn
204 Final Demolition
D�TE INiIiIRLS
COUEA INSPECTIONTYPE
206 Final Mechanical
20B Finel Plumbing
210 Final Eleclrical
212 Flnal Fire Prevention
220 Final Planning Approval
222 Flnal Slte
250� FinalBuiltling/Occupancy
Da�e
DAiE
3�Lr Y
INTRULS
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
ELECTRICAL PERMIT
Job Address:
Suite No
Vicinity:
Parcef Nunmber:
2311 HALF MOON LN
THROUGH OUT HOUSE
TPN00508
�r— � 'k" ' C''�,,'':��,..- -�
Applicant: WILLIAMS,GARY ��t�.�-�'l�C`2�'"�,°-,� �� ; `.� ISSUEDBY:
.C�,j.,g' � t, . �} , .` -._ y, . .
Address: � 1450 N TUSTIN AVEa9"��� `� ,,-;�Y t '-, -.. '"�`'y�
, th ;` '
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�a§6ontractor �
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,
Status: ISSUED
Applied: 05/10/2005
Issued: 05/11/2005
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NTA �A<CAy�x�.y,� t , � Zip �� 92705 � ` / // '�� �` `�
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iEA HOMES,LTD fyaa� � ���y�:?,� � % �''�',J��
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S SOUTH VALENCIA+AVE � - -
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� ,� /twS�{�', ,�L " Phane: 714-9854300 �`.L�� �✓���jjj _. A �C
EA CA :-; �'�' Zip: 92823 \;� �'` � � `f \` '}p
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NNER-BUILDER 3 / '� `` ;' �> �\``\ `�� �/�`\
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License: 000000 % ;,�
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� � � , �� '� f SCOPE OF PERMIT�' ii' � �.�' �°r ��4�
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.ETS AND 2 SWITCHE
BOS00163 i
%
i''. , i
Y,�:' � Quantity
`�$23.50 � i
Temp'service test �; $0;00
� Res. a%c package ��` ` $54:50
New Res (1-2�.uriils) $126:3,9
New Res (3+u'ni4s)�.. �,.��$0.00
Pool / Spa �""�� (�" $0:00
Lighting Fixts y,�'^ Gf $3:30
Recept OutleLs � $5.`50
Switches- �"* �'\,$2-20
Non Res Appl �-:5� $0.00
Res Appl �`-,�$D:00
Service to 200a $0.00
Service to t000a � $0.00
Service over 1000a $0.00
Motors to thp $0.00
Motors to 10hp $0.00
Mo[ors to SOhp $0.00
Motorsto 100hp $0.00
FEE SUMMARY=-=-= `_ •
z.,,�� �,^.?>.
�'��; ���.Temp Dist_System / Lighting
"��U�`:S}'µ° Busway,/i00'ft�:�-
�.,0 n r- ^� � Standing` Section `.;ry-, �;}: ,
�' J "Misc.Elecfical�Eqwpment,'
>_ �E. �� ��_ Transforiners uo tb 1 kva/kw
��4 5��'-�-:..��4�'-�i�.`�,z`_"'�,.�'s�.:
��'.0�`,�l r...:.�� -"� ' LOW
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ti �
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'`�.. ���-� .:��, i��Misc
VITH 457� ATl
i, 4 RECEPT
lLY.
ver=100 kva/kw ���1\
Equipment ��
ing�System�/ Ckt
it` �� � ���f .
cror� �j/
or ride)-�iC/ �,:'
o��,�= ��„�---circus�(mech�ride�oriights)� g0.00
�>����-..--...
0 � ._._,_ � ChnstmasTree�Stend $0.00
0 Fireworks Stand $0.00
0 Other Electrical Fee $0.00
�
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permi� shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inspeetlons and final epproval must be obtained. Failure to obtain inspeclions and final approval will result in the expiration of this pertnil�
FOR INSPECTIONS CALL: (714) 7545626 p�
zaae�ae (r✓oo�
WORKERS'COMPENSAnON DECLARAnON: � ' - � '
I hereby attirm untler penalry of perjury one of ihe tollowing declarationsii � , � � �
❑� I heve and will maintain a certificate of consent to seli-Insure for workers' compensation, es provided tor by section 3700 of ihe Labor Cotle, for ihe peAortnence of the,
work for which�tHis permit is issued. � ' - � � '
❑ I have antl will maintain workers' compenutlon insurance, as required by section 3700 of Iha Labor Code, for the pedortnanca of the work for which this permit is iuued.
