HomeMy WebLinkAbout1008 PRESIDIO DR - Building PermitsCITY OF COSTA MESA
���`""'F BUILDING DIVISION
f 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
�. FOR INSPECTIONS CALL: (714) 754-5626
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PERMIT NUMBER: E10-00207
PERMIT TYPE ELEC STATUS: ISSUED
APN: 14164216 DATE ISSUED: 08/31/2010
ISSUED BY: RMD
JOB ADDRESS: 0008.PRESIDt01UR,CMi Suite/Unit:' ,.
Vicinity: REAR OF HOUSE
SCOPE OF WORK: ELECTRICAL PERMIT TO UPGRADE AN EXISTING SERVICE PANEL TO 200 A, SAME LOCATION REAR OF HOUSE.
OWNER: ROHMALLER, DUANE J
PHONE:
APPLICANT: CAMPBELL: THOMAS PATRICK
PHONE: 714-396-2740
CONTRACTOR: CAMPBELL ELECTRIC
Address: 19511 ROCKLAND LNUnih
City/State: HUNTINGTON BEACH, CA
CELL:
ELECTRICAL PERMIT FEES
Address:
1008 PRESIDIO DR Unit: ".
'City/State/Zip:
COSTA MESA, CA"
_ Address:
Unit: -
City/State/zZip:
- -
License No. 302863
-
PHONE: 714-962-5312
ZipCode: 92646
Electrical Plan Check Fee:
$0.00
Electrical Permit Fee:
$54.00
Reinspection Fee
$0.00
TOTAL FEES
$54.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 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 it. INSPECTION TYPE DATE INTITIALS CODER INSPECTION TYPE DATE INmIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re -Root 210 Final Electrical
201 Final Block/Rgtaining 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:
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -Insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers' compensation insurance, as required by
section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation Insurance carrier and policy
number a
(This section neee no(he mmpletetl �Me pertnR is valuetl at one huntlretl tlollars ($100) a less.)
P66c 1'Number. 1,) IC IJ/ r! t/ -i 33
❑ I certify that in the performance of the work for which this permit is
issued, I 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 Labor Code, I shall f"wnlh comply with these provisions.
ppli a_ -Signature pale
C ..,
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing
with Section 7000) of Division 3 of the Business and Professions Cotle, and
my license is in full force and effect.
Opnio oesSignature - cOale_
CONSTRUCTION LENDING AGENCY: ��
❑ 1 hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
OWNER -BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5,
Business and Professions Code: Any city or county which requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement
that he or she is licensed pursuant to the provisions of the Contractors
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Cade) or that he or she is exempt therefrom 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).):
❑ I, as owner of the property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an owner of property who builds or improves
thereon, and who does such work himself or herself or through his or her own
employees, provided that such improvements 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 the burden of proving that he of she
did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and
Professions Code: The contractors License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for such project with
a contractor(s) license pursuant to the Contractors License Laws.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
Signature
3057-46(3107)
Date
Owner ID verified by driver's license. ❑ Yes ❑ No
Driver's License No. Expires:
Verification of Ownership by (type of document. i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five (5) or more feet in depth into which a
person is required to descend, will be made in connection with work authorized
by this permit, and that no building structure, scaffolding, falsework, or demolition
or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp
2, Art 2, Sec. 341, Title 8, California Administrative Code).
❑ As owner -builder, I will not employ anyone to do work which would
require a permit from the Division of Industrial Safety, as noted above, unless
such person has a permit to do such work from the division.
Applicant's Signature
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant need to file and
certify a Business Plan for emergency response to release or threatened
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 the Costa Mesa Fire
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
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperature and pressure).
2. Does or will the applicant or present or future building occupant need to file
a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the California Health and Safety Code, with some
exceptions. requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperature and pressure).
