HomeMy WebLinkAbout3487 QUEENS CT - Building Permitsi
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.���LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 3487 QUEENSCT
Suite:
Vicinity: ROOF
Parcel Number: 41204258
Applicant: FLANAGAN, CRAIG
Address: 1228 B VILLAGE WAY
SANTA ANA, CA
Owner: STUEWE, DANIEL
Address 3487 �UEENS CT
COSTA MESA, CA
Contracror: PACIFIC ROOFSCAPES
Address: 1228 B VILLAGE WAY
SANTA ANA, CA
Zip: 92705
Arch :
Address:
Zoning: R1 R1
Phone: 774-542-9600
Zip: 92705
Phone:
Zip: 92626-1659
Phone: 714-542-9600
License: 748986
Eng:
Address:
Phone:
Status: ISSUED
Applied: 10/37/2002
Issued: 10137/2002
��� �
� : ��
Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL 1/2' OSB, 30# ASTM FELT, DOUBLE EAGLE PONDEROSA. 3,000 S.F. INCLUDES ATTACHED GARAGE.
Plan Check: $145.11
Permit: $223.25
SMIP Res: $129
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $369.65
SETBACKS �-
MAIN STRUCTURE Front 0- 0 Rear 0- 0
ACCESSORY Front 0- 0 - � Rear 0- 0
PARKING Existinq: o Required: o
NOTES:
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
s�z,soo.00
s�2,soo.00
NOTICE: The work authorized by Ihis permit shall comply with all applicable handicap access requirements under California statutes antl related
regulations. (Ord. No. 9248, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or it work is suspended or abantloned
for a period of 1 BO days.
INSPECTIONS: In order for Ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required Inspeetiona end finel epproval must be obtained. Failure to obtain inspections and final approval will result In the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2C4fi48 (fi100)
WORKERS'COMPENSAnON DECLARAnON: � �
I hereDy eHirm under penelry oi perjury ane ot the �ollowing tlecleretlons:
❑ I heve entl will malntein a canificate oi consent to setl-Insure lor workers' compensetion, as provided for by section 3100 0l the Lebor Code, for Ihe peAarmence of Ihe
work tor which thls permil is iuued.
� I have antl will maintain workers' compensation insu2nce, es required by section 3700 ot [he Labor Code, br Ihe peAortnance ol the work lor which this pertnll is issuetl.
My wDrkers' compensatlon Insurance carria� end policy number are: (�,�
���. �1�/_A/'� j]alioy�Number: Z Lrj '(� � — I ��I
is section need no( be comp/e(ed il (be permit is ve/ued al one �untlretl dollars ($100) or /ess.)
❑ I certity ihet in Ihe pertortnence ot t�e work �or which this permit is issued, I shall not employ any person in any manner so es to become suD�ect to the workere'
compensation laws oi Celifomia, entl egree ��et II I should become sub�ect to the workers' wmpensation provisions oi Section 3700 0l the LeOar Cotle, I shall tort�wlth
compty wit� Ihese pry��ions./�j p�
Ap�����^eNre: � �fn 11' "`�1 �Date: j�%'���G2
WMNING: FAILURE TO SECURE W ER COIAPENS ON COVEMGE IS UNLAWFUL ANp SHALL SUBIECT AN EMPLOVEF TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
THOUSrW D OOLLARE (5100,000). IN AODRION TO THE C�T OF COMPENSATION, DAhNGES AS PROVIDED FOR IN SECTIIXJ 3]O60F THE LABOR ODDE, IMEREST, AND ATTORNEI"$ FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirtn Ihat I am
(orce.enn,eHecL.Lic. M _
Contrector's Signature:
CONSTRUC710N LENDING AGENCV:
at Chapter 9(commencing with Section 7000) of Division 3 of ihe Busine�s �
r¢�c,.0 L -
antl my license is in full
❑ I hereby eMirm Ihat there Is a construc�ion lending egency lor the peAormanca oi Ihe work for which this pertnii is issued. (Sec. 3097, Civil Code).
