HomeMy WebLinkAbout2312 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
x; ti ,�:.. �j�
HAL-F�MOON'L"ANE�HS-I-TRACT 16600-COSTA MESA
�, ��' �pC LOT-13
CEILINGS:
TYPE: Fiberglass Batts
W ALLS:
TYPE: Fiberglass Batts
MAN UFACTURER: Owens/Corning
MAN UFACTURER: Owens/Corning
GENERAL CONTRACTOR: SHEA HOMES
�
THICKNESS: R-19 6-1/2"
THICKNESS: R-13 3 1/2"
LICENSE#
SCHMID INSULATION CONTRACTORS, INC. LICENSE #221517 C-2
BY: :�=h-�u� / T 9� vi., 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
CEILINGS:
TYPE: Fiberglass Batts
W ALLS:
TYPE: Fiberglass Batts
HALF MOON LANE-PHS-1-TRACT 16600-COSTA MESA
LOT 13
MAN UFACTU RER: Owens/Corning
MAN U FACTU RER: Owens/Com ing
GENERAL CONTRACTOR: SHEA HOMES
�
SCHMID INSULATION CONTRACTORS, INC.
THICKNESS: R-19 6 1/2"
THICKNESS: R-13 3 1/2"
LICENSE #
LICENSE #221517 G2
BY: TITLE: PRODUCTION ASSISTANT DATE: 11/23/2005
NN TTE PAT ERSON
y'��'I:�TI'�/:
!!�AIR COND�TIONING INC.
Site Address
Installation Certificate : Residential CF-6R
2312 HALF MOON LANE Bidg: - Unit: - � 3-
1. BUILDER INFORMATION
Shea Homes
603 S. Valencia Avenue
Brea, CA 92823
INSTALLING CONTRACTOR:
2. PROJECT INFORMATION
DISTRIBUTION TYPE
Flexible Ductwork in
Attic and Between Floors
PERMIT #
SUBDIVISION: HalfMoon 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 that the equipment lis[ed in the category above my signature is the equipment installed and [hat the equipment mec
or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified that the equipment is equivalent to or more
efficient than the equipment specified on the Certificate of Compliance submitted ro demonstrate complience with the Energy Efficiency
Standards for residential buildings.
3. HEATING INFORMATION
HEOU PG MA� ECT HE� D LUNIT AC AFU EFF. HECA AC TOUIP HLAOTDG
Furnace Lennox G40UH-60C-110X 80%
4. COOLING INFORMATION
COOLING MANUFACT COMPRESSOR ACTUAL EFF. COOLING EpUIP HEATING
EQUIP. MAKE MODEL # SEER CAPACITY LOAD
A/C Lennox lOACC-048 ]0%
The building design heat loss and design heat gain rate have been detertnined using a method specified in Section
150(h) of the Energy Efficiency Standards, and are two of the criteria used for equipment sizing and selection.
5. THERMOSTATIC EXPANSION VALVE (TXV):
Thetmostatic Expansion Valve (or Commision approved equivalent) is installed and access is provided for inspection.
/� YES Q NO Q N/A Q
6. SUBMITTED BY: ` '
���
Signature t talling HVAC Contractor
\W lexis\CrystalReports\Purchasing\CF6R_Report.rp[
Job#: 4887 Lok 13 Bldg: - Unik -
Z� ��
Date
See 190 23�d St. for add'I
paperwork covering entire tract.
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 2312 HALF MOON LN
Suite:
Vicinity: LOT 13
Primary Occ: R3 Dwellings/ Cong Res <10 Type of Construction: V-N
Parcel Number: TPN00520 Zoning:
Applicant: WILLIAMS, GARY _
Address: 1450 N. TUSTIN AVE .,
SANTA ANA, CA .
Owner.
Address
Contractor:
Address:
SHEA FiOMES LTD
603 SOUTH�VALENCIA AVE
BREA, CA � ' -
�
OWNER-BUILDER
� ,
Phone: 714-245-9760 X24
Zip: 92705
�Phone: 714-985-1300
Zip: 92823
Phone:
Status: ISSUED
Applied: 01/31/2005
Issued: 04/18/2005
ISSUED BY:
' Zip: ' , � : Llcense: 000000 � , ; � ' .
Arch : WILLIAM HEZMALHALCH , Eng: ,
� 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 13 ,.,, . . . _ , . _ . _.. - . .. �
PLANS 26 � _ � . _ . _ . . � _ . . "
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-03-07. T-03-06 - � _ ' - � _
SEE PA-03d7/T-'16600 � �
Plan Clieck: $30527
Permit: $1,878.55
SMIP Res: $25.76
SMIP Com: $0.00
Other: $0.00 � �
Inspection: $0.00
Total: $2,209.58
SETBACKS
MAIN STRUCTURE Front 6- 0
FEE SUMMARY
Calc Valuation:.
Claim Valuation:
PLANNING & ZONING
Rear 10- 0 Left 5- 0 Right 5- 0
5257,575.34
50.00
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, 1241-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
tor 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
required Inspaetions and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
eaaeae �a�ou7
WORKERS'COMPENSAnON DECLARAnON: .
I hereby effirm under penalty of perjury one ot Ihe following declaratlons:
❑ I heve end will meintein e certificete of consent to selt-Insure far workers' compensatian, es provitled br by section 3700 of the Lebor Code, for ihe perto:mance of the
work tor which �hi5 permi� i5 i55ued.
