HomeMy WebLinkAbout3113 JEFFERSON AVE - Building Permits� � f
CITY OF COSTA MESA '
LO�'1pMFS,p BUILDING DIVISION �,
� �
F � 77 FAIR DRIVE, COSTA MESA, CA 92626 • p14) 754-5273 • Fax (714) 754-4856 •�w,w costamesacaaov
�. � . FOR INSPECTIONS CALL: (714) 754•5626 �
`°"°•�^`°�' PERMIT NUMBER: B11-00345
, �; . 4 , ' ,.
PERMIT TYPE B_ROOF2 STATUS: ISSUED ' �
APN: 14165231 DATE ISSUED: 10I12I2011 �
ISSUED BY: RMD '
� Kc^ .,�rzTe��'.;�i� '^ ,�J't,,,� �
JOB ADDRESS: �31,1r3yJEFFERSONeAV CM °"' � �� Swte/Untt
Vicinity: HOUSE ANB'GARAGE .�, , 1!� v �"=r a •; .
Squares: 2900 ����' � � � ' ' � - _ � �_ - � � �Valu�at�on� "^ � �;; $7,500.00 � ' � - -
r:,, "t�� - .
(.Iy;A ._�'c•` .' •. .'_ .-. �� ...`.
SCOPE OF WORK: TEAR OFFIEXISTING�MATERIALS, INSTALL 1 LAYER OF 30# FELT'ON A 4:12 PITCHED ROOF AND REROOF
WITH 30 YEAR COMP SHINGIES'ON AN ATTACHED HOUSE AND GARAGE, APPROX 29 SQUARES.,REPAIR AND
REPLACE SHEATHING AS NEEDED: COMPLIANCE FORMS AT"fACHED TO JOB CARD AND GTY�.PERMIT. ,'�r �� .
NOTE:RESIDENTIAL RE-ROOF: Final approval of permit shall not be granted until access to dwelling�unit(s) is provided for
verification of the installalion of, smoke;and.carbon monoxide alarins by the Ciry I,nspector. See Attachment wllnspection Card
_ _t .. � '- ,'. ,�',
OWNER: TREPAS, GREGORY W i �:` �, � �- Address � 3113 JEFFERSON AVE _ _. Unit:
PHONE: �;�. ,� - -`��->�-'" City/State/Zip: COSTA�MESA;�CA�n . . i - �` 'i;.�
_ . , . "" i �. .,
APPLICANT: RAY, ROSS - � Address: �' , ,+ Unit : -
PHONE: 949-232-7663 � - �r ' � ;° ,� � � ;^City/State/Zip �� � �� � ' 1�- � •
- � . ' . . .. . . . .k l t� . - . �
CONTRACTOR: ALL WEATHER�ROOFING � � License No..-� ,�, 739271
Address: 2192AMERICANAVUnit'.'� � . � _ " -.SUITEA-.� � - PHONE:.'�� �949-646-8694
City/Stare2ip: COSTA MESA CA . � 92626 � �� ' :'.. .- . = a - — CELL � -
. ''r' . . . . . _ ;�{3��
f : fr :
ARCHITECT: License No. � - � PHONE}
ENGINEER: � ,'�. ' � � � � License�No. ' � " PHONE:
�.. '..�,e.. . j _ .
FEE SUMMARY • � � � � �`��� � �� -'����
Reroof PlanCheck: $0.00��'�-. � „ . . � � _- � � , � •
Reroof Permit Fee: $15325 ' _ • � ,. . - '- � . - � ' �' �
�F
Reinspection Fee: $0.00 - � ��t�� � .� �.'�� :;'f' � �
Bldg Std Admin Fund 51.00 -- ,� `." �'`''��
,_ �
TOTAL FEES $154.25
HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 311812010 - PER CMMC Sec. 13-279
Monday Ihru Friday - 7:00 am thru 7:00 pm, Salurdays - 9:00 am thru 6:00 pm. Prohibitied all hours - Sundays and the (ollowing Federal holida�
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit.
LOOEf. INSPECiIONTYPE 2a� �N�S S.Q�S.4 INSPEGPONiYPE o"� x n
1616 Fixed System Final Fire 7revention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing �
200 Final Re-Roof �C %�J � 210 Final EleCtfical
201 Final 81ocWRelaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final �emoliGon ' 250 Final Building/Occupancy
WORKERS' COMPENSATION DECLARATION: �
I hereby affrm under penalty of perjury one of the (ollowing declarations:
❑ I have and will maintain a certifcate of consent to self-Insure for workers'
compensation, as pmvitled for by section 3700 of ihe Lahor Code, for Ihe
pertormance of Ihe work for which this permit is issued.
❑ I have and will maintain workers' compensation insurance, as required by
section 3700 of Ihe La�or Code, for the pertormance of the work for which this
permit is issued. My workers' compensation Insurance carrier and policy
number are�,� , y L �
CCarrier �rc �:�
(This seclion need i)q/t 6'�e eted R fhe pne�mit is valuetl a( one hurrdretl ddlars (8100) or kss)
Pofcy�Number: /`ri����!/
❑ I certiry that in the performance of the work for which this permit is
issued, t shall not employ any person in any manner so as to become subject
to the workers' compensation laws of California, and agree that if I should �
become subject to the workers' compensation provisions of Section 3700 of
the Code, I pa1Ha with compty with lhese provisions.