3. Does or will the applicant or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the California Health and Safety Code provides that the
Costa Mesa Fire Department may require the preparation, certification and
fling with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
4. If an RMPP is presently required, has Section 25534 of the California
Health and Safety Code been fully complied with? ❑ Yes ❑ No
S. Does or will the applicant or present or future building occupant require for
the work which is the subject of this application a permit for such construction
or modification from the South Coast Air Quality Management District or from
any other air pollution control district or agency? ❑ Yes ❑ No.
(Section 65850.2 of the California Government Code requires that the requested
information be furnished on applications for non-residential building permits).
6. Will any part of the facility to be constructed under this permit be within
1000 feel from the outer boundaries of a school? ❑ Yes ❑ No
(If "yes", the facility must meet the requirement of Sections 25534 and 42303
of the California Health and Safety Code).
7. If a permit from the South Coast Air Quality Management District or other
air pollution control district or agency is required for the work which is the
subject of this application, have all of the disclosures prescribed by California
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. (If "yes", attach certificate of compliance from the appropriate air pollution
control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
information given above is correct. I agree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and stale that
the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
Signature of Legal Ovmena) Date
�/%GC 6=31-0
LAiiaAoTA_ i ¢eC'Appttcant a" Date
CITY OF COSTA MESA
BUILDING DIVISION
FA 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
J•@ogrop FOR INSPECTIONS CALL: (714) 754.5626
PERMIT NUMBER: M10-00082
PERMIT TYPE MECH STATUS: ISSUED
APN: 14164216 DATE ISSUED: 08/24/2010
ISSUED BY: RMD
JOB ADDRESS: 100 P_RESI010 D,,.� rR.CM� Suite/Unit:...
Vicinity: ATTI * REA
SQ. FT: 0
..+
SCOPE OF WORK: MECHANICAL PERMIT TO CHANGE OUT AND RELOCATE FAU TO ATTIC AREA, INSTALLATION OF A
NEW A/C UNIT AT REAR OF HOUSE AND REPLACEMENT OF EXISTING DUCTING. COMPLIANCE FORMS ATTACHED TO JOB
CARD AND CITY PERMIT. REF#: E10-00202
OWNER: ROHMALLER, DUANE J -Address:
PHONE: - City/State/Zip:
APPLICANT: PUIG, KATHY Address:
PHONE: 714-633.8892. City/State/iZip:
CONTRACTOR: ALPS AIR CONDITIONING AND HEATING INC
Address: 1571 S SUNKIST STUnit: STE J
City/State: ANAHEIM, CA ZipCode: 92806
MECHANICAL PERMIT FEE SUMMARY
MECH ITEM FEE:
$72.95
PLAN CHECK FEE:
$0.00
INVESTIGATION FEE:
$0.00
REINSPECTION FEE:
$0.00
TOTAL FEES: $72.95
1008 PRESIDIO DR Unit:
COSTA MESA, CA
Unit:
License No. 667953
PHONE: 714-633-8892
CELL: 714-633-8887
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.
CODER. INSPECTION TYPE DATE INTITIALS CODE INSPECTION TYPE DATE L� INTITIAL5 t '
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing �-
200 Final Re -Roof 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
!PORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -Insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
ped ance of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
coon 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation Insurance carrier and policy
number ar 11
number
US :17)S Co
�husetliorr nexC not Oe m ( plate ff the penM is valuetl at wrehuntlradtldlar�5f00)wless)
Polite Number:0 ZD I-- UX3
❑ I certify that in the performance of the work for which this permit is
issued. I 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 wo kers' compensation provisions of Section 3700 of
the Labor Code, I she I forst 'th comply with these pr isi S.