❑ I have and will mAintain workers compensetion Insurance, es required by sectlon 3700 0l the La6or Code, Por the peAormance of the work for which ihis pertnit is issuetl.
My workers' crompensatian Insurence carrler end pollcy number ere:
Cerrier Policy Number:
(m/s sectlon need not be crompleted i! the pertnit is velued et one hunOred dollars ($100J or Iess.J
I,certify Iha� in the per
�compensetion laws ol
comply with these Pry
hKK15AN0
oi the work t which this pertnit is issuetl, I shell not employ eny person in any manner so as to become subject to the workers'
, end egr il l should become su6�ec� b fhe workers' compensalion pmvisions oi Secfion 3700 of the Lebor Code, I shall fonhwith
,oa�a _ �/�18�0�
RS' GOA1PENSAT CO OE IS UNLAWFUL AND SHALI SUBIECT AN EMPLpVERTO�CRIMINAI PENALTIES AND QVIL FlNES UP TOONE HUNDRED
IIXJTOTHEWST COMPENSATION,DAMAGESASPROVIDEDFORINSECTION3IO60PTHElA80RCODE.iMEREST,ANDATTORNEVSFEES.
LICENSEU CONTRAC70R5 �ECIARAT10N:
I hereby aRirtn that I am licensed under pmvisions of ChaO�ar 9(commencing with Section 7000) ol Dlvision 3 oi ihe Business antl Professions Code, antl my license is in full
tofCe and ettect. LiC. e Class k
Comradofs Signature: Date�.
CONSTRUCiION LENDING AGENCV:
❑ I hereby attirm that lhere is a construclion lending agency lor the pedormance ot Iha work lor which this permit is issuad. (Sec. 3097, Civil Code).
Len�er'S Name: Lender's Adtlress:
Signeture: Date:
OWNEP•BUILDER DECIARATIONS:
I herehy elfirm that under penalry of Derjury thet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW lor the following raason (Sec. 7031.5, Business and Protessions
Code: Any dty or counry w�ic� requires a permii to constmct, elter, improva, tlemolish, or repair any strucWre, prior to its issuance, also requires the applicant for suc� pertnit
lo file e signed slatem0nt lhat he or she Is Ilcensea pursUent to the pmvisions ol the Cootraclors License Law (Chapter 9(wmmencing with Sectbrt 70W) ot Divlsian 3 of the
Business and Profe55iP�5 Code) or thet he or she is e:empt therefrom end tha basis lor Ihe allegetl exemptian. Any violation of Section 7037.5 hy any applicant for a pertnit
subjacts the appliceN ro a civil penalry of not more than five hundred dollers (5500).):
� Iras,owner of t�e property, or my employees with weges es their sole compensetion, WILL 00 7HE WORK, entl Ne simcture is not intenaed or oflered for sale (Sec.
�7044. Business a�d Professions Code: The Contractors Licensa Law does noi ap01y to en owner oi property who builds or improves iheraon, antl who does such work
himself or herselt or through his or her own employees, provided thec such Impmvements ere not intended or oftered for sala. If, however, t�e builtling or improvement is
sold wi�hin one yBer ol complelion, Ihe owneo-builder will have �he burtlan of prOving �he� he�or 5�6 did no� build or improve �or Durpose ot sale.).
❑ I, as owner ol lhe Oroperry, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct tha prol�� (Sec. 7044, 8usiness and Professions
Code: T�e contractore License Lew tloes noI eppty to en owner ot proparty who builds or Improves thereon, antl w�o contracts tor such project with a conlractor(s)
license pursuant Io Ihe Contrectors License Laws.).
❑ lem
ID ve?tfie�y d(��er s license.
Verification o� OwnersPlp by (type ot
Business and Prolessions Code for this reason:
s_ ❑ No
i.e. - propeny t� bill or deed):
DIVISION OF INDUSTR��.L SAFETV PERMIT CERTIFICATION:
❑ I hereby cenify that no axcavetion live (5) or more feet in depth into which a person is requiretl to descen4 will be matle in connection with work authodzetl by Ihis
permit, and ihat no building structure, scalfolding, falsework, or tlemolition or dismantling �hereot, will be more �han ihirty-six (36) teet high. (C�ap. 32, Grp 2, Art 2, Sec.
347, Title 8, Califomia Adminis�rative Code).
❑ As owner-builtler, � will not em0loy anyone to do work which would require e permit from the Division of Industrial Safery, as notetl a6ove, unless such person has a
permit to tlo such work irom �he division.
Signature: Date:
Oivision ot lntlustrial Saiery Permit Number.
CEHTIFlCATE OF COMPLJANCE AND AUfHORIZATION OF EN7RY: I cenify untler penalry of perjury that I have read ihis epplication end stata Ihat Ihe inlormation given is
correct. I agree to c mply with all sta I ws an0 city ordinances releling lo bullding construqion, antl aut�orize representalives of the City of Costa Mesa to enter upon ihe
ebove-described ehy for ins0e uryoses. gree not m occupy or ellow occupency of eny building authorizetl by this pe�mit until f al inspection.
i _ y�8/ac�
S�g .01:- alOwner(sl De� �—�--.�-'
A r Auihodzed Applicant Date
COOE I. INSVECTIONTYPE
1616 Fixed System Final Fire Prevention
1266 Pool Spe Finel
200 Fin01 Re-Roo�
201 Final Block/RB�aining Wall
202
203
Final Factory Fire Place
Final Sign
204 Final Demolition
P�E INTITIALS
COOE� INSPECTIONTYPE
20fi Final Mec�anical
20B Final Plum6ing
210 Final Elecirical
212 Finel Fire Prevention
22o Final Planning Approval �
222 Final Site
250 FinelBuiltlinglOccupency
Q� INTI111Lg
(774) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 2312 HALF MOON LN
Suite No
Vicinity: LOT 13
Parcel Nunmber. TPN00520
App�icant: WILLIAMS, GARY .'"
