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HomeMy WebLinkAbout1649 PALAU PL - Building Permits / CITY OF COSTA MESA A19 1 BUILDING DIVISION F4� l�p 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us d FOR INSPECTIONS CALL:(714)754-5626 PERMIT NUMBER: B10-00199 PERMIT TYPE B_ROOF2 STATUS: ISSUED APN: 13928104 DATE ISSUED: 07107/2010 ISSUED BY: KJB JOB ADDRESS: 1649 PALAU PL CM Suite/Unit: Vicinity: Squares: 2400 Valuation: $8,073.00 SCOPE OF WORK: TEAR OFF EXISTING ROOF. REPAIR I REPLACE SHEATHING AS NECESSARY. INSTALL CLASS A COMP SHINGLES PER CODE. ROOF PITCH IS 2.5:12.APPROX 2400 SQ FT.INCLUDES ATTACHED GARAGE. OWNER: THORPE,WILLIAM H Address: 1649 PALAU PL Unit: PHONE: City/State/Zip: COSTA MESA,CA APPLICANT: MILLER,DAVE Address: Unit: : PHONE: 949 631-1924 City/State/Zip: CONTRACTOR: ORANGE COAST ROOFING License No. 434674 Address: 2870 CHIOS ROUnit: PHONE: 949-631-1924 City/State/Zip: COSTA MESA,CA 92627 CELL: ARCHITECT: License No. PHONE: ENGINEER: License No. PHONE: FEE SUMMARY Reroof Plan Check: $0.00 Reroof Permit Fee: $167.25 Reinspection Fee: $0.00 Bldg Std Admin Fund $1.00 TOTAL FEES $168.25 HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3/18/2010-PER CMMC Sec. 13-279 Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibitied all hours-Sundays and the following Federal holidays New Years Day,Memorial Day,Independence Day,Labor Day,Thanksgiving Day and Christmas Day 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 final approval will result in the expiration of this permit. CODE P. INSPEC11ON TYPE DATE INTITIALS CODER INSPECTION TYPE DATE IN1I➢ALj 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 'T /1 'Y 208 Final Plumbing �'Au 200 Final Re-Roof /—/y'/O ) t -1J 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy • WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's license. ❑Yes ❑ No I hereby affirm under penally of perjury one of the following declarations: Driver's License No. Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-'property trax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the rformance of the work for which this permit is issued. ave and will maintain workers'compensation insurance, as required by n 3700 of the Labor Code, for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. wo ers' compensates Insurance comer and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: // person is required to descend,will be made in connection with work authorized hl — by this permit,and that no building structure,scaffolding,falsework,or demolition Carrier: i/ �—'�� or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (The section need not be•, aided d the perms'is valued arwed2wM.ee dollars fEtoo)wless.l 2,Art 2,Sec.341,Title 8,California Administrative Code). Policy Number: po 515-b" X O7` V\G/17 ❑ As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance • the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I • all n.t employ any person in �. y manner so as to become subject such person has a permit to do such work from the division. to the wo ers' t•om.ensation aws of r�aifornia, and agree that if I should become s .ject to t worker comp: t ation provisions of Section 3700 of Applicant's Signature Date the Lab. 4ode, 1 sha I f.rthwit comply,ith these provisions. A I : A — /\ Division of Industrial Safety Permit Number: •l!NV' T YSi:-ature 11, MalHAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes ❑No • ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATI• : 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas I hereby affirm that I am licensed under pro .ions of Chapter 9(commencing at standard temperature and pressure). with Secti' 7000)1.f Division 3 of the Bu ess and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my IicenseE.,,full .rce and effec. i /' �f-.