My workere' compensation Insurance wrrier and policy number are: � '
Carner: Policy Number: ' '
(This secrion need nof be comp/e(ed i/ [he permif is valuetl at one huntlretl tlollars ($100) or less.) � "
��* ertify thet in the peAormence of the work for wh}'�f tpis permit is issueil, I shall not employ any�person in any manne(so es to become sublect to the workere' . "
� compensailon laws of Californi , and agree that'f K Gid bec e subject to Ihe workers' compensation provisions ot Sectio 37pp ot the Lebor Code, I shell lorthwit�
comply wilh these provision5 �. /�3 //
� pp icant'Si -n �- �� . / � �/ � �_
ARNING'�ECURE W (E COMPENSAji N COV GE IS UNLAWFUL AND SHALL SUflIECT AN EMPLOYER TO CRIMI�NAlilES AND GVIL FlNES UP TOONE HUNDRED
T}IIXISAND DOl1M IS100.0001. ADD ON TO THE c6sT Of PENSATION, OAMAGES AS PROVIOED WR IN SECTION 3IW OF THE LABOR CODE, INTEREST, AND ATTORNEI"S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aMirm Ihat I am licensetl under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the 8usiness antl Pmfessions Coda, and my license Is in full
torce end ettect. Lic. a Clau a
Comreclor's SignaWre: Date:
CONSTRUCTION LENDING AGENCV: . �
❑ I hereby aHirtn that there is a consiruc�ion lenaing agency for the pedormance of Ihe work tor which Ihis permit is issued. (Sec. 3097, Civil Code).
Lenders Name: �ender's Atldress:
SignaNre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eHirtn Ihat under penalry of perlury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7037.5, Business antl Professions
Cotle: Any ciry or counry whic� requires a pertnit to wnsimct, alier, improve, tlemolish, or repair any structure, prior to its issuance, also requires the epplicant for such permit
to file a signed slatament that ha or she is licensed Dursuant m ihe provisions oi the Contractors License Law (Chapter 9(commencing with Sectlon 7000) ot Division 3 oi Ihe
Business and Professions Code) or that ha or sha is ezempt therelrom and ihe besis for ihe alle9ed exemption. Any violation of Section 7031.5 by any epplicant for a permit
subjects the applicant to e civil penalry ot not more then tive hundred dollars ($500).):
❑ I, as owner ol the D��hY. or my employees with wages as their sole compensation, WILL DO TNE WORK, antl the structure is not intentle0 or oftered for sele (Sec.
7044, Busineu antl Professions Code: The Coniractors License Law dces not apply to an owner of property who builds or improves thereon, and who tloes such work
himsetl or herself ar Ihrough his or her own employees, provided that such improvements ere not intended or ottered tor sale. If, howevar, ihe 6uilding or improvement is
sold within one year of completion, the owner-Duiltler will have the burden ot proving thet he or she did not build or improve for purpose of sale.). �
�� as owner ot the property, am EXCLUSNELV CONTRACTING WITH LICENSED CONTRACTORS m coretruct the project (Sec. 7044, Business an0 Protessions
Cotle: 7he contractors License Law does not apply to en owner of propeny who builtls or Improves Ihereon, end who comracts for such project wit� a coNraaor(s)
license pursuam (o ihe Coniradors Licey,se}$ws.).
❑ I am ezempt r sec.
SignaWre'
Owner I veritieC tlrive s license.
Venfica ners�ip by (type ol
Busine5s and Prof855i0ns Cotle �or �his rea5on:
pmperty tax bill or tleetl):
Driver's License No.
Expires:
OIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby cenify that no excevation five (5) or more teet in depih into which a person is required to tlescend, will 6e matle in connection with work authonzetl by t�is
permit, and that no building siructure, scaflolding, talsework, or tlemoli�ion or dismaniling �hereof, will be more than thirty-six (36) feet hig�. (Chap. 32, Grp 2, Ah 2, Sec.
341, Tiile 8, Califomia Atlministrative Code).
❑ As owner-builder, I will nat employ anyone to do work which would require e permit irom the Division of Indusirial Sefery, as noted abave, unlass such person has e
pertnit ta do such work from the tlivision.
Signature: Date:
Division of Indusirial Safery Permit Number:
CEii71FICATE OF COMPLIANCE AND AUTHORVJ1T10N OF ENTRY: I certify untler penalry of perjury Ihat I hava read Ihis application antl state ihat the infortnation given is
correct I agree to comply with all state lews and ciry or nces relating to building constmction, antl authorize representatives of iha City of Costa Mesa to enter upon Ihe
ebove-described propprty for inspection purposes. I agr not to occupy or allow occuDancy ot any builtling authorized by Ihis permit until final inspection.