Address: 1450 N. TUSTIN AVE � �
SANTA ANA, CA � �
', �
Owner:
Address
Contractor:
; Address:
SHEA HOMES LTD - .
603 SOUTH VALENCIA AVE
r -
BREA;.CA
OWNER-BUILDER
: i,-',
PLUMBING PERMIT
Phone:
Zip: 92705 �
Phone: 714-985-1300
Zip:,.,92823
�• ; �',�'
Phone:
Zip:
License: 000000
Status: ISSUED
Applied: 04/22/2005
Issued: 04/22/2005
ISSUED BY:
' SCOPE OF PERMIT� -
LOT 13
PLAN 2B . . .� .
PLUMBING PERMIT FOR NEW SINGLE FAMILY RESIDENCE FOR "SFiEA HOIv1ES". INSTALL 3 .
BATHTUBS, 1 DISFiWASHER, 7 GAS OUTLETS, 1 WASHER, 1 PRESSURE REGULATOR, 1 SEWER
CONNECTION, 3 SHOWERS, 1 KITCHEN SINK, 1 SERVICE SINK, UP TO 4 VACUUM BREAKERS, 3'
WASH BASINS, 1 WASH BASIN SET, 1 WASTE 8 VENT. SYSTEM, 4 WATER CLOSETS, 1 WATER
HEATER, 1 WATER PIPING, & 1 WATER SERVICE. , , ,
REF: 805-00174 _ _ � . , . ' . .
. � ��FEE SUMMARY `' � �
. AMT. .QTY•--•.�: � . , AMT 'QT�Y ��''.�_ . - , AMT QTY
ISSUE FEE � $23.50 - -��Laundry Tub / Washer , $9.80 1 . Sump Pump� �. 50.00 0
Backflow irrigafion , $0.00 . 0 � , Landscape Irrigation " $0.00 0 - Swimming.Pool � � $0.00 0
Backflow Preventer $0.00 � ' 0 _' = -P�Trep . � $0.00 0 � � Trep Primer� - $0.00 0
Bathtub � , .,$29.40 �, 3 �� Pressure Regulator ' S9.80 1- - � : Urinal � ' $0.00 0
Clarifer System $0.00 . 0 �_ Process Piping (per 10 ft) $0.00 0 .� Vacuum Brkr Bkflow(1-4) $72.30 1
Connect Qce,Soda,etc) � ; $0.00 � � ' 0 � Receptors $0.00 0 ��. � Vacuum Brkr Bkflow(5+) $0.00 0
Dental Units �'$0.00` . 0 �, , Seplic Tank $0.00 " ' �0 ��, � Wash Basin � $29.40 3
Dishwasher $9.80 � 1 ' �, Sewer Cap for Demo� � ,$0.00 0 , Wash Basin Set $9.80 1
Drain, Floor $0.00 -'� � 0 Sewer Connect $24.65 1 Waste and Vent System $9.80 1
Drain, Rainwater $0.00 0 Sewer Private"Line - $0.00 0 Water Closet (Toilet) $39.20 4
Drain, Roo( $0.00 0 � � Shower � $29.40 , 3 � �. WaterHeater/vent $12.30 'i
Drinking Fountain 50.00 0 Sink, bar � . . �$0.00 � 0" Water Piping (Inst or Rep.) $9.80 1
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 7241-92)
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.
INSPECnoNs: In ortler for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspeetlons 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
�cao-ao �aw�
WORKERS'COMPENSAnON DECIARAPON: �
I hareby eHirm un0er penalry ol perjury one of the tollawing declaretions:
❑ I heve end will maintein e certificete of consent to selbinsure for workers' compensation, es providad tor by section 3700 of ihe Labor Code, for ihe pertortnance ot the
wark for which this permit is issue0.
A
❑ I have end will meinWin workers' compensetion insurance, es raquired by sectlon 3700 oi the Labor Cotle, for the pedortnance of the work for which ihis permit is issuetl.
My workers' compensauon Insurence cerrler end policy number ere:
Cartier: Policy Number:
(Tiiis sectfon nged nof be cor�pleted i! the permit is veluetl et ane hundred dollars ($100) or less. J
❑ I certily that in the peAo�ance oi the work tor which this pertnit is issued, I shell not employ eny person in any manner so as to become subject ro t�e workers'
compensation laws ol Galifomia, end egrae �ha� il I should become su6�ect �o !he workars' compensa�io� pmvisions ot Section 3700 ot the Lahor Cotle, I shall torthwtN
comply with these provisions.