lentleYs Name: Lentler's Atltlress:
SignaWre:
OWNER•BUILDER DECLARA710NS:
Date:
I hereby aHirtn that under penelty ol perjury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Pmtesslons
Code: Any city or county which requires e permit to consimc6 elter, improve, tlemolish, or repair any structure, prior to its issuance, also requires Ne applicant tor such pertnit
to file a signed stetemem thet he or she Is Ilcensetl pursuant to Ihe provisions of the Contrectors License Lew (Chapter 9(commencing with Sectlon 7000) of Dlvisian 3 0l t�e
Business and Professions CoOe) or that he or sha is eaempt iherefrom and the besis Por ihe allegetl e:emption. Any violetion of Sectlon 7031.5 by eny epplicant for e pertnit
sublects the applicant to a civil penalty of not more than live hundred dollars (5500).):
❑ I, as owner ot the propeny, or my employee5 with wages as Iheir sola compensation, WILL DO THE WORK, and ihe structure is not Intended or oHeretl 1or sale (Sec.
7044, Business and Professions Cotle: The Conirectors License law does not apply to en owner ot property who Ouilds or improves �hereon, end who tloos such work
himself or herseN or thmugh his or her own dmployees, provided Ihet such improvements are not intendetl or otteretl br sale. It, however, ihe building or Improvement is
soltl within one year ot completion, the ownB�-builtler wiil heve the burden ot proving that he or she did not build or improve for purpose of sele.).
❑ I, as ow�r ot tne pmpeNy, em E%CWSIYE�Y CONTRACTtNG W ITH LICENSED CONTRAGTORS ro consiruci lhe project (Sec. 704A, Business antl Protessions
COCe: 7Te coniractors License Lew tloes no� epply to en owner ol property who builds or Improves thereon, end who contrecis for such pro�ect with a coNrector(s)
license pursuant to tha Contraaors license �ews.).
❑ I am axempt under sec. _ Business antl Professions Coda for �his reason:
SignaWre: Date:
Owner ID venlied by tlrivefs license. ❑ Ves ❑ No Driver's License No.
Venfication of Owners�ip by (type at tlocument, i.�. - property tax bill or deetl):
Expires:
DIVISION OF INDUSTRIAL SAFE7V PERMIT CEAnFICATION:
❑ I hereby certify that no excevetlon flve (5) or more teet in tlep�h Into which e person is required to descend, will be mede In connectlon with work euthodzed by this
pertnit, antl that no building SlrucWre, scattoltling, talsework, or tlemolition or tlismantling thereo�, will be more than �hirry-six (36) feet high. (Chap. 32, Grp 2, Ah 2, Sac.
341, Title B, Celitomie Administrative Cotle).
❑ As owner-builder, I will not employ anyone �o tlo work which would requlre a pertnit from the Divislon ot Industrial Satery, es notetl ebova, unless such peraon hes e
permit to do such work from the tlivision.
Signawre: ' Date:
Division ol Intlustrial Safety Permit Numher:
CERTIFlCA7E OF COMPLIANCE AND AU7HORILITON OF ENTAY: I certity under penalry ot perjury that I have read ihis epplication and state that the Intormetion given is
cortecL I egree to comply with ell stete laws end ciry ortlinances relating to builtling construction, end euthorize representatives ol the qry ot Costa Mesa to enter upon the
ebove-descnbed propeRy for inspection purpases. � egrea not to occupy or ellow occu0ancy ot any building authorized by this permit until (inal inspection.
COOE �. INSPECiIONTYPE `/
1676 FIxeO Sysiem Final Fire Prevention
7266 Pool Spa Finel
200 Final Re-Roof
201 FInaI BIaWReteining Wall
202 Final Factory Fire Place
203 Finel Sign
204 Final �emolition
aeg u�ess
�
12 S� u2 GQ Z
GOOE� INSPECTIONTYPE
206 Finel Mechanical
20B Final Plumbing
270 Finel Elactrical
212
220
''7�'U
Finel Fire Prevention
Flnal Planning Approval
222 Final Site
250 FinalBuittlinglOccupancy
� �
,
:, , • ,
Project ................................. REROOF WITH TEAR-OFF
Address ... ... ... ... ... ... ... ... ... ... ...3487 QIJEENS COURT
COSTA MESA, CA.
