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HomeMy WebLinkAbout2482 PARMLEY LN - Building PermitsCITY OF COSTA MESA CONSTRUCTION PERMIT Appliwnt to fill In all spaeas ezcept t�ose PERMIT NO. T � i.Pnn ._ /.,� �i. Applicant's Msiling Address r�o�eot nddresr '� G"� ' Owner's Name hone %� � Addreu G Arch/EnB. License N� �6 �I _ Addreu � �%l � COc"I'Li� //ZI///1��-7 Contiector's Nam ,�'Q / � ��- ���Phone'S7_3� Addreulmailingl_LFJ-�RLp�a'tir...� ��L✓!il/C� Licente Na. 3�`� D �� �ICENSED CONTRACTOR DECLARATION 1 hereGy affirm lhat 1 am Iicensatl untler plovlilons ot Charter 9(commencing wltn sectlon 7000) ot Divlilon 3 of t�e uzin antl ProfeS�si�o�njs�.C�OC/ye, antl my Ilcense Is In full force , a ef ect. �!d/XUS ucen Ci `ate�'��� � Si9 t �. . JRKERS'COMGENSATION DECLARATION • �� ..n¢�eDy�aTtirm that 1 have a�cer[itiwte ot consent�to selfansure or a certiiifate of Workars' Compensatfon Insuranta, or a certlfietl copy thereot (SecHon 3800, l.ab. C ) �'7� � Policy No. �!� Z �o � comva�r ��r� �!S �iJ/� BCertl}letl�oyy iitflletlbwltnrthe city Builtling �ivision. Date .S 7 ft� ApPlicant.tT�LL7PFG�� /�C.,� EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thissection neetl no[ be complete0 If the permit is for one huntlreC (E300) or � IBSSJ: � 1 c0�tliy Ihal In th< P¢rfO�mEn<e Ot th0 w0/k fOr whlth thl5 Oe�mk Is Issuetl I snall no[ employ any person In any manner so as to Decome subject to ti�e Workers' Compansatlon Laws of Califarnla. Date �ignature � ' NOTICE: If, atter making this tlettaratlon, You'shoultl become'subject to tne Workers', Componsatlon Orovlsions of tha Labor Cotla,�you�must forthwith comply with such provisions or this permit ��shall be Eeemetl revoketl. CONSTRUCTION LENDING AGENCV � I nereDy xf}irm that there Is a<onstruction IenGing agenty for the perlormance ' of the work for wpi h tNs permit I Ism 4 (Sectl 309] Civ. C.;- Lenaers t�ame `�T �.crn`+2� �it+�!/l I�nOar'S AtlCres .�C�l% ��/91 S � .� /4' • OWNER�BUILDER DECIARATION � � � � � � I hereby�,aftlrm that I am exempt trom [he�Contractor's Licansa Law for the � following reason (Se<tion' 7031.5 Buslness antl Pro}esslonal Cotla: Any clty or county whic� reQulros a parmlt [o construGt. alter improve, tlembllsh or repair , any itructure, prior to Its Issuance, also reqWres t�e aDG�lwnt (or such permit � flle a sianetl statement tM1at hehhe B Iicensetl ou�suant to Me orovisions of � TVPE OF CONSTRUCTION , ySl� � �❑ GONVERSION O DEMOLIS DESCRIPTION OF WORK � TVPE OF PERMIT GRADING ❑.TENANT ❑ ELECTRICAL ❑,qTHER PRQIECT DESCRIPTION SQ. F� JG- Z Ilnes antl si9n all ap0�ourlate Gaclantions. ADD LJ ALTERATION LJ REPAIR FOUNDATI,Op�y� LJSTRUCTURAL LUMBINQ yC�MECHANICAL / CONSTRUCTIONTVPE - VALUATION$, ZON� � - GRADINGGU.VDS. AC Remarks: � � ,, �/ � ��u31:o oy any appncant tor a permtt suo�eca me ap0i�cam ro a uvu '� enalty of not moro than llve hanGretl Eo�lars (E500): � I, as own6r o! the property or my employees.witn waqes as Iheir sole . compensatlOn will'EO [he wo�k, antl tM10 sbuciu�e 15 not I�tentleC o� ofterotl � � for sale (Sec�lon 7044, Business antl PrO�essional Cotla:'Tha Contractor•s Licensa Law aoes not apply to an owner of a property who bullas or Improvos 'i thereon, antl who doe5 such work �Imse�f/�erself or through hls or �er own � employ eas, prbvltlatl that such ImOrovements are,not Intentlea or offere0 for . sale. I/, hOwavar, t�e building or ITprover�Bnt is SOItl wlthin one year o! com- ' pletlon, Ne owner wlll bave the burtlen o1 Provin9 �e/5ne tliG not builtl or Im- � �rove for t�e purpose of,sale). I, as owner of t�e property, am ezUusi�ery contractlng'witn IlcenseC con- �traciors to conitruct tha pro)ect 15ectlonJ034. 6usineu antl Profesilons�Cotle: , Th¢ Contractor's License law does not aPPty to an owner of prope�ty who bulltls or ImOroves [heraon, antl w�o contracts tor such projects witn a con- � tractor(s) Ilcense pursuant to t�e Contractor's License (.aw)., . : ❑ I am exempt untler Sectlon � . B. 6 G. C. !or thls reason '.. . ; • - � ' • � ' Date � ' Owner � ' � � � � ' � �, "1-h¢r¢by certlfy t�a 1 hava reatl tnis'apPllCdtlon anC Stdte [hat the'aEOv¢ � � information is <orre . I a o complY w�th all Gty�antl county oralnances tl Bef Sink . Backflow Preventer '� Backflow Irrigation Bathtubs Clarifiers Dishwasher ' � Floor Drains Floor Sinks Gas Service � , 3 OuNets Interceptors KimhenSink " ' ' �avatories � � P-7rap Roof Drains � � ' snowers � � � � : . Service Sink � ' I ' - UndenGround -Structhrel � - Ventilating .