HomeMy WebLinkAbout306 ALTA LN - Building Permits�
CITY OF COSTA MESA
`o�`p"'s, BlIILDING DIVISION
i�� 77 PAIR DRIVE, COSTA MESA, CA 92626 •(714}754-52'�9 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
� FOR INSPECTIONS CALL: (714) 754-5626
�`""°°°"°'� PERMIT NUMBER: M11-00038
PERMIT TYPE MECH STATUS: ISSUED
APN: 93420015 DATE ISSUED: 02125/2011
ISSUED BY: KJB
JOB ADDRESS: 306 ALTA LN CM Suite/Unit:
vicinity: •
SQ. FT: 0
SCOPE OF WORK: CHANGE OUT FURNACE. 70K BTU. SAME LOCATION.
OWNER: LIU, BENJAMIN Address: 306 ALTA LN Unit:
PHONE: City/State/Zip: COSTA MESA, CA
APPLICANT: JACOBY, ALLEN Address: Unit:
PHONE: 818-735-7876 City/State/zZip:
CONTRACTOR: COLE SERVICES License No. 718978
Address: 10652 TRASK AVUnit: PHONE: 714•741-8384
Ciry/State: GARDEN GROVE, CA ZipCode: 92843 CELL: 800-563-7757
MECHANICAL PERMIT FEE SUMMARY
MECH ITEM FEE: $38.30
PLAN CHECK FEE: $0.00
INVESTIGATION FEE: $0.00
REINSPECTION FEE: $0.00
TOTAL FEES: $38.30
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-27-92)
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.
CODEN. INSPECTIONTYPE �ATE INi111AL5 LOOEp INSPELPONTYPE OATE INTITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical ��o2`j'—l� p
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 FinalSite
204 Final Demolition 250 Final BuildincyOwupancy
�
WORKERS' COMPENSATION DECLARATION:
I hereby affrm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate o( consent to self-Insure for workers'
compensation, as pmvidetl for by section 3700 of Ihe Labor Code, for the
�ce of Ihe work for which this permil is issued. i
have antl will maintain workers' compensation insurance, as required by
secl'an 3700 of Ihe Labor Code, (or the peRortnance of Ihe work (or which Ihis
permit is issued. My workers' compensation Insurance carrier and policy
number are:
Carrier. (�(i%�SFR�(i�
(Tha sedion neetl�rot be mmpleted Athe perm� is valuetl al one hundretlCdlarz (5100) orlessJ
Policy Number: �.S�GC002 %6u%OV
❑ I certify that in the peAormance of [he work for which this permit is
issuetl, I shall not employ any person in any manner so as lo become subject
lo the workers' compensation laws of California, and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of
the Lab e, 1 shall rt��lh compty with these provisi s.
p ' ignatur � Da�e �
WARNING: URE TO CURE WORKERS' COMPENSATION COVER4GE
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 aKrm that I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business and Professions Code, and
my license is in full force and eftect.
�ic. u�/ 7 c�ass u C 20 G�j�
Gontr� s Sign Date
/
CONSTRU ON LEN G AGENCY:
❑ I hereby aKrm that there is a construction lending agency for the
peAortnance of the v.ork fa wfiich ihis pertnil is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
SignaWre Da�e
OWNER-BUIIDER DECLARATIONS:
I hereby affrm that under penalry of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5,
Business and Professions Code: Any ciry or county which requires a permit to
cons[mct, alter, impiove, demolish, or repair any structure, prior to i�s
issuance, also requires the applicant for such pertnit to fle a signed statement
that he or she is licensed pursuant to the provisions of the Contractors
License Law (Chapter 9(wmmencing with Section 7000) of Division 3 of [he
Business and Professions Code) or that he or she is exempt therefrom and
the basis for [he alleged exemption. Any violalion of Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalty of not more ihan
fve hundred dollars ($500�.):
❑ I, as ovmer of ihe property, or my employees with vrages as their sole
compensation, WILL DO THE WORK, and the structure is not intendetl or
oftered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an ovmer 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 oftered for
sale. If, however, the building or improvement is soltl 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 lhe property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS lo consWct the project (Sec. 7044, Business and
Professions Code: The cont2ctors License Law dces not appty to an owner of
property who builds or improves [hereon, and who con[racts for such project with
a contrector(s) license pursuant to the Contractors License Laws.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
305]-46(3I0�)
Owner ID veriFied by driver's license. ❑ Ves ❑ No
Dnver's License No. Expires:
Veri(ication of Ownership 6y (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 authonzed
by this permit, and that no 6uilding structure, scalfdtling, falsework, or demolition
or tlismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp
2, Ad 2, Sec. 341, Ttle 8, Calitomia Administ2�ive Code).