/�7�12� %�
Appli�n[s Siqnal. SOate
_ `�x+t.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FWES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE WST UF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LIGENSED CONTRACTORS DECLARATION:
I hereby affrm that I am licensed under provisions of Chapter 9(commencing
with Seclion 7000) of Division 3 of ihe BUsiness and Professions Code, and
my license is in full force and eHect. / �/
Lic: s Class,# ( � 7 �
��� (2 -1,
fyComradoYs Siq ure �ate
CONSTRUCTION LENDING AGENCY:
❑ I hereby affrtn that there is a cpnstruction lending agency (or the
performance ot the vrork for which this pertnit is issued. (Sec. 3097, Civil Code).
Lenders Name: _
Lender's Address:
Date
OW NER-BUILDER DECLARATIONS:
1 hereby aKrm that untler penalty of perjury that I am E%EMPT FROM THE
CONTRACTORS LICENSE LAW for the (ollowing reason (Sec. 7031.5,
Business and Pmfessions Code: Any city or counry which requires a permit ro
constmct, alter, improve, demolish, or repair any stmcNre, pnor to its
issuance, also requires the applicant for such permit to file a signed statement
that he or she is licensed pursuant to Ihe provisions of the Contractors
License Law (Chapter 9(commencing wi�h Section 7000) of Division 3 of the
Business and Professions Code) or iha� he or she is exempf therefrom antl
the basis for ihe alleged exemption. Any violation of SeGion 7031.5 by any
applicant for a permit subjects the applicanl to a civil penalry of not more Ihan
(ve hundred dollars ($500).):
❑ I, as owner of the property, or my �mployees with wages as their sole
compensation, WILL DO THE WORK, and the slrucNre is nol intended or
offered for sale (Sec. 7044, Business and Pmfessions Code: The Contractors
License Law does not apply to an owner of properry who builds or improves
ihereon, and who does such work himselt or herself or Mrough his or her own
employees, provided that such improvemenis are not intended or offered for
sale. If, however, the building or improvement is sold within one year of
completion, the owner-builder will have lhe burden of proving that he or she
did not build or impmve for purpose of sale.).
❑ I, as owner of the propeAy, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to consWd the projec� (SeC. 7044, Business and
Professions Code: The contractors License Law does not apply to an owner of
property wbo builds or improves thereon, and who contracis for such pmject with
a wntractor(s) license pursuant b �he Contrectors License LawsJ.
❑ I am exempt under sec.
Business and Professions Code for this r5ason:
Slgnawre Date
305]<6 (3ro])
Owner ID verifed by driver's license. ❑ Yes ❑ No
Driver's.License No. Expires:
Verifcation of Ownership by (rype of document, i.e. - property tax bill or tleed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certify thal no excavation fve (5) or more feet in depth into which a
person is required to descend, will be made in connection vnth work authonzetl
by this pertnit, and that no building sWcture, scaffolding, falsework, or demolition
or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp
2, Art 2, Sec. 341, Title 8, Califomia Adminislrative Code).
❑ As owner-builder, I will not employ anyone �o do work which would
require a permit from the Division o( Induslrial Safety, as notetl above, unless
such persort has a perm'rt to do such work £rom the division.
ApplicanPs $ignaNre Da�e
Division of Industrial Safery Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS GERTIFICATION:
1. Will the applicant or present or fu�ure building occupant need to file and
certify a Business Plan for emergency response to release or ihrealened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the California Health and Safety Code requires, with some
exceptions, that a Business Plan be filed with ihe Costa Mesa Fire
Depariment by every business which has at any one time during a reported
year a quantiry of hazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic (eet of compressed gas
at standard temperaWre and pressure).
2. Does or will the applicant or present or fuWre building occupant need to fle
a registralion form for acutety hazardous materials? ❑ Yes ❑ No
(Section 25533 of the Califomia Health and Safery Code, with some
excepiions, requires regisiretion with the Costa Mesa Fire Depariment by
each business which a� any one time has on hand a quantity of acutely
hazardous materials equal ro or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of wmpressed gas at standard
lemperaWre and pressure).
3. Does or will lhe applicant or present or future building occupant need ro
prepare an RMPP (Risk Management and Prevention Program for awtely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the California Health and Safery Code provides that the
Costa Mesa Fire DepaAment may require the preparation, certilcation antl
fling vnth ihe Fire Departmeni of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
4. I/ an RMPP is presentty required, has Section 25534 of the California
Heal�h and Safery Cotle been fully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or fu W re builtling occupant require for
the work which is [he subjeci of Ihfs application a permit for such construction
or modifcation from the South Coast Air Quality Management District or from
any other air polWtion contml district or agency? ❑ Yes ❑ No
(Section 658502 of ihe Califomia Govemment Code requires ihat the reques�ed
information be fumished on applications (or non-resideMial building pertnits).
6. Will any part of the facility to be constmcted under ihis permit be within
1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
Qf "yes", the facifity must meet the requirement of Sections 25534 and 42303
of ihe California Heal�h antl Safety Code).
7. If a permit from the South Coast Air �ualiry Management Dislrict or other
air pollution control district or agency is required for lhe work which is the
subject of lhis application, have all o( the disclosures prescribed hy California
Health and Sa(ety Code Section 42303 been made? ❑ Yes ❑ No
8. Qf'yes", aitach ceitifcate of compliance from the appropriate air pollution
coniral oKcer). � �
CERTIFICATE OF COMPLIANCE: I certiry that under penalty o( perjury ihe
information given above is correcl. I agree ro comply with all stale laws and
city ordinances regarding Hazardous Materials antl Emissions.