-y��a1 a registration form for acutely hazardous materials? ❑Yes 0 No , 4 ( ass#1, l��/ t (Section 25533 of the California Health and Safety Code, with some ■���A - — % exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely �• -6P?Si ?LFe' hazardous materials equal to or greater than a weight of 500 pounds, or a Yet volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONSTR •TION LENDING •GENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? ❑Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑ No applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No thereon,and who does such work himself or herself or through his or her own 8 (If'yes", attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that have read this application and state that ❑ I am exempt under sec. the information given is correct. I ..tree to comply with all state laws and city ordinances relating to building con'ruction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to ente upon the above-described property for inspecti• pure. es I ag ee not t. •ccupy or allow occupancy of any building authorize,; by th . p:rmit ntil fireQI spection. Signal • Dale Signature Date 7 _ _ / `\J 3057-46(3/07) Itr?+ • i.r�eT1T�0AtKallt M1 r) ODS Clin . Prescriptive Certificate of Compliance: Residential CF-1R-ALT Residential Alterations - (Page fi of 5) Project Name: n 1 i j �'f 1- l Climate Zone# Co #of Stories S% l lttvr I t` • General Information Site Address: Enforcement Agency: Date: -7 - "1I _r o Building Type Single Family ❑ Multi Family Circle the Front Orientation:N,E,S,W,or degrees • Conditioned Floor Area(CFA): - Project Type: ❑Alterations ❑Envelope Fenestration oaf O HVAC Replacement or Change Out ❑ Duct Replacement ❑Water Heater NOTE: This farm is not to be used jOr Newly Constructed Buildings or Additions Insulation Yalues For Opaque Surfaces(far Furring use the Mass and Furring Strips Construction table below) Assembly Alteration O Opening of framed cavity alone-Alterations that involve the opening of the framed cavity of a wall, ceiling, orfloor must install the mandator,minimum insulation value per§150 for the altered assembly.Fill in Columns A-C and enter mandatory insulation value in Column H. ❑ Replacement of entire assembly-Replacement of an entire wall,ceiling,or floor assembly requires the installation of Component Package-D insulation values in Table 151-C. Fill in Columns A-J. . Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below. A B C D I E - ' F G - - - •I• •• 1-} -.] Proposed seeh°" StandardValues From JA4 Table Framing Thickness, Framed Continuous JA4 • Proposed Tag/ Assembly Name Material Spacing, U- JA4 Table Cavity Insulation Assembly Assembly ID' or Type' and Size' or Others factor4 Numbers R-value R-Value' Cell Values U-factor" Note:For furred assemblies,accounting for Continuous Insulation R-value,see Page JA4-3 and Equation 4-I. For calculating furred walls use the Mass and r Furring Construction table below. I.For Tag/ID indicate the identification name that matches the building plans. 2.Indicate the Assembly Name or type:Roof/Ceiling, Walls,Floors,Slabs, Crawl Space,Doors and etc...Indicate the Frame type and Size:For Wood, Metal, Metal Buildings,Mass,enter 2x4.2z6,or etc...see JA4 for other possible frame type assemblies. 3. Enter the thickness for mass in inches or Spacing between framing members enter; 16"or 24"OC;or Other for all other assembly description such as Concrete Sandwich Panel,Spandrel Panel,Logs,Straw Bale Panel and etc.... . 4.Based on the Climate Zone;enter the Standard U-factor front Table 15/-B, C or D for each different assembly Name or type. 5.Enter the Table number that closely resembles the proposed assembly. 6. Enter the R-value that is being installed in the wall cavity or between the framing;otherwise, enter "0". 