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Home My WebLink About2192 AMERICAN AVE - Building Permits~CITY OF COSTA MESA � sv►�v►�� o�v�s►oN 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (774) 754-4856 •� costamesaca.qov FOR INSPECTIONS CALL: (714) 754-5626 PERMIT TYPE B_ROOF2 APN: 42208202 JOB ADDRESS: 2192 AMERICAN AV CM Vicinity: Squares: 2800 ✓ PERMIT NUMBER: B12-00018 STATUS: DATE ISSUED: ISSUED BY: Suite/Unit: Valuation: ISSUED 01126/2012 RMD $7,800.00 SCOPE OF WORK: TEAR OFF EXISTING ROOF MATERILAS, INSTALL 1 LAYER OF 30# FELT ON A 4:12 OR GREATER PITCHED ROOF AND REROOF WITH 50 YEAR COMP SHINGLES ON DUPLEX UNITS A& B AND ATTACHED GARAGE, APPROX 2800. REPAIR AND REPLACE SHEATHING AS NEEDED. COMPLIANCE FORMS ATTACHED TO JOB CARDS AND CITY PERMIT. NOTE:RESIDENTIAL RE•ROOF: Final approval of permit shall not be granted until access to dwelling unit(s) is provided for verification of the installation of smoke and carbon monoxide alarms by the City Inspector. See Attachment w/Inspection Card OWNER: MEYERS, RICHARD PHONE: APPLICANT: ROSS, R4Y PHONE: 949-232-7663 CONTRACTOR: ALL WEATHER ROOFING Address: 2192 AMERICAN AVUnit: CitylState/Zip: COSTA MESA, CA 92626 ARCHITECT: ENGINEER: FEE SUMMARY Reroof Plan Check: $0.00 Reraof Permit Fee: $15325 Reinspection Fee: $0.00 Bldg Std Admin Fund $1.00 Address: 25221 PERICIA City/State/Zip: MISSION VIEJO, CA Address: City/State/Zip: . � License No. 739271 SUITE A PHONE: 949-646-8694 CELL: License No. License No. PHONE: PHONE: Unit: Unit: TOTAL FEES $754.25 HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3/18/2010 - PER CMMC Sec. 13-279 Monday thru Friday - 7:00 am thru 7:00 pm. Saturdays - 9:00 am thru 6:00 pm. Prohibitied all hours - Sundays and the following Federal New Years Dav, Memorial Dav, Independence Dav. Labor Dav. Thanksqivina Dav and Christmas Dav 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 160 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 fnal approval will result in the expiration of this permit. OG DE1, INSPECTIONTYPE �� INT7IAL �D� INSPEGTONTYPE DRTE IN7111AL5 1616 Fixed System Finat Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof �� 210 Final ElectriWl 207 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 25o Final Builtling/Owupancy � WORKERS' COMPENSATION DECLARATION: , I hereby aKrm under penalry of perjury one o( Ihe follovnng declarations: ❑ I have and will main[ain a certi(cate o( consent to self-Insure for vrorkers' compensation, as providetl (or by section 3700 of the Labor Code, (or Ihe peAormance of [he work !or which [his permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for [he pedormance of Ihe work (or which Ihis permi[ is issued. My workers' compensation Insurance carrier and policy number are`� �,� /J Carrier�.Jl/'//!i i�N� �(IDissec(.onneedironl�e /ryQmp'etetldM�etpeimRisvaluedatmeM1undretltlollars($100)orlessJ PolicyNumber �Db 0 ��V' l� �"-•- ❑ I certify iha[ in the pedormance o( Ihe work for which this permi[ is issued, I shall not employ any person in any manner so as to become subject to ihe workers' compensation laws of California, and agree [hat if I shoultl become subject to [he workers' compensation pmvisions ot Section 3700 0( [he Code, I hwith comply with these provisions. c� �c, � /�.2� j Z AppliWnl'sSign re Da�e �fT WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAI 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, IMEREST, 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 [he Business and Pro(essions Cotle, and my license is in full (orce and eRect. Lic' ' �" " •-Cr-- lass�#'� � � ✓ �� r ' ' ...a.�— �_- Con�rador'sSigna re LOates CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrm that there is a consWction lending agency for the pedortnance of the v.ork for which tltis permit is issuetl. (Sec. 3097, Civil Code�. Lender's Name: Lender's Address: OWNER-BUILDER DECLARATIONS: I hereby afftm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Pmfessions Code: Any cily or county which requires a permit to construct, alter, improve, demolish, or repair any struc[ure, prior to its issuance, also requires the applicant for such permit to fle a signed statement Ihat he or she is licensed pursuant to [he 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 [he basis for the allegetl exemption. Any violation of Section 7031.5 by any applican[ for a permit subjects