Signature Uate
CERTIFICA7E Of COMPLtANCE AND AU7f10RIZAitON OF ENTRY: I
certify under penalry o( perjury Ihat I have read [his application and state thai
the in(ormation given is correct. I agree to comply with all state laws and ciry
ordinances relating to building wnstmction, and authorize representatives of
the Ciry o( Costa Mesa to enter upon the above-descrihed property for
inspection purposes. I agree no[ to occupy or aliow occupancy of any building
authorized by lhis permit until fnal inspection.
�ignaNre of gal ner(s) Date
rne-� �— %()' � �- � �
aoAnNorAumonzedP.oe- t }__Date
Prescri �tivc Certificate
Itee•irlentiul A[teratinns
djruject N:m�c:
� �
��ueral In(m'm:�tiou
I SiteAddress: _
ce: Residential
Lnforcemenl Agency;
Building Type f12�Single Pamily ❑ Multi Family � Circle tLe Front Orientation: N, E, S, W, or deErees
Conditioned Floor Areu (CPA): Projecl 7ype: D Alierations D Envelope O Fene��
. n o.,i,,,.,..,,o.., .,. r�,.��P n,�� n n�,�� aP�t�,.P..,P�
CT-] R-ALT
(Pa��e ] of'S)
I°�t! of turies
a
��Z_f(
NOTE.• Thi.e%nrm i.e nnt m Le uset! /nr Ne�vlr Canstructed /Juildings' a' Additinns' . �
Insula(inn Vrdues For Opntp�r Sur(nces (/br Furrino use the Mass mid Furring Strips Constructiai mG1e beloHJ � ^\��'
Assembl�� Nteratimi � I � � _1
'O Opening of framed cavity alone-ALerations dia� involvc the opening of the fr�umed cnviry� o(a wnfl, ceiling, orfloor musr inslall the ��
mondc�mrv rninimnm insadatiwi vnit�e per �I50 for' lhe nl/ered ussemGh�. Fil[ in Colunans A--C nnd en/er mandamrP instdation value in Col¢mm H.
.� Repiucement of eutire nssemhh�-Replacemm�l afun entire wall, ceilirtg, orfloor oss�emLlp requb�es Ihe Ins�u(lation ojCw�tponen!
Pnclm�e- D in.ridntion valves in TaLle l.i/-C. Fi/1 in Columns A- J.
� Opaque Surf'ace lletTils Rur the tun�ed purtioued oTMass
r—T--r . � .. . �-
Tag/ I Assembly Name
ID� orTvoe�
Noie: For
Material
and Size�
Confinuous
E
U-
see
� r I � I�� H I � I
Values From JA4 Table
Framed Continuous JA4
JA4 Table Cavity Insuiation Assembly
use
�
1. For Tng/ID indica�e rhe identi(ica�ian name �ha! nm�ches the building plans. .
2. lndicate the Assene6!>> Nnn�e a� ,rype; Roof/Ceiling, Walls, Floora, Slabs, Crawl Space, Doors and etc...lndicate �he Frame rype and Size: For
{i'ood, Mem(, Meml $uildings, Mass, emer- ?x4, ?xb, or e�c... see JA4 (or other possible fr�ame pye assemblies. '
3. Emer die Ihic/niess (or mass� in inches w� Spacirag Gehveen fr�arnine members en�er; IG"or 24"OC; or O�herfor all otlier assem6l�� descriptian
sucir n,s Concrete Sandwidt Panel, Spandrel Ponel, Logs, Su'aw Bale Panel and e7c....
9. Based on thc C[imuie Zone; enter (he Siandord U-facior fi�om Tu61e 151-B, C or D for euclt differenl ussemb(p Name or �ype.
5. Enter !he iuhle number (har c/oselr re.semGles' Ihe yroyosed asa�emblr. . i
6. L�aler 1He R-value 1ho1 is Geing insto]!ed in !he wa(7 cavip� br between the fi�nn�i�ag; odteiwise, enler "b ". �i
9. Enter (he Caittinuous 7ns2du[iorr R-nalue jor fhe proposed assembfy,' o[heiwisr, em�ei� "0 ".
b'. E•n�er (he rroro and colaunn ojdae U-foc�or volue based mr Ca/unm F Tuble Num6er unt! enler' the Assembl�� U-faclm� ir� Colunm J
J. The Yrapased /JssentGl>> U-jneem', Colunm J, nm.v Ge e9»o/ la or le.rs' Ilmn die S[midard U-factor in Col:�nm E m compl7�.