7. Enter the Continuous Insulation R-value for the proposed assembly;otherwise, enter "0". 8.Enter the row and column of the U-factor value based on Column F Table Number and enter the Assembly U factor in Column J 9.The Proposed Assembly U-factor, Column J, must be equal to or less than the Standard U factor in Column E to comply. Furring Strips Construction Table for Mass Walls Only A I 11 C I D L E F C H I .1 K L M Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation Watts From Reference in Furring Space from Reference . Joint Appendix Table 4.3.5,43.6.4.3.7 mains Appendix Table 4.3.13 „ m • Assembly 77- D c `e F F o d,"g -2•v y-'a Final Mass Name or JA4 Table R v 'v t o 8 F g 'ET? 4 p „ Assembly Thickness' Type' Number' < 3 -a ui = 4: LL 3 2 r < 'W m c U-factor'' Comment • 1 I I - - - I Registration Number: Registration Date/Time: HERS Provider: 208 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF-1R-ALT Residential Alterations (Page 3 of 5) . Project Name: Climate Zone q f ., #of_Stories ROOFING PROI)UCTS(COOL ROOFS)§15112 `1 When the area of exterior roof surface to be replaced exceeds more than 50%of the existing roof area,or inure than 1,000 fr', whichever is less,the new roofing area must meet the roofing product"Cool Roof requirements of§152(b)1Hi, 152(6)1Hii,or 152(b)l Hiii. Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof'requirements.Note:/f any one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Eminence requirements for roofing products in §118(i)are not applicable.Do not fill table below. ❑Qool Roofs Not Required in Climate Zones 1-12, 14,and 16 with a Low Sloped. Less or2:12 pitch. ool Roofs Not Required in Climate Zones I through 9 and 16 with a Steep-Sloped Roofs(pitch greater than 2:12)and product unit weight less than 516/ft2. Alternatives to§152(b)1 Hi anti§l52(b)Hii,Steep-slope roof(pitch>2:12) ❑ Insulation with a thennal resistance of at least 0.85 hrfl2.°F/Btti or at least a 3/4 inch air-space is added to the roof deck over an attic;or • ❑ Existing ducts in the attic are insulated and sealed according to§151(010;or . ❑ In climate zones 10, 12 and 13,with 1 112.of free ventilation area of attic ventilation for every 150 112 of attic floor area,and where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge;or ❑ Building has at least R-30 ceiling insulation;or ❑ Building has radiant barrier in the attic meeting the requirements of§I51(f)2;or ❑ Building has no ducts in the attic;or ❑ In climate zones 10, 11, 13 and 14,R-3 or greater roof deck insulation above vented attic. Exception to§152(b)lHiii,Low-slope roof(pitch<2:12) ❑ Building has no ducts in the attic. Other Exceptions 0 Roofing area covered by building integrated;photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria. .❑Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/ft2 is exempt from the below Cool Roof criteria. - Note: If no CRRC-I label is available,this compliance method cannot be used,use the Performance Approach to show compliance,otherwise, Check the applicable box below if Exempt from the Roofing.Products"Cool Roof'Requirement: Roof Slope Product Weight Product Aged Solar Thermal CRRC Product ID Number' < 2:12 >2:12 < 5Ib/fl2 > 5Ib/ft2 Type2 Reflectance2'4 Emittance SRIs ❑ ❑ 0 0 ❑4 ❑ ❑ ❑ 0 ❑4 ❑ ❑ 0 ❑ 04 . ❑ 0 0 0 ❑4 O 0 0 0 ❑4 I. The CRRC Product/D Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www.coobnofvore/products/search.php 2.Indicate the type of product is being used for the roof top,i.e.single-ply roof asphalt roof metal roof etc. 1. If the Aged Reflectance is not available in.t c Cool Roof Rating Council's Rated Product Direct my then use the Initial Reflectance value from the same directory and rise the equation(0.2+0.7(p;,,;,;at—0.2)to obtain a calculated aged value. Where p is the Initial Solar Reflectance. 