�pajE � "' INR '- ' ' 'QQpE1 INSPECPONTYPE ' ' ^�
1616 Fixed Sysiem Final Fire Prevention' � � '' 206 �`. Final Mechanical �
1266 Pool Spa Final 208 Final Plumhing
200 Final Re-Roof
201 Final BIocWRe�aining Wall
202 Final Factory Fira Place
203 Final Sign
204 Final Demolition
' - 210 � Final Electricab �
212 Final Fire Prevention
� ' • � 220 � - Final Planning Appmval
222 Final Site
250 Final Building/Occupency
��
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(714) 754-5273 • Fa�c (714) 754-4856 • www.Ci.Costa-mB58.Ca.Us 77 FAIFi DRIVE, COSTA MESA, GA 92626
MECHANICAL PERMIT
Job Address: 2311 HALF MOON LN
Suite No
Vicinity: THROUGH OUT HOUSE
Status: . ISSUED
Applied: OS/10/2005
Issued: 05/11/2005
� - --- ._. �--,., _,_ Q �ni✓1
ParcelNumbec TPN00508 - _- �'-`�-=r"'"-%.�"''�_'`'� ISSUEDBY: `H�K1.J
-- � � ' -.._"�. � - �
, J,�,r,'.„r--' "__ , �.- � r`-^, � �. �, . , _
Applicant: WILLIAMS; GARY,�- � ti �i '� `' ' �` �
,�s �l'r � � ! �� f,�� �
Address: • 7450 N TUST�N AVE, L.�'� , � � � � � `j � ; ; �� � - ��'�.\ �
� ���`� �' � �� _/� � ��_ Phone: �� % 1 !�`� � � ��"�.. .
/ �SANTAANA�CA � \.�-r .�<Zip: -� -92705 �' . ^ \`� � .: �,�� .��� .
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Owner' , SHEA HOMES LTD� �� ` � ��� ��% ��1\
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Address: 603 SOUTH'.VALENCIA AVE �� ?�"l�� � % '„`�
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;'"�.;` �/ /i��r Phone: 714-985-1300 \'�,\` �' ,
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' Ft� �' J[ C:� BREA!.CA" Zip � 92823 ��� A i . , �
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/.�' � ��y_J ��{�� t �.l�l � '- ".\\�\�� �!' .
�IContractor OWNER BUIL-DER "" _,r�`�� ' '. �\ �-- �
jJr.< r`- � �` l� � i�
,� Address �";' . �t r, �� . _ � ' ( , � � ' � ,'
; ��--..ri � t<� s ,�t 7?:y,.lo -� a ` � s ��� -
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'�-- �ii% � � l � ��.1�"-�':i. � i
,�. "` . � � SCOPE OF FERMIT` : _' _ � ,,=;,` ' ��
-LOT 6 s., �: / T � f� ,l �� ); t' J.—" rr,, �{ .� - -.
- PLANS 16 � ti t V L �I 1t d!, t..✓ C'a ��. ._ t � i�<�i .
�� S� . r ` ' — _ -a.r.__TTY��1����. . _ .t . .
� �' MECHANICAL PERMIT FOR THE.CONSTRUCTION OF 2257.SF 2-STORY SFD WITH 457 ATTP
l:i ;. � .- '• � ;^.GARAGE FOR "SHEA HOMES".��, `f#i`^�.,..v-t7""_ ,.�:`r'tx;...k3`".�-.I, ���1,-. . � .
� INSTALL 2 FAU 100�K BTU .1:REPAIRlALT COOLWG/HEAT,.3�FACTORY. FIREPLACE, 5 VENT
�� ��"� , - '�'� FAN/SINGLE DUCT,�3 FIRE'DAMPERS.2:UP_TO 3.HP/.100�K BTU� � ----- �
' '`) l S - � . . �f/ �/ �,
' ��" �- ', REF: 605-00163 ' � �
, ` �r,;i`r �, J
�." �, i
ISSUE FEE, �� j�
Inst FAU <100.k BTU` ,..�
Insl FAU >100 k'�BTU ��
Repair/Alt Cooling/Heat
Inst / Rep. Recess Wall HI
Refrig Sys <�00 k BTUj��
Refrig Sys >100 k BTU' .`�
GasPiping . i`"��
Factory Fireplace
Hood w/Mech ExhauSt
VAV Box
Vent Fan / Single Duct
Appliance
Fire Dampers
Smoke Dampers
Inst or Relocate Appl Vent
�� FEE SUMMARY �
��� � . Quantiry , ' �•� '�.�"Y�. - ,
�; '� � $23.50 ; Repair /�Alt,Absorbtion Umt ,
���`�2980 2 �!, _ � ��?jRepav/AlfRefrigeratio�Und,
/, , �$0 00 0 :,� - ,eVenGllalion System ��"^��
$1370�1 `� � - �"pEvapo�ativeiCooler° �r�
� '� /) $0 00 ��0 �r,� � � � �. Commeicial Incinerato 9�'i
�
���` , j $0 00� 0 �.��..,,1,4` � � �! ' _ �Domestic Incinerato��
. � $0.00� 0�� ��� �• � � � ' Compressors / Abs'oFption.Sys
` .,-$0.00�,':0�`_ �"�---., - -- __Upto3fiP/�100kBTU \`ty
��.A,�.�$1065��,1;�Z - ��-'3To�15hp/500kBTU��(�
��`-$0 00 1 0'� ���� P y ,_-..� r� 15Jo 30 hpt%��j000 k BTU r
� �$0:00 0 �_? i , ' - ' , . � _ � , i � 30 To�50 �fip�/ 1,750 k BTU ��
�$29.00��: 4. _ `� -� •' i �'•. < � , :'Over 50 �hp /-Over 1,750; BTU�
$0.00-_-0- � �- � � �� Boilers _ri.(�`;.. '
$725 1" - ,.--s � _-;=�_Up,t03'fipi��,_.- ,�...