❑ As owner-builder, I will not employ anyone to tlo work which vrould
require a permit from the Division of Industrial Safety, as noted above, unless
such person has a permi� �o do such work (rom Ihe division.
Appliwnfs Signalure Date
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant need to fle antl
ceRify a Business Plan for emergency response �o release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of Ihe Cali(omia Health and Sa(ery Cotle 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 quamiry of hazardous matenals equal lo 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 presen[ or fuWre building occupanl need to file
a registra[ion form for aculely hazardous ma[erials? ❑ Yes ❑ No
(Section 25533 of the California Health and Safery Code, with some
exceptions, requires registra[ion wi[h [he Costa Mesa Fire Departmenl by
each business which at any one time has on hand a quantity of acutely
hazardous matenals equal to or greater [han a weigh[ of 500 pounds, or a
volume o( 55 gallons, or 200 cubic feet of compressetl gas at standard
temperature and pressure).
3. Does or will the appliwnl or present or fuWre building occupant neetl to
prepare an RMPP (Risk Management and Prevention Program for awtely
hazardous materials)? � Yes ❑ No
(Section 25534 0( the California Health and Sa(ety Code provides that the
Costa Mesa Fire Department may require the preparetion, certificalion antl
fling wiih the Fire Department of an RMPP by businesses which are required
lo register acutey hazardous matenals with the Fire Department.
4. I( an RMPP is presently requiretl, has Section 25534 of lhe Califomia
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 Ihis application a permit for such constmction
or motlification from the SouN Coasl Air �uality Management District or from
any other air pollution control district or agency? ❑ Yes ❑ No
(Sectbn 658502 0( the Calitomia Govemment Code requires that the requested
infortnation be fumished on applications fa non-residential building pertnits).
6. Will any part of the faciliry to be constructed untler this permit be within
7000 feet from the ouler boundaries of a school? ❑ Yes ❑ No
Qf'yes", lhe facility must meet the requirement of Sections 25534 and 42303
o( the Califomia Health and Safety Code).
7. I! a permit from ihe South Coast Air Quality Management District or other
air polWtion control district or agency is required for the vrork which is the
subject of this application, have all of the disclosures prescribed by Califomia
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. Qf "yes", attach certifcate of compliance from the appmpriate air polWtion
control offcer).
CERTIFICATE OF COMPLIANCE: I certify that untler 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.
SignaW�e Da�e
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and state that
Ihe information given is correct I agree to comply with all state laws and city
ordinances relating to building constmction, and authorize representatives of
the City of Costa Mesa lo enter upon the above-described property �or
inspection purposes. I agree not to occupy or allow occupancy of any building
authonzed by this permit until final inspection.
ignaWre of Le neqs) � _ �a�e
� c)
� Authorizetl Ap ¢ant Dat
�ed Prt:xeriptive Certific• i�Cu�npliancc: ZUPSXe,ridmzfia/F7hfICA tla�i.+' CT+-lIt-A1,7'-N\'AC
Zones 7 ��ud 3 - 7
s,«-,���,���.�s: 306 /.}�-TR G./v
lqfi�rceiuuu Agcucy:
Conditioned I Duct
Ploor Arca ren
Lmc: 1'er�ni,
�.— 25'—!/ M ll,
O Packupcd linil �q�9' / -I'
❑ Furnace � AFUE JS �L. D COP Over 40 fy�f due ti
�-y�� Scrved b�� system added rre Ioaa�/r iu � Setbacl;
❑L�daorCoil dSEER �HSFF % (1(nnrntrcud,vpir.rent,nuis�L<r
❑ Cnndensing Unil ❑ EER _ ❑ kesistance "� p�pnditio ie puce ���Sm!!e<(1
�'��It G (CZ !, t-S)
❑ Othcr � y� .