Fui�i��g Strips Constniction TaUlefor Mass Walls Only '
A 6 C ll � F G H ] .1 I< L M
Proposed Properlies of Masonrp and Concrete Added Intcriur or �x[erim� Insulation �
Vl'�Ils From ke(crence i�i Turring Sp:ice fram Neferencc '
duiN A ��en[lix 7�tible 4.3.5, 4.3.6. 4.3.7 JoiN A ieudix Table 4313
_ >,
U V c �..�.1 Y - U ;
u� I�, O � � 4<. F N i
L
0 0 �',. °' Fin�l
Asscmblr L_ j � c`'c u F' a G�_ �' t'
Mass N:mtc or JA4 Tuble = �' `= E � o � m $ � � Assembl
e_ � �b P: - o q c— Y
TLickness' 'f e' Num6er' Q�" � � u.i � � LL'3 i' � a'�` t� U-faC[or�'� Commenl
I /
I
�I � �
f I I i
Ifegisu'u�im� Ntunbe�:' Regisll'u�inn Dale/Time: HERS Prnvider:
2008 Resideritial Cnmpliance Fonn,s ; �lzrgars! 2009
1
.�
y
Residential Alterntinns
Prujec[ Name:
cr_ix-AL�r
(Pa e 3 of 5
, # of S[ories
ROOFINC PRODUCTS (COOL ROOTS) §15�(/)12
Whe�� Uie aren njericrrnr roojsurjnce tn bc repluced exreeds �unrc �han SO% ojrhe ci�isring roq/'aren, ar ivare than I,000 f, rolricHever is
less, U+e ne�v roofing aren musr meer O�c rnofing producr "Cnnl Rrmf' requireu�ents oj§I52(h)IHi, /52(b)IHii, nr 152(b)]Hiii..
C/reck u/>plicable niternativa w� exceplion Gelom ijlhe rooJul�eratinn is ezempt fi�om thn roo�ng pradue� "Cnol Roaf" requiremenls. Nae: I,fon��
o�ie ajrhe alternaiives or erceptiar be/oN� is checked, d�e �lged Solm ReJleclance and Therma! Emi�tunce reyuiremems ja roofingproducts in
',¢'178 ' ure noi upplicab(e. Dn no� fill �a6/e below. 6.:... _,•
fs Not Required in Climate Zones I-12, 14, and I( with a Low Sloped. Less or 2:12 pitch.. � �
ol Roofs Not Required in Climate Zones ] tivough ) and 16 with a Steep-Sloped Roofs (pitch grealer than 2:12) and product unit weight less
Alternatives tu §152(b)1Hi und §152(b)Hii, S[ecp-slupe ruof (pitd� > 2:12)
;O lnsulation witl� a themial resislance of at least 0.85 hrR? °F/f3hi or at.least a 3/4 inch eir-space is added to ihe roof deck
over an attic; or
❑ Existing ducts in the attic are insulated and sealed according to §151(�10; or
_❑ In climate zones 10, 12 and 13, with I ft� of Gee ventilation are& of attic ventilation for every I50 ftZ of attic floor area, and
where a[ least 30 percent of the free ventilation area is within 2 feet venical dis�snce of the roof ridge; or -�
❑ Building has at least R-30 ceiling insulution; or
❑ Building has radiant bartier in the attic meeting the requirements of §!51(�2; or .
❑ Building has no ducts in tlie attic; or
O In climate zones IQ I l, 13 and 14, R3 or greacer rooFdeck insulation above vented attic.
Exceptiun to §152(b)1Hiii, Low-slope roof (pireh <_ 2:11) .
O BuildinR has no ducts in the ania �
�� 0 Roofing area covered by building integrated; photovoltaic panels and solar thertnal
� O Roof constructions lhat have thermel mass over the roof inem6rane with at least 25
-�� Note: If no CRRG I Iabel is available, this compliance method cannot be used, use Ih
I RoofSlope I Produzt Weighi
CRRC Product ID Number < Q: �2 > Q: � Q < 516/fl >_ SIb/1
�
are exempt from the below Cool Roof criteria.
to
Aged Solar � Thermal
�4
❑�
o^
�'
_.�
SRIS
The CHRC Produe� ID NwnLer carr Le obmined from Ihe Coal RoafRating Council's RaledYroduci Uimcrory pl w�v�v.coohnoLr.ore/nroducts/.cearcl� nhn
lndicare tLe rype of producr is Geing useAfor (hr. roof lop, i.e. single-ply roof, aspha!! roof. meml roof, erc.
!flhe Aged Refleclance is nal avarinGle in.11re Caal Roof Raln�g Comrcillr Rated Producl Direcmry dren �velhelni(ia! Refledonre value jnnr !he sanre
dir'ec�or�� mtd use U�e egimiimr (O.N�07(/l���p��l- 01I �o aGmiri n cn(culared aged valuc. Where p is Ihc lni�ial Solnr' HeJiecmnce.
CHeck Lox if U�e Agedlteflec�once ia' n calculaied ralue using ihe equolion n6ove.
Calcu(ate Ihe 52l vah�e l�p using rhe SRL Worksheei n� hrqa�/hv�vu-.enernv ca.gnv/litle24/and ertier Ihe resuGing value irr !he SRI Column ubove and al�ad� acopv of
Ihe SR/- Worksheei in 7hr CRI N.
� apply Liqui<t Rield Applied Cuatings, the cooting must be applied across the entire roof surface and meet the dry mil thickness or coverage
commended by the coatings manufacturer and meet minimum performancc requirements listed in § I 18(i)4. Select the applicable coating:
Alwnutum-Pigmented Asphalt Roof Coating
Ccment-Based Roof Coating
Other
Regis�ruiion Num6er: Registra�ion Da�e/fime: HERS Provider:
2008 Xe.ridem(iul Cnrnpliance Farv�ts � Augus12009
Ccreificute ui'
Resirlentin/ Alterntions
, ,� Prnjecl
c�-i az-n�
'Par�e 5 01'
H�I:S V�I'�IF1 CATJ UI� SUMMAR)' The en(orcemem ngene�� shmdd pnp.rpecial Wiention ro �he HEtfS A4eas:u�e.t speci/ied in this
check(isl Lelom. d conrpleied und sionerl CF-417 Furm for aN !he measurea� specilied shall be a•uumitied m ti�c building inspecior Leforc final
D�Ct Senli�e d iBSt112�e HERSverrJicarionirreyxii,edJorihr„ncusxnr.