Ihe applicant to a civil penalty of not more than fve hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the stmcture is not intended or offered for sate (Sec. 7044, Business and Pmfessions Code: The Contractors License Law does not apply to an owner of pmperty who builds or improves ihereon, and who does such vrork himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, ihe 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 CONTRAC7ING WITH LICENSED CONTRACTORS to construct the pmject (Sec. 7044, Business and Professions Code: The contractors License Law does not appty to an owner of property who builds or improves thereon, and who contrects for such project with a contrector�s) license pursuant to the Contrac[ws License Lavrs.�. ❑ I am exempt under sec. Business and Professions Code for this reason: N Owder ID verifed by driver's license. ❑ Yes ❑ No Driver's License No. Expires: Verifcation o( Ownership by (type o( document, i.e. - property lax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cert'rfy [hat no excavation frve (5) or mwe feel in depth inlo wfiich a person is required to tlescend, will be made in connection vnth work authorized by this pertnit, and that no building strucWre, scaffolding, lalsework, a demolition or dismantling thereof, will be more than thitly-six (36) (eel high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Cali(omia Administra[ive Code). ❑ As owner-builtler, I will not employ anyone to do vrork which vrould require a permit (rom the Division of IndusMal Safety, as noted above, unless such person has a permit m do such work from the division. Applicanfs SignaWre pate Division of Industrial Safety Permit Number. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to fle and certify a Business Plan for emergency response to release or threatened release of a hazardous malerial? ❑ Yes ❑ No (Seclion 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be fled with the Costa Mesa Fire Department by every business which has at any one time tluring a reported year a quantity of hazardous materials equal to or greater [han a weight o( 500 pounds, or a volume of 55 gallons, or 200 cu6ic feet of compressetl gas at standard temperature and pressure). 2. Does or will Ihe applicant or present or future building occupant need to fle a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the Calitornia Health and Sa(ery Code, with some exceptions, requires regisVation with [he Costa Mesa Fire Departmenl 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 teet ot compressed gas at standard temperaNre and pressure�. 3. Does or will Ihe applicant or present or fuWre building occupanl neetl to prepare an RMPP (Risk Management antl Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of lhe Califomia Health and Sa(ety Cotle pmvides that the Costa Mesa Fire Department may require lhe prepara[ion, certificalion.and filing with [he Fire Departmenl of an RMPP by businesses which are required [o register acutely hazardous materials with the Fire Department. 4. It an RMPP is presently require4 has Section 25534 of the California Health and Safety Code been fully complied wilh? ❑ Yes ❑ No 5. Does or will the apDlicant or present or fuWre building occupant require for the work which is lhe subject of this application a permit for such construction or modification fmm Ihe SOWh Coast Air Quality Management District or from any other air polWtion control district or agency? ❑ Yes ❑ No (Section 65850.2 of the Cali(omia Govemment Code requires [hat the requested information be fumished on applications for non-residential building permits�. 6. Will any part of the facility to be constructetl untler this permil be within 1000 feet from Ihe outer boundaries of a school? Q Yes ❑ No (If "yes", the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Heallh and Safety Code). 7. If a permit from Ihe South Coast Air Qualiry Management District or other air pollution control district or agency is required for the vrork which is the subject of Ihis application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. pf "yes", attach certificate ot compliance from the appropriate air pollution control oKcer). 