- � . us(System� Multiple❑ d/Fact. Blt. ICBO # ng�System & Ducting � '.00,OOOBTU Ot00,0006T . antl state laws relal 9 t buil g<0 StNc on, antl �eraby autnorize repre- Hootl o� Type I santatives of 1th15 ty, o en the aeove-mantionea proparty for / �^p jinspection ou se � i • . � Z T e I ' Si9riature Date � ' Drlvers• License or 55 � ' Registers CMF 0865-46 rev. 12/82 White - Builtling; Gnary - AOO���nt; Pink - Accounting; Goltlenrotl - Assessor Sewer Connection Solar Collxtors Soiar Piping Sotar Tank Swimming Pool w/Spa Water Heater �-- �� .Water Service • r , Reinspectian Fee ' ' $15". ' laue Fee ' $ 3 1ANICAL Refrigeration System � ' ❑0-100,DOOBTU 0100,OOOBTU � System Repair/Alteration . � ' Reinspection Fee; � � ISSue Fee .a _ . , � 20NIN A. P. gW ' ' � 2 PLNG. REF. Mt � ' LEFTSIDE VARD PKG.SPACE REQ.• STREET WIDTH , .SPECIHL GONDITIf Construction Pole : . Cooking Unit , , Dishwasher ��� Dryers �Gas ❑EI Fan, ? F.A.U. Fixtures � ' Device Bozes OuUets 8754 5/16/33, REAR VAqD (TO P/L) , RIGHTSIOE VARD PROVIDED . PAflK PEE_§ d7.50 TL ECTRICAL • � Meter ❑over. t Ob amps . _ . . Sub Panel Sub Pole ' Motors �0-1 HP ❑1�$ � � IncSolar �945HP �16-15+ �Pole Light , - -� Range - - Si9n Standin9 Sections Trash Compactor Generator LIO-5 KW �5-15 KW � � Transformer �75�50 KW � � �5U+KWj I Meter �up to 100 amps 2oning Approvad By � . Appliration Approred By (��,p � APPliption Isued BY {'LL � , ' SUMMARY OF FEES , ' BUILDING PERMIT $ SMIP � ' $ � ' ��PLANCHECK $� ' ' PERMIT � � � PLUMBING ' �/$ �/r��/ ��UANCE � � $ ' ',PLAN CHECK� $ � . GRAOING � ' $ �:�ELECTRICAL � �$ � , � � $ � , 'f' PLAN CHECK' . $� � � MICROFILM , $ �� �MECHANICAL � $ r ' TOTALfEE $ � - PLAN CHECK� � V$ � ; AD ANCED PC !$' ���� •Sp�.�q � ' � � ' FINAL FEE . ; $ �.�+'�" , Fw a,s S 3 5 i3 �� y ` � �'?'%CONSTRUCTION AND PLA IN . 7 �_: � : . - ' ' ';.�� . _y SPA ,. - � � � : ", . , �-�/'�� _-'Date � Inspector - " ' - " �� Date Inspector � - APPROVALS ' Permit�# � : : AFPROVALS Permit #� - , � . • - _:. ' .� +' 1. TemporaryVElectcical Service or :Pole'' � , '52.� Pool & �:Equipment Location �� n u r � i r. - - '� - � 2: Soil Pipe-Undr�gmd., .: ~ - = 1 � � : .� a � , 53.' Steel Reinforcement � . . " ' - . � ' _ ; �° j �� � 3? ElectiiEal Conduii Utilitv-Undrgrnd. � - ;: `- � 54. Forms. � - t� � � � - - /!'' � .� . •� 4. Electrical Conduit-Undrgrnd'. =' � �'� '_ � > ' 55� Electrical Bonding . � � "- - • . 4 . �,. i - 57 Steel'Reinforcement. � , ' - - ' =_ :;�, � � 56. Rough Plumbing & Pressure Tesc 6: Electrical UFER Grnd., �� � " � ,� . . � 57- APPR'OVAL TO COVER-GUNITE �- � � � �, 7. Foofings' �' • ' ' ' � ` ,. - � . 58Y EIeC[ricabConduit-Undra.nd_' ' , . � � . � ;; �. 8.;'Fouiidation - . , ' ' ' �59. Ga's�Pipe, O Undrgrnd., Test . � , . J �+ 9: Water Pipe-Undr'qrrid'� , ,�� � '' - � ��60. Backwash Lines, P-Trap, � Undrgrnd. ' 10.�Structural Floor System .'• �,"�� ;; :". 61. APRROVAL TO DECK _ 11.; Pr,operty Sew¢r�Line:&'House Connection i � : ' -62. Backwa'sh & Receptor-Final . � � - � �. �2•.S?�^:eT C?P ,' � �'. ' � • � 63. Heater & Vent-Pinal � � � • r a • 13r�Roof Diein3 �'', � � � � _ ' , L 64. Plumbing System - Final � :' i 74..Rough'plumbing �' -� ' . !+ � 65. Electrical-Final'� � " � - '- i �: i M 15:� Rough Electrical-Conduit - '� - � ' � - `'' •--" /; t - -66.� Solar$y,stem-Final � � • � � .16..Rough,Elect}ic Wiring- ,- � ., ._ '-- � 67.� Fencing & Access Approval � � - � - - � N y. . _ � 17. �Rough�Wiri�ng Signr , � ��_ . � , � 68. APPROVED FOR PLASTERING � � � ,- -� -- �� 16. Rough:Elect�icaf;T Bar�Ceiling � � � � �- � � ,- = � 69.'POOL/SRASVSTEMS FINAL � • ; '� 19. Rough �Heating & Air Conditioning � � i ' . • FIRE DEP,T. REQUIREMENT` . , - ' - 20. RoughFactory';Fireplace� � , ; � ��� APPROVALS �Peimit# � , , , _ 11 ' . 21. DLc[s,rin Structure�. � � � , - . � 70.' Uriderground Hydro � � � � � .. - _ . - : , : . ' q�22: Ducts; ,Ventilating _�� � , • • � • 1 � t ' � � 71. Product Piping O Gas � Oil � , _.�;23:Gas�Pipe-Rough&.Test, ,, : . � ' � � � i � 72: UndergroundFlush ��_ , ' 24. Roof F�aming`. "� � , �� � , �' : . -_ ' �. 73. Under,grnd.StorageTank O�Gas,�Oil � � 25. �Roof Sheathing �;� j � � � �� '' � . _ � " 74.,Overhead Hydro , � � � � -. - ; ' �'26.,T_BarCei�ing(Structuraq;&�Monocoat• , , � '75.iDryChemical �,i _ - . ' . -, . i 27. Frame and Flashing � ' � ' � _ � ' ' ' 76. Dry Standpipe � � ' � - ' i' .3. ` . 1.• i. ' 1 t .. � ' • 1 . 