❑ Y�S ❑ NO YeS: ln Climaie Zones'_' xnd J-16, i1'more than 4l1 linear feei of'new ur replucemeN ducts are ins�alled in unennditioned
space, [he ducts ure to be seuled per § 152(b)IDii mid the newly insmlled ducts are to be insul.�ied par §151(1110.
❑ ERCEPTIO�': Lsisting duci systems Ihal arr. extendeU, which :u�e cunstructed, insulated m� sealecl �vith as6esms.
❑ �'�S ❑ NU 1'i5: ]n Climaie Zones 2 and 9-IG, il'tl�e existin@ space-conditioning system (HVAC equipmem and ducting) is replaced, the
ducts are io be sealed per § 152(bpDi.
❑ YES ❑ NO YES: ]n Climaie Zones � and 9JG, if [he existing HVAC eyuipmem is repluced (including the replacement of the ziir handler,
outdoor condensing unii of n splil sysiem, cooling or he�ting coil, or the furnace Leai exchange� ) the ducts are tu be
. sealedper§152(b)IE.
❑�XC�PTION: lluct systems thn� are tlocumented tu have Ueen previously senled confirmeA ti�ruugh HGRS
verilication in accurdnnce �vitL procedures in the Reference Residential Appendix P.A3.
�� ���� ❑ EXC�PT10�: Uuct svstems with less thnn 4Uiinear (eet in unconditioned space.. �_�
. . ..... . ... . . .
❑�XCP.PTION: �xisting tluct svstems constructed, insulated or se:iled with asbestos. �
�2A#'ri�erant Charge - Split SyStC[n HERS veri%�caiion ir reguire� for �hia� mea.nme.
❑ Y�S ❑ NO YGS: ln Climate Zones 2 and 6-15, wlten the existing HVAC equipme�t is replaced (including [he replacemevt of the air
handler, outdoor condensine unit of a splii system A/C or heat pump, cooling or heatin� coil; or ihe furnace heat
exchaneeri a refrioerant cUaree measumment shall be veri&ed per §152(611F. .
Centi•al Fan Integrated (CFI) Ventilation System and Fan R'att Dran�
The ventila[ion reauirements of 6150(0l do not anolv to existine residential homes.
Ducted Split SYstems - Air Conditioners und Aeat Yumps: Airilow HEP.S verijication ir requiredfor Ihis measum.
❑ Y�S ❑ NO YES�. In Climate Zones 10 through 15, wlien the existing space-caiditioning system (HVAC equimiient and duc[ing) is
� replaced. the airtlow and fan wari draw shal I be veri5ed ner § 152(611 Ci to meet [he requirements of 6151(fl7B.
� D
; N;
�
�le D CEA � � CEPE
. �
llesicncr's Dccl:ir'SLiun Stntement
�] am eligible under Dirision 3 af the Culifarniu Business ancl Yrofessions Code to accept responsibility for the building design identiLed on
this Ccrtifica�e of Compliancc.
� 1 cenify thai tlir energp feamres und perf'ormanee specificntions for thc building design identified on ihis CeniLcate olCompliance eonform
tn thc requiremcnts of Title 24, Pans I,md G of the Calii'orni�i Codr of Regulatiuns.
• The 6uilding design feawres identiGed on thir. Certificate oTCompliance arc cunsis�enl wilh the infonnation provided tn ducumeni this
buildiu� clesign on th: olher �ipplicable complianec fonns, worlsheeis, calculauons, plans and speciGcauons submi4ed to the enforcemem
aeency for apnrovul with this buildin;; nennil oonlication.
Nnme:
Compnny:
Address:
Signature:
Uate:
Phone:
For a.vsisianee rn� quea�tia��.e regarrling lhe� 6nerb,�� SuuidarrAr, cn»tric� the Lnergp Il�tline ut: 7-k00-7i2-33110.
I(c�isvaiion lJuniLm': !(egisirmion Uuic/Timc:
200F,' Rea�icientiul Compliunce Fnrms .
HEItS (rni�ider�
/lugu.s� 200J
�7
J
C ITY OF C-OSTA MESA
car.zFoxivza, P.o. Box 317
From the Office oY the Planning Department
Regarding Building Permit No. 2pg67
Location: 3113 JeY@erson Avenue
Dear Poo1 Ovmer: ' �
Date: Jeuu�'v �l� 1964
The Costa Mesa Planning Department called at,your property to inspect
the Swimming Pool. Our interest in pools is for the purpose of safety
and to be sure all provisions oY Section 9298�9 of the Municipal Co3e
have been met. . •
Section 9298•9�
I
1. No swi.mming pool shall be constructed closer than five (5) feet
�to any property line, measured Yrom water line of pool.
2. No swi.�ing pool shall be constructed under as�y electric power
lines or on any electric power easement.
3. No swimming pool shall be constructed unless the yard surrounding
such pool is completely enclosed by a six (6) foot fence or the
pool itself is enclosed with a fence six (6) feet in he3ght and hav-
ing a self-locking type gate or gates.
Note: (Gate ahould close and latch on a free swi.ng}.