$0.00 0 `.. �— "„_ -' �—_ 3?0_15 hp.'"
$0.00 0 { 15 to 30 hp
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i'/�/� !� `J% "f'{
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� f�� �, $0 00 '� 0'
L $0 00 � 0
� �-+ $0.00r�'0
�\. $0:00; 0
�� ` $0.00 0
��, G� _/r,'$o:oo 0
r i/ . j�,/$29.40
.. �'` $0.00
, f�„ � $0.00
, $0.00
$0.00
$0.00
$0.00
$0.00
2
p
0
0
0
��
NOTICE: The work autliorized 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)
EXPiRAT10N: This permit shall automatically ezpire and become void if work is not commenced within 1 BO days, or if work Is�suspended or abandoned
�or a period o� 180 days.
INSPECTIONS: �n oMerfor the work au[honzed under this permit to be considered legal, such work must comply with all applicabla codes, and all �
required Inspectione and final approvel must be obtained. Failure to obtain inspections�and final approval will result in the�expiration of this permiL I
FOR INSPECTIONS CALL: (714) 7545626 / �i
zaawe (dool
WORKERS' COMPENSATION DECLARATION: � ' ' ' � � - �
I hereby eHirtn under penalry of perjury one ot the following tleclarations: ; " '� � � .
❑ I have antl will maintain e cenifiwte oF wnsent to self-Insura tor workers' compensation, es provided for by section 3700 of the Labor Cotle, tor the peAortnance ot ihe
wark for which ihis permit is issuetl. � �� � ' � � -
❑ 1 have antl will maintain workers' compensatlon insurance, as required by seclion 3700 of ihe Lsbor Code, tor Ihe pedortnanca ot tha work tor which Ihis permit is issued. �
My workers' compensation Insurence carner entl policy number are: ' _
Cartier: PoliCy Number: � '
�(T-whis �sect/on neetl not be complefed i/ Me permitls va/ued et ane hundred dollers ($100) or /ess.J '
�u(�I certity Ihat in the pedortnance f�the work for whiih ��rmit is issueil, I shall not employ any person in any manner so es to 6ecome subject to tha workers'
/`� compensatlon laws ol Calilo and egre hat It Itl beco subject ro the workers' compensation proviYi��n 37p0 ot the Lebor Code, I shell forthwith
wmply with these provisio � ///�
�� � � —� �
NING: FAILURE O SECURE W KE COMPENSATI COVE E IS UNLAWFUL AND SHALL SUBIECT AN EMPL EH TO CRIMIWIL PENALTIES AND GVIL FINES UP TOONE HUNDRED
TMOUSAND E(5100,OW ADD TO THE C�OF ENSATION, DAFUGES AS PROVIDED FOR IN SECTION 3]W OF THE LABOR CODE, INTEHEST, MI�ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aMirtn thai I am licensed under provlsions of Chapter 9(commencing with Section 7000) oi Division 3 of the Business and Professions Cotle, and my license is in full
torce end ettect. Lic. q Class k
Contreaofs SignaWre: Date:
CONSTRUCTION LENDING AGENCY: " "�
❑ I here6y attirm that there is e construction lending agenty for ihe pertormance oi �he work for which Ihis pertnit is issuetl. (Sec. 3097, Civil Cotle).