1 � � 2� .Lathing & Siding' . _ � � . ���� � 77. � FIXED SYSTEM�FINAL . �' � � - ' ., � 29. Insulation ' _ '' - I , � � . � t 76. FI�REPR�EV. FINAL � ! � �i`30. Dr'ywall Nailing � >�' � � , • , � � Notes:� � � , - . � - - - � -�' �. . . . . _ 31. Plaster Brown Coat';� ' � . ' �8-7 ' ,3 � ,�' . .: • �``R ,, . i11 , r _�l1�' . -' 32. Electrical Power Meter; Final � � � ' � � � 33. Final�Electric � � i �a- . � � 1 . i - 34. Final Heating & Air Conditioning, , �� :1 ' 35. Final Gas,Pipe-Test � ' �� � - � 3 ��', - ` � ��' � � "' - ' . i ' , - � - • . �- � �� . - - ' � '- 36. Hood o,r Canopy�[�'� �- � ' ' � ._ . i� � _ 37. Final Fac[ory Fi'replace � � �� � : � � � � = ' • � _ � � . " � • ,�_ � „ � __ - 38. Final Plumbing !�j�� . �� . , . � � � � i 39. WaterSer,vice-final ' : ...� �' , " . � � , I � ,.- ". ' , 40. Gas Service-Final � ! - �� � � � ' � � ;, � . , , 41. Solar po"mestic-Final ' � � _I _ __.__ _� _. _ � ._ . � � � f�. � -. 42. Backflow;'Preventer' � � �� ,� ! ' � _ ' _�. . . . •. �, - - � - 43. 8ackflow,�irrfgation�� ' � � j , - � �_ ' . •� � �.;i ' i . {• - ..i_ '� . � , �- . � , . 44. Landscape Irrigation�SYstem � � - � - , � � �, � , � ' - . . � 45. Sound � Attenuation; - ' � : ' ' .; i ,� i � ' � �� � . r ' � r y • -� • � � IS , i I I ' I � - . . . � . 46. Handicap'Regulations ' . - - � , 47.� FINAL STRUCTURE & BUI�LDING ; , , � ' � � � . �� ,, i � i n 48. Special• Requirements Completed. � , � � � ' i i ' " � � ' i 49. Electric Release to Edison _ __� , . ,_ _ _ _ '.. . _ , � � t , � � 50. Gas Release to Southem Califomia Gas Co � ' � � � � , ' ' ' � ' ' � � I � 51. CERTIFICATE OF OCCUPANCY ' � __ '' � �� � �� ' I il � � � I 1 ' . � ' • No. " � � Date - . � � � ; , � � '. � CITY OF COSTA MESA CONSTRUCTION PE HppliCenc S maui arna � ' Project Addreu Z � , 1 Owner's Neme (� Address � � '�' C�' �Arch/Eng. Licens !�q� r C!/�� � Con�ror s Nem� _ � Addrezs (meilingl � License No. � LICENSEO CONTRACTOR OECLARATION wlth Sectloo�000)t I�islon��p/the Bu'S�e}ssa� my Ilcense I n tyll nQ,et ct. /% 9 0 AVOliwnt [o till in all spaeas e:cept thosa wit�in heavy �orEar Ilnas an0 sign all aoVrooriate Eeclantlons. IRKERS' C06tPEN5AT10N DECL.gRANON .e�eDy aftirm lhal I-hava a cert�}���e of tonse to self-Insura or.a cerLficate of Workers' Compensatlon InSUrance, or a c rtlfietl copy t�eraof (Section 3800, Lab. C. � j� [` `�L PoIICY No. � � m nY !/W t;7/ ertifletl topY I5 heraEy furnlsh rtlfletl copy IS fI10C wiih the c I 1� �� Date AOPI�ca � E%EMPTION FROM WORKERS' CO PENSATION DECLARATION ' (Thiise<lion nee0 not Ce comDlgtaU tha permi[ Is for one huntlratl (E100) or ' less). � I carUfy that in tne periormance o! lhe work for which thli perm�l Is issuetl I shall notl employ any Derson Iq any manner so as to become sub)ect, to t�e Workers' ComOensatlon'L.aws o} Californla. � . Date ' � Si9ndturo � � ' NOTIGE: If,after making this Oeclaratlon,�you should,become subjact to tha Workers' Compensatlon provislons of the Labor Cotla, you must,Porthwith comply wIM such provlslons or this permlt thall be .tleemetl revoke0._ CONSTRUCTION�LENDIN6 AGENCV ' I �ereby zttirm thal there is a constructlon IenCin9 agency tor the performance of the work / Ir�t I Set Civ. C.)' Lentler's Name Lentler•s Adtlress ' � OWNER BUILDER DECLARAYION � � � � ' � pt from the Contra<tor'z" License law for the .5 Buslness and Professlonal Cotla: Any city or to construct. alter. ImDrove. tlemollsh or reoali "�q�'915Ion �3 of tlte 9u51nB55 dnq pro}es51on5 Cotle)'OY tha[ he/zhe I5 exempt 'i9'erefrom anG the basls for th0 allegatl exempilon. Angvlolationb( Section 7031.5 by any apP���ant tor a� permit subjects tha � aOPlicant to a<ivil �enalty of not more than five hUntlretl tlollars (§500). I, as owner of the property or my employaes with wa9es'as thair sole compensatlon wlll tlo the work, antl the structure ii not IntenCetl or ofteretl for sale (Sacflon 7044, Business antl Pmtessiona4 Cotla: The Contractor's lJcanse Law tloes not apply to 8n owner af a proparty who buiitls or Improves t�e�eon, antl who tloe5 SUch wO�k hlm5<If/he�self a� th�ough hi5 Or he� own employ eez, provldetl t�at such Improvements ar¢ not Inten0e0 or offeretl for sale. If, �owever, the DUIlOing Or ImDrovement is so1C wilhln one year of com- pletlon, the owner wlll have the burtlen of orovin9 he/she aia mt bulltl or Im- �rova for the purDase ot sale). I, as ownei of the property, am oxcluslvely con[racting witn'licensetl con- Iractors to con5trutt Ihe D�Ojet[ 15¢ction 7044, Busine55 dntl Prof¢Szlons Cotla: The Contractor's Llcense Law does not apply to an owner ot proper(y who bulltls or ImOroves thereon, antl who contracts for such proJects with a con- tractor(s) Iicense pursuant to the Contractor'S License l.aw). ❑ I am exempt untler SetBon � 8. 