Applicant SignaWre: Date:
WARNING: FAIWRE TO SECURE WOHKERS' GYMIPENSATION COVEPAOE IS UNIAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED
THIXISAN� W�L4RE (5100,000), IN ADDIiION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOP IN SECTIIXJ 31O60F THE L4BOR CADE, IMERESi, AND AtTORNEV'S FEES.
LICENSED CONTRACTORS DECIARATION:
I hereby attirtn ihat I am licensed under provisions of Chapter 9(commencing with Saction 7000) ol Division 3 ot iha Business antl Pmfassions Code, antl my license is in full
force and eltect. Lic. u Cless q
Coniracior's Signature: Date:
CONSTRUCTION LENDING AGENCV:
❑ I hereby attirtn �hat Ihere is a construction lending agency br iha pedormance of iha work lor which this permit is issued. (Sec. 3097, Civil Code).
Lentler's Name: Lender's Address:
Signature: Date:
OWNER-BUILDEN DECLARAPONS:
I �ereby attirtn that under penalry ol perjury Ihet I em EXEMP7 FROM 7ME CONTRACTORS LICENSE LAW for 1he following reason (SecJ031.5, Business antl Professions
Code: Any ciry or counry whif.h requires e permit to consimct, alter, impmve, damolish, or repair any stmcture, prior lo its issuance, also requires the applicant for such pertnit
to file a signea stalement ihe� he or she is Ilcensad pursuant to Ihe provislons of the Contrectors License Lew (Ghapter 9(commencing with Section 7000) 01 Division 3 01 the
Business antl Professions COde) or that he or sha is exampt tharetmm end the basis tor Ihe elleged aaem0�ion. Any violation of Section 7031.5 by any applicant lor a pertnit
subjecis ihe epplicani to e civil penalry ot not more then live hundretl tlollars ($500).):
�as owner of Ihe pmpehy or my employaes with weges es Ihelr sole compensetion, WILL DO THE WORK, and Ihe siructure is not intended or oHered tor sale (Sec.
044, Business entl PrO�essions Code: The Contractors License Law does not epply to en owner oi prope�y who 6uilds or improves ihereon, antl who dces such work
him5elt or herself or IhAugh his or her own employees, provided Ihai suc� Improvements are not Intendetl or oNerad for sale. If, however, the builtling or improvemeN is
sold within one year of Gompletion, ihe ownerv6uilder will have ihe burtlen of proving ihat he or she tlid not build or impmve tor purpose of sale.).
I, as ownar ot iha property. em EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to constmct tha project (Sec. 704d, Business anC Proteuions
Cotle: TTe croniractore License Lew tloes not epply to an owner of pmpany who builtls or Improves thereon, antl who contracts for such pmlect wit� a contracmr(s)
license pursueni to ihe Contrettors License Lews.).
❑ I am exem sec. Business antl Professions CoOe tor this reason:
Signature: �P ate: bZ- '�
Owner I venfetl by s licensa. ❑ Ves o Oriver's License No. � % Espires: O �
Venficati of ers by (rype of daument, i.e. - proper�y tex bill or deed):
DIVISION OF INDUSTq1AL 9AFETV PERMIT CERTIFICA710N:
❑ I hareby certify that no �xcavetion five (5) or more teet in depth into which a person is requiretl to descend, will be made in connection with work authonzetl by ihis
permit, an0 ihat no buil0��g siructure, scattolding, talsework, or demolition or Oismantling thereoi, will be more ihan thirty-six (36) feet high. (Chap. 32. Grp 2, Art 2, Sec.
341, Title 8, Calitomia Atlminis�rative Cotle).
❑ As ownervDuilder, 1 will �ot employ enyone to do work which would require a permit (rom the Division of Intlusinal Safery, as noted above, unless such person has e
pertnit to do such work Irom ihe division.
Signature: Date:
DiviSion ot InduS�nal Safe�y Permi� Number:
CERTIFlCATE OF COMPIJANCE ANO AUTHORVATION OF EN7AV: I cenity under penalry ol perjury lhet I have reatl �his epplication and state ihat the inbrmation given is
correct. I egree G omply with all state laws n �ry ordinances relating to builtling constmction, entl au�honze represen�atives of Ne Cily of Costa Mesa co enier u0on ihe
abov - a5cri p peny for insqectio . I agree no occupy or allow occupancy of eny builtling aNhorizetl by Nis per i1 until tinal inspection.
nature f L I ���G�ate
n0/6 t nz pplican —��� Date
COOE 1. INSPECfIONTYPE PdIE INTITI�lS
1616 Fiaed System Final F�re Prevention
1266
200
201
Pool Spa Final
Final Re-Roaf
Finel BIocWRetaining Wall
202 Final Fectory Fire Pla�e
203 Finel Sign
204 Finel Demolition
CODE 1 INSPECTION TYPE
206 Final Mechanical
208 Pinal Plumhing
210 Finel Eleclricel
212 Flnal Fire Prevention
220 Final Planning Approval
222 Final Si�e
250 Final BuildinglOccupency
Q�[ INTITULg
i ro d �
(714) 754-5273 • Fax (714) 754-4856 • www.ci.coste-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Vicinity:
2312 HALF MOON LN
LOT 13
MECHANICAL PERMIT'
._' _ _._ . ,..�.�_ :c.