0
AP �O.' lure c:;Z>
WARNING: FAILURE TO SECUR WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing
with Section 7000) of Division 3 of the Business and Professions Code, and
my !stens i in full ford?nd effect. / q
Vic. -JF—. i ) Class- l ZC
(
10
Ca- ign Lure
-
CONSTRUCTION LENDIN,P AGENCY:
❑ I hereby affirm—that there is a construction lending agency for the
performance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lenders Name:
Lender's Address:
Signature Date
OWNER -BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5,
Business and Professions Code: Any city or county which requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement
that he or she is licensed pursuant to the provisions of the Contractors
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
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).):
❑ I, as owner of the property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an owner of property who builds or improves
thereon, and who does such work himself or herself or through his or her own
employees, provided that such improvements 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 the burden of proving that he or she
did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and
Professions Code: The contractors License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for such project with
a contractors) license pursuant to the Contractors License Laws.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
Signature Data
305746 (3107(
Owner ID verified by driver's license.
Driver's License No.
❑ Yes ❑ No
Expires:
Verification of Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ 1 hereby certify that no excavation five (5) or more feet in depth into which a
person is required to descend, will be made in connection with work authorized
by this permit, and that no building structure, scaffolding, falsework, or demolition
or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp
2, Art 2, Sec. 341, Title 8, California Administrative Code).
❑ As owner -builder, I will not employ anyone to do work which would
require a permit from the Division of Industrial Safety, as noted above, unless
such person has a permit to do such work from the division.
Applicant's Signature
Division of Industrial Safety Permit Number: _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant need to file and
certify a Business Plan for emergency response to release or threatened
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 the Costa Mesa Fire
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
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperature and pressure).
2. Does or will the applicant or present or future building occupant need to file
a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the California Health and Safety Code, with some
exceptions. requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperature and pressure).
3. Does or will the applicant or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the California Health and Safety Code provides that the
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.
4. If an RMPP is presently required, has Section 25534 of the California
Health and Safety Code been fully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or future building occupant require for
the work which is the subject of this application a permit for such construction
or modification from the South Coast Air Quality Management District or from
any other air pollution control district or agency? ❑ Yes ❑ No
(Section 65850.2 of the Califomia Government Code requires that the requested
information be furnished on applications for non-residential building permits).
6. Will any part of the facility to be constructed under this permit be within
1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
(If 'yes", the facility must meet the requirement of Sections 25534 and 42303
of the California Health and Safety Code).
7. If a permit from the South Coast Air Quality Management District or other
air pollution control district or agency is required for the work which is the
subject of this application, have all of the disclosures prescribed by California
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. (If "yes", attach certificate of compliance from the appropriate air pollution
control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
information given above is correct. I agree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
Signature
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and state that
the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit un it final inspection.
Signatur as Owners) j/J� D to
1A I
Anala7 tho—Tis pliFanr _ D�e�-_,.-_
PLANNING
APPROVAL
Cay Of C01= =Dlgv..
Subject to
mum to amm"d-
pyjj,,b Tf Ad park Fees
DOW: 10
By:
P,)C- \,)Y-�\� \
ALPS Ve\ccoz�E_7 -v-UY-rax-p-
Air Conditioning & Heating Co. ' -vo o�c_
Heating ALPS PLO I PT AN
-,.--REAR YARD PIL
ONWFR NAME—'
ADDRFS� 100iL ...
PHONE #--.
()�ec �e54
s
I
D
E
p
L
Certificate of Compliance: 2008ResidentiaiHVA CAlterations CF -IR -ALT -HVAC
Zones 1 and 3 - 7
Site Address: rQ • ^ I
•
Gnforcemen! Agence:
Date:
Yermi/ q b
�/V D �/(
`
a
Conditioned
Duct insulatio
Equipment T eI
List Minimum Efficiency2
Floor Area
re uireme
Thermostat
❑ Packaged Unit
H'�umace
2r�
❑ AMAIN
❑ COP
Over 40 f f due
Setback _
El Indoor Coil
❑SEER
❑HSPF��t-,^F
S rved system
Qy�/y
�sf
�%o
added re I n
,i
pncy6 to pace
(y not ab'eadi, present, must be
'Condensing Unit
❑ EER
❑ Resisiadce
R 6 (CZ 1, 3-5J
(C"
ir�sralled)
❑"Other
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -IR -ALT -HVAC for each system.
