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Home My WebLink About1974 ARNOLD AVE - Building PermitsCITY OF COSTA MESA BUILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 - Fax (714) 754-4856 • ww w.costamesaca.cov �. FOR INSPECTIONS CALL: (714) 754-5626 to PERMIT NUMBER: P13-00051 PERMIT TYPE PLUM STATUS: ISSUED APN: 42223309 DATE ISSUED: 04/02/2013 _v -ISSUED BY: KJB JOB ADDRESS: 1974 ARNOLD-,AV,CM'.. ,-Suite/Unit:. Vicinity: SCOPE OF WORK: REPAIR SEWER_ DRAIN'LINE'INSIDE DWELLING AT BATH TUB -,(,- ' 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 #. INSPECTIONTYPE DATE INTRALS CODE# INSPECTION TYPE DATE INiiIALS .1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 4•� 200 Final Re -Roof 210 Final Electrical .' 201 .. I i `S C,17NER: QUIRING, NORMAN J--, i -- ,_, � Address:.-.• 1974 ARNOLD AVE Y�ONE: --,>Clty/State2ip, COSTA MESA, CA,(, APPLICANT: BELTRAN, ALEX - i - .�( ,, "� ,- �- Address _` 9903 PARAMOUNTSUITE _305 . P> .ZNE: 800-220.0208/il t �r ,H r, - City/State/Zip: DOWNEY}CA`, _ CONTRACTOR: PAYLESS PLUMBING INC - _ _ License No.:817084,;`, P.ddress:9903 PARAMOUNTSUITE 305 �--_� PHONE:800-220-02091 t; ^-';,' , tT' • C` ', - City/State:DOWNEY, CAZipCode;90240 !,CELL: ARCHITECT:"' ' License `_^.. No. PHONE ENGINEER: License No: PHONE PI-LIMBING PERMIT FEE SUMMARY SCAN CHECK FEE: $0.00 0, I PERMIT FEE: $48.15' TOTAL FEES: $48.,15y t= n ' 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 #. INSPECTIONTYPE DATE INTRALS CODE# INSPECTION TYPE DATE INiiIALS .1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 4•� 200 Final Re -Roof 210 Final Electrical .' 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy WORKERS' COMPENSATION DECLARATIC I hereby affirm under penalty of perjury one of the Tollowing declarations: ❑ I 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 are: �1 �(ihk seulos� � cr�ppkyed the ppQret k vaWeOat orre nundre0rbuars (Ef00J or kssJ Policy_Number. � � (�KJ (Li) ❑ 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 became su t the workers' compensation provisions of Section 3700 of the Labor o e I hall forthwith comply with these provisio �. pli ture C_ Date 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 Code, and my license is in full force and effect. ass # U, J 1�L ClItViiaors Signature .bate G -- 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: Signature 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.). ❑ am exempt under sec. Business and Professions Code for this reason: Signature 305746 (3107) Owner ID verified by c ; 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 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 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 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 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. nat re of Legal r r AutrortrildApplicant V Date_ CITY OF COSTA MESA 5` BUILDING DIVISION iA , 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us c �.��w�. FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: B10-00181 PERMIT TYPE B ROM STATUS: ISSUED APN: 42223309 DATE ISSUED: 06/22/2010 Reinspection Fee: ISSUED BY: RMD JOB ADDRESS: 1974 ARNOLD AV CM Suite/Unit: Vicinity: HOUSE AND GARGE ROOF, Squares: 1600 Valuation: $4,000.00 SCOPE OF WORK: REMOVE EXISTING ROOF MATERIALS, INSTALL A MINIMUM OF 2 LAYERS OF 15# FELT ON A 3:12 ROOF PITCHED ROOF AND REROOF WITH 20 YEAR COMP SHINGLES ON AN ATTACHED HOUSE AND GARAGE, APPROX, 1600 SQUARE FEET. REPAIR AND REPLACE SHEATHING AS NEEDED. COMPLIANCE FOR ATTACHED TO JOB CARD AND CITY PERMIT. - OWNER: QUIRING, NORMAN,J - Address: 1974 ARNOLD AVE ,. Unit: PHONE: 949/548-2398 - - - City/State/Zip: COSTA MESA, CA - APPLICANT: TAYLOR; ROB Address: Unit: PHONE: 714-946-8131 - City/State/Zip: .. CONTRACTOR: TAYLOR ROOFING License No. 784622 Address: 8602 LOWMEAD DRUnit: PHONE: 714-964-8131 City/State/Zip: HUNTINGTON BEACH, CA .. - 92646 CELL: ARCHITECT: License No. - PHONE: ENGINEER: License No. PHONE: FEE SUMMARY Reroof Plan Check: $0.00 Reroof Permit Fee: $97.25 Reinspection Fee: $0.00 Bldg Std Admin Fund $1.00 - - - - OTAL FEES $98.25 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 holiday: New Years Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day and Christmas Day 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 0. INSPECTION TYPE DATE INTITIALS CODE INSPECTION TYPE DATE INTITIALS 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 i WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 are: Carrier:, (Thrs section need not De comdetetl d the pl!ermd is valued al one hundred tlollars (5100) orless ) Poll�`'cy Number �d �C(� S F, _ O U ❑ 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 Cod I shall forthwith comply with these provisions. 