Lentlers Name: Lender's Address:
Signeture: Date:
OWNER-BUILDER DECLARA710NS:
I hereby ettirm thet under penalry ot Derjury �hat I em EXEMPT FROM TME CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions
Code: Any ciry or counry which requires a permii to consiruct, alter, improve, tlemolish, or repair any strucwre, pnor to its issuance, also requires t�e applicant for such pertnit
m File e signed statement thet he ar she is licensed pursuant m the provisions of the Comrectors License Lew (Chapter 9(commencing with Section 7000) ot DiNsion 3 of the
Busineu and Protessions Code) or ihet he or she is exempt Iherefrom and the besis for Ihe elleged e:emption. Any violation oi Section 7031.5 by any applicam for e permit
subjects ihe epplicant to e civll penalry af not more than five hundred dollars ($500).):
❑ I, as owner of Ihe property, or my amployees with wages as �heir sole compensation, WILL DO 7HE WORK, and the structure is not Intentle0 or oflered for sale (Sec.
7044, Business end ProFessions Code: Tha Coniractors License Law tloes not apply to an owner ot property who builds or improves Ihereon, and who dces such work
himseN or hersell or ihrough his or her own employees, provided Ihet such impmvemen�s are not intentletl or oHered for sale. tl, however, ihe building or improvement is
soltl within one year of completion, the owner-builder will have ihe burtlen of proving that he or she did not builtl or improve for purpose of sele.). �
�+ -�es'owner of the property, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sac. 7044, BuSiness end Protessions
Code: The comr ctors License Law d not app1Y to en owner oi propeny who builtls or improves thereon, antl who contrects tor such project wit� a contractoqs)
license pursua�o the Comrectors L�se WwsJ.
❑ I 9�ese�pYunper sec.
�]
by
_ Business end Professions Code tor IhiS ree5on:
oate: _� !/ GS' , i
❑ No Onver's License No. Expires: �� O`�
i.e. - properry taa bill or tleetl):
DIVISION OF INDUSTRIAL SAFETY VERMR CERTIFICATION:
❑ I hereby certify ihet no eacavation five (5) or more feet in deplh into which a person is required to tlescenq will be made in connection with work authonzed by this
pertnit, and that no builtling structure, scattolding, falsework, or demolition or dismantling thereot, will 6e more than ihirty-six (36) feet high. (Chap. 32, Grp 2, Atl 2, Sec.
341, Tltle 8, Calilomia Atlministrative Coda).
❑ As owner-builder, I will not employ anyone to do work which woultl require a permit from the Division of Intlustrial Safety, es notatl ebove, unless such person has e
permit to do such wark Irom the division.
Signature: Date:
Division ol Indusirial Satery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTFI0RVJITION OF EHTAY: I certity under penalty of peryury that I have read this application and state that the inlortnation given is
correcL I agree to comply with all state lews end ciry ortlinances rela�ing to buiitling cons�ruc[ion, end au�horize representatives ot the Ciry of Costa Mesa to enter upon the
ebove-described proparty for inspection purposes.�reynot to occupy or allow occupancy of any building authonzed by this pertnit until final inspection.
. . � . .. c. . Qe� • �:5.
7616 Fixetl Syslem Final Fire Prevention �
7266 Pool Spe Final
200 Finel Re-Rooi � '
201 Final BIocWRetaining Wall
202 FinafFactoryFire�Place
203 Final Sign
204 Final Demolition
�
COUE � ""INSPECTION TYPE • �
206 Final Mechanical ,
208 Final Plumbin9
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval �
222 � Final Site � �
250 Final Building/Occupancy � � �
`� �/F� ..
�
(714) 754-5273 • Fax (714) 754•4856 • www.ci.costa-mesa.ca.us 77�FAIR DRIVE, COSTA MESA, CA 92626
PLUMBING PERMIT
Job Address: 2311 HALF MOON LN Status: ISSUED
� Suite No Applied: OS/10/2005
Issued: 05/11/2005
Vicinity: THROUGH OUT HOUSE
Parcel Nunmbec TPN00508 -� '; ,�; %� - � � _ - ���:r�7�a.� "' �,,., ISSUED BY: FN'�I-� '
. SiJ��: ��%=� - . -- ., _;�'� -^�` ��
Applicant: WILL
Address: 1450.P
r
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���j,., =-Zip: 92705 �� � ,����.�
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Phone:,^714-965-1300 ti��� --
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; i�+i � ` BREA,-,CA Zip: 4u92823 ` � � .* - '
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�� � ( l I i�� M. � ' ^\� _✓ � ` . ; i �j -� �
� i` Contractor ; SOWNER BUILDER.:�,r�� � �_� "' �� _ r � � �
� Address i��.l� � t` # a� fJ!�� __' .-= �- . . � � ,� .
i aaa,,,��� Cti' �
"" .: 'f ` . ���.�� Phone: ). l _ , � '
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{:� � �� ' �---= - Cicense: =000000 = --� = - ' . ��� ,� , .