Your pool will not receive final approval until the requirements of the
aforementioned Section of the Municipal Code have been completed.,
The following disposition is noted in reference to your pool:
i� No one was at home.
[i No springs on gate.
❑ Smproper latch or defective hardware.
❑ Tdall surrounding pool not 6' high.
� Other.
� Telephone 646-2k11 and ask for the Planni.ng Department so
that an appointment may be arranged.
Since you have incurred certain liabilities through the installation of a
pool, it is requested that these matters be taken care of as soon as possible
so that your pool will be a safe one. .
�
Sincerely yours,
� Planning Technician
� t � ��� . - . ' . . .. . . , . ' . " . ; � . . .
L. _ . ' T . . f .I _. - _ . .
�,. .,. . . . . . � � r� ..� - . .. . . , e ' . ' _
� � � �I' ' � . �. . . Y. _ . ` . .. . . .. "
LE.O �.W: �CA�RLS-TRO.M . . ; ~F,�e.No, `_
.., , .
�''� ,lnspection Enginee�s and Labo�atories , , � '�^ : Applimtion No ' '
'� " �Pr�o�e.878•1�31'z ' . . , � . .: 63-28 . � �
, " Job No. '
. , .' 701 EnsT�Ht�r'Pwrs�: s��� � - � • � • � .January 6, 1964
. . . �..` Date
��Ixci:r:woon 3, Cnur-a+un. . � .
� :,• ; . ' . , GUAITE . . ; °
F ` . � COMPRESSION TEST REPORT
� , ' - �- _ . . •
. ' .. . .. . � � .,. . �_ , .. ) . • . . :.. . ., _ ,. ,. . ,, . .. . ..
., , •-- F
. �.
� -+ Sample From• �NOI`th;W811 6'—O° from @88t corner' ' � � � � '
, ' _ . . .. ♦ � . S � .. � , .
. . - ' _
' �° �,.�Teit Made For"Fi@Bt& P0019 , ` 1.''„`t ' , � �
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- �- � . G�I`�TE � � �Specified'Strengtfi �@ 28 Days;' 2���� -' "
.. . • . . . . . .. � _. �� � . .
r � . • .. ' 'r'. � , .. i i.�"� . �
Slump , ' Cylinders Made By , Jriw BAl 1 tavi A '
;Admixfure. � � • �Date Cylinder Recerved ->�DeC@IDb6T 9 � 1�%3 �
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_ A- 028, ' :t .t. " f .
VTesf Report.� ' v '3o-�•r - . -
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- CyLnder -.� ��. . .� , ;, . � , ' . ' . � . c , � -' . . . . . - , ,
• Identification: , � A' A ',,+ NO � HOld
, ; , ,. . .:•+ - .
'' �Dafe Cast: .. .•DPr: �6 ' 1q6�S ' D'ac!. 6 '.1Q63.� ' - �
. . �-------- . +—T-- .. .
�, Date,Tested: c . _ Dan _ l � .1 QFi�i ..TAn: � 19fi[4
� 'Age Dqys: . % d8yH . , ' ... .28 dayB • ' . , . . -. - � _'
� , .� � Area: � . � � � , . 9A. ?'f' � ?8: irf .,. ,. � . . .. . .
..`. . . . ' ' ' . . „ .. _ ' •
. ro,oi �oad ro. .' • . ' , -
� , ,Destroction�Lbs.: 62�000 1?4�000�
'� r51:. ' • 2�ia� . 4,386 ' , g 10 '
, . . ` -_ : ' F
'. . ,. . . • . n AN' N
� �Rem'arks: . . ., � ��... . . �' � . '- �. . . Ci/YOf IgG.
� � • ' CC, FiestaiPoolsspection Serviae �p euiid; � �`pMeSa4 \�
, � � `: � �City oY Costa �esa f � ..._ , , ' ,. S, \,� .
- fE0 W : CARLST M /� ..14'\
. ' ( , INSPEC710N ENG ERS
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... , ... .• ... ' . ' . . . . . ' . . . . ' ._ ,i . � , . , , - � .
r.. �
DATE �� )
VALUE
SUBCONTRACTOR
�iRi�sZi:!Z.Y�
-' ; rtt .Kt�t�vtu
. aad . a ���
605FA'M�SA'SUILDING-SAFEfY DEPARTMENT FINANCE�DEPT. '
P.O. BOZ 9f] C09TA M69A, CALIFORNIA - -
CITY OF COSTA MESA
For Applican► to Fill In Completaly APPLICATION FOR PERMR
TYPE OR PRINT � BUILDINii �
For Office Use Only '
.BUILDINO /. � G \ �
ADORESS `-.i(C..G� Ow�J
. _ R[C81PT NO. PEqMIT NO.
� � OSTA MESA, CALIFORNIA - - �
1 P pAT[ ReCeI/VlD'J D TE 189UED '
OWNER i'� C'� _� , � ��'7!O). � ��_G�
MAIL � . . . �- ADDRE58 �II7 . O�r(,�� �
ADDRES3 '
'- FIRB ' � " �
TEL. ZONE TYPE � J OUP
CITY NO.