Owner .................................MR. &. MRS. DANIEL STEIL
('714) 641-0631
Roof material ....................... LIGHT WEIGHT TILE
I.C.B.O. Number .................. 4660
Number of squazes ...............23 SQUARE MORE OR LESS
Tile weight ........................... 7.2 POUNDS PER SQUAREFOOT
Manufacturer .......................EAGLE ROOFING PRODUCTS
Plans prepared by ................ DESIGN & DRAF'fING SERVICES q
1932 HAMPSHIRE ROAD, TUSTIIY, C�N
(714) 731-2665 ��,. g
�F
I�ield Engineer ...................... ED YANDOC �
(714) 731-2665 ��
�LL
'Office Engineer .................... SHUCRI "CHUCK" YAGHI, P.E. p�
LIC. NO.0 43205, EXP.3/31/2004 Z�
112 E. CHAPMAN AVE., SUITE D O U
ORANGE, CA 92866 �
(714) 731-2665 A
Roofmg contractor ................PACIFIC ROOF SCAPES (714) 542-9600
1228 VILLAGE WAY, SUITE B
SANTA ANA, CA. 92705
S �
introduction ... ... ... ... ... ... ... ... .... THE FOLLOWING WAS PREPARED FOR THE ABOVE PROJECT.
THE EXISTING ROOF MATERIAL IS WOOD SIIAKE ON A
CONVENTIONAL FRAMING OVER SKIP SHEATHING AND
WILL BE REPLACED WITH TILE OVER NEW 7/16" OSS OR
PLYWOOD SHEATHING AND A MINIMUM 30 POUND
UNDERLAYMENT FELT AND PER MANUFAGTURER'S
�SPECIFiCATIONS AND PRE-APPROVED ICBO REPORT. CALCS
WERE SASED ON MANUFACI'URER'S STANDARD OVERLAP
(NO STAGGERING).
Conclusion ............................. 1'HE EXISTING ROOF FRAMING IS ADEQUATE TO SUPPORT
THE NEW ROOF IAAD AS IS. REFER TO CALC PAGES FOR
JUSTIFICATIOI3S.
LEGEN • -
�5 DENOTES CALC REFERENCE NO.
�DENOTES ROOF SLOPE
4:12 OR GREATER IN PITCH
iYP. U-N,O.
------- NON BEARING WALL
------- LOAD BEARING WALL
RooF ur+E, rrP.
r-----�
i / i INDICATES TdcG CEILING &
�� /� INSUTATION DIRECTLY ATfACHED
�----=� TO UNDERSIDE OF RAFfERS
r-a,---�
�����i INDICATES CAUF.ORNIA
�J FIIIIN
EXISTING ROOF FRAMING PLAN
SCALE: 3/32'=1'-0"
Reroof For: MR. & MRS. DANIEL STEiL
RESIDENCE AT 3487 OUEENS COURT
COSTA MESA, CA
5'-0'
i
i7
19•-9•
9'-10�7" 9'-701.
2
2X6 C.J. �76' O.C.
i
! 2X8
15"-2'
2X4 (
Oj �46
2X8 RAF.
O .C.
2X6 C
N
�
� ti � 2X6 C.J. �16� O.C.
� �I I
�D � �
N O � w
�I �I .
y � I o f�
<
NI NIO
A
15•_2"
2 T1ES
2XO8 RAF.
� .
i6' O.C.
-------------------- -`
i
�
' ---/ -----�-�.. �: � _.
� , %. / � o '�:
�p�i��j/O � N ��
� 6X10 PURLIN BEAM %
� � t 8' 9' SPnr�•MASL R 8
/ .�j/ (VAULTED
� � '� �CEILING)
� / � O
I LT' � /
I' . ?� w f 1 9J J
i�a'a iQ.:
��NI� T 2'
1 / 1 \ ,.