Parcel Number. TPN00520 -" - � �- �«: :�- _ �'�^- _ ISSUED BY:
,i`' . ' ___. ._ ' •'��:?C�
Applicant: WIL
Address: 1450
/ � r
Owner �
Address:
: >
, r,
x . �, �
'_�.Contractor �
� Address' �i
r
r i;_
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�'4 ' . �
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Status: ISSUED
Applied: 04/27/2005
Issued: 04/27/2005
4MS,.GARY � � } � � i - �t �" ,- r:?'.; `� _
,TUSTIN`AVE�L,�..-� 1 t . � � � '� ��'� �.:=.;,.1`,
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�'; \`�.. '"� ' ._ � Phone: . � � •- - '
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ANA:,CA� : �� !� -� ;,- _ �Zip:. - 92705 -- ���� � � `�
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SHEA HOMES�LTD ^ �� ,,�� � . �% j �\�� �
603SOUTH�VACENCIAAVE � '�*�,'�� �� ��='�,
..,� i � �i � • , /' _ .
;�qi
Phone: 714-985-1300 - �,�� ���,
�t�.� ��-.�
BREA;.CA t� Zip: .92823 . , ti.�0�� .
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OWNER-BUILDER � � ' z � `� `� _
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'�;' - SCOPE°OF-PERMIT-- . . f � „''
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, LOT 13/PLAN 2B � f ' � � �9 rl ��T .7��1�. I e � v ' �� ' .; �- y �'
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�� '�MECHANICAL PERMIT FOR NEW 2560-SF�SINGL'E FAMILYRESIDENCE'FOR "SHEA HOMES". , �'Q �
� j„INSTALL 2 FAU'S,'1 DUCTWORK, 2 FACTORY FIREPLACES, 6 VENT'FANS, 2 FIRE DAMPERS; �� �`
,-,�`1&2 AIC CONDENSORS �:� . _ �: . 'r, � - . ',;','.
, _ Ilt- �r 2�:..."', ,�iX r; _ _ r,
._ _ � ,.
-,1 REF: 805-00174 _ - ^�`"' -fi . ' . - . '•
. - . ' _� '__, _ t s ..._. . _ _ i;; r
. . . . , � . . �' .
� " � FEESUMMARY�==,;` '•`J i �,d
. . � . � ` - , Quantity , � �._ :'T � _;� � i �.. Quantity
ISSUEFEE '�' ��' � ��� $23.50 � Repau/AltAbsorbtionUnit �l $000 0,#�)'
�, . ,
Inst FAU <100 �k BTU� 529.60 2 .�. } ,�. �'�''lRepair / Alt Refrigeretion Unit ` ��i"/ � $0 00 .0+,�,
Inst FAU >100 k�BTU $0.00 0 � Venhlla6on System ;�%�.� $0.00 ;- 0,
Repair/AIt�Cooling/Heet7 �`-�8�3.70 1 ' -;�fEvaporativeCooler , : _- /,% • n $O.00,�rjO'
Inst / Rep. Recess Wall Htr ; ;�$0.00 ��0_,+r - , ; Commercial±lncinerato�..i,.�y,'"� ,i /� � ' $0.00 �� 0
Refrig Sys <100 k'BTU � $0 00, 0 �: � � -q`�;�Domestic Incineretor;�" �" % ��� � � $0.00 . � 0
�'/ ��
Refrig Sys >100�k BTU ' ' , $0 00 � 0.� � � - � ��Camp�essors�/ Atisorotio Sn v fems � !��:� ��%,r %
Gas � ing � > > � � � $$0 00^� 0' �� ' �` - , 3 ToJ 5 fip / 00 k'BTU� . � ����� i �� /�$0.00 0
Facto Fire lace � ' � 21 30 �2 �� V P P � � ' � ` ��
Hood w/Mech Exhaust . y��� v(50.00 .,�Oti � -^�c�15 To'30,hp7:1-000 k BTU u�,A �� /�i'r $0.00 0
VAV Box �. '� $0 00 � 0 -- - � � - 30 To SO�hp / 1 750 k BTU �' i, -_ /� i % $0.00 ,0 _
Vent Fan / Single Duct -'$43 50 16,��:, Over.50 hp�COver �1,750 BTU /%'i' $0.00 0
Appliance � '�' $0 00 '0 r � � � � �r Boilers � L-��' j � ��'��
FireDampers �$14:50_-�2 � -F �� !,' '� '-.Up'to3hp`--}l-� ,i��'" $29.40 2
Smoke Dampers $0:00` `� 0' � - � r �� `, . : 3 So �15 h'p` �'�' �'�'%f� $0.00 0
r ,�V �
Inst or Relocate Appl Vent $0.00 �' 0`'. ? 5 to.30-hp,,� j- �- $0.00 0
AirHandlers< t0000cfm $0.00 0 � , _'.;� �:?��,,_�.30-to�50�hp�-" $0.00 0
Air Handlers > 10000cfm $0.00 0 -'"' --� Over 50 hp $0.00 0
0
NOTICE: The work authorized by this 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 sha�l 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 Inspectiona and flnal approval must be obtained. Failure to obtein inspections and final approval will resuft in the ezpiretion of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
2446d8 (HNO)
WORKERS' COMPENSATION DECLARATIDN: � � . . '
I hereDy atfirm untler penalry ot perjury one ot the following tleclaratlons:-� ;, � , .' '' �' � •
❑ I heve antl will maintain e certifiwte of consent to self-Insure for workers' compensetion, as providedAor by section 3700 of the Labor Code, for the peAortnance of the
work tor which t�is pertnit is issuad. - ..