4. Check box if the Aged Reflectance is a calculated value using the equation above. 5.Calculate the SRI value by using the SRI- Worksheet at lntn:/Avww.enerirn.ca.eov/title24/and enter the resulting value in the SRI Column above and attach acopy of the SRI- Worksheet to the CF-Ili. To apply Liquid Field Applied Coatings,the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in§118(1)4. Select the applicable coating: ❑ Aluminum-Pigmented Asphalt Roof Coating 0 Cement-Based Roof Coating 0 Other . i • Registration Number: Registration Date/Time: HERS Provider: • 2008 Residential Compliance Forms - August 2009 Prescriptive Certificate of Compliance: Residential • •• = CF-IR-ALT Residential Alterations (Page 5 of 5) , Project Name: �3 .- I , / Climate Zone it I It of Si(tries1 1 16 eta IK^J HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified ni this checklist below. A completed and signed CF-41I Form for all the measures specified shall be submitted to the building inspector before final inspection. Duct Sealing & Testing HERS verification is required for this measure. ❑YES 0 NO Yes:In Climate Zones 2 and 9-16,if most than 40 linear feet of new or replacement ducts are installed in unconditioned space,the ducts are to he sealed per j l52(b)IDii and the newly installed ducts are to be insulated per §151(1)10. ❑ EXCEPTION: Existing duct systems that are extended,which are constructed,insulated or sealed with asbestos. ❑ YES 0 NO YES:In Climate Zones 2 and 9-16, if the existing space-conditioning system(HVAC equipment and ducting)is replaced,the ducts are to be sealed pel•§l52(b)IDi. ❑YES 0 NO YES:In Climate Zones 2 and 9-16,if the existing HVAC equipment is replaced(including the replacement of the air handler, outdoor condensing unit of a split system,cooling or heating coil,or the furnace heat exchanger)the ducts are to be sealed pet §152(b)IE. ❑ EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS verification in accordance with procedures in the Reference Residential Appendix RA3. ❑ EXCEPTION:Duct systems with less than 40 linear leer in unconditioned space. - ❑ EXCEPTION:Existing duct systems constructed,insulated or sealed with asbestos. Refrigerant Charge- Split System HERS verification is required for this measure ❑ YES ❑ NO YES:In Climate Zones 2 and 5-15,when the existing HVAC equipment is replaced(including the replacement of the air handler,outdoor condensing unit of a split system A/C or heat pump,cooling or heating coil:or the furnace heat exchanger)a refrigerant charge measurement shall be verified per§152(b)1F. Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw The ventilation requirements of§150(0)do not apply to existing residential homes. Ducted Split Systems-Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure. 0 YES 0 NO YES:In Climate Zones 10 through 15,when the existing space-conditioning system(HVAC equipment and ducting)is replaced.the airflow and fan watt draw shall be verified ner§152(b))Ci to meet the requirements of§151(1)7B. Documentation Author's Declaration Statement • I certify that this Certificate of Compliance documentation is accurate and complete. Name: Signature: Company: Date: • Address: If Applicable 0 CEA or❑ CEPE (Certification#): City/State/Zip: Phone: Responsible Building Designer's Declaration Statement • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. • ] certify that the energy features and performance specifications for the building design identified on this Certified F of Compliance conform to the requirements of Title 24,Parts 1 and 6 of the California Code of Regulations • The building design features identified on this Certificate of Compliance are consis nt wi the information provi ed to document this building