6 2R (o APPlicanl' 'gnat a r,Date"Z.- WARNING: FAILURE TO SE URE 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 license is in full force and effect. 24 Class # c ✓ 1 6.22,r p 'Conlr dor's ignature 'Date - CONSTRUCTION LENDING 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). Lender's 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 contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature 305716 (3/07) Dale 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 Safely, 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 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 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. 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 agreea�ppt to occupy or allow occupancy of any building authorizedyy ltd per�fiLl{ntilpinat inspection. atu((�� oLLe a de s) Dale �,1 0 d(oc!Authonztl Ap ¢ant •-N�Oalel J �'•-9 Certificate of Comnliance: Residential Project Name: Climate CF -IR -ALT e I of 5) 74 af�Stnries General Information Site Address: p ld Enforcement Agency: Date: Building Type Single Family ❑ Multi Family Circle the Front Orientation: N, E, S, W, or degrees Tag/ IDr Framing TThic�kness, Assembly Name Material or Ty e'and Size Project Type: ❑ Alterations O Envelope O Fenestration VIRoof ❑ HVAC Conditioned Floor Area (CFA): Framed Continuous Cavity Insulation R -value R -Value Replacement or Change Out ❑ Duct Replacement ❑ WateT Heater NOTE: This forst is not to he used jou Nenvly Constructed Buildings or Additions Lr.sulation Values For Opaque Surfaces (for Furring use the Mass and Furring Strips Construction table below) Assembly Alteration O Openin; of framed cavity alone—Aher ations that involve the opening of the framed covi(y ofa wall, ceiling, or floor must install the rnandatori, innunnan inszdation value per §150_for the altered assenibll. Fill in Columns A —C and enter mandatory insulation value in Column H. ❑ Replacement of entire assembly- Replacement ofan entire wall, ceiling, at loo? assembly requires the installation of Component PackaM D insulation values in Table 151-C. Fill in Columns A- J. Q a Ile Surface Details Far the furred portioned of Mass Walls see Furring Strips Construction Table below. A j 1) 1 E F G H 1 .1 1 K F G R� - I Pro osed ;"mow Proposed Properties of Masonry and Concrete Values From JA4 Table Tag/ IDr Framing TThic�kness, Assembly Name Material or Ty e'and Size Walls From Reference JA4 Table Numbers Framed Continuous Cavity Insulation R -value R -Value JA4 Assembly Cell Values Proposed Assembly U -factor' Joint A endix Table 4.3.13 Assembly �- � c c � o �_ v a, � �, > v Final Mass Note: For; /urged assemblies, accounting for Continuous Insulation R -value, see Page JA4-3 and Equalion 4-1. For calculalingfurred walls use the Mass and 1. For Tag/ID indicate the identification name that matches the building plans. 2. Indicate the Assenrblr Name or type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc ... Indicate the Frame type and Size: For Wood, Metal, Metal Buildings, Mass, enter 2x4, 2x6, ar etc... see JA4 for other possible frame type assemblies. 3. Enter the dnickness for mass in inches or Spacing berween framing members enter, 16 "at 24 "OC; or- Other jou all other assembly description such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel and etc.... 4. Based on the Climate Zone; enter the Standard U factor fr'oni Table 151-B, C or D for each different assembly Name or type. S. Enter the Table number that closely resembles the proposed assembly. 6. Enter the R -value drat i.+ being installed in the mull cavity or between the finning; otherwise, eater "0 ". 