❑ I hava and will mainWin workers' compensation insurance, as required by section 3700 oi Ihe Labor Code, for Ihe peAormance of the work for which Ihis pertnit is Issued.
My workers' compensetion Insurance cerner and policy number are: • ,
Cerner. � Palicy Number �
(This section need not be comp/eted i! (he permit is velued et one hundred dollers ($100) or /ess.)
IR I certiry Ihat in the perfortnance of the work tor which this pgrtnit is issuetl, I'shall not employ any pers6n in any mariner so as to hecome subject lo the workers'
�� compenutlon laws of Call e, end agree Ihat if I s oul T come sub' ct to the workers' compensation provisions ot Section 700 of Ihe La6or Cotle, I shell forthwlth
comply with Ihese provi ' ns.
Applicant SigneNre: Date: �y/'� d�
WARNINO: FAILUFE T ECURE WO ERS' MPENSATION COVE E I LAW FUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FlNES UP TO ONE HUNDRED
TIqUSAND00l1ARE�E .ODOI.IN DRI TOTHECOSTOFCOM TIIXJ,DAMAGESASPROVIDEDFORINSECLIIXJ3�O60FTHELABORCODE,IMEREST,ANDATTORNEI^SFEES.
�. LICENSED CONTRACTORS DECLARATION:
�i I hereby aHirtn that I em licensed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 oi ihe Business and Pmfessions Code, end my license Is in full
torce entl ettect. Lic. k Clau x
Conirector's SigneWre: Date:
CONSTHUCTION LENDING AGENCY: �
❑ I hereby aHirtn that there is a consWction lending agency for the peAormance of the work for which this pertnit is issued. (Sec. 3097, Civil Code).
Lentlers Neme: Lentler'S Atltlress:
Signature: Date:
OWNER-BUILDER DECLAFiA710NS:
I hereby aHirm that under penelry ot perjury t�et I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the fallowing reason (Sec. 7031.5, Business end Proiessians
Cotle: Any ciry or counry which requires e permit to consWct, alter, improve, demolish, or repair eny siructure, prior to its issuance,-also requires the epplicant tor such permit
to tile a signed siatement that he or she is licensed pursuant to ihe provisions oi the Contractors License Law (Chapter 9(commencinq with Secllon 7000) of Division 3 of the
Business and Professions Code) ar thet he or she Is e:empt therefrom and the basis tor Ihe elleged exemption. Any violation of Sectlon 7031.5 by eny epplicant for a pertnit
subjecis the epplicant to a civil penelry of not more then five hundred dollars ($500).):
❑ I, es owner ot tha property, or my employees with wages as their sole wmpensatlon, WILL DO TME WORK, and the siructure Is not intended or oHeretl for sale (Sec.
7044, Business and Protesslons Cotle: Tlie Contraciore License Ww dces not apply to an owner ot properry who builds or improves ihereon, end who tloes such work
himself or herseN or through his or her ov.•n employees, provided ihat such improvements are not intended or ottered tor sale. II, however, the building or improvement Is
sold within one year ot wmpletion, ihe owner-builder will have the burden of proving Ihat he or s�e did not 6uiltl or improve for purposa ot sele.). -
� I, a5 owner oi the pro0erry, em E%CLUSIVELY CONTRACTING WITH LICENSEO CONTRACTORS to construct the project (Sec. 7044, Business and ProtesslOnS
Cotle: The contrec�ors License Lew tloes not epply to an owner ot pmparty who builds or improves thereon, antl who contracts for such pmject with a contractor(s)
license pursuant m i�e Contractors Licens� Laws.).
n
Owner
sec.
(fs license.
by (rype of
eusiness antl Professions Code for this reason:
�a�a Y �r
DriveYs License No. Expires: U�/ oQ
x bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFILATION:
❑ 1 hereby cenify thet no eacavatlon five (5) or more feet in depih into which e person Is required to descend, will be mede in connection with work auihonzed by thls
permit, and that no building structure, sceflolding, talsework, or tlemolition or Oismantling ihereof, will 6e more than ihirry-six (36) taet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Titla 8, Callfomla Atlminisirative Coda).
❑ As owner-builder, I will not employ anyane ro do work which would require a permit from the Division of Intlustriel Setery, as noted ebove, unless such person hes e
pertnit to do such work from the division.
SignaWre: Date:
Division ot Indusirial Safery Permit Number:
CEHi1flCATE OF COMPLIANCE AND AIJfliOR¢ATION OP EMAY: I cenity under penalry of perjury that I have read this application end state Ihat t�e intormation given is
correci. I egree comply with all stete laws h ordinances relating to building consiruciion, and authonze representatives of the Ciry of Costa Mesa to enter upon the
ebove-descn p opetly for insp ction p agree not to o py or allow ocapancy of any builtling au�honzed by t's permit until final inspection.