L Gquipmcnl "f'y[�c: Choose the equipmen� being installed; if mnrc tlmn one syslem, use anotLer CP-1It-AL7'-F7VAC for eueh sVstem.
2. Mininmm Gqnipment I�,fficieucies: 13 SEER, 7&it AFUL, 7.7HSPP fm'typical residenual systems. .
Contracmr (llucumentatian.Author's /Respunsible I)esi��uer's Declsir�itiou Statement)
• I certity that this CeniGcate of Compliance documentatiou is accurate and complete.
• I am eligi6le untler Division i of the Catifomin Ausinesa and 1'mfessions Code to accept responsi6ility for Um desigi� identif�ed ein this
Cenificate of Compliance. •
• I cenifp ihat the ener�ry feamres and perfomiance specifications for the desi�i identineA on ihis Cenificate of Compliance contbmi to the
requirements ofTitle 24, Yans i and 6 of tiie Califomia Code of Re}�ulatians. "
• The design feamres identified on this Certificate of Complianee are consistent with tne information documented on o�he.r applicable
compliance forms, worksheet�, calculations, plans and specifma[ions suomitted to the enforcemen� agency for approval with the nermit
c;ompan)'CC?L.,� 5%�i��
aae��ss, (v�, f��x 3�0
200N ke.vidential Cvmplibnce Forn�s
.,�,�.Zi 25 � //
License:
March 2070
EIJI'CJP.CEMLNT �1 GE'NC7'
Cf1A��CU�,-✓If�ZE i�T�I.'lHL'L'TTE'1tFIG�1TJ/SL�r1L)
2U08 Building �ner�p �f$cienc�� Standards .R,esidenfial F3Z�AC Alteraiions
� Ciimate Zones 1'�and 3 throiEeh 7 C'_Z�-(� � �asr� r-i��
BUSINESS AND PItOTGSSTONS CODT�. S�CT10N 71] 0
Willful or tieii6erate disregard and violation of the building laws, including the Caliromia Building Code, and
local permit requirements constimtes a cause for disciplinap� action from the Contcactors State Lieense Board
worl:ing in conjunction with the local buildino depanment. This uction may consist of tmes up to $5,000 per
violation or suspensionlrevocation of a contracto�'s license.
V✓33�n 1S A FL,ItMIT 12�QDDt�I)''
A written consvuction permii shall be obtained from t6c enforcement agency prior to the erection, consttuction,
reconstruetion, ins[allation, relocation, or alteration of any meehanieal system, exeept as perniltted �in Appendix
Chapter 1, Section I 12 � of the 2007 Califomia lvlechanical Code. projects requirnig permits include, bui are not
]imited ln:
• New I-NAC installation
• HVAC Clia��geoul
• Replacemenl of fumaee, coil, FAU, or condenser
• Relocation of an existing HVAC unit
�• � Adding or replacing more than 40fi ductin� ui unconditioned space
200fi RUILnING EN�I2G)' �rr7CI�NC1' STANDAPJ?S fTitle 24, Pxrt 61 I:�OIJIRF.NNL�NTS INCI.UnE:
1. Heating equipment must have a minunum 78% AFUE (Exceotion: Wall ti floor furnaces; room heaters).
2. Cennal air conditioners d: heat numqs less than G�,OOD Btu/hr must have a annimum 13 S�'ER.
3. Newly installed or replaced ducts must hav� a minimum insulation value of R-42.
4. A setbacl: type thermoscat (24 hr clock with four set points) is required for all alterations.
5. New or replacement ducts must meet the mandatory reauiremencs of Seccion 1�0(mj:
�• All joints and openings in the in the HVAC system must be sealed.