6 P. C. far thii reason Date i nw� TVPE OFCONSTRUCTION � NEW U ADD U ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLI � OTHER ` DESCRIPTION OF WORK T���P � Qb//� � �rS� TVPEOFPERMI GRADING FOUNDATION STRUCTURAL ❑ TENANT � LECTRICAL ❑ PLVMBING ❑ MECHANICAL ❑ �OTHER PqQ1ECT DESCRIPTION 50 FT �a0 �nrruantar.v — CONSTRUGTION TYPE VALUATION $ y� 20NE GRADINGCV.YDS. ACRFS Ramarks: f� � i ' L �� g�Z Backflow Preventer Backflow Irrigation Bathtubs Clerifiers Drinking Fountains � Floor Drains ' . Floor Sinks � GasService ' �OuUets Kitchen Sink Lavatories P—Trep � Roof Drains Showers r Service Sink Boiler Duct - Under Ground Duct - Structural Duct - Ventilatinq . � Exhaust System LJ Multiple Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0.100,000 BTU �� 100,000 Hood or Type I ❑ � Drivers' Uca r gt / I I Registers CMF 0865-46 ev. 12/82 hite - BUIltling: Canary - Applicanq Pink - Atcountlng; Goltlenrotl - A Sewer Connection Solar Collectors Solar Piping � Solar Tank � . Swimming Pool w/Spa : Urinal Water�Closet' Water Heater � � Water Service � - • Reinspeetion Fee laue Fea {qNICAL Refrigeration System ❑aioopoosTu ❑�oo,000aru System Repair/Alteration , Reinspection Fee Iswe Fee A. P. qW PLNG.REF. LEFT SIDE VARD PKG.SPACE REQ. STREET WIDTH SPECIAL CONDITI Automatic Washer COnStruction Pole Cooking Unit . Dish�nlasher Oryers ❑Gas ❑Electric Fan F.A.U. , / Fixtures ' • , Generator �0-5 KW LJ5-15 KW Transtormer �15�50 KW ❑5U+KW $15 Meter �up to 100 amps $ 3 2oning Approwd By Appliption Approved By f�_. ��� � AppliotiOn laued By � L� $15 $ 3 7429 IS.�p TL ��� T 1_ REAR yqpD (T0 P/U RIGHT SIDE VARD PROVIDED PARK FEE Meter Llover 100 amps Su6 Penel Sub Pole IMotors �0-1 HP ❑1'h-8 Inc.Solar �9-15 HP 016-15+ Microwave � Pole Light , Range � � Standing Sections Trash Compactor Reinspection Fee �f-ly-8'3 SUMMARV OF FEES ' BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT � PLUMBING $ ISSUANCE $ PLAN CHECK $ GRADING $ ELECTRICAL $ � PLAN CHECK $ �� MECHANICAL . $ PIAN CHECK $ S MICROFI�M 5 TOTALFEE $ LESS ADVANCED PC $ FINAL FEE $ •�� i , � ` }:. ` . , , , ._ . . � �CONSTRUCTION AND;PLANNING T ; c� - - : ;. POe`' "`?SPA �� - � � � _ �� � ' � �+�� y� � '�Date . �Inspector � �- ' � - . - Date Inspector � ` > ^APBROVALS , Permir,# G-/A.0 �' � �.APPROVALS Permit# � - n f � � . ' �c ' " � 7�: Tempora'ry Electrical Service or Pole : � ' � , ''' � �_ 52:i Pool & �Equipment Location � � . - - f: 2: ,Soil Pipe-Undcgrnd:' � ; � � c - � � 53.� Steel Reinforcement , � _, " .. 3�ElectricalConduitUtilitv-Undrgrnd: ,�� ` � - '� �.�54.'Forms �-{ �• ' _- ' ' ' _ Y 4�� Electrical Conduit-Undrgrnd; �- � - ' �. � z� � .��'_ .'55; Electrical�Bonding • - • - ' ' ' � � 5: Steel Reinforcement i " ' � - '� ^ ° ` 56. Rough Plumbing & Pressure Test - . � � 6: Electrical UFER Grnd. • 4 ' � 57: APPROVAL TO COVER-GUNITE ' 7. Footings ; ' _ ' - ��58. Electrical Cpnduit-Undrar.,�1., _ 8. Founda[ion i � -' � ' - i�59. Gas Pipe,.O Undrgrnd., Test , � 9. Water Pipe-Unilrgmd. � -. �. r; - 60. Backwash Lines, P-Trap, � Undrgmd. � 10. Structural Floor System ' ." _ _. . 61. APPROVAL TO DECK ' 11. ,Property, Sewe} Line & House Connection • � �. ='' 62. Backwash'& Receptor-Final ' i • 4� 12. Sewer Cap . � - , � ' ; ' �63. Heater• & Vent-Final � � " ' 13. Roof Dreins � � - ; 1 . - �64. Plumbing�System - Final - � � - tA. Rough Plumbing ' �� ' ' - � 65. Electrical-Final- � �-� - - � i ; ._.. . �� �'15.�Ro'ugh Elect�ical-Conduit ; ' " "" �- � T" � - ' '-- -�-�'� � . �. � ., � I i � � 66.� Solar'Systein-Final � - �� " , - � ' 6� Rough-Electric Wiring � , E � ' ' " - - - '" i; ' ' - � � � - � - ' �� , � . . i _ .J!%3 %�3 , =.C` , . �67.' Fencing &� Access Approval � � - _ ' 1�„';Rough Wiring Sigm= � , �i �" ' i �` - � ' � v � _ .68 � APPROVED FOR PLFlSTERING r . ' • �^ �� Rough`'Elecf�ical-T Bar Ceiling' "�. ' :� y� "' I�; i � � 169., POOUSPA SYSTEMS FINAL , _" t ,Y , , , �' . _ , fiough'Heating & Air Conditioning � �' = E , - � � FIRE DEPT.�REQUIREMENT �. 1�; " - - 20. FRough Factory Fir"eplace i �' , ` � � ' � , APpROVALS t Permit # �� , . 21.,Ducts'in Structure � , � • ' � � i � � � j70: Underground H,ydro i _�'22. Ducis, Ventilating ,,�' I � i � � � .71. Product Piping O Gas ❑ Oil � = '�-23. Gas Pipe-Rough & Test . �r � � � � �72. Undeiground Flush- � � � . . � -1 � r24.