°1 �7 �oS
Signature O Legal Own � Date
AnNOr Authorizetl App icant Date _
GOOE �. INSVELTIONTYPE ' ' '- � ' ' " "�PAIL 'IMRULS
1616 Fixed System Final Fire Prevention '
7266
200
201
202
203
204
Pool Spe Finel
Final Re-Roof '
Final BIocWRetaining Well
Final Fectory Fire Place
Finel Sign
Final emolition
��
" f�F� ' INSPECTIONTYPE �
' 206 Final Mechanical
20B Final Plumbing
' 210 � Final Elecirical "
272 Final Fire Prevention
220 �Final Planning ApprovaP"
222 Final Site
250 FinalBuilding/Occupflncy��
PAIE ' �
/ � J
(Z74),754+5273,•� Fax.(774) 754=4856� ••www.ci.costa-mesa��sCTRICAL PERMIT n'FAIR�DRIVE; COSTA MESA, CA�.92626
Job Address:
Suite No
Viciniry:
Parcel Nunmber:
2312 HALF MOON LN
LOT 73
11��IIU%'Y�17
npp�icant: WILLIAMS, GARY
Address: 1450 N. TUSTIN AVE.. �� �,� ;�-�_�'
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SANTA ANA�, CA`•' �"_`� , � 1
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Owner�/'�SHEA'HOMES LTD'/�/ �
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Status: ISS U ED
Applied: 04/27/2005
� � Issued: - 04/27/2005
. -!= _: -'cr'. 3 "r-�'--:-,. ISSUED BY: �
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Phone: 714-985-1300 � �:•.,�� ,z �. �>
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�" �� '� �� 2 UGHT FIXTUF
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� ��`��PACKAGE.� � ,
� " �'� �REF: BO5-00174
_ . ._ . . . rt'.
� e ;
,v^+;' �)'^ ^rj SCOPE OF'BERMIT rT r. r^-' iC�: }/:.
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11T FOR NEW 2560 SF SINGLE FAMILY RESIDENCE FOR "SHEA HOMES".'INSTALL
; 3 RECEPTACLE'OUTLETS, & 1 SWITCH•IN GARAGE, AND 1 RES�A/C -
i
._-J]/ ".cr'7"�.� _ ;iY�'; .
� . .. � __ .. `.� �� �, '_ "� � �i_
- FEE SUMMARY c -d';'-
�.\ �" - `:,. `Quantity . . _ �._...,_
ISSUE FEE��� /``���. 523.50 t .�;" j,f �T p,Di;
Tempseivice�test ��$0.00 ' .,���o;'z-°`r' Busway�
Res. a/cpackage '`-� $54.50 ` ,� � � Standing
New Res (1=2 units) ` $143.36 .. � � 2560 ,z� � � �� Misc Ele�
New Res (3+umts) , ` $0.00\ � 0 t': , � Tran`sfon
Pool / Spa �,� � ��$0.00�� � 0 �� .
LightingFixts � -��� �J�-$2:20 ���2� � .....
Recept Outlets �,;, $3�.30�� ��3'��> ° � � ..
�..�.:_-,�^:,., _ .. ,
Switches. �'$1.10 �'.\� 1 � .'� _ .............:
Non Res Appl �` �z �, $0.00 � � 0 ,�- � . - Low VOIL
Res Appl ' $0.00 �_� OC - Low Volt
Serviceto200a '�$0:00�-` -..,0,^',- �� �"� � Misc:�Co
Service to 1000a $0:00 ; , 0-' �- � 1 ' �, "'Misc. Co
Service over 1000a $0.00 `��\�� :: 0� ' --, � '\Circus,(�c
Motors to 1hp $0.00 �, 0- -. Circus (n
Morors to tOhp 50.00 0'- - -�Chfistm2
;,�r. .
Motors to SOhD 50.00 0 �� �- -�-- F,irewo�k:
��
v
(1 �
, , � i
� Quanhty�r��J � ���,�
System / Lighting $0.00 ,j 0'�� ��
�, ,�
o� ride)
$0.00 !1J�0 �� � '
$000�,�/�0 ..�t .t�'���
��,''2: �, $0 00 j� 0 i�� 1'. .
kw"^�'�$0:0,0� 0 �. .. :",.
' G� $000 �ij�01 �'.')'�
v��,.f $0 OOi C/0 7 �t" �
:w/ $0 00''.A �0 �� ;�
;w � CS0.00��: 0,�� � �
��� $000 /,0� ,
Ckt� �-$000,��`-0' "-
" $O.OQ�+"�'0 -
�"�'$0:00 0
�,j;�.!'"� $0.00 0
� $0.00 0
50.00 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-27-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work au[horized under this permiLto be considered legal, such work must comply with all applicable codes, and all
required Inspectfons and final apprrnal must be obtained. Failure to obtain inspections and final aDProval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
26Cfi-481N00)
WORKERS'COMPENSAnON DECLARAnON: �' - � • "
I heraby eflirm under penalry oi peryury one ot ihe tollowing tleclarations:. ' ', . , '"
❑ I heve end will main[ain a certiliwte ot conseM to selFlnsura for workers' compensation, es pmvided for Dy section 3700 of lhe Labor Cotle, tor t�e pertormence Of the
work for which this permit is issued. ' � � '� - • �
w
❑ 1 have end will maintain workers' compensation insurance, es required by section 3700 of Ihe Lebor Code, for the pedortnance of Ihe work for which t�is permit is issued.
My workers' wmpensetion Insurance carrier and policy num6er are: ' • �
Cerrier: Policy Number. '
(This section need nof be aomp/eretl il the permit is valued et one hundred dollars ($ f 00) or less.)