S i� �`!v , `�'� � �r-y�qrm ; r y�. �— rmrf� � � >,., r--..r.; �V,', ' ]f .
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�� � - � � l s. �'LE' ���.. _ ti, , � . �
- � -- - - - - ' _ rt,.:. . .
�-- H �, SCOPE OF PERMIT rv. , �,
�'�LOT 6 i _ o,/ \ � ��:.....� dw6� j rJi i�i, � � i
� , � -, ;PLANS 16 . - - ;`�%""" --�; •-�,.`= 1 �I�:s �';,, . -� ,
,
� � .� i � l� = _'�= .�'"- : � -,a�,--` �r.�� { � .a r` � i� ,� , , _ - ' � , .
i�� �� PLUMBING PERMIT FOR THE CONSTRUCTION OF'2257�SF2 STORY SFD WITH 457 ATTACHED,GARAGE--'
t,� ,._ �.FOR "SHEA HOMES". %� �% ;:l�' � ��,.� � � � �
� �i WSTALL 2 BATHTUB, 1 DISHWASHER, 1 GAS (1-40UTLETS);�,1 �GAS (OVER 4 OUTLETS, 1 LAUDRY �..� �+
��i�
, zt1 ��•� �TUB/WAHSER, 1 PRESSURE REGULATOR, 1 SEWER'CONNECT-2 SHOWER, 1 KITCHEN SINK,�1 f��`�;-�' ��-✓
, ����'�� °. SERVICE/MOP SINK, 1 VACUUM BRKR BKFLOW,(1-4), 1 WASH BASIN, 2 WASH BASIN SET-,;'I,� �� ��.,, ��,y,��
` � i WASTE AND VENT SYSTEM, 3 WATER HEATER/VENT, 1 WATER PIPING (INST OR REP),� 1SWATER "��
� �, �" SERVICE - - �` ,/�� � �
� , �- � a c ��'�G'� �i j�
'.' � _ , �.. . . �a.� .O i �{'�< "�., J�%/ . '
�!,REF B0500163 �1-�,�r .. � c�_l '+?�a` + b'��-ii/ !-1 1/ '�
\ .. /.'. ��,� A ..,.�i . . .. ,. _ � ��`�''t��'G=��� .. %�',
���
ISSUE FEE
Backflow irrigahon
Backflow Preventer
Bathtub
Clarifer System
Connect Qce,Soda,etc)
Dental Units
Dishwasher
Draiq Floor
Drain, Rainwater
:t �; ��� ,�� . FEE SUMMARYa'� � o�:� i /�,..� /�-,
� AMT�/�pTY '`---� . ' ` AMT �QTY�j'/ �`���li ft�' ,
`��$2350� % LaundryTub/�Washer-;. $9-80-�-1i� r�umpPurrip�/.�;
�.;'$000 `•, 0 i!��Landscapelrrigahon - :_ �$000 � 0 \\SwimmingPool �
`$0�00.�'� 0 I 'PTrap „4 $000 ��0��� ��TiapPrimerf%
$1960�" 2 ��l � <"PressureRegulator��i;�: $9.BOC-�1 � �, Unnal!�lf'i�
$0.001`-. 0-�=�, ��Process'Piping (per"10 ft) �;$0:00 C 0,/ ,�-;Vacuum Brkr Bktlow(1-4)
$0.00 Ov� � �' � Receptors - 1 � `, ; , �� $0.00"" 0 , ��- ' Vacuum Brkr BkFlow(5+)
$0.00 0 . ���Sepfic.Tank, $0.00 �� Oj�%'", --`� Wash Basin
$9.80 � 'Sewer �Cap: for Demo`,�, J$0.00 :0 -`� � Wash Basin Set
$0.00 0 Sewer ConnecY ^--�� —�$24-.65 1 Waste and Vent System
$0.00 0 Sewer Private Line $0.00 0 Water Closet (Toilet)
AMT
$0.00
$0 00
$0.00
$0.00
$12.30
$0.00
$9.80
$19.60
$9.80
$29.40
aTY
0
0
0
0
1
0
1
2
1
3
�NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia slatutes and related
regulations. (Ord. No. 9248, § 7, 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 ihis permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inepeetions and final approval must be obtained. Failure to obtain inspections�and final approval will result in the expiration of this permrt �
FOR INSPECTIONS CALL: (714) 754-5626 �
2446d818100)
WORKERS'COMPENSAnON DECLAHAnON: � ' � �
I �ereby eHirm under penalry of perjury ona ot the following tleclaraiions: `� � ' � �
❑ I have and will meintein a certificate of wnsent to self-Insure tor workers' compensation, es provided tor hy section 3700 oi the Labor Gode, for the peAortnance of t�e
work far which this pertnil is issuad. ' ' ' � � " �
�
❑ I have and will maintain workers' compensation insurance, as required by secqon 3700 ot ihe Labor Code, tor ihe perfortnanca oi Ihe work for which this pertnit is issued: �
My workers' compensetion Insurance carrier and policy number are:
Cerrier. Policy Number. �
is ecfl need nof be comp/efed i/ the permif is velued a( one hundred dollers ($100J or IessJ
I cenity I�aI in ihe peAormente of Ihe work for w�ich t's pertnit is issued, I shall noI employ any person in eny manner so as to become subject to the worker5'
� compensatlon laws of Califor ' antl agree that il I d beco e subject to the workers' compensation provisions of Sectio 3700 f Ihe Lebor Code, I shall fonhwith
comply with ihese provisio .