��I N�� I_�L J__�—OORMER �_J__� I
< TMP'
NOTES:
1. ONLY CRITICAL ROOF FRAMING REFERENCED FOR CALCS. (SEE CALC PAGES).
2. ROOFING CONTRACTOR TO FlELD RE-VERIFY EXISiING CONDITIONS & DIAIENSIONS
k REPORT i0 THE ENGINEER INCONSISTENCIES HEREON (IF ANY) FOR ACTION.
c
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1
m
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I
h
.
. _ �� ca-t-� s � s��:Q�
R �, � 348 i�?u.e,�.►�sC�•�+�T.
�2n� ��
ROOF LOADING: 0�7�8 ���b�w = 27.7 psf X 1.33' = 36.84 plf; 1= 15.17
Tile Roof 7.2 psf
Roof Sheathing 1.5 psf M= 1/8 X wl"'2 = 1,059.77 ft-lbs.
(E) Skip Sheathing 0.4 psf
Roof Rafters 2.2 psf 1059.77 X 12
^^:,:�^�'�^..,�Misc 0.4 psf Sreq'd =------------------------ = 7.02 in"'3
--------------------------- 1450 psi X 1.25
Dead Load 11.7 psf
Live Load 16.0 sf S2 X 8= 13.14 > 7.02
------------------------p- OK
Total Load 27.7 psf
5 X 36.84 X 15.17�4 X 1728
Deflection=---------------------------- = 0.54"
384 X(1/7 X 10)�6 X 47.69
' 1' 15.17' X 12"
• allowable=--- - ----------- = 1.01" > 0.54"
180 180 �K
ROOF LOADING:� Gx�� •��^• w= 30.2 psf X 7.96' = 240.39 plf; 1= 18.75
Tile Roof 7.2 psf
Roof Sheathing 1.5 psf M= 1/8 X wl'2 = 10,564.10 ft-lbs.
(E) Skip Sheathing 0.4 psf
Roof Rafters 1.7 psf 10564.10 X 12
./Ceiling/Insul/Misc 3.4 psf Sreq'd =------------------------ = 67.61 in'3
--------------------------- 1500 psi X 1.25
Dead Load 14.2 psf
Live Load 16.0 psf
------------------------p--
Total Load 30.2 sf
S6 X 10 = 82.73 > 67.6,1._.,
OK
S X 240.39 X 18.75_�4 X 1728
Deflection=---------------------------- = 1.00"
384 X(1/7 X 10)"6 X 392.96
1'
• allowable=--- _
180
18.75' X 12"
= 1.25" > 1.00"
180 OK
Jo # 16 4 2 ADclicant to till in all svaces exceD< <�asa within heavr borOer lines anC sign all aoProo�iate tleclarations.
CITY OF cOSTn MESA CONSTRUCTION PERMIT
ProjectAddress �48� Queens Ct.
Applicant'sMailingqddress 289� �%ld Martens
Owner'sName WeSS %'iOTTOW Phone 662-364!
Adtlress �_SZQllPPriG Ct '
Arch/Eng. License No.
Address •
Contractor'sName Air ManaCJPmPnt� Phone ��9�
Addresslmailingl �R90 Via Mari-pnG'
City �icense No. �� Q 7 Q Fi
LICENSEO CONTRqCTOR DECLARATION
I hereby alfirm that I am Iicensetl untler provi5ion5 ot Charter 9(commenCin9
with section 7000) of Division 3 0l tho Business antl Protessions Coae, antl
my Iicense is in twi t�ce�r� enect. 4 39 29 6
Llcense ClaSs � License
nate 7-6—Rd Siqnature '
1RKER5'COMP�NSATION OECLARNTION� �
.ereby aflirm that � have a certitica[e o� <onsen[ to sell-insur¢ o� a certific3te
of Workers' Compensation Insurance,;or a Certlfietl copy thereof (SecHon
3aoq„�q. �iZ_z16996-8 INA �
Polic�7 Company -
Certifietl copy is hereby tumishetl. �
Certitietl co y is (��etl with the city B'Jtlinq DIy is.ia-n:� �
Date 7—Fi—�4 AOPlicant �.(�������
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This section neetl nOe be completetl It'the Oermit is'for one huntlretl (E100) or
less).