2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems. -
Contractor (Documentation Author's /Responsible Designer's Declaration Statement) -
• I certify that this Certificate of Compliance documentation is accurate and complete.
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this
Certificate of Compliance.
• 1 certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24, Parts I and 6 of the California Code of Regulations.
• " The design features identified on this Certificate of Compliance are consistent with the information documented on other.applicable..-
compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agent , r approval with the permit
> a licatlon. I
Name: VG1+1 (- U 1
Signatu --C. —
,t
Company: (2' I ��.. "� 1�"
ate: Mkt U
Address: r-.�L Ji -\
Licens (c 7 ^ 3
`-1
-C9kty/State/Zip: Nom. � eI Lid
Phone: Lk
2008 Rasidential Compliance Forms March 2010
v
(ENFORCEMENT AGENCY
CAA71 CUSTOMIZE:WITHLETTERHEADYSEAL)
2008 Building Energy Efficiency Standards Residential HVAC Alterations
Climate Zones 1 and 3 through 7
BUSINESS AND PROFESSIONS CODE, SECTION 7110 -
Willful m deliberate disregard and violation of the building laws, including the California Building Code, and
local permit requirements constitutes a cause for disciplinary action from the Contractors State License Board
working in conjunction with the local building department. This action may consist of fines up to $5,000 per
violation or suspension/revocation of a contractor's license.
R'DEN IS A PERMIT REQUIRED? - -
A written construction permit shall be obtained from the enforcement agency prior to the erection, construction,
reconstruction, installation, relocation, or alteration of any mechanical system, except as permitted in Appendix
Chapter 1, Section 112.2 of the 2007 California Mechanical Code. Projects requiring permits include, but are not
limited to:
• New HVAC installation
• HVAC Changeout
• Replacement of furnace, coil, FAU, or condenser
.. •.. Relocation of an existing HVAC unit _.-:..__:..r._. _ . _ - --. - --- .1— . ............... .._ - .._-_.....-
• Adding or replacing more than 40ft ducting in unconditioned space
2008 BUILDING ENERGY EFFICIENCY STANDARDS (Title 24, Part 6) REO UIREMENTS INCLUDE
1. Heating equipment must have a minimum 78% AFUE (Exception: Wall &floor furnaces; room heaters).
2. Central air conditioners & heat pumps less than 65,000 Btu/hr must have a minimum 13 SEER.
3. Newly installed or replaced ducts must have aminimum insulation value of R-4.2.
4. A setback type thermostat (24 In clock with four set points) is required for all alterations.
5. New or replacement ducts must meet the mandatory requirements of Section 150(m):
• All joints and openings in the in the HVAC system must be sealed.
• Only UL 181, UL 181A, or UL 181B approved tapes or mastic shall be used to seal duct openings.
• Connections of metals ducts and the inner core of flex ducts shall be mechanically fastened. Flex ducts
must be connected using a metal sleevelcoupling.
• Flex ducts that are suspended must be supported every 4ft. max for horizontal runs with no more than 2"
of sag between supports and 6 ft. max for vertical runs.
6. The CF-6R-MECB-04 must be completed and signed by the installing contractor. The Inspector will collect
this form and verify that the model numbers are the same as the installed equipment.
t CITY OF COSTA MESA yy�
BUILDING DIVISION O
_ DEVELOPMENT SERVICES DEPARTMENT
J
•4 - � PERMIT PERMIT NUMBER
`moo B98-01312 1--'
(714) 754-5273 • Fax(714)754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: 1008 PRESIDIO DR Status: ISSUED
Suite: Applied: 07/22/1998
Vicinity: Issued: 07/22/1998
Parcel Nunmber: 14164216 Zoning: R1 R1
Applicant: DIAZ, LOUIS
Address:
. f Phone:
i f- ...Zip
Owner : ROHMALLER,
Address ROHMALLER, BETTY
\.