design on the other applicable compliance forms, worksheets,calculations,i lans td 5)ecifica ions subn tted w the enibrcement agency for approval with this building permit application. Name: D a I Signature: ( W` Company: in Date: Address: W)0 nO , I t el C �, I License:q3�k ^t/ G-3 y7 City/State/Zip: Phone: t eos pit CA- t. 6k6 90q-131 -r 92-Y For assistance or questions regarding the Energy Standards, contact the Enetgr Hotline at:1-8(111-772-33(10. Registronpu Humber itcgi.strauat Date/Time•: HERS Provider: 2008 Residential Compliance Forms August 2009 r Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA ONSTRUC\TTIION PERMIT I PERMIT NO. TRACT NO. LOT NO. UNIT NO. Prole&Address )�.LiQ ',,��Au— :Z%:,AAA` 4 v� iia 99 1-�'(j Lip? 2905 10/25/85 I I05C IL Applicant's M mg Address 2323 S. V 4 h '/'e J' TYPE OF CONSTRUCTION NEW U ADD AL ERATION (J REPAI R Y\a AMY-. Phone���-7-•(�I� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A,P•# 131 -ON - Og Zone iQ/ Owner's NameW•\!..6-7. DES.(' PTION OF WO:K USEr.F :LD / 4 -- S Main Building: Accessory Building: Address , 527adig4r _.i.-. l / Arch/Eng. tLt� �.4...8.-i.“ License No. '2 O "S TYPE OF PERMIT V GRADIN FOV NDATION ❑ STRUCTURAL T Front / gl'21 O Address - -- ��ar, ^• �— `� �o` DI TENANT ❑ ELECTRICAL ❑ PLUMBING 0 MECHANICAL B Rear I N Contractor's Nam. \-- Phone .i- - cc ❑ OTHER pO C Right �3 i N c.S'_ .‘111111511 �i �c C , , PROJECT DESCRIPTION SQ. FT. O OCCUPAN V 00 K G Address(mailing) / �/ ry.,Pj L 1 j'lf/�]%, / V CONSTRUCTION TYPE VALUATION$�`€y—�� S City License No. _ r'r" / r ZONE GRADING CU.YDS. ACR S R Ping. Ref.# Parking Req./Provided E LICENSED CONTRACTOR DECLARATION ^1I �-I qq Q I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Y •C_ �QS X� S' Planning Notes: 1 ,eta—) l , 111 �7 M with section 7000) of Division 3 of the Business and Professions Code, and 1 u `N 1/y`��-�� •1„"'� F' my license is in full force and effect. • IMAni rn�1 �� 1 cjl 011,1 T License Class License No. P U 1 \ l � $ Date Signature PLUMBING ail e ` 17� eJ^ I,l.l II Yls... 'YORKERS'COMPENSATION DECLARATION Bar Sink Showers TT 1 ELECTRICAL FEES C nereby affirm that I have a certificate of consent to self-insure or a certificate .f Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 0 15-50 KW IO 3800, Lab. C. s \\ Automatic Washer Transformer Policy No. 4,&4 1"-- Company ...awa Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50 KW ) ❑'Certified copy is hereby furnished. Certified sou is filed with the cife_rtulidin9 Division- Bathtubs Sewer Connection Cooking Unit Meter Dun to 100 amps Date /n -�-1'-$S—Applicant 'r rr-�A\ 'c r-'C� EXEMPTION FROM WORKERS'COMPENS DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the p it ' for one hundred ($100)or Dishwasher less). Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance oft r Ich th s p rmit is Issued, I shall not employ any person in a anner s to become subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP 01 Yr-8 Workers' Compensation Laws • alifornia. — , Date gnature Floor Drains / Swimming Pool w/Spa 3 — F.A.U. Inc.Solar 09-15 HP 016-15+ NOTICE: If,after ng this declaration,you should become subject to the - , Workers' Comp - .tion provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures c•mply wit. uch provisions or this permit shall be deemed revoked. _ Microwave •NST: • TION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I he -•y affirm that they is a construction lending agency for the performance Pole Light U of the work for w h this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater OutletsRange ' / Lender's Name Lender's Address _ •`��(.4-1t C4_/ Kitchen Sink Water Service Switches Si n - OWNER BUILDER DECLARATION g - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or ;Standing Sections . county which requires a permit to construct,alter,improve,demolish or repair P—Trap ' Laundry Trays Generator 00.5 KW ❑5.15 KW any structure, prior to its Issuance, also requires the applicant for such permit Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains 'he Contractor's License Law(Chapter 9 (commencing with Section 7000) of livision 3 of the Business and Professions Code) or that he/she is exempt V' hdgael/ nerefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). 