I certNy tttat in the performance ot Ihe wo�k for whi[h Nis Oeim�t i5 izsuetl, I
snall not employ any person in any manner so as to become su�jec[ to the
Workers' Compensation Lawz of California. .
Date ' S�9na[ure
NOTICE: I1, aiter making this tleclaralion, you slioultl bewme subject lo the
Wo�ken' Compensa(�on provisions of the Labor Cotle,. you must iorthwith
comply with such provisions or tnis � permit shall be aeemetl revoketl.
CONSTRUCTION LENDING_AGENCV
I nereby aHlrm that {here is a wnstruction lentlinq agency tor the performanC¢ ,
ot tho .work for which this oermit is Issuatl (Section 309] Civ. CJ
LenGer's, Name -
Lentler'S Atltlresv '� �
OWNER BUILDER DECLARIITION� � ' '
I hereby aftlrm tha{ I am eaemPt from the Contrac[o�'s License Law tOr [M1B
followin9 reason (5¢ction ]031.5 BuSiness antl Professional Cotle: Any city or
animN which reouirea r oermi[ to const�uct. al[E�. imorove. Eemolislt o� �epalr
to �tiie a zt9nea statement that he/sne Is licensetl pursuant to the provis�ons or
he Con[ractor'S LlCense Law (Chapter 9(commencing with Section �000) ot
�ivI510n 3 of Ihe Bu5ine55 an0 Prot¢SSlons Cotle) o� that be/she i5 exempt
therefrom antl IhC basis for tM1e alleqe0 exemption. Any violation of 5¢ction
7031.5 by any applitant fo� a Pe�mlt Subjett5 the appliCanl lo a civil '
�. �enalty ol not morg Ihan five hunaretl tlollars (b500�. ,
LJ I, as owner of the prooerty or my emo�oyees with wages as their sole
compensation, wi11 tlo the work, antl tne sVucture is not intentle0 or otteretl
for sale (Section 7044, Busines5 antl Professional CoGe: The Contractor's
LicenS¢ Ldw tloe5 rlot apply t0 an owner ot a property wlto bwltls o� improves
thereon, antl who tloes such work nimsetl/nerselt.or through his or her own
Cmployee5. Provitletl that sucM1 improvoments ara not in[entletl or ofleretl for
Sale. It, hOweve�, lhe builtling Gr imprOvement i55oltl within one y¢dr of com-
pletloq the owner �yill bave the bur�en Of provin9 he/she tlitl no[ bulltl or iT-
�rova for the purpose ot sale).
I, as owner Ot the prope�ty, am exUuslvely Contracting with lic¢nsed con-
tractors to construct che project (Section ]044, Business antl Professions Code:
The ConVactor's �i�¢nse Law aoes not aOPly to an owner ot property who
builtls or ImD/o�es thereon, ana who contracts tor such proiects with a con-
traCtor(51 Ilcense Pursuan[�[o�tbe�Contrac[oi'S �IC¢nse Ldw). 1 am aware thdt
proof o( their Wo�ke�'s Compenzation in5uranpe shoultl be provitle0 to m¢.
❑ 1 am ¢xem0� unber $ection B. 3 P. C. for thi5 reason
Date
I h0r¢by certlfy that I ht
intormation is corrQ�t. I ac
antl state laws rela[ing to
sentatives of' this ciry to
Inspection pur ez,
Slqna[uro �
Drivers' License or 55 �
CMF 0865-46, rev. 4/84 �
Owner
lhis
a antl state that the aGove
tlly antl county ortlinances
and hereby autho�ii¢ r¢pre-
ve-mentionetl property fo�
�,_ oate 7-6-84
TVPE OF CONSTRUCTION LJ NEW IXl AOD L1 ALTERATION LJ REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DESCRIPTION OF WORK/USE OF BLDG.