I� I certity that in t�e peAortnanca of the work for which Ihis �� ermit is issued, (shall not employ eny person in any manner so es to becorrma subject to ihe workers' '
7� compensatlon laws ot Calilor Ia, end egree that if I h ecome subi� to Ihe workers' compensation provisions oi Se9�on 37qQQ��� ot the Lebor Code, I shell torthwith
comply with these pmvisio . � /.� /
Applicant Signature: ` � Date: �6y I ��
WARNINO: FAILURE T SECURE WO ERS'j7 MPENSATION COVERAG UN�j R1L AND SHALL SU&IECT AN EMPLOVER TO CRIMMAL PENALTIES AND CIVIL FlNES UP TO IXJE NUNDRED
TIIOUSANDOOLLARE( OO,OW),IN ITIC�IfTOTHEWSTOFCAMPEN Tlfy(DAhU1GESASPROVIDEDFORINSECilON3lOfiOFTHELABORWDE,IMEREST,ANDATTORNEYSFEES.
LICENSE� CONTRACTORS DECLARATION:
I hereby affirm that I em licensed under provisions oi Chapter 9(commencing with Section 7000) of Division 3 of ihe Business antl Professions Code, and my license is in full
force ana ettect. Lia N Class a
Contraaors Signature: Da�e:
CONS7RUCT10N LENDING AGENCY:
❑ I hereby aXirm Ihai there is a consiruction lentling agency for the peAortnanca of the work tor which ihis pertnit is issued. (Sec. 3097, Civil Cotle).
Lenders Name: Lendefs Address:
Signeture: Date:
OWNER-BUILDER DECLARAT10N5:
I hereby eitirrn thet under penelry ot perjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business and Protessions
Code: Any ciry or counry which requires e pertnit to construct, elter, improve, tlemolis�, or repair any strucWre, pnor to its issuance, also requires ihe epplicant tor such permit
to tile e signed statement that he or she is licensed pursuant to the provislons of the Contractors License Law (Chapter 9(commencing with Sectlon 7000) ol Division 3 ot the
eusiness and Pmfessions Code) or thet he or she is exempt theretrom antl t�e basis for Ihe elleged exemption. Any violatian at Section 7037.5 by eny epplicant for e pertnit
subjecis �he applicant to a civil penalry of not more than five hundred dollers ($500) J:
❑ I, as owner of ihe property, or my employees with wages es their sole compensation, WILL DO THE WORK, and the structure is not intentletl or oiferetl for sala (Sec.
7044, 8usiness and Protessions Code: The Coniractore License Law does not apply to an owner of properry who builds or improves thereon, antl w�o Coes such work
himsetl or herseN or through his ar her own employees, pmvided that such impmvemenis are not intended or ottered tor sale. If, �owaver, t�e 6uiltling or improvement is
�sold within one year of completion, Ihe owner-builtler will hava ihe 6urden of proving that he or she did not build or impmve tor purposa ot sale.). �
I, as owner oi the property, em EXCLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS lo constmct ihe projecl (Sec. 7044, Business ana Professiong
Code: Tha contrectors License Lew tloes not epply to an owner of property who bullds or improves thereon, end who contracis br such project with a comractor(s)
license pursuant lo �he Coniractors License Laws.).
❑ lem
Owner ID J
Veniicatian
SBC.
f's license.
by (typa ot
_ Busine55 8nd Protession5 COde fOr ihis rea5on:
. oate: �f �l'] _ i
No Drivels License Na. � Expires: �
properry t� bill or deed):
DIVISION OF INDUS7RIAL SAFETV PERMR CER7IFICATON:
❑ I hereDy certify ihat no excavation tive (5) or more feet in tlepth into which e person is required to descend, will 6e made in connection wit� work authonzed by Ihis
permit, and that no building sWcture, scaHolding, felsework, or demolition or dismantiing ihereot, will be more ihan thirry-six (36) feet high. (C�ap. 32, Gry 2, An 2, Sec.
341, 7tle 8, Calltornia Adminis�rative Cade).
❑ As owner-Duilder, I will not employ enyone to tlo work which would require a permit fwm the Division of IndusMel Setery, es nated ebave, unless such person hes e
permit ta do such work irom ihe tlivision.
Signature: �ate:
Division af Industnal Satery Pertnit Number.
CERTIFICATE OF COMPLJANCE AND AUTMORVA710N OF EMAY: I cenify under penalry of perjury that I have read ihis application and state that the inlortnation given is
correct I agree to mply with all state laws antl rdinances relating to building consiruciion, antl authonze represen�atives of �he Ciry ot Costa Mesa to enter upon the
ebove-descnbed erry for inspection pu e. ree not ro py or allow occupancy ot eny huilding authorized by is permit uMil final inspection.
�����,i��� �— Y�',�o�
ionature Of Leoal Owner� � Da�e
GOOE !.'11150CCTION TYVE • . , • • . .•'. '" � PAIE
1618 Fixetl System Final Pire Prevention '
1266 Pool Spa Finel
200 Final Re-Roof � '
201 Final Block/Retaining Wall
202 Final Factory Fire Place
Y
203 Final Sign
204 Final Demoli�ion
.IOI' .
' 'QQpF�.s INSPECTIONTYPE �
� 206 . Final Mechanical
208 Finel Plumbing
210 Final Electncal
212 Final Fire Prevention
220 ' Final Planning App7oval ,
222 Final Site
250 Final Building/Occupancy
�g " ��'
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