��RoofFraming , � ,.� '';;��' � -.Is� .� Z3: Undergmd.StorageTank�OGasrOOil � ti �� .i _�:o � 25, Roof Sheathing !; '�� "" ,',�, i, � � � � � ' '74. Overliead Hydro .. ". . - ._26.'T-Bar Ceiling (Structurai) &`Monocoat � � � " � : i � . '' j ,. �Z5. Dry Chemical ' � ' � 27. •Frame antl�Flashing; ., ;� � - �, ' � � � � I �76. Dry Standpipe � ' ° . . .`, 28.. I_atFiing & Sidingi � r. � � � '� ° � � � �77. F.IXED SYSTEM FINAL �: - . , �.29.�.Irsulation_� � ` ' . � i � ) � �7$; FIREPREV.FINAI . � ' • � =30.,�DrYwall Nailing ��. ' i ' ' ' � , �Notes: � , � ,� . . � , . � ' o }�3L�Plaster.�Brown Coat , � ' �� � I � � - - . � . _ � . . . - - . � 32.;,ElectricahPower Meter-Final � ' ' � , r ' • � 33. Fina� Electric ' ' ' � ' � ' _ � � $ 34. Final Heating�&'�Air Conditioning � � • ' � i. � : - '- t-- � ' ' . ' = I : 1 � � . . 35. Final Gas Pipe-Test �- , - � � ; � � „ - � � 36. HoodorCanopy_ �, . �� � � � . - . 37. Final Factor,y Fireplace` _- � � , � i ' �' � - � _ " - � . 38. Final Plumbing� � � . ' '� ' ; - � ' ' - � � v , 39. Water`Service-Final � ' � � � � � � �, . � � , � i i 40. Gas Service�Final � � � � � ' ' � `�"�� 41. Solar pomestic�Final ; � ; �; . � -1 - - , - , . i ✓" � . ;� �i; . 42. BackflowPreventer . I I . ,.r� i i --� -, _-�- ' - -- � : . . ' . i. L. , i^-�. ,� � i _ . .i,.,,. .i, i, �. "� � • �:��•.- I':I = i, i . . . � t.. 43. Backflow Irngation �; _ , � . 44. landscape Irrigation System' i= j-. i^ � -' '� : I , � _ � . . . _ � , I i � � ' 45. Sound �:Attenuation _ ,� ; 0. , i , � :� � � , � � , � . - . � 46. Handicap Regulations' � ± � ' � � �, j � ' � � � ` � � , � � 47. FINALSTRUCTURE&BUILDING� � � , ' ' � , � - i'. i i 48. Special Requirements Completed .� � ' ' � ' � � '' � . _ 49. Electtic.Releaseto�Edison � i , '._�_�_1. � _._ __r_ .. ' _ _:._ � .Y.. � '� ' � '" � 'i" n. �• 50. Gas Release�to Southern California Gas Co' � � � i� j 1� ' .. '� , � .J 51. CERT}IFICATE OF OCCUPANCY �, . .(_. ' fr. _ . - � ____ _ _ : ' � , , : t , � -i-'{ •.:..' �_�. . No. Da4e I i '�' �'f: � . � _ - 1 0 ADp�icant to fill in all s0aees withln heavY DorCe� Ilnes antl si9n all approprlata tlaelaration5. CITY OF COSTA MESA P�g MI NO.' / TRACT NO. LOT NO. BLDG. NO. CONSTRUCTIONPERMIT �7-�D`�'�.� // /Z Prolect Address L ��{/� TVPE OF CONSTRUCTION Wnef "� Phon2 �-f-- �WEyJ ❑ qDD ❑ ALTERATION AddfCa / �� - u,� �� ❑ REPAIR CI GONVERSION ❑DEMOLISH Arch�Eng. �J� ��S �R�,r� ` License No./' �/ BI � OT'iER DESCRIPTION OF WORK Address �79� / �=�+41v .���n/� Gi./� i,— ....i.� Phone 9 sant to selt-insure or a e, or a certifiea copy TVPE OF PERMI "�y ❑ GRAOING FOVNDATION yY�TRUCTURi ❑ TENANT O EIECTRICAL ❑PLUMBING OMECH ❑ OTHER. � PROJECT DESCR�PTION�i ' SQ. FT. .ZOpO�:Sp^ 8� � �Z ��I�7�` OCCUPANCV • - CONSTRVCTION TYPE �1Le_ VALUATION 9�.�oSZONE GRADING CU. VOS. ACRES y Noy Company „er[ifietl cOPy is hGr¢by }urnish¢tl. REMARKS: ;[��ertitietl copy is /ilad with the C�ty Builtling DiWzlo�. EXEMPTION FROM WORKERS' COMGENSATION DECLARATION (ThiS section neetl not be completetl ii t�e permit is for one huntlretl (y100) or less). - ' � I cer�l/y thdl in [he pGr(Ormdnce Of thG wOrk ior whith t�is permit 75 issuetl, 1 shall not amPlay any person In any manner so as to become PLUMBING Sub�P�t to the Workers Compeniation Laws OI Glifomia. .. Date Slgna[ure BATHTUBS PLANCHECK SHOWERS NOYICE: If after makin9 this tleclaration, you should become zubject TOILETS VRINALS to tHe Workers' Compensation provlsions of the La�or Cotle, you must fortHwlth comPly with such provlsions or lhis Oermit shall De tleemetl LAVATORIES DOUBLE LAVS� - revaNetl. ' CONSTRUCTIONLENDINGAGENCV ' '- 'KIT.SINKS' DISHWASHERS I hereby aftlrm that thero Is a construttion lentling agency for [ne per- SERVICE SINKS �SUMPS tormante of the work ior which this perm�t I5 Issuetl �Section 3097 � ^ Civ. C.). /�' /�/�-Q�T���. p�� - F1.00R SINKS �F�OOR DRAINS l¢nder's Name ( �w� / � LendeYs Atltlres ��d���� �' ORINKINGFOUNTAINS OWNER BUIIDER DECLARATION � '�1Z%O%� � �ryTERCEPTOR a a antl RaM9ans Cotlel or 12w for 5 s.Cotla:. SWIMMING POOL , alter, el5ora- yypTERSERVICE hat he �=a,�w GASSERVICE - � pplitant fo� a pErmil suDjCCtS Ihe apPlltant t0 a dvil penalty m...1 moro tban five hunaretl tlollars (E500). ❑ 1, as owne� ot ihe propl`riy,-or my employees with wages as thelr' Sole Gompensallon, will Oo the work, antl [h0 strutture is nOl intentletl or o(feretl-(or ulc�. (SetUon 7044, Bu5ine5z anO ROIe551on5 COEe: Tbe Conlla[[or'S UcensO Law tlaes nOl apply t0 an ownCr oi a prOp¢rty who ��uiltl5 or ImprOvls lnereon, antl who docs suU work himiel} or thrOU9M1 IIIS Own employeCS, provitletl [hat SOth ImpfO�GmenlS dIe nOt lntentle0 or Ofteretl lor Sale. It, howeve�, IFB bufltling o� Imp�Ov¢ineOt is soltl within ono year ol completlon, the owner wiil have tne DurCen ol pYoving h0 tlitl nol builtl or ImprovC 1or tbe pu�poz! Ot Sale)" ❑ �� as own¢� Ot lh¢ property, dm exclusively COntrdcting with. li<¢n5e0 COnlydclo�s to Gonstrucl l�e-prOjeCt ($ectlon 7044, Buslness antl Protrssim5 Cotla: Tne Contraclor's Ucense Law aoes not apP�Y to an�oW�er ol 'proDerly�who builtls or Improves [hOr¢on, antl wit0 Con- Irdcts Irom Such projeGts wltb a COntrdGtof(s) IIClSn¢tl pufsuant t0 tne Contractor•t LJcenm law). ❑ I am exempt untler Soction - B. & P. C. for this reason Da[e OM'� i I hereby cer ' t IISaGa /0ai ii5 applitdtion an� State Iha[ [h¢ above to wmply Ith all ci[y antl cou y to Co Stru antl M1ereby utho zC a lhG above en i etl- � - / 'SEWER CONNECTIO SOIAR THNK SOLAR PIPING SVS. ISSUE FEE CLARIFIERS P'TRAP ALTERATION OUTLETS COILECTORS MECHANICAL P�AN CHECK HEATING SYSTEM 0-300,000 BTU � AND DUCTING ]00,000 + BTV _ REFRIGERATION 0-300,000 BTU_ SYSTEM 100,000 t'BTU� BOILERS BTV SVSTEM REPAIR,ALTERATION EXHAUSTSVSTEM MULTIPLE ISSWE FEE CMF 0865-46 White�Qiltling; Canary-Applicant; Pink-Accounting; Goltlenrotl-Assessor 29'i4 I/Ih/il; 459�%4 P A.P. iF I 19 � I�� � ZONE �OR-LD SJTCEfIv�` � SETBACK GL $T. Ii 0 ( SIDE YAR� �-i o7 � REGHT I��O� REAR YARO.(TO P/L) PKG. SPACE REQ. a ST REET W I DTH ,��'j r[�. 20NINGAPPRO EDBV SPECIAL CONDITIONS: L PLNG. REF. iF �( � � ;I/lII [l� 5 PROVIDEC . J/i� PARK FEE ELECTRICAL PLAN CHECK ' 'GENERATOR 0-IKW__1-lOKW TRANSFORMER . APPLIANCE 10-50 KW_50 t KW - � � MOTORS 0-1 HP�_1-30 HP - (INC. SOLAR) - 30-50 HP_�50 +, HP , . � , fIXTURES OUTLETS SWITCHES 1 '- GASTUBESIGNS -- POLE LIGHTS POLES METERED SU PANElS MAIN � SUB ' SERVICE AMP� � ISSUE FEE • � APPLICATION APPROVED 6�' DATE � SUMMARV OF FEES BUILDING ���� Q VERMIT S�J_J,�� SMIP ' S • �" PLAN CHECK E . PEFMIT ISSUANCE b PIVMBING S ' C�RADING S PLANCHECK y � ELECTRICAL § S P�AN CHECK g . MICROFILM S MECHANICAL $ TOTAL FEE S PLAN CHECK S -' LE55 AD- ' VANCE PC 5 FINAL FEE 5 CONSTRUCTION AND PLANNI - ' � POOL & SPA � . ' ' APPROVALS Permit # Date Inspector qppROVALS v � ' Permit # Date Inspector �' 1. Temporary Electrical Service or Pole 43. Pool & Equipment Loca"tion - - � ' � - - Soil ipe-Undrgm 44. Sceel Reinforcement ' - � � 3. Electrical Conduit Utility-Undrgrn 45. Forms � ' 4. Electrical Conduit-Undrgrn .46. _Electrical Bonding : " ' . tee ein orce " 47, Rough Plumbin & Pressure Test - '' ' �" "' 6. ElectricalUFERGrn 48. APPROVALTOCOVER-GUNITE ' • ' • � � 7. Footings - 49. Eleciricaf Conduit-Undr en ' - 6. �Foundation ��• p,s .,O S 50. GasPipe, ❑Undr rn,Test 9. Water Pipe,Undrgrn "� � �� � 51, gackwash Lines P-Tra �Q �ndr m -' 10. Structural F�oor System � 52. APPROVALTO DECK 1�1. Property Sewer Line & House Connection '63.� � Backwash & Rece tor-Final ' " � 12. Street�Sewer Connecdon 54. Heater & Vent-Final ,� 13. Rough Plumbing � 14. Rough Electric-Conduit ' � � �56. Electrical-Final 15. Rough Electric-Wiring 57. Solar SYstem-Final 16. Rough Heating & Air Conditioning � encing & Access Approval - 17. Ducts in Structure - APPROVED FOR PLASTERING 18. Ducts, Ventilating � � � 19. Gas Pipe-Rough & Test 60. POOL/SPA SYSTEMS,FINAL 20. Roof Framing � 21. Roof Sheathin ! C-/ - 3� - - 22. Frame and Flashin �� ,. �. NOTES: ' 23. Insulation � j}5 _ z.•9 � ' ' - � � - '� 24. Lathin & Siding � � - ' ' " ' ' ' " ' 25. Drywall Nailing ' ' ' 26. Plaster Brown Coat ' , 27. Electrical Power Meter-Final 28. Final Elearic ' 29. Final Heating & Air Conditioning 30. Final Gas Pipe-Test 31. Final Plumbing 32. Water Service-Final - - 33: 'Gas Service-Final 34. Solar pomestic-Final 35. ndsca e S rinklin S stem �' 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING $ � , 39. Special Requirements Completed (Zy,{ / � 40. Electric Release to Edison � � 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No' Date , CIYY OF�COSTA MESA •CONSTRUCTION PERMIT Addreu Aich/En Address LICENSED CONTRP O 1 htteby a(tbm th4t I � menCin9 wit� settioi ROf85S�005 Cotle, ai 0 fill in all spac ��� �� L/l�t/E: � �) Phone � tiiN Lqicense No. � �K. ���y� Phone Sl9na[ure '` ATION DECILA ATION " have a certti(cate qf'<onsent to Compensatlon IrKurdnte, or'a within �eavy DorCer Iines�G sig �II appro0riate Eeclaration _ TRACT f�. ' LOT NO. BLDG. NO. TVPE,OF