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 ciry ordinances regarding Hazardous Materials and Emissions. SignaWre Date 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 representalives of the Ciry of Costa Mesa to enter upon lhe above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until fnal inspection. SignaWre lega wneqs) �el �1 SignaWre Dale �� Q� _ /r2,x / / 305]-ab (3I0]) o �� AntllorAiilhoriietlAp icanto� �Date-� ��► , Prescriptive Certificate oi' ( Re,sidentiu/ Alterutions PrujeG.N;�me: t�' -' w Genernl Iniurm:ilinn Si�eAddress: 'i'/aZ ` �,„� Building Type O SinglePamily G Conditioned Floor Area (CPA): NOTE: Tlris !'orul i,c nol !n Lc resed Family G�na7rucled Circle qie Pront Grie�. Projecl7'ype: }Ali Replacement or Char iildines' nr Additinns Clim:nc'Zone,.H� ..�-�--- N, E, S, R', or degrees i ❑ Envelopr O Fenestration ❑ Duct Renlacemeni � V�; r-1R-AL7' aae ] ot' S) I2oof O HVAC Ina�idn�inn VnAies 6nr Opaquc Snr /ncrs (/or Fw�ring use the Mass und Furring Sn�ips Consu�uc�iai tuble beloH9 Assemblp Alteration ❑ Openinr oi'i�rnme� c8viq' alone- A6erqlio��s Iha! im�olve the opening oftlac fi�amed cnvip� oja wall, ceiling, or jloor mus! ins�all the mandu�or7� mirvimiun in.sidnifmi vn(a�e pe+' §I SG for (he al(er'ed qss�emGli�. Fi11 in Colunms A-C and enter marvdalwv insula(ion value in Column H. ❑ Repl�cemen� of entire assembly-Xeylocemen� ofar emire wall, ceiling, orJloor assembl�� regttires the insial/ation ofCornponettl PackpYe- D i�xrulatron vaCues in TaLlc 151-C. Fil! in Calumns A-J. , �paque Surtace Letu A � B P 7'ag/ Assembly Name ID� orTvoe' Fur and : iurred purfioned ofMass Walls sec C n G "n°" �, Standard ning Thickness, erial Spacine, U- Size2 or 0[her3 factor" Noie: For _iurred assern6lfes, accounting fm' Continuous Insulalion R-value, see Pagc �urrin;, Strips Construcfion 7'abfe 6eloH•. F G � H I J Values From JA4 Table Framed Continuous JA4 Proposed JA4 Table Cavity Insulation Assembly Assembly Number5 R-value� R-Value' Cell Valuek U-factory 4-l. For calculalino fun'ed walls use (he 1. For Tag/ID indicate the identiJicntion nanm tlaa! matdies the building plarrs�. ?. Indicate the Assembh� Nume a� rype: Raoj/Ceiling, Wa11r, Floors, S/a6s, Crawl Space, Doors and e�c...lndicaie ihe Frame rype and Size: For Wood, Me�a(, Metal Buildings, �Y[ass, emer 2x4, 2xG, or etc... see JA4 for odier possible fi�ame ryye assem6/ies. 3. Ei�ier d�e U�icicness for'muss in iivches or Spacing beM�een framing mene6ers enter'; 1 G'or' 24 "OC; or 0(her far all other assembl�+ descriptiort such as Concre�e Sandwick Pane(, Spandrel Panel, Logs, Su�aH� Bale Panel and eic.... , 4. Baa�ed on the Clinmte Zone; emer the Standm�d U facior fi�om Table 151-B, C a� D(or euch differen� assernGl�� Name or rype. 5. Ew�er O�e TaGle nwnber ll�ai claseh� resembles �he proposed assenr6fj�. � G. C�ver tl�e H-oalue thar is Geing ins�ulled irr �he wall caviro a� between the fi�arning; od�erwise, enter "0 ". 7. E�ver tive Conti�vuoux h�sidatiai R-value for fhe proposed assem6l��; othenvise, emer "0 ". d'. Gn�er O�e rma and enlumn af dae U-jactor i�alua based an Colur�an F Table Nunaber ar�d enter the A.ssen�67r U facior in Colvm+v.J 9. Thc Prapn.eed 4ssembl�� U-(acior, Colznm� J, must be equal to or [ess than the Slandnrd U-foctar in Colunvn E m comp/p. FmTing Strips Constniction Table-for Mass Walls Onh� A B C ll � P G H 1 J IC L M Proposed 1'ruperties ot Masonry m�d Concrete Added Interinr ur �xterior Insuls�tiun Walls Prum lteferenee in Rurring Space f'rom Referencc Juinl A>>endia 7'a�bk 4.3.5, 4.3.6. 43.7 .lninf A� rendix'I'ablc 4.313 U V� �; Y u - U o, o � c� � � Assembly t° �j � o° � F'� `o o,"'0 1O Final G� p._ u.� ` � <.'u 'v Mnss Nume or ]A4 9�able _ �: � - � � o . � � � � Assembly "lhickne55� T�c'' tJunlhci� � j �, u u; � � �'3 _ C � 1O �.Ej ' 1i-(8C101"�.� �;OmipCtl( I I I I Regia�irutinn Number: Regia��rution Duie/Time: HEIiS7'rovidw�: 2008 Residentiul Compliunce Form.s - �lugusi 20D9 Residential Alteratiavs Yroject Name. I /� �, �.r- (Ci-.