COSTA MESA�CA �l /� / Phone
1008/PRESSIDIO DRi C �'-% Zip 92626
/mill
Contractor. LD•ROOFINGr
civ/
Address: 600ANTON
Phone: 714-848-9751
/ C.MCAZip: j, 92626
� � ? �� Licenser 658987
Arch / Engel i'
Address:,,X1
�1r5r f . _'Phone -
i
Zip:
License: l' ,
SCOPE OF PERMIT
�I TEAR OFF WOOD SHAKESINSTALL 1/2' OSB BOARD & REROOF WITH 30'kEAR COMP. /
-
FEE SUMMARY J
�iPlanCheck ,r�,`.-,1$0.00 /,f j��; ,_ — 1/-'t- Calc Valuation $s,60o.00
�Permlt -W,N $124.75 —:Claim Valuation—. s6,Ao0`00
S_MIP.Res ���<$0.66
�SMIP,Corn Vv,,'$0.00
Other,��` 'SO 00
Inspectiorr\ \$0,00 ! ! C" {r✓�
Total. $125.41,
\i\ PLANNING &Z0 `
SETBACKS-_
MAIN STRUCTURE, Front 0-0 /..' Rear0-0', - -Lefty '0-0 Right 0-0
ACCESSORY FronC',0-0 � '1'// Rear 0-0 Left 0-0 Right 0-0,
PARKING Existing: Required: 0: Proposed: 0
NOTES:
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under 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.
FOR INSPECTIONS CALL: (714) 754-5626
C
DECLARATIONS ii
WORKERS' COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations.
❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the
work for which this permit is issued.
'L1d 1 have and will maintain workers' compensation insurance, as required by section 3700 of the tabor Code, for the performance of the work for which this permit is issued.
My workers' comp!ens�ation Insurflnca�mar and policy number are:
Carrier. Z 1. 7'c PZ: Policy Number:
(This section need not be completed it the permit is valued et one hundred dollars ($100) or less.)
❑ I card the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to became subject to the workers'
co nsetlon ws of California, and agree that if I should becroma subject to the workers' compensation provisions of Section 3700 of the Lobar Code, I shell forthwith
m ' h t se provisions. /� / \ — G
Slgn a: �T� lit-r�s�y/ Date: %— 22—;�m
LURE TOSECUR ORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT EMPLOYERTO IMINAL PENALTIES AND GVIL FINES UP TO ONE HUNDRED
D DOLLARE ($100,OD0), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN F THE LABOR CODE, (MEREST, AND ATTORNEYS FEES.
LICENSED CO CTORS DECLARATION:
I LICENSED
mn that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division siness and Professions Cade, and my license is in full
fo and effect. Lic. q �.�rl �l7 Cl
tract Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ 1 hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is Issued. (Sec. 3097, Civil Code).
Lenders Name: Lender's Address:
Signature: Date:
OWNER -BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions
Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors 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 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).):
❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec.
7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work
himself or herself or through his or her own employees, provided that such Improvements 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 the burden of proving that he or she did not build or improve for purpose of sale.).
❑ 1, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractors)
license pursuant to the Contractors License Laws.).
❑ 1 am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. ❑ Yes ❑ No Drivers License No. Expires:
Verification of Ownership by (type of document, Le. - property lax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ 1 hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this
permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Tltle 8, California Administrative Code).
❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building Occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? ❑ Yes ❑ No
(Section 25505 of the Celifomia Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire 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 500 pounds, or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
....................................................................................................................................................................................................................................................................................
2 Does or will the applicant or present or future builtling ocaJpant neetl to file a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
..................................a'p'p......
........................'f'ut"........il,d'i..................................r,e.p.......................................g'o'.r'en...............................................................................................
3 Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazamous materlals)7
❑ Yes ❑ NO
(Section 25534 of the California Health and Safety Code provides that the 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.
....................................................................................................................................................................................................................................................................................