CONSTRUCTION j EW ❑ ADD ❑.ALTERATION ❑ EPAIR ❑ CONVERSION ❑DEMOLISH ` ❑ OTHER DESCRIPTION OF WORK � ����v ��v��� �/�3J� TYPEOF.PEHMIT � - O GRADING � ❑ FOUNDATION ❑ STRUCTURAL O TENANT ELECTRICAL ��PGUMBING ❑MECHAI =r 9 (tom- iness antl ❑ OTHER ' ' - Pl�y/��/f��t - PROJECT�Q�J� CRIPTION - l . (/ (// � SQ. FT. ""' ��._ yL/1 �'/�i. OCCVPANCY S�ONSTRUCTION TYPE- 1G (letlecopy -VALUATION � ZONE ��[�'�� GRADINGCV:�YDS. ACRES_ �Y NO.C� • � �l:OTOdOY _ _ _ " _ LI'Certlfietl copyis hereby fumiShGtl. � . � - � '-• REMARKSr.C_ - �.CertifieU copy {5 illetl with tha clty Builtlin9 �iv151on. r�"� EXEMPTION F0.0M WORKERS' COMPENSATION DECLARATION �' �j S (This section neeG no[-be completoC it Ihe permit is tor one buntlretl - - . . (5100� or leu). .. � � I CGrI (y Ihat In lhe perforrt�anG¢ OI Ihe-work for which this p¢rmii is ISSuetl, 1 Shdll not employ any par5on in dny manner 50 as to Cecome PLUMBING � PLAN CHEGK subjeGt to t�e Worker5' Compensa[ion Laws of Glltornia. -- Date Slgnature ' BATHTUBS SHOWERS NOTICE: If alter making this tleclaration, you 5houltl betome subjec[' TOI�ETS URINALS � to the Workers' Compensalion provisions of the Laoor Cotle, you must LAVATORIES DOUBLE LAVS forthwith comply with sucn p�ovl51on5 or Ihis p¢rrtlii Shall be tleemed �evoketl.- - � - - . � - - - CONSTRUCTION LENDING AGENCY KIT. SINKS DISHWASHERS 1 her¢by aifirm that there Is a con5truction IGntlin9 agenCy for the perv SERVICE $WKS . ' $UMPS formance ot the_Wn[ k for wjlich [his pormit is issuetl�('5ection 3097 Civ. C.�. //'j('� /n/.7'/>!�[� /S�'✓/�� FLOOR SINKS FLOOR DRAINS Lentler's Name T ����� +���G`"� �� �� Lentler's Atltlres� -��� � � S��' !%�✓ / DRINKING FOUNTAINS ' OWNER BUIIDER�DEC�ARATION � INTERCEPTORS CLARIFIERS I hereby affl�m thal 1 am exemp[ trom tho Cont�actor's LlcenSe Law far � the tolldwing reason (Sectlon �031.5 Business antl Prolessions Cotlei SWIMMING POOL PTRAP � Any city ot county whiCh rCqWres_a pe�mi< to construct, alte�, improve, tlemolish or repair any structure, prior to its issuance, also re- yyqTER SERViCE ALTERATION quir¢s th¢ apFliGant for such,permlt to 1lle a Signetl stafement that he is'licensetl pursuanl to [he provisions of'the Contracior's License Law GAS SERVICE OVTLETS� Iq^,`.pter 9(commencing wi[h Section 7000) ol Division 3 of the ":�?.,ess antl Prolessions Cotlo) or tha[ he is exempt therefrom-antl tKe yyqTER HEATERS BTU OUTPUT �"`;:, lor the allegetl exemption. Any violatlon ot Seclion ]031.5 by_ a`r,:,'applicanl for a p¢rmit sub)et[s ih¢- applicani to a civil penalty SEWER CONNECTIONS of not, more tnan five nuntlretl tlopars (5500). _ �' ❑ I, as owne� ot Ihe p�ope�ty, o� my employ¢e5 with wage5 az [hei� SOLAR TANK COLLECTOR$ � sole com0ensation,-will tlo the work, antl lhe�sVucture is-not intentleE or ofteretl for ssle. (Sec[ion 7044, Business antl R'ofessions Cotle: The SOLAR PIPING SYS. ContrattOr'S.Lic¢ns¢ Law tloes not apply to-an-Owner of a property- wh0 builtls or improvez thereon, and who tlOes such work himself or ISSUE FEE � throu9h-his own employ¢¢5, provitletl [hdt sucb Improvementz are not intentletl or ofleretl lor sale. Ii, however, the builtling or impmvement MECHANICAL PLAN CHECK is Soltl•wiNin One yea� 01 completion, the Owne� wilb �ave the burtlen -� - - ot proving he tlitl not builtl or improve for the purpose ot sale). HEATING SVSTEM 0-300,000 BTU_ ❑'I, as owner-of ibe prop¢rty,'drp exclu5iv¢ly contrac[ing witM1 �qNDDVCTING � licensed mnVactors to conslrucl U�e pro7eGt (SecUon �044. 61/510255 100,000 * BTV _ antl Professions-Cotle: T�e Coolret[or's License Law Eoes no[ apply to '' "— -- " an owner of properly who builtls or improves thereon, antl who con- REFRIGERATION 0-300,000 BTU_ Iradts frbm such pro)ec[s witti a'con(rac[or(s)-Iicesnetl'pursuant to- SVSTEM ' [he GontraGlor'S Li<ense Law). 100,000+BTU_ ❑ I am exempt untler Sectlon B. 8 P. C. tor this B�� LERS BTU reason -� ' -- Date ' � Owne/r� ' - - - - - SVSTEM REVAIR, ALTERATION I.hereby certil that I havB reatl this appliwtion an0 state.that the above EXHAUST SVSTEM MULTIPLE _ information-'��c frecL/I dgree to comply with all city antl county ortlinar�Ges tl.s te laws Ieiatinq to co tructJ9?i, antl hereby uthorize. ' re resehtati es pf � i ci [o ¢n � u n� he above ent;o etl � properlpG(p B ec�� u� se����,/� `� _ Signature � ' '` � Date`� . . . . Drivers' Licen"s�or �q � � / � ISSUE'FEE " � - ' CMF 0865-46 Wnit¢-Builtling; Cdndry-Applicanl; Pink-Accounlinq; GOltlenrotl�Assessor 4729 2/22/93 16.50 TL A.P. � ZONE . PLNG. REF. ��, _� �REAR VAf30 (TO �/L) PKG.SPACE RE�. . VROVIDt'D STREET WIOTH PARK FEE ZONING APPROVED BY SPEC IAL CONOITIONS: ELECTRICAL PLAN CHECK GENERATOR 0-1 KW_1-lO.KW _ _ TRANSFORMER_ � � APPLIANCE 10-SOKW_SO+KW' - '� ' - � ,MOTORS 04 HP_1-10 HP� . 