7. Enter the Continuous Insulation R -value fo the proposed assemble otherwise, enter "0". 8.. Enter the row, and column of the U -factor value based on Column FTable Number and enter the Assembly U -factor in Column J 9. The Proposer/ Assemble U factor, Column./, must be equal to or less than the Standard L1 -factor in Column E to connply. Furring Strips Construction Table for Mass Walls Onh A j 1) 1 E F G H 1 .1 1 K L M Proposed Properties of Masonry and Concrete Added Interior or Exterim Insulation Walls From Reference in Furring Space from Reference Joint A endix Table 4.3.5, 4,3.6. 4.3.7 Joint A endix Table 4.3.13 Assembly �- � c c � o �_ v a, � �, > v Final Mass Name or JA4 Table v° Assemblyi Thickness T c' Number �` _ ai = a LL 5 LL c 'F ur C U-facon Comment I Regi.slratior Number: Registration DoleJTinre: 2008' Residential Compliance Forms HERS Provider: August 2009 CF -111 -ALT Residential Alterations It e 3 01 5) Project Name: - , Climate Zone k I # of Stories ROOFING PRODUCTS (COOL ROOFS) §151())12 When the area of exterior roof surface to be replaced exceeds more than 50% of the existing roof area, or more than 1,006f?, whichever is less, the new roofing area must meet the roofing product "Cool Roof 'requirernents of§152(b)IHi, 152(b)IHii, ar 152(b)1Hiil. Check applicable alternative or exception below if the roof alteration is exempt frrom the roofing product "Cool Roof' requirements. Note: Ifany one of the alternatives or exceplion below is checked, the Aged Solar Reflectance and Thermal Emittance requirements far roofing products in ,¢118(1) are not applicable. Do not fill table below. ❑ Cool Roofs Not Required in Climate Zones 1-12, 14, and 16 with a Low Sloped. Less or 2:12 pitch. Cool Roofs Not Required in Climate Zones 1 through 9 and 16 with a Steep -Sloped Roofs (pitch greater than 2:12) and product unit weight less than 516/82. Alternatives to §152(b)1Hi and §152(b)Hii, Steep -slope roof (pitch > 2:12) ❑ Insulation with a thermal resistance of at least 0.85 hrft-°F/Btu or at least a 3/4 inch air -space is added to the roof deck over an attic; or ❑ Existing ducts in the attic are insulated and sealed according to §151(f)10; or ., ❑ In climate zones 10, 12 and 13, with 1 ft'-; of free ventilation area of attic ventilation for every 150 ftz of attic floor area, and where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge; or ❑ Building has at least R-30 ceiling insulation; or ❑ Building has radiant barrier in the attic meeting the requirements of §15](02; or ❑ Building has no ducts in the attic; or ❑ In climate zones 10, 11, 13 and 14, R-3 or greater roof deck insulation above vented attic. Exception to §152(b)1Hiii, Low -slope roof (pitch 52:12) ❑ Building has no ducts in the attic. Other Exceptions ❑ Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria. . El Roof constructions that have thermal mass over the roof membrane with at least 25 lb/ft' is exemptfrom the below Cool Roof criteria. Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise, Check the applicable box below if Exempt from the Roofing Products "Cool Roof' Requirement: Roof Slope 1 Product Weight Product I Aged Solar Thermal CRRC Product ID Number' < 2:12 > 2:12 < 5lb/ftz >_ 5lb/ft2 Type, Reflectance 3,4 Emittance SRI ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 1. The CRRC Product ID Nunber can be obtained from the Cool Roof Rating Councils Rated Product Directory at wwwcoolroofy.oreinroductsLreorch ohs 1 Indicate the type of product is being used for the roof top, i.e. single -ply roof, asphalt roof, metal roof, etc. . If the Aged Reflectance isnot available in.the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same directory and use the equation (t)2+0.7(ptprat - 0.2) to obmin a calculated aged value. Where p is the hnnal Sola Reflectance. 4. Check box if die Aged Reflectance is a calculated value using ore equation above. 