�, 'F-1R-ALT Page 3 of 5) # of Stories ROORING PRODUCTS (COOL ROOFS) §I51(p12 Whert the aren of exterior roaf surface to be replaced cxceeds• iimre U�an 50% of tbe exisling roof aren, ar more thuu ],000 f�, �vHichever ia� less, N+e ne�v roofrny area ntrr.r7 xreel U:e roofrug pruderc! "Cool Roof" requiremeirts oj§l52(bf 1Hi, 152(b)IHii, or IS2(b)IHiii. Check app/icnLln, niteri�ntive or excep�ion Ge/o»� if �he roof ulleration is ezemp( fronr (he raofing produc! "Coo! Xonj" re9uirements. No�e: If any one of tlie ullernatives or exception 6elow is checked, the AgedSo/ar ReJlectance and Ther�nul Emittance requirements jor roofingproducts in �§JI8(i) ure not applicable. Do irot ftll lable be(ow. �-----, ❑ C oofs Not Required in Climate Zones 1-12, ]4, and 16 with a Low Sloped. Less or 2:12 pitch.. - ` ool Roofs Not Required in Clima�e Zones 1 through ) and 16 with a Steep-Sloped Roofs (pitch greater than 2:12) and product unit weight less than Slh/fi . - Alternatives tu §152(b)1Hi and §152(b)Hii, Steep-slopc ruof (pitcB > 2:12) -O�lnsulation with a thermal resistancc of at Ieast 0.85 hrft �°F/Bhi or aLleast a 3/4 inch airvspace is added to the roof deck r� `�. , over an attic; or ❑ Existing ducts in the attic are insulated and sealed according m§151(�10; or ,_ ❑ ln climate zones 10, 12 and 13, with 1 ft� of $ee ventilation area of attic ven[ilation for every 150 R� of attic floor area, and where at least 30 percent of the free ventilation arez is within 2 feet vertical distance of the roof ridge; or ❑ Building 6as at least R-30 ceiling insulation; or O Building has radiant barzier in [he attic meeting the requirements of § I51(�2; or ❑ Building has no ducts in ihe anic; or ❑ In climate zones ]0, 1 I, l3 and 14, R-3 or grealer roof deck insulation above vented attic. Exception to §152(b)1Hiii, Low-slope roof (pitcH <_ 2:12) ❑ Building has no duc[s in the aitic, .� O Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are •� O Roof constructions [hat have [hermal mass over the roof inembrane with at least 25 Ib/ft is er �-j Note: If no CRRG 1 label is available, this comryliance method canm[ be used, use the Performa �n RoofSlo e Product Wei ht Product -2�:12 > 2:12 < Slb/ft� > SIb/ft' Type' ❑ I ❑ ❑ ❑ i�� o� �oc �o� i 0 0 0 mpt from [he below Cool Roof criteria. n fmm the below Cool Roof eriteria. Approach to show compliance, otherwise, Aged Solar Thermal Reflectance3'4 Emittance SRIS O" O" 04 04 04 The C/UtC Prnduc( lD NunrGer can be ahtpinedJi'nrn tlie Cool ItaoJXuling Counci!'a� IfaleGYm0uc1 Uirecloq� n! www.cooDroofs.m�n/producn'/searcl vhn hidimle (he I)(ie oJ prnducl is bcing useA(or U�e i'nof lop, i.c. singley�lV �'��f ospha(1 roof rr�elal rnof, e1c. Iflhe Aged Re/leclarrce i.�' nol avui(aGle in.IHe Coo( RoafRp(ing Cmmcil'a� Raled R�nducl Direcio�y Ihen use U�e /ni(ia( Refleciance vulue fi'om lhe snme directnr�, m�d use the equaiian (01+OJ(�I;,�;r;,,l— 01) (a obruin n calcula�ed aged vulue. Where p ix Ihe /nilia! Snlar ReJlecmnce. Check Los if7he Aged 2e/leclunce ia' n culmdaled rulue usinglhe eq:mtion aGove. C'afcidale Ihe Slil volue b�� uaing tlie SR/- Worksheel a� hiry�//�vw�r enerrr cn env/iille24/and emerlhe resulling value iri fke SRI Calurr�n abnve ond almch acopy (He SA/- Wor'kshee( lo ihe CF-IR. � upply Liquid Tield Applicd Cuatings, the coating must be applied across tlie entire mof surface and meet the dry mil thickness or coverage commended by the coatings manufacturer and meet minimum performance requirements listed in § I 18(i)4. Select the applicable coating; Aluminum-PigmentedAsphah RoofCoating Cement-Based Roof Coating Olher Regisp�u�ion Number: Registra�ion Da�e/Time: FIERS Proi�ider: 2008 Residential Cnmpliartce Form.r � Augus12009 Prescriptive Certificate of J: esidentia/ Altcratio�as 1'rojecl ]vnmc: Al1CC: cr-i �z-n��r Q'tl:{e � O{ J� I � o1�St .ies�. L-I�RS V�L�'I'�I�1CAT1U1� SUMMAR]' Tl�n enJorcenien� agenr.i� shwdd pm'syecia] nnention io 71ve HEXS Aleasiu�e.s specified in diis checiclisl Gelam. d canpleted and signed CF-41t Fnrm for uA lhc nrea.rurar speci/ied shn(I be submitied to ihe bui7dirtg ir�spec�or Lelora Jintd lllucl Seeline 6t 7�eStlne HERSi�ertJicnrionisre9uirecYfor/hi.c+nearure. ❑ Y�S ❑ NO )'CS: ln Clima�e "Lonas � and 9-1 G, if more tlian 40 lineur teet of new ur replecemeni ducts are insialled in unconditioned spxce, the ducts are to be seuled per ��152(b)IDii :md Ihe neH9y installed ducts are to h; insulated pe� § I51(]jl b, � LXCCI'T70�: Lzistin� duct systems Ihat mrr. extended, which .u�e constructed; insWaied m'seulecl with nshesms. ❑]�S ❑ NO 1'C5: ]n Climate Zones 2 and 9-] 6, if tl�e existing space: conditiouing system (HVAC equipment and ductingj is r�pinced, the ducts are m 6e sealed per� § 152(b)]Di. ❑ P�S ❑ NO ]'ES: 1n Climate Zones 2 and 9-16, if the ezisting HVAC equipmem is repluced (including the replacemem of the ziir handler: outdoor condensing uni� of a splil sys�em, cooling or heating coil, or the furnace heai exchanger) the ducts nre to be