TYPE OF PERMIT IJ GRADIRIG LJ POUNDATION LJ STRUCTURAL
� ❑ TENANT ❑ ELEC7RICAL ❑ PLVMBING � MECHANICAL
❑ �OTHER � � �
PROJECT DESCRIPTION 54. Fr. oCCUa.arvcv—
CONSTRUCTION 7VPE VALUATION $
ZONE GRADING CU. VDS. ACRES—
Remarks:
Sink
Preventar
Irrigation
Drinking Fountains
Floor Drains
Floor Sinks _
Gas Service
Interceptors
Kitchen Sink -
Lavatories
P—Trap
Foof Drains .
Reinspec[ion Fea
rwmau�a�
Showers
Service Sink -
Sewer Cap ',
Sewer Connection
Salar Collectors �
. Solar Piping �
Solar Tank
Swimming Pool w/Spa
Urinal
�ULICLS , .�/�Jdi2f CIOSEL '
Water Heater .
' Water Service
$15
B°'e, a _ n n
Duct - Under Ground
Duct - Structurol
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. BI[. ICBO #
Heating System & Ducting
❑0700,000 BTU �100,000BTi
Reinspec[ion Fee � $15
Builtlinq; Canary - Applicanp Pink - Accou0tln9: Goltlemotl - ASsesso�
Issue Fee
Hood or Type I ❑
Canopy Typell ❑
Refrigeration System
❑0-700,000 BTU 0100,000 B7U
System Repair/Alteretion
luue Fee
$ 3
$ 3
A.P. #
S Main Buildi
E
T Fiont
e Rear �
A
C Right
K Left
S
Ping. Ref. # �
Planning Notes:
Automatic Washer � �
Construction Pole Sub,
Cooking Uni[
D isfiwasher
Fan
F.A.U.
Fiz[u�es
Device Boxes
Switches
Garbage Disposal
Generator DO-5 KW
Fee
1638 7%20/84
Zone
Accessory
ELECTRICAL
-Transformer ❑ 75�50 KW --�
❑ 50+KW
Meter LJup ro 100 amps
Mecer ❑over100amps
Sub Panel
Motors�0�1 HP�1'h-6
Inc.Solar 09-15 HP �16-15+
Microwave
Pole Light
Range
' Standing Sections
5 KW Trash Compactor
$75 I�,sue Fee
7.0�
FEES
$ 3
DEVELOPMENTSERVICESREQUIREMENTS:
ZoninB APP�oved By Date
Building Approved By Date
Appliption Issued By Date_ %� 2�
SUMMARY OF FEES
BUILDING PERMIT $ 'SMIP $
PLAN CHECK $ PERMIT �
PLUMBING $ �SSUANCE $
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ GRADING � $ �
PLAN CHECK 50% $ MICROFILM $
MECHANICAL 5'� 7 LX% TOTAL FEE $ �• OO
PLAN CHECK 25% $ . '
Z
O
N
I
N
G
R
E
Q
M
T
S.
CONSTRUCTION AND PLANNING , � - & SPA
APPROVALS Permit#' Date Inspector qPPROVALS Permit# - Date Inspector
-1. Temporary Electrica� Serviceor 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 Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings , � 58. Electrical Conduit-Undrgrnd.
� B. Foundation . • 59. �Gas Pipe, O Undrgrnd., Test �
9. Water Pipe-Undrgrnd. � � � 60: Backwash Lines, P-Trap, O 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
7 3. Roof Drains - 64. Plumbing System - Final
14. Rough Plumbing 65.� Electrical-Final
15. Rough Electriral-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 OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush -
24. Roof Framing , � 73. Undergrnd.StorageTankOGas �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 5l ���s (��%
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 pomestic-Final
42. Backflow Preventer �
43. Backflow Irnigation , . • .
44. .Landscape Irrigation System
45. Sound Attenuation '
46. Handirap Regulations
47. FINALSTRUCTURE&BUILDING
48. Special Requirements Completed .
49. Electric Release to� Edison
50. Gas Release to Southern California Gas Co '
51. CERTIFICATE OF OCCUPANCY
No. � Date
OWENS-CORNING
Fibergl� �
Blanket �nsulation
The contractor named below certifies that the Owens-Corning Fiberglas
Blanket Insulation used carries the NAHB Research Foundation, Inc. label
for assured thermal performance and that the Blanket Insulation is in-
stalled in conformance with current energy conservation regulations,
California Administrative Code, Title 25, State of California, in the building
located a�t:
a?i�%i{l% /d,ii/�,�iyl/J i�ir�n� n��- /Ov2%a''"�
%Street Lot Number Tract Number
Exterior Walls
Owens-Corning Fiberqlas Blanliet Insulation
Ceilings
Owens-Corning Fiberglas Blanket Insulation
Floors
Owens-Corning Fiberglas Blanket Insulation
Foundation Walls
General
�/ /r �
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Thickness R-Value
G � �
Thickness R-Value
Thickness R-Value
Manufacturer Type Thickness R-Value
License No.
By � Title Date
(SignaNre)
Insulati Contracto/r%�E -/��'"%��+' rt-'�����%f�^Gv^�'f•LicenseNo.'�!��JS�p
By _( `�9��/ iJ�f�% Title il r^' Date� %�'l3�
�-FyYy,tdfe
Homeowner Copy (White)
State Copy (Yellow) .
Builder Copy (Pink)
Pub. No. 16�BL-6995�A Li��o in U.S.A.. July 1W]
OWENS-CORNING FIBERGLAS CORP.
Insulation Opereting Division
Fiberglas Tower, Toledo, Ohio 43659
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFOHNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING 3487 Queens Court
ADORESS
OWNEROR Wimbledon Assoc�
TENANT '
MAILING_ 1Q%O Jamboree RCl
CITV - NC
conisraucriodmperial Savings &
LENOER
BRANCH Pasadena
ADDRESS 61 S. Ldke Ave
ARCHITECT _ . . .__ . � . . TE
CONTRACTORMCL3IR U2V. LO.
ADDRESS 14 %� Jamboree RCl '
arv Newport Beach Tn,o`.640-6800
� C NO. 273H%S ' ' � LICyNO.1HH%3
S12E � NO.OF BLDGS. O
OF LOT � NOW ON LOT
USE OF .
EXISTING BLDG. ' ' '
Separate permits are required for -_
electric, plumbing and heating work., �
USE OF BUILDING AND WORK TO BE PERFORMED
PRD - New Construction
Sinqle-family dwelling
I hereby acknowletlge that I have reatl this application antl stata
thai the ebova intormation is correct antl aBree to comply wit�
all laws regulatinB building construction, antl I shall not employ
any person in violation of the workman's compensaiion laws of
the Stata of California. �
I hereby certify that I am properly licensetl as a�contractor untler
the Stata of California Business antl Professions Code, Oivision 3,
Chapter 9, and ihat such licansas are in full forca antl effect, or I
am exempt from She provisions of the State ot Celifornia Businass
antl Professions Code, ivision 3 h ptar . •
Signatura of � � .
Permittee • � g
or � .c�8- �i7 r�7 ,
Auffio�izatl Apant Date
APPLICATION FOR STRUCTURAL PERMI'f
RECEI VEdiiBY P _ I_' _ _ _ � � ^ n�
l.i�� � �j
A.P. NO. � 'i�/.T� O�Yl�� �J�iS
BUIIDING -
aooaess 348.7 Queens Court
UNIT OR
SPACENO. .23 � �
TR.�YOOZ%S . LOT 23
�.
NEW ADD ALTER REPAIR MOVING DI
X
Wi e on Assoc.
OWNER
USE PRD � . VAWE$��
APPROVEDSETBACKS
PLANNING ACTION'
DATE
APPROVED
nn�
SPECIAG
BLK.
,P _ 3
rl�/8/
� 7 /C9 SQ. FT.' '.TLD I � �Y
' THE AMOUNT SH WN UNDER VALUATION
THE PURPpSE OF ESTABLISHING A PERMIT FEE
VALUATION pERMIT FEE $ C
� PLANCHECK� $
�O ���' �J ` TAX E �
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• TOTAL PAID E RA /
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