ARGHITEGT APPROVED '
OR ENGINEER ��-_ ' Np � t� "BY OATB �
� ZONING
A[. a9 n
Z rvo. or us[ or N[w '
+ � �LANB y OUILDINO ; �
CONTRACTOR � � � ^ \-��
. \�.. LEOAL J 0 -ni C � Y
ADDRESH � � � � � j OH6CR1''I'�ON (i� u
i
CITY � �'1 � .. • A. P. NO. � '
SfATE �-• /` � ''.TEL. t� F' 90TT0 SIOE @ REAR p LN6 SHALL BE LES9 THAN
LIQ NO. I~% 'NO. ' C ' U��'�. '
EAVES'
SIZE J_2% \�' � -I NO.OPeL�Oe. ALLOWED (U.B.C.REQUIREMENT)
OF LOT V/ �C.. ryOW ON LAT
YARDBAPPROVEO .YARD9APPROVED
USE OF MAIN BUILDIN6 �� ACCESSORY BUILDING
� EXISTING BLDG. � V� �
fFROMC/LSTREET) �
6CTBACK LINH RNOM ' FR NT FT, � FT.
cervieq op siqE¢i REAR YARD
SIDE YARD I LEFT . ' '- I RIGMT. . R. &I�E FT. Ff. '
DESCRIPTION OF WORK �. s�oe P'r. Rr. �•
NEW _ %�� ALTERATION ADOITION REAR �• FT. � F�.,
^ ' DISTANCH BET. BET. MAIN Q �
REF. MO 1 Q ��DEMOLI9H MAIN BLDG8. ACGE56. BLD68. ..
VAR. �j DATE '
BUILDINQ NO.OP
SIZE ROOMS bTOR1ES C. U. P. APPROVED '
EXTERIOR WALL • ROOF � , APPROVED �
COVERING I GOVERIN6 Y ' E �
USE OF BUILOING Af�O WORK TO 88 PHRPORMfiD , �jOLD FOR SPE REQUIR£MEP�TS
� . _�rG �. � � � j .
� a .
6C. FT. �
1 HEFEBT ACK OWLEOOE THAT 1 N�V APaO T I8` PLICATION THE AMOUNT BHOWN UNDER VALUATION I8 FOq THE F
/�ND BTATE T T TH8 ABOVE 18 COR CT AN AG EE TO CQM- ' PURPOSE OF ESTABL�6HIN0 A pENMIT-FEE ONLT. 0
PLY WITH ALL TY � NANCHB AN 6iAT8 W9 PCOULATINO yALUATION � ' m'
BUILOINOCON9-UCiION. ./9 �� H
SIGNATURE OP � � n � ' PERMIT FEE S '��_ �
PERMITTE ' '� �� - � 6 �
AUTHORIZEDAGENT� .'��' � �.� s�( �n�.�/ ���/� « C � �Y .� �
�fV V v . -- TOTAL FEE '�
OWNER 'p�TER W. HUEGLE DATE 10-LO-75
JOB ADDRESS 3113 Jefferson AvenuP BUILDING PERMIT N0. �n�az
0.141-657-47 LOT
SUBCONTRACTOR
ROUGH PlUM81NG
P(iOP. SwR. LINE � HOUSE CON.
SPRINKLING SYSTEM
HEATING AND AIR CONOITI
UNOEfiGR0UN0 � POwER
ROUGH WIRING
BOND BEAM L� STEEL REINFORCE �
SNEATHING
FRAME AND FLqSHING
LATHING — IN n OUT rJ
PI -R, BROWN COnT
51 fURPL, CINAL
NEATING. VENT„ ftEFRIG. AN� A.C., FINAL
PLUMBtNG, FINaL ANO GAS TE57 �]
ELECTRIC, FINq�
fl111lOINf. GINpL
- ' �CT 10-7�P�InO� �49� .*����5.50
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COSTA MESA BUILDING-SAFETY DEPARTMENT
. .-. ---- .--- --- • -- •-•--�. -�_.. ,,..._.� ____„ • AP !.1 AT ON FOR STRUCI'URAL PERMIT
For Applicant to Fill in Completely - Use Ink Only
BUILDING '- RE I ED Y DATE RECEIVED D TE ISSUE%D
ADDRESS ���� _ e"'L� 'IO G / O^O^ S��Q'�O�r
A.P. NO. I/ I�D S2'�3 / PERMIT NO. -
OWNER ��eP . / ' � . .
MAIL ./ ////' ' BUILDING .� �L
ADDRESS .� � �'- T`jrG�"J6 Jl /+DDfiESS
CITV � � P� NOL,� - .(/ TRACT ��O LOT BLOCK
CONSTRUCTION'7�� � � . W p` P
LENDER �/
,
BRANCH � � ' - - - /
' . . .OWNER � ' ' (-- C LC
ADDRESS - . �I�. Pr�r� G„ALUE�
ARCHITECT TEL.
OR ENGINEER�
FIRE �'"�
AODRESS • ZONE '' T PE GROUP V
'� • APPROVED '^ / �/�
CONTRACTOR PJ��JP'� — �L(/ � BV � DATEIv�lO>'!S.
'I
ADORESS S�Giy/ G, ' �� ' '
TEL. ZONE- NO.OF USE OF NEW
' R7_I PLAN$ Z BUILDING (�(/f
CITV • Sr-+o� E NO. ���, G
STATE -�CITV VAFlDSAPPROVED VARDSAPPROVED
IIC. NO. � � LIC.�NO. � MAIN BUILDING I�+CCESSOFV BUILDING �
SIZE � . � NO.OF BLOGS. (FROM C/L STREET)
OF LOT NOW ON LOT � OM �FT. FT. -
USE OF . ' � • � '
EXISTING BLDG. 3 2 F '
Separate permits aro required for ' � s�oe � Fr. pT. �
electric, plumbing and heating work. � .- 1 �/
REAR , FT. � Z 7 FT. �
USE OF BUILOING AN RK TO BE PERFORMED " DISTANCE BET. BEi. MAIN 8�
� ' MAIN BLDGS. ' ACCESi, BLOGS.