4 If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No
....................................................................................................................................................................................................................................................................................
5 Does or will the epPlican[ or present or future building occupant require for the work which Is the subject of this a plication appemit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? yes ❑ No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
....................................................................................................................................................................................................................................................................................
6 Will any per of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ yes ❑ No
(If 'yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
....................................................................................................................................................................................................................................................................................
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is reGulred for the work which is the subject of this
application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Ves ❑ No
....................................................................................................................................................................................................................................................................................
8 (if 'yes , attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the infornation given is
correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes. I agree not to Occupy or allow occupancy of any building authorized by this permit until final inspection.
Signaturg Of Legal ner(s) — ate
zz-
tl/Or Authorized App idan Oat
COOS L INSPECTION TYPE DAIS INIIDALS CODE• INSPECTION TYPE Ilm DfTMA<5
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re -Roof Z 210 Final Electrical
201 Final Block/Retaining Well 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
2"6.46
' � 18886
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 317 COSTA MESA. CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
noo ess 1008 Presidio Dr,
COSTA MESA. CALIFORNIA
„nq F^P!1c°TAsoy£ m**d99.00
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
Del P'Iar Development Co.
RECEIPT NO. PERMIT NO.
IOWNER
Mesa
MAIL
ADDRESS 3800 E. Coast Hwy.
RECEIVED BY D RE EI D DATE IB$
��( �" �3 MAR r i(ry
CITY CQrQna Del Mar NO.OR 4220
BUILDING
ADDRESS
HITECT
Realty Co NEL: OR 3422
COSTA MESA.
CALIFORNIA
ORENGINEERMacco
ADDRESS 18nn E Coast HwV
FIRE
ZONE TYPE
GROUP _
CONTRACTOR Macco R alto CO.
APPROVED
BY
DATE
ADDRESS 3800 L. Coast Hwy.
ZONING
`
CITY C Del Mar
ZO
-� I
NO. OF
PLANS
I USE OF NEW I.
UILDING 1 l
STATE
LIC.NO. li-A-SB-1 No: OR 4220
`EDA`
Lot 2
Tract 40DESCRIPTION
66 6
I NO. OF BLDGS. NOn
OF LOT S F
rvOW ON LOT 1tl
A. P. NO.
USE OF
YARDS
EVES
E ISTI NG BLDG. N6np.
APPROVED
ALLOWED
SETBACK LINK FROM
h61 22 1
(CENTER LINE ST.)/
CENTER OF STREET REAR YARD -10
FRONT 4 '
FT.
IN.
SIDE YARD I LEFT 51-01
RIGHT 51
R. SIDE
^ FT.
IN.
DESCRIPTION OF WORK
L. SIDE
r FT.
IN.
NEW XI
II ALTERATION I IIADDITION
REAR
(�
_FT. ✓
IN.
REPAIR'
I II MOVING I II DEMOLISH I
APPROV 11
BY •vv1.
II ..
DATE
BUILDING 1 11 No. OF
6 1
_61,x541-2 STORIES
3IZE 1q ROOMS
/
EXTERIOR WALL ytUCco
I ROOFWOod shake & ROC
COVERING C 00
COVERING
USE OF BUILDING AND WORK TO BE PER ORMED
Single £anvil res. w att. gar.
Living Area:
1896 S.F.
Plan # 400-C
Garage Area:
483 S.F.
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
THE AMOUNT SHOWN
UNDER VALUATION 18 FOR THE
AND STATE TLABOVE IB CORRECT AND AGREE TO COM -
PURPOSE OF ESTABLISHING
A PERMIT FEE
ONLY.
PLY wITH wLDINANCES AND eTATE LAWS REGULATING
VALUATIONfP
BUILDING CON.
)GNATURE Del Mar Development Co.
PERMIT FEE S--
RMITTE
s20,288.00
PLAN CHECK S 3J
•�
"-�
'p',d�
f4UTHORIZED AGENT
TOTAL FEE