-�tce � -�—" .oate-�'+' //���
WARNING: FAILURE TO ECURE W E' CqMPEN ON CO GE IS UNLAWFUL AND SHALL SUBJEGT AN EMGLO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED
TqUSANDDOLIME( , ADDI IONTOTNE GYkAPENSATION,DAMAGESASPROVIOEDWRINSECTION3]O60FTHElABORCODE,IMEREST,ANDATTORNEI"SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm t�at I am licensed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 of the Business and Protessions Coda, and my license is in full
force end eHect. Llc. a Class a
ContractoYs Signeture: Dare:
CONSTRUCTION LENDING AGENCV: - �
� I hereby aflirtn that there is a conswction lending agency for Ihe peAormance of Ihe work for which this pertnit is issued. (Sec. 3097, Civil COCe).
Lendefs Neme: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHlrm that under penalry of per�ury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Buslness antl Professions
Code: Any ciry or counry which requires e permit to construa, alter, improve, demolish, or repair any stmcture, pnor to its issuance, also requires Ihe applicant for such pertnit
to file e signetl stetement ihet he or she Is Iicensed pursuent to the provisions of Ihe Contrectors License Lew (Ghapier 9(commencing with Section 7000) ot Division 3 of the
Business anC Protessions Coda) or thet he or she is azempt therefrom end the basis for the alleged ezemption. Any violation oi Section 7031.5 6y any eOD�icant for e pertnit
subjects ihe epplicant to a civil penelry of not more than five huntlre0 tlollars ($500).):
❑ I, as owner of ihe property, or my employees with weges as Iheir sole compensation, WILL DO THE WORK, and Ihe siructure is not intended or offeretl for sale (Sec.
7044, Business antl Professions Coda: The Contractors license Law does not apply to an owner of properry who builds or improves thereon, and who tloes such work
himseN or hersell or through his or her own employees, provitletl that such improvements are nat Intended or oHered for sale. If, however, the building or improvement is
sold within one year oi completion, ihe ownerbuilder will have tha burden ot proving ihat he or she did not build or improve for purpose of salaJ.
I, as owner oi the properry, am EXCWSIVELY CONTRACTNG WITT1 LICENSED CONTRACTORS to construct the project (Sec. 7044, eusiness entl Pmfessions
�� Code: The wntrectors License Law does not eppy to an owner oi property who Dulltls or Improves thereon, antl who contracts for such project with a contractor(s)
license pursuant to ihe Conirectors License ws.).
❑ I am exempt, er sec. ^`�, ,�� ,(J eusiness and Professions Code for Ihis reason: � f �
�. s licen5e. ❑ No Drivers LicenSe No. �' �
6y (type of d n�, I.e. - propeRy �ax bill or tleed):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION:
❑ I hereby cenify that no excavetion tive (5) or more teet in depth into which e person is required to descenq wiil be matle in connection with work authonzed by Ihis
pertnit, and that no building siruciure, scallolding, falsework, or tlemolition or dismantling thereol, will ba more than ihirty-six (36) teat high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle 8, California Administrative Code).
❑ As owner-builder, I will nat employ anyone to do work whic� would require a pertnit irom ihe Division af Industrial Sefety, es noted ebove, unless such person hes e
permit to tlo such work from Ihe Givision.
Signature:
Division of Indusirial Sefery Pertnit Number:
Date:
CERTIFICATE OF COMPLIANCE AND AUfHORVJITON OF EMAV: I certify under penalry ot perjury Ihat I have read this application and state Ihat the infortnation given is
correct. I agree to wmply wit� all stete laws entl ciry ordinances relating to building consiruction, entl euthonze representatives of the Ciry of Costa Mesa b enter upon Ihe
above-described property for inspection purp�ses. I egree not to occupy or allow occu0ancy of any building authorized by this permit until tinal inspection.