sealed per §I52(b)lE. � ❑�XC�PT70�: Duce systems tl�at arc ilucumented ui i�nve been previuusly senled confirmed thruugh HliRS verificalion in accordance with procedures in the ReTerence Residential Appendiz I2A3. � �� ❑�XCEPTIO�: Uuct systems with less fhan 40 linear feet in unconUiiiuned space. � � ❑�RCEPTION: �xistin� duct s��stems construc[ed, insulated m�seale4 with asbestos, Refri�erant Charge - Split S}�stem HERS verificp�ia� i.r requirecl.Jm� rhis measm�c. ❑ Y�S ❑ NO YCS: ln Climate Zones Z and 5-15, wl�en the existing HVAC equipment is replaced (including the replacement of the air haodler, outdoor condensine unit of a split system A/C or heat pump, cooling or heating coil; o; the furnace heat excl�aneeri a refrieerant cl�arae measuremeni sl�aJl be verified per §152(611F, Central Fan Inteerated (CFI) Ventilation System and Fan �'att Draw The ventilation renuirements of F] 50(0l do not a�olv to existine residen[ial homes. Ducted Split Systems - Air Conditioners and Heat Pumps: Airllon� HERS veriJico�ion is reguirrecl for this measurc. ❑ Y�S ❑ NO YES: ln Climate Zones 10 through 15, when the existing space-condi[ioning system (HVAC equipmenl and ductine) is replaced. the aSrflow and fan waR draw shall be veri5ed uer § 152(611 Ci to meet the requirements of § I il (f17B. U'� Declaration Statement documentntion is uccurxte I` n` de D CEA or IJ CEPE on #! 1: C_U�//fi ,/"(.�` �i'/- - I l j" %�1]G'�(D 0—� 12esJ�onsible Buildine Desipner'a Declaratiun Statement �j� � I ain ellgiblc under Division 3 ofthe Culifornia Business tind Professions Code to accept responsibiliq� 1or th� bulldino design identiGed on this CeniScaie of Coinpliance. • ] ceniiy th�i thc ener�v features and performa��ce s��eci5cation; {or the building desigu identiLed on this Certifmute oT Compliance confbnn tu thc requircmcnts of Titic 24, Par�s 1�ind G of tlrs CaliPornia Codr of Itepulaliuus. • The building design leatm�es idemiqed on this CertiLcaic of Cvmpli.mce arc consisiem with the infonnation provided tu ducumeni this building design on th: olher �ipplica6le compliance fonns, worLshee�s, calculations, plans and speeiLca�ions suhmitled to the entorcement aeency f�r f�pprm�,d wilb li�is buildlne pennif application. Name: Si�nauu�e: Campeny: Address: Uate: License. Phmie� Tor t+.+u'i,sumce m� guce[inns regmvlin� the� Ener�l' Suoularrl.c, can(ac! fhr. Ener�,�r Holli�ve ai: 1-b'fl0-i72-i30(/. l<egis�rrnian IJuniber: /(eai.rirmion IJaie/7'imc: HERS Fronider: ?OOb' licsiclen�inl Cw��pliance Fornie� /Jargar.sl ZO(19 (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COS7A MESA, GA 92626 PLUMBING PERMIT Job Address: 2192 AMERICAN AV Suite No Vicinity: Parcel Nunmber: 42208202 Applicant: COAST ROOTER PLUMBING HTG & A/C Address: 17390 MT CLIFFWOOD FOUNTAIN VALLEY Owner: MEYERS, RICHARD Address 25221 PERICIA MISSION VIEJO, CA Phone: (714)241-1414 Zip: 92708 Phone: Zip: 92691 Contractor: COAST ROOTER PLUMBING HTG & A/C Address: 17390 MT CLIFFWOOD FOUNTAIN VALLEY WATER HEATER CHANGE OUT. ISSUE FEE BackFlow irrigation Backfiow Preventer Bathtub Cladfer System Connect pce,Soda,etc) DenWl Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Ezpansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Phone: (714)241-1414 Zip: 92708 License: 529127 SCOPE OF PERMIT FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulalor $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 SepGcTank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 Sewer Pnvate Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Status: ISSUED Applied: 02/11/2005 Issued: 02/16/2005 ISSUED BY: K^7 K ,v SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr BkFlow(1-4) Vacuum BrkrBkFlow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL GALGULATED FEES: 535.80 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-27-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 1 BO 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 Inspeetiona and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446-48(fi/00) WORKERS'COMPENSATION DECLARAnON; — I hereby attirm under penalry of perjury one ot the tollowing declarations: ❑ I have end will maintain a ceniticate ot conseN to self-Insure for workers' compensation, es provided tor by seaion 3700 of the Lebor Code, for the pedormance ot the work tor which ihis permit is issued. end will maintain workers' compensation insurenca, as required by section 3700 of Ihe Labor Code, for the perfortnance ot ihe work for which this permit is issuetl. rkers' compensation Insurance wrrier and policy number are: '.'