0 1, as owner of the property'or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 • compensation, will do the work,and the structure is not intended or offered —' - Reinspection Fee I $15 Issue Fee ., $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES License Law does not apply to an owner of a property who builds or improves , , thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type 0 DEVELOPMENT SERVICES REQU ENTS://��I//�� .. employees,o provided that such r Improvemes are not inwit hin o or ar of c for yp Zoning Approved By .^,'4�6��-s'�a1 d lLOS Date sale. If, however, the building or Improvement Is sold within one year of corn- Canopy Type II 0eep ll,'S(_J �/Ly elation, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date/` prove for the purpose of sale). • ❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By ' . '/Date 492.2 TIT, tractors to construct the project (Section 7044, Business and Professions Code: . . The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SU •RVJp,FaF EES _ �� builds or improves thereon,and who contracts for such projects with a con- - dr tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ •�'�/ 't(�, SMIP , • $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ rl� �r PERMIT ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBO# ' Fire Dampers PLUMBING $ (/p. a ISSUANCE $ Date Owner • Heating System& Ducting Registers PLAN CHECK 25% $ 7'1�\ GRADINGf/ $ENERGY P.C. $ I hereby certify that I have read this application and state that the above DO-100,000 BTU 0100,000 BTL Jr, information is correct. ELECTRICAL $ •^� t agree to comply with all city and county ordinances _ and state laws relat" to building construction, and hereby authorize repre- sentatives of 's ty to enter upon the above-mentioned property or ' inspection p.r•, a S� MECHANICAL $ TOTAL FEE $ Signature S. / i a Date !/t/ '• CMF 0865-46,rev.10/84 White - Building: Canary - Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING , PC ' SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1.Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. - 54. Forms 4:.Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement , 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grind. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, ❑ Undrgrnd.,Test 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16: Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough•Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace ' APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil 23. Gas Pipe-Rough & Test - 72. Underground Flush - . 24. Roof Framing 73. Undergrnd.Storage Tank O Gas 0 Oil 25. Roof Sheathing - 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. .Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION • 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy, 37. Final Factory Fireplace 38. Final Plumbing _ • 39. Water Service-Final • 40. Gas Service-Final 41. Solar Domestic-Final • 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations -CMT �aPr 14-1- 47. fes47. FINAL STRUCTURE & BUILDING Er-re te6-47 Fo 3 \\\ [ 48. Special Requirements Completed 2 7Ves-J-6 e . 49. Electric Release to Edison 'rV 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date 4 14. ''''1.;;. '' ,vif'er /),/24))/.S.._.._ .�6Y% �r7lldl-(-- — L CSS'✓!