VAR.� - � DATE
� ,�ZO �� i p � ' i , � c.u.v. # APPROVED
� G . V ��� � APPFOVED�. �I� . •G �0' �d'^7S
• . ,
.1 hereby�acknowlatlBa thet I hava raetl t�is epplicetlon antl stete � � '
� t�at tha ebova Information le corract entl apree to comply with ;
ell lews reBulatlnB builtling conrtr�ctlon, entl I sheli not amploy . . � �
eny oerson In vloletlon of Me workmen's compensation lows of
Ma Stata of Californie. . . %/1 � .
I hereby certify that 1 am proDarly Iicensed a9 a tonTroctor undef `� SQ. FT: � i
the State of Californle Business entl Prafanions Cotla, Dlvlsion 3, TNE AMOUNT SHOWN UNDER VALUATION IS FOR j
Chepter 9, and tHet such�lieentes ere In fuil forea antl effect, or I TNE PURPO6E OF ESTABLISHING A PERMIT FEE ONLV:
em enempt f�om Me provisiona of tha Stete of Celitarnla Bucinass yALUATION '
end Profassione Cotle, Dlvislo/n 3), Chepta/r 9�. ' � � � PERMIT PEE E /�_� �
/�� Y . / //i W_ . f
SIB�aiure Ot // � PLAN CHECK E� �
verrnittae ��0. L1�!'i L�!-�i/ S 7�D. � rAx � . E `
i �
' Authbrized Apent �_ � � ' TOTAL PAI D E �
N
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COSTA MESA BUILDING-SAFEN DEPARTMENT ��EB 1 y IABa
P. O. 90X 917 COBTA MEBA. CALIFORNIA �
For A licanf fo Fill In Com lefel FINANCE DEPT.
, PP P Y APPLIC,?vTION�,F,qRpgeRkiziA MESA
� TYPE OR.PRINT ' ��
BUILDING�
ADD e�s"s' 1,1 �e enaon Avenue
� COSTA MESA. CALIFORNIA FOf Offite Use Only �
Occiden.fa.0 Loan OlR QR wEce�rr rvo. I.. J'v nm r o. /
OWNER 1 � �
ADDFiESS L O/ UQiL��C.0 aIL UR U/(.(,.VQ RECEIVEO BY OATE RECHIVEO ATE 195UED
� I EEB 1 S 196�3 FFR i R ioa:
cirv Qeve�t.� �f11.�� T o1�-68 4o AooRE�s"s
wecHrcecr � 7E�. `�. COSTA MESA. CALIFORNIA
OR ENGINEER NO.�� '
FIRE ,�/ ^ �
ADL,. dS ZONE TYPE Y GROUP i�/ �/
CONTRACTOW�� �� �� "�µQUI"' APPROVED � � ✓ -
n BY DATE
ADDRESS 2� Ol U2R��C.f ^Q/L Ol2 [IA�L.V ZONING r.
/) � ION NO. oP UBE OF N6 L q
ci7v L'2VQlLC HLC�i..d ��4. nORRtQ . I Pues � I am�owo ��
STATE' y TEL'�G` t� ' �
LIC. NO. / � � NO /t—iJ � / �O �eae� T— `i ^
oescrtiviioN � � ' �i lJ �
SIZE ` , NO. OP BLDbB. �'
OF LOT O2� X JOO NOW ox LOT p, p, NO. '—� :�� '
UHQ OF yqROS EVES
EXI6TING BLDG APPROVED � ALLOWED
86fHAGK LtNe vaOM ,-6O REAR YARD ;�O �ceNT[a uw[ STd f/1FT. ' IN.
CENTeR OF BiResi FRONT �� l/ .
SIDE YARD ILEFT �S IRIGHT S' R.SIDE � FT.'' IN.
DESCRIPTION OF WORK /
e L.SIDE FT. IN.
NEW I X IIALTERATION I IIADOITION I REAR z K-I FT. � IN.
REPA.. I IIMOVING I'II�EMOLISH I BYPROV DATE �I " i
BUILOING /� NO. OF '
81ZE 2 X`t pOOMS . STORIES � �
EXTERIOR WALL S.C(LCC�CO�VERINdUood 8 �2o�k
COVERING
U8Ep� BUI�QING ANDy/O 70 B P FORMED - .
l—FQllt 7<Ed.' IU/2 QC QR. .. . .
� /� i 16 _
�. o i >� o
�_.
I HENEBY ACKNOWLED6H THAT � HAVE HEAD TH19-APPLIWTION }qQ AMOUM 6HOWN DEN VALUATION IB FOR THE
AND BTATE THAT THE ABOVE 19 CORRECT AND AGREE TO CON-
PURP09E OF EBTABLIBNING A PENMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCEB AND 9TAT6 WB RE6ULATIN6
Bu��o�rvo cOHernucno . VALUATION �/
SIGNATURE OF PERMIT FEE � $ /��—
N
PERMITI'E ��{� l�/ � G,� � _
S � y PLAN CHECK� $
/ \ % Z
AUTHORI2ED A N7 � — �
� TOTAL FEE
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