�TA'r� �"L .� O �+�.^.'Pdicy.,,Num�ber:.-�. �_iO�SSD �Z�O � � need nol be compleretl il the permit is velued at one hundred dollars ($100) or Iess.J �L_,._.__.y.- _� '- ❑ I certity that in the pedortnance of the work tor which this permit is issued, I shall not employ any person in eny manner so es to become subject to the workers' compensation laws oi Califomia, and egree ihat If I should become subject to Ihe workars' wmpensetlon provlsions ol Section 3700 of ihe Lebor Code, I shall torthwith comply wi�h ihese pr v' i0n5., iApplicenfSigneWre: `� �. .. Data: —�,... 2. �(o IO � —_�w �� . � - WARNING: FAILURE TO SECURE NORRERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES l/P TOONE HUNDRED THOUSAND DOLLARE ($100,000), IN ADDITION TO THE COST OF CAMPENSATION, DAMAGES AS PfiOVIDED FOR IN SECTION 31W OF THE LABOR CODE, IMEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm that I am Ilcensetl untler rovisio torce and aflecVh� N'—SZ �l I��1 �----�--�- ^ --_.._-.,,. � . , ... CONSTRUC710N LENDING AGENCV: ot Chaptar 9(commencing with Section 7000) oi Division 3 of ihe Business and Professions Code, and my license is in full ❑ I hereby aHirm ihat Ihere is a construction lentling agency tor the pedortnance of the work tor which Ihis permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lentler's Atltlress: SignaWre: Date: OWNER-BUILDER DECLARA710NS: I hereby aNirtn that under penelry of perjury ihet I am EXEMP7 FROM THE CON7RACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Buslness ana Professions Cotle: Any ciry or counry which requires a permit Io construct, elter, improve, demolish, or repair any simcture, prior lo its issuance, also requires the applicant for such pertnil to file a signed statement ihat he or she Is Ilcensetl pureuant to the pmvisions of the Contrectors License Law (Ghapter 9(commencing with Section 7000) of Division 3 oi the Business end Protessions Cotle) or that he or she is axempt therefrom and the basis tor the alleged ezemption. Any violation of Section 7031.5 by any applicant for a permit subjects Ihe applicant �o e civil panalry of not more ihan five huntlretl aollars ($500).): ❑ I, as owner of ihe properry, or my employees with wages as iheir sole compensation, WILL DO 7HE WORK, and Ihe structure is not intended or otteretl for sale (Sec. 7044, Business and Professions Cotle: The Coniractors License Law does no� apply to an owner of properiy who builds or improves Ihereon, and who dces such work himself or herself or Ihrough his or her own employees, providetl thet such improvements are not intended or offered for sale. If, however, the builtling or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he or she did not builtl or improve for purpose of sale.). ' ❑ I, as owner of the D�aPerty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS ro construct tha project (SecJ044, Business antl Professions Code: The contractors License Law tloes not epply to an owner oi property who builds or Improves Ihereon, antl who contracts tor such project with a contractor(s) license pursuant to the Contrectors License Laws.). ❑ I am e:empt under 5ec. Signature: Owner ID verified by driver's license. ❑ Ves ❑ No Busine55 and Professions Code �or �his reason: Ventication of Ownership by (type ot document. i.e. - property tex bill or tleetl): Driver's License No. Date: Ezpires: DIVISION OF INDUSTRIAL SAFETV PERMI7 CERTIFICATION: ❑ I hereby cenify ihat no excevation five (5) or mora feet in depth into which a person is required to dasr»nd, will ba made in connection with work authonzetl by Ihis permit, and ihat no building sWCWre, scattolding, falsework, or demolition or dismantling ihereol, will be more than ihirty-siz (36) feet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Title 8, California Administrative Code). � ❑ As owner-builder, I will not employ enyone to do work which woultl require a pertnit from the Division of Intlusinal Setety, as noted above, unless such person has a permil to do such work from the division. SignaNre: Date: Division of Industrial Safery Permit Numbar. CERTIFlCATE OF COMPLIANCE AND AUiHORIZATION OF ENTAY: I certify under penalty of perjury ihat I have read this epplication end state that the