/ /YE / ._ -C 74=(OY3 Z�� .:a' • a OWNER/S - ADDRESS CITY RES. PHONE C All : •4 — --- s-Y S=ro .` t, :•:nil ',B•sK PAGE t EGAL DESCRIPTION - LOT TRACT JOB PHONE .• --, a+ --fw.. ' sClmgrNdge ....' 'tt" ible for the = J-"{}" :` i-s. _- •'.tractor Owner _ _1_.I. Einrie...vazae..gnall :.'. .. .. . _t- r,+ • `yam I ,�_ /`�� -:ate 'mac, ^ , + na7'oN TT is - '.1i/ % _!: afEt{,OFv'ALL ITEMS ._.__.._ '''''..„\/... ^t7 -�' 'r1NO.TNE FOLLOWING r \i j / 'NsOWIEDGED BY ' _ _`y • • • ... .. .: T..17-1777 -: __1�.._--.___-_.-__ _ —_ _. _.__ { IN • Ln it `r / •,), toeeiat i. • �, _ _ -1 1131 T_ _ .i :. ; _ _11 :).' '-; c c•5.1. '‘. , .:",''',.---I--.L-.:7_.--7!-.i--A4k,1a11l„ 110-.-._ .. N \ , ' - -- 1, I,. -%-T iiggt . dr•asou'Obia siaui ' - . .._ al 11 -it'D+esrWon.li .. / I . ... '__ 1 4v1a -Eo dswtyt7SSS. • t �I�� 1 • 0! IC:::. or#, . ♦.ea'FYoo. j :::N..: I Cal K anG • • GE OR UNDERGROUND . u. c v-: .. y_ 'ti cc rs , -- . U O = N ,q Ri '71Reiet#.ifgr6damage to curbs, 1 i. •(w r.,-�', ��; -;-r vs (' dFlw_ert cement slabs, I •‘... ?� 2i, .....,,-:• ). • .. lines.;fences. re. � O C'._Q• v.v.t a 1 asrimtlers, telephone �� y `�,i::al • O _ -pi';Iines'or shrubs. - i • "� N isk made through a I _,� .. . •-i.- :',�',: �+' N� "J Pow_t1 it is understood 7Bs'Vtwtsf:NM that neigh _ .. tyiealssioti. w.d assume mN .. - ._. NiN` n`- .f.*;_. . I I •lLAN AND SPEC'. �r"e/�. h �^� ” �� ,�- . •y• m DM! ED EREIN. G SI o r f"1c5111P�11s . •.� PY OF l.i _ -ir'S" �i9 t r � WAN I �; ,relAiM. de ; ;: I f'�n�gaA T 2 m - •• 1 I I -;:a.t. witilt...O AllWe ' tp„ 4z. sz 4-z - :2 -g, ----\" • : ! ‘fiA7 c,. . � `�' moi � t o . . �� r ‘:g-c.., tr r; i r r b , cz,, . , ,,, %. . ., 0 g 2 ,..L, - ,A --CV.c • .::Y . `�' © O mon n A 1 f —_ w. i-t Lit& HEATER c �(x� z T _.17; z m µ (/� ^ _ 9 ` ',yet' et4. 4.-11)--•Vi1 -=c c y n m - O 0 O. v 1 l r Y r� V n o -� a 01 .I_• JI t iTs at{i4 A.-s IIgg• rm zr: rim,u. 0 o c rn c o c' v rn _ ' • i m Jtask.. G y 3 n _. _ �t\ LENGT I / 16ERB``$l'gELEV. PT, � Pi. I. `^ c, _ r v 3 .__ I a :Ct'^}� OER LIGHT .j ' - - - J .;' 4 ._V..• DEEP(r.„..-: / .':7* - DIN6g Boards v _ 'SNLLl f.` END r1 EN[ OD.rdti'Over W.L. Roan1 1' Dyer w I. ' ♦ - I ��� 7- c- 7 ? cs 109:x€3 e t:r.. k .; C Cg-i...) //- :� -7-J'/ COSTA MESA BUILDING-SAFETY DEPARTMENT ,_I, , P.O.BOX 317 COSTA MESA. CALIFORNIA 1(IR;ii.ct DEPT. 611Y 0: C33T:1 MSA fOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR PERMIT TYPE OR PRINT BUILDING ' Ao RESS 1649 Palau Place COSTA MESA, CALIFORNIA fOR OFFICE USE ONLY RECEIPT No. �5 RMI£-�+O. OWNER Glenverde Homes, Inc. �7 �(� MAIL RECEIVED BY DATE RECEIVED DATE ISSUED ADDRESS Box 65 I 1/— 7"-.5 CI� n 7 1DCq cl, Balboa Island,Calif. TNo9r3-422G ADDRESS �{ J ARCHITECT • LIC. COSTA MESA, CALIFORNIA OR ENGINEER NO. J Q FIRE }}..,,��A ADDRESS �� ZONE TYPE / GROUP tr CONTRACTOR • CCO Corp. LIC.NTO. 98808 APPROVEDBY DATE • ADDRESS Box 65,Balboa Island,Calif. ZONING Not /'' ' LEGAL LOT �] ZONA NO.OF USE OF NLW 2 /// } DESCRIPTION I NO. 127 I BLOCK TRAC�487 N ` f I PLANS` I BUILDING �L/(_ylA{' APPROVED( .. ll /> I(�) . A.P.NO. BY \Y YY` I/ DF•TE�,II'yJJJ�J I OF LOT 7000 No.OP BLDGB.0 YARDS (VJ ALLLG�/ Now ory LOT REQUIRED ALLOWED USE OF (CENTER LINE ST.) ff.--(/7 EXISTING BLDG. FRONT •J FT. IN. SETBACK LINE FROM CENTER OF STREET 5G REAR YARD 31 R.SIDE S FT. IN. SIDE YARD I LEFT 5 I RIGHT 5 L.SIDE FT. IN. DESCRIPTION OF WORK• REAR ryaFT. ( IN. NEW I x II ALTERATION I II ADDITION I REPAIR I I MOVING I II DEMOLISH I SDING 15o /43G NOOO8 STORIES 1 EXTERIOR WALL ROOF COVERING stucco ICOVERING rock //////VVV� // USE OF BUILDING AND WORK TO BE PERFORMED / �i,/i/ ,r residence / /� 500 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CONSTRUCTION. VALUATION 3s-----SI E • GLENVEIIpE HOMES,INC. PERMIT FEE $ / /1/7/7,4-- PLAN CHECK $ f7,6 O � �^ > T $ TOTAL FEE $ ....5-D•S° °