1 , � ,(INC. SOL'AR) � 30-50 HP 50 i HP "_ .. � FIXTURES '-� OUTLETS SWITCHES .. T 1 .� 0 ,GAS TUBE SIGNS � " � POLE LIGHTS � � POLES METERED 'SUB �. �PANELS MAIN SUB. � 'SERVICE � P.MP, � � t . . '_ "_ _ _ . "' .' " •l _ . . _ � �� - . I � ISSUE FEE - • ' - ;APPLICATION AP7ROVED BY pq7 - Z� SUMMARV OF F.EES • � � `BUILDING � - � - � , �PERMIT E �. SMIP _ E PLAN CHECK E �PERMIT ISSUANCE E" 'PLUMBING E � � ' �PIANCHECK §� , GRADING �8- - 'ELECTRICAL E �� � E , �PLANCHECK $ 'a .SZi MICROFILM-S MECHANICAL E '- TOTAL FEE S' - PLAN CHECK LE55 AD- � b. , VANCEPC $_ r � - ti . FINALFEE S_� � • - CONSTRUCTION AND PLANNI POOL & SPA � '� � � APPROVALS Permit # � ��� Date , Inspector p�ppROVALS Permit#- �` .. �^ Daten`, � Inspector ' 1. Temporary Electrical Service or Pole �� 43. Pool & Equipment Location - � � 2. Soil Pipe-Undrgrn`. �: �t . 44. Steel Reinforcement� 3. Electrical Conduit Utility-Undrgrn 45. Forms - � � 4. Electrical Conduit-Undrgrn � 46. Electrical Bonding . - . tee ein orce', .-. � 47. Rough Plumbin & Pressure Test 6. Electrical UFER Grn "' 48. APPROVALTO COVER-GUNITE' 7. Footings ' '� - 49. Electrical Conduit-Undr m �� ��� � � � � 8._. Foundation � � 50. Gas Pipe, ❑ Undr rn, Test �� 9._ Water Pipe-Undrgrn - 51 . Backwash Lines P-Tra �❑ Und� rn 10. Structural Floor System � � � 52. 'APPROVALTO DECK - - - - - ' 11. Property Sewer Line & House Connection' � 53. Backwash & Rece tor-Final � � �� 12. Street Sewer Connection � � ' ' �• 54. Heater & Vent-Final � - ' 13. Rough Plumbing ,�' /Y3 f%� - - -- ` - �� � � � - ' 14. Rough ElectricConduit - - �- '`56. Electrical-Final _ - � � ' 15. Rough Elect�ic-Wring - "- "" - � - � � � ' - � 57. Solar SVstem-Final ' "' � 16. Rough Heating & Air Conditioning - � • encing & Access Approval 17. Ducts in Structure � �-• - g• APPROVED FOR PLASTERING � , 18: Ducts, Ventilating , - - � � � - ' 19: Gas Pipe-Rough & Test- ' 60. POOL/SPA SYSTEMS FINAL: � , �� �, 20: Roof Framing ' , . . . - . . . . � - -. . , - . � � ' , � . 21. Roof Sheathin ' - ' � - _ _ `� " � • - . . � 22. Frame and Flashing -- ' � - NOTES: � ' ' � � � ' � 23.. Insulation � ' - - ' ' � -- ' . �, ., � 24. Lathing & Siding � 25. Drywall Nailing - - � - ' " - . .. , . 26. Plaste} Brown Coat ' �� - ' - ' � ' i 27. . Electrical Power Meter-Final � ' � �T ' � - ' 28.-�Final �Electric._ � � - • ' ' _ 29.. Final Heating & Air Conditioning ' ' -� � � ' ' ' - 30. Final Gas Pipe-Test ' � - ' ' - � _31. Final Plumbing Z � �' - � • � � • � ' - ' ' - ' �• � � � � ; 32: .Water Service-Final. ' ' - � � � � - � �. 33.. _Gas Service-Final, . � � � ' -`� � � ' � � � - ' 34. Solar pomestic-Final � � ' ' � ' � � 35. Landsca e S rinklin S stem � � � � " ' � � 36. Sound Attenuation � � � � � � � ' 37. Handicap Regulations - - � � � �� � 38. FINALSTRUCTURE&BUILDING � � ' � � ' - � - � ' � 39. Special Requirements Completed� � ' - � ` ' 40. E!ectric Release to Edison � - -' - -" � " � � ' " ' � - - ' 41. Gas Release to Southern Califomia Gas Co. ' � � � � � � � - � 42. CERTIFICATE OF OCCUPANCY . , _ . . No__- Date � � - � OWENS-CORNING Fiberglas Building Insulation The contractor named below certifies that the Owens-Corning Fiberglas Building Insulation used carries the NAHB Research Foundation, Inc. label for assured thermal performance and that the Building Insulation is installed in conformance with current energy conservation regulations, Calitornia Administrative Code, Title24, State of California, in the building located at: MOr�rE V�siq [.QS�a �%s�V a.�ior � Address City Tract Number Exterior Wails , Owens-Corninq Fiberqlas Type��'�_ Insulation ��i � � Thickness R-Value Ceilin�s Owens- orninpFiberqlasType1�A27�—Insulation 6� ,p_fy Thickness q-Value Floors Owens-Corninq Fiberqlas Type Insulation Thickness R-Value Foundation Walls General Contrector By Manufacturer Type Thickness R-Value Title � �Signetur�e�{ / n � /1 InsulationContractor ,�l��D.ti.t"��40E Vl�3a.�Y. LicenseNo. ����0 ey ��� m`�-t� ritle s.�Lig oate �����3 �Signei e� � Homeowner Copy (White) State Copy (Yellow) Builder Copy (Pink) OWENS-CORNING FIBEHGLAS COHP. aue. No. is-e�-ssss-e Insulation Operating Division Lit�oinUS.A..Jen..1982 coov��ame�qezoweos-commaF�ee�qia.corp. FiberglasTower,Toledo,Ohio43659