information given is correct I agree to comply with all s[ate laws and ciry ordinences relating to building consiruction, antl authonze representatives ot ihe Ciry of Costa Mesa to anter upon Iha above-described propetly for inspection purposes. I egree not to occupy or allow occupancy of any building authorized by this permit until final inspection. CO�E M, INSPECTIONTYYE �7& INTRIpLS 1616 Fized System Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition CODE� INSPECTIONTYGE 206 Final Mechanical 208 Final Plum�ing 270 Final Eledrical 212 Final Fire Prevention 220 222 250 Final Planning Approval Final Site Final Building/Occupancy P,7E I�mn��S `i- =ti--c�g �3�� COSTA MESA BUILDING•SAFETY DEPARTMENT P. O. 90X 9f7 C08TA MEBA. CALIFORNIA For Appiicant io Fiil In Completely TYPE OR PRINT BUILDING 219p American Avenue ADDRESS COSTA MESA CALIFORNIA . F EE RECEIV ED � FEa ao1�a ��g o� co �AP� s� APPLICATION R PERMIT BUILDING For Offlce Use Only MAiL �G6I�6^BY I DA RE EI D DATH IBBU6D-J ADORESS 1533 Baker Sti• ti4.� -: «,� � � �iTM Costa Mesa NoKI 9]].51 BUILDING ADDRESS ARCHITECT �' SOnf 1�' �Q EL. oa EN�iNEEa � No. COSTA MESA. CALIFORNIA ADDRESS G G C FIRE �� ZONE TYPE GROUP CONTRAGTOR D1K8 &. CO�.e rove IRC• AF'F'ROVED BY DATE ADDRE59 1533 Balcer �Jt. ZONING CIN CoSta Mesa V�1• ZONE PLAN9 BUILOINGE R-4 I 2 I dwellin u ST^TE., l/i770i :E.,�' TCT Q�ll�il �ow� r_.. �n � �n�1. &�'.t 83T' x 161� I "o;�,��..a`�°9none BHTBAGK LINE PROM GCNTCR OF BTR!¢T O � REAR YARD 77 � SIDE YARD I LEFT 7� I RIGHT S� DESCRIPTION OF WORK - NEW I X II ALTERATION I II ADDITION I size ��G 1758 3 .ftRooMs 10 EXTERIOR WALL ROOF COVERING C COVERING USE OF BUILDING PND WORK TO BE PE I HBPEBY ACKNOWL6D6E TXAT 1 HAVE READ THIB MPLAWTION AND BTATE THAT TH6 ABOVE I8 CORRECT AND ApREE TO COM- PLY WITH ALL CITY ��INANCEe AND BTAT6 1.�W9 PEGIILATINO BUILDINO CONBTRUCTION SIGNATURE OF —�- PERMITTE AUTHORIZED AGEN'� Dike &. 01Egi'ove, In IC6NTEM LINB BTJ THE AMOUM 9HOWN UNDER VqLUAT�ON IB FOR THE PURP08E OF ¢STABLIBHIN6 A PERMIT FEE ONLY. $ 17,979.m0 p�p,N CHECK $ �V��O � CC Cn Aoo��ant to fi11 in all spaces within heavy Dortler lines ana zign all apvrppriate tleclarations. CITY OF COSTA MESA � PERMIT NO. TRACT NO. LOT NO. �BLDG. NO. - CONSTRUCTION PERMIT Y�-o'%D y 9472 12/14/81 ProjectAddress • TYPEOFCONSTRUCTION � � � ~ � ___. „ ,,, 6��0 Wnel ' r - PhOne�' �W ❑ qDD ❑ ALTERATION Addre55 - - REPAIR ❑ CONVER510rv ❑oEMOLISH 2ONING REGULATIONS AfCh/Eng. LicenSe No. ❑ OTHER Addresi DESCRIPTIONOFWORK A'P'� � ' ZONE PLNG.REF.� Contractor � . Phone � TYPEOFPERMIT - 'B - TpBui�YNLiNE SETBACK T. PROPE Addre55 ❑ GRADING ❑ FOVNDAT,IyO,�N ❑ STRUCTURAL SIOEYARD - LICENSE� CONTRACTOR DECLARA ION � ❑ TENANT ❑ ELECTRICAL NCPLVMBING ❑MECHANICA LEF 1 hGrlby affirm that I am IlcenSetl untl¢r provi5iOn5 ot Charter 9(com- RI�GHTA �mencing with section ]000) of Division 3 of the Business antl ❑ OTHER - �Professions Cotle, ana my Iicense is in full force antl e ect. PAOJECT DESCRIPTION ' REAR YARD (TO P/L) Litense Class � icense N. GKG. SPACE REq. � PROV IDED Date Si9nature SQ. FT. WORKERS'C MPENSATION�ECLA ATION OCCVPANCV_CONSTRUCTIONTVPE STREETWIDTH � PARKFEE$ I hereby affirm that 1 have a certificate ot consent to self-Insure or a VALUATION ZONE ZONING APPROVED BV DATE certiflczte of Workers' Compensatlon Insurance, or a certifietl copy thereof (Se ti rypi 00, b. C.). GRADING CU. VDS. ACRES SPECIAL CONDITIONS: P' - No Company - � tifietl copy 5 hereby (urnishetl. - REMARKS: , L .rtlfietl copy Is filetl with the tlty Builtling Division. EXEMPTION FROM�W00.KER5• COMPENSATION DECLARATION (This se<tion neetl not be mmpletetl if the.permit is for one huntlretl. SE100) or less). . certify that in tne performance ot the work for which this permit is issu¢tl, I Shall not ¢mpl0y arty pe�zon in any manner so as to become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK ' subject to the Workers' Compensation Laws of Czlifornia. Date Signature BATHTVBS SHOWERS ' NOTICE: If after making this tleclaratlon, you shoultl become subject TOILETS URINALS GENERATOR 0-1 KW_ 1-10 KW � to the Worker5' Compensation provisions of [he Labor Cotle, you must TRANSFORMER forthwitn comply with such provisions or this permit shall be tleemetl LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW_50+ KW �evoketl. . . . _ . . CONSTRUGTION LENDING AGENGV KIT. SINKS DISHWASHERS MOTORS 0-1 HP_1-30 HP I