• Only UL 151, UL 1 S1A; or Ui 181B approved tapes. or mastic shall be used to seal duct openings.
• Connections of inetals ducts and the inner core of fle�: ducts shall b� mechanically fastened, Fle�: ducts
must 6e co�nected usine a metal sleevelcoupling.
• Flex ducts tnat are suspended must be supponed every 4ft. max ior horizontal runs with no more than Y'
of sag between supports and 6 ft. max for vertical runs.
6. The CR-612-NII;CE7-U4 must be completed and signed by the installin� contracto�. Tne Inspector will collect
this forni and verifv thal lhe model numoers are the same as the installed equipment.
� 398�9
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
PxIL
`;AY 15-75�„-S:OQ 6u9- *'�'�201.68
APPLICATION FOR BUILDING PERMIT
:EIVED BV DATE RECEIVED �Dyp,�Ccw
BU�IDING - �
ADDRESS —
OWNER � ! A.P. NO. I I —
T BUIlD7NG O �
Z n
ADORESS f" . /'��C /"/ // ADDRESS
W W TEL. � /(.�qqCT ,
a U CITV ' NO.
ZQ CONSTRUCiION W A
O N �ENDER
a ¢�
J y BRANCH - �
J N OWNER
m J ADDRESS
� ARCHITF .T y� TEL. [. � —s
J Q OR ENGINEER /'� Sy! GOZ
/' FIflE
w a ADDRESS /'/ , j ��/J // Z�NE T
d w APPROVED
W Z CONTFACTOR � � �Q BY
J O i �
m
z % // ��
J Q,+ ADDRESS C /'�_ _ �
W w ZONE NO.OF
� � TEL. n�/Y PLANS
Z F, CITV �� J _ NO�j �/ C.C� —
wO STATE CITV �'AROSAPPROVED
y Q,' LIQ NO. �'� ��J� LIC. NO. MAIN BUILDING
� O (FROM GL TREET
SIZE � / NO.OF BLD(3S.
OF LOT Q X � NOW ON LOT FRONT T. �
USE OF n�
EXISTING BLDG. /y F
F' SIZEOF I^�,/I /7� NO.OF�{�y��% a
Z NEW BLDG. � v�Y7 f7 aoonns ��T�' STORIE L. SID
a E%TERIOR WALL �/(!G ROOF
V C�VERING Gl��1 C�VERING /L� REAR
J USE OF BUILDING AN WOR TO BE ERFORMED DISTANCE BET.
�- /�/ T MAIN BLDGS.
a
Q f VAR.aIE
O �1 �� G C.U.P.#
� APPROVED 1'1
N - R/
z tiOLD EOR
O
U1 hereby acknowledpe that I hava reatl this application antl state
= that the ebove information is correct antl apree to comply with
� all laws �egulating buildinp consttuction, antl 1 shall noi employ
F eny parson in violation of Me workman's compensetlon laws of
USE OF NEW
BUILOING n
V
BET. MAIN &
ACCFSS. BLOi
DATE
APPROVED
a•�
1
y the Stata ot Californla. n - w
? I hereb certif that I am �� SQ. FT. o
y y properly licansetl as a co�tractor untler
the Stete ot California eusiness antl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDEF VALUATION IS FOR
Chepter 9, end that suth licenses ere in full forca and eftect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: ¢
am ezempt from the provisions of the Stete of California eusiness VALUATION
antl Professions Code, Division 3, Chapter 9. r
PERMIT FEE $ ]
Sipnature of I„ / �� ���� ��� ��}� m
Permhiee j�r� � $��'y/) /1 PLANCHECK $ � E
J �.. ., �/ LL
Authorized Agant y
TOTA�FEE $ � �JD