1616
1266
200
201
202
203
2
INSPECTIONTYPE ' ' � ' "
Fiaetl System Final Fire Prevention `
Pool Spa Final
Finel fie-Root " '
'" .��jf•••, .• INfIfIALS.
Final Block/Retaining Wall
Final Factory.Fire Place � � ' -
Final Sign
Final Demolition
CODEI'� INSPECTIONTYPE • • � -
206 Final Mechanical
20B Final Plumbing
270 Final Elecirical .
272 Final Fire Prevention
220 Final Planning Approval '
222 Final Site � '
250 Final Building/Occupancy " �
. %g � ' - 1t�Lfr
3� � �
INSULATION CERTIFICATE
This rs to certify that insulation has been installed in conformance with the current energy
�egulation, California Administrative Code, Title 24, State of California, in the building located at
a'�_�ALF MOON LANE-P�HSLOT 6CT 16600-COSTA MESA
CEILINGS:
TYPE: Fiberglass Batts MANUFACTURER: Owens/Corning THICKNESS: R-19 6-1/2"
WALLS:
7YPE: Fiberglass Batts MANUFACTURER: Owens/Corning THICKNESS: R-13 3 1/2"
GENERAL CONTRACTOR: SHEA HOMES
�
TITLE:
LICENSE#
SCHMID INSULATION CONTRACTORS, INC. LICENSE #221517 C-2
BY: �r�.t �Cv�n��, 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-6
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
BY:
SCHMID INSULATION CONTRACTORS, INC.
THICKNESS: R-13 3 1/2"
UCENSE #
LICENSE #221517 C-2
BY: �� ry� TITLE: PRODUCTION ASSISTANT DATE: 02/07/2006
ANNETTE PA TERSON
!'��'"j�'!�S'�'I�,�C
NA CONOI710NMG MC.
Installation Certificata : Residential Ck'-6R
Site Address
2311 HAI,F MOON LANE Bldg: - Unit: -�
1. BUfLAER J1vFORMATION
Shw Homes
603 S. ValenciaAvcuuc
$rea, CA 9Z823
IN5TnLLIIdG CONI'RACI'OR:
2. PROJECT IlYk'ORMATION
DISTRII3UTION TYPE
Flcxible Duct�wrk in
Attic anfl Bcnvecn Floors
STJ$DIVZSTON: iiaif Moon i.ane
CTTY: COSTA MESA
COUNTY: ORAN(�iE
WESTI'AC A.I� CONAITIONING
� N •:--�` -` -
Fleu'blc Ductwork Will luve
a R-Vnlue of 4.20 ot Better
I, the undersignod, veriCy fhat the equipment ]isted in the category above my signatute is the equipmeat inscalled and that the equipment
mau or exceeds the requirements of the Appliance Efiiciency Standards. In aeidition, I have vezified that the equipmeat is equ[valent to or
more efCicient thun the equigment specifieci on the Certificate of Compliance submitted to demonstrate complience with tlae Energy
Efficicncy Standards for residenrial buildings.
3. �ATING iPTFORMATION
HEATING MANLTFACT HEAT[NG i7TIIT AGTUA.L EFF. HL'ATING E UIP HBAT[NG
EOUIP. MAKE MODEL # AFUE CAPACTfY LOAD
Pumace-PAU 1 Lcunox G40UH-48B-090X 80%
4. COOLING IN'FORMATION
COO � G �E MODBL # R AC S� EFF. CO�AG� UIP HBAOT� (}
Coil-FAU 1
A/C-STD fiS26
Allsrylo
I.ennox
LENNOX
ASF!N48-18A31TtS
lOACC-042
FER
10
Thc building design heat loss and design heat gain ratc havc bccn detemrined using a method specified in Section
I50(h) of the Energy Efficiency Standards, and are two oF the aiteria used for equipment sizing and selecrion.
s. �xr�cosrn�nc ��enNsro�v v.ai.vE �zxv�:
Thermostatic $zpansion Valvc (or Commision approved equivalent) is installcd and access is provided for inspecrion.
6. SUF3MITTED BY:
WESTPAC AIIi CONDITIOIV�NG
Si�atiue Installing HVAC Contractor
\\ClnirclCrystilRcprnCa\PurchacinglCF6R ReporGrpl
JobIF: d889 LoI: G 91dg: - Unit: -
0
YES Q NO Q N/A Q
6/30/2006
Datc
See 190 23rd St. for add'I
paperwork covering entire tract.