hereby affirm that there Is a cons[ruction lentlin9 a9ency for ihe per- SERV ICE SINKS . SUMPS �� UNC. SOLAR) 10-50 HP 50 + HP formance o( tbe work tor which this permit is issuetl (Section 3097 Civ. C.). - FLOOR SINKS � FLOOR DRAINS FIXTURES OUTLETS SWITCHES Lentler's Name Lentl¢r'S Atltlr¢55 ORINKING FOUNTAINS GAS TUBE SIGNS OWNER BUILDER DECLARATION ' INTERCEPTORS CLARIFIERS ' POLE LIGHTS I h¢r¢by affirrti that I am exempt (�om the Cont�acto�'s License Law for the following reason (Seclion 7031.5 Business antl Professions Cotle: SWIMMING POOL P TRAP ` Any city or county which requires a permit to cons[ruct, alter, POLES METERED SUB improve, tlemolish or repair any stru<ture, prior to its issuance, also re- yyqTER SERVICE ALTERATION PANELS MAIN SUB quires the applicant for SUCh p¢rmit [o file a signed statement that he is licensetl pursuant to the provisions of the Contrattor'S License Law GASSERVICE OUTLETS ' SERVICE AMP (Chapter 9(commencin9 with Section ]000) of Division 3 ot the Business and PrWessions Cotle) or that he is exempt [herefrom antl the yyqTER HEATERS 6TU OVTPUT ' � bar` `nr the allegetl exemption. Any violation of 5ection 7031.5 by ar. olicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS - —- of more than live huntlretl tlollars ($500). ❑ i, as owne� of the property, or my Employees with wages as thei� SOLAR TANK COLLECTORS � '- ' SOIa.Corpp¢nsation, will tlo the work, antl the st�ucture is not intendetl _ or offeretl for sale. (Section 7044, Business antl Professions Cotle: The SOLAR VIPING SVS. ISSUE FEE Cont�acto�'s License ldw tloes not apply to an ownEr ot a p�operty - qPPLICHTION APPROVE� BV DATE who builtl5 or improves tM1ereon, antl who tlOes such work hlmself or ISSUE FEE (hrou9h� hi5 own employee5, provitletl thdt such improvement5 are not intentletl or ofieretl for sale. It, howeveq tne builtling or improvement MECHANICAL PLAN CHECK SUMMARV OF FEES I5 Soltl within one year of.completion, the owner wlll have the bu�tlen of proving he tlitl not builtl or improve for tbe purpose of sale). HEATING SVSTEM 0-100,000 BTU BUILDING � ❑ 1, as owner of Ihe property, am exclu5iv¢ly mnVactin9 with PERMIT $ SMIP $ licensetl coniractors to consiruct the projett (Section ]044, Business ANDOUCTING 100,000+BTU P�ANCHECK S PERMIT �J /�/� antl Professions Cotle: The Contractor's �icense Law tloes not apply to ISSUANCE S g"'i�_ an owner of prope�ty who builtls o� imp�oves thereon, antl who con- REFRIGERATION 0-100,000 BTU PLUMBING E�, tracts from suth projects'with a contractor(s) lice5netl pwsuan[ to SVSTEM GRA�ING 'E [he Contractor's Licenre Law). 300,000 + BTU PLAN CHECK $ ❑ 1 am exempt untler Section � B. & P. C. for this ELECTRICAL E $ BOILERS BTV reason MICROFILM $ Date Owner SVSTEM REPAIR, ALTERATION PLAN CHECK 8 TOTAL FEE $ 1 hereby certify lha[ I have reatl tbis application and state that [he above EXHAVST SVSTEM MULTIPLE MECHANICAL S PLAN CHECK LE55 AD� information is mr�ect. I aqvee to comply with all City antl county S VANCEPC E_ o�tlinant¢s antl state IawS relating [o cons[ruction, dntl he�eby authorize representatives of this city t0 en[e� upon the above mentionetl � „_� property tor ' s c' n ur s. Slgnature Date FINALFEE $� Drivers' License or 55 � ISSUE FEE CMh OtlbJ-4b Whlt¢-BUlltllflg; CdOdry-AppIICdOt; PIOH-HCCOUfI[IOg� liOlOenfVa-/i> emo� CONSTRUCTION AND PLANNIN POOL & SPA - Date inspector � Date � Insp�tor APPROVALS ' ' ' Peiinit # APPROVALS. Permit # 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location � 2. Soil ipe-Undrgrn 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 rn 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tre ❑ ndr r 10. Structural Floor SYstem 52. APPROVAL TO DECK 11. Property gewer Line & House Connection 53. Backwash & Rece tor-Final 12. Street $ewer Connection 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 5. 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 Flashin NOTES: 23. Insulatlon - 24. Lathin & Siding 25. Drywall Nailing 26. Plaster grown Coat 27. ElectriCal Power Meter-Final 28. Final Electric 29. Final Heating & Air Conditioning 30. Final Gas Pipe-Test 31. Final Plumbing 2- ( 32. Water 5ervice-Final 33. Gas Service-Final 34. Solar pomestic-Final 35. Landsca e S rinklin S stem 36.. Sound Attenuation 37. Handirzp Regulations -- 38. FINA�STRUCTURE&BUILDING 39. Special�Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date