5. Calculate the SRI value by using the SRI- Worksheet at ban //wet , enerev ca govhille24/and enter the resulting value in the SRI Column above and attach atopy of the SRI- Warksheet to the CF -Ili. To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in §118(1)4. Select the applicable coating: ❑ Aluminum -Pigmented Asphalt Roof Coating ❑Cement -Based Roof Coating I0 Other Registration Number: Registration Date/Time: HERSProvider: 2008 Residential Compliance Forms - August 2009 4 Prescriptive Certificate Residezziia(R lferatutns n ce: Chniata Zone # CF 4 o1' 5 01 5) HERS VERIFICATION SUMMARY The enforcement ogenev should pnr special auennon ro tire, HEIiS hdeasures specified in this checklist belay. A completed crud signed CF -47( Form fm all the mensures specifiedsha/l Le suhnrined io tire, building inspeclor before /inul inspeclion- Duet Sealing & Testing HERS verification is required forIhia mcaszve. ❑ YES ❑ NO YES: In Climate Zones'_' and 9-16, if more than 40 linear feet of nem• or repkmemen ducts are installed in unconditioned space, the ducts are to be sealed per yJ52(b)1Dii and the newly installed ducts are to be insulated pet § 151(1110. ❑ EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or scaled with asbestos. ❑ YES ❑ NO YES: ht Climate Zones 2 and 9-16, iftheexisting space -conditioning system (HVAC equipment and ducting) is replaced, the ducts are to be sealed per 4152(b)1Di. ❑ YES ❑ NO YLS: In Climate Zones 2 and 9-1 6; if the existing HVAC equipment is replaced (including the replacement of the air handler, outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) the ducts are to be sealed per §I52(b)IE. ❑ EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS verification in accordance with procedures in the Reference Residential Appendix RA3. ❑ EXCEPTION: Duct systems with less that 40 linear feet in unconditioned space. - ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. Refrigerant Charge - Split System HERS verification is required,for this measure. ❑ YES ❑ NO YES : In Climate Zones 2 and 5-15, when the existing HVAC equipment is replaced (including the replacement of the air handler, outdoor condensing unit of a split system A/C or heat pump, cooling or heating coil, or the furnace heat exchanger) a refrigerant charge measurement shall be verified per §152(1hTIF. Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw The ventilation requirements of §150(0) do not appiv to existing residential homes. Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow HERS verification is requimdjor this nreasurc. ❑ YES ❑ NO YLS: In Climate Zones 10 through 15, when the existing space -conditioning system (H VAC equipment and ducting) is replaced. the airflow and fan watt draw shall be verified Der § 152(6)1 Ci to meet the renuirements of 5151(f)7B. Documentation Author's Declaration Statement I certify that this Certificate of Compliance documentation is accurate and complete Name: ^ Signature: r Company:l �oc 1200 'rt Da -: 1 O � Address: (� ]f Applicable ❑CEA or ❑CEPS p tla w eu Dr, (Certification N): City/State/Zip:�: Cd�/ (� Phoue:`7[. 9��-r/�3 tj h e4c I l Responsible Building De;' ner's Declaration Statement e J am eligible under Division 3 of the California Business rut d I'rolessams Code to accept responsibility for the building design identified on this Certificate of Compliance. • 1 certify that the energy features and performance specification:, for the building design identified on this Certificate of Compliance conform to the requirements of Tills 24, Parts I and 6 of the California Code of Regulations. • Thu building design features identified on this. Certificate of Compliance are consistent with tile, information prnvided to ducumeni this omitting design or the other applicable compliuncc funny, worksheets, calculations, plans and specification:: submitted to the enforcement agency for approval ",ill) this building permit application. Name Srgnauue: Company: Date: Address: License: Gty; StatulZip: I Phone: For assi,eaaree or gaeetions regarding the Eller,, r Smndaids, contact tire EncrerHothne at: 1-800-772-3300. I(egiso atiou. Number.. 20W;Pesidenlial Contltliance F01 -ms Ifegi.rvmimt Lare/Timc. HERS' Provider: August 2009 Costa Mesa Building Department 111 EAST 20th STREET COSTA MESA, CALIFORNIA V.APPLICATION FOR PERMIT 9 B U- , ..D IN G__-___ Dorm 204 G -H 1M f2nf U FOR OFFICE USE ONLY I FOR APPLICANT TO FILL IN I Receipt No. PermitiNo. Building Address 1974 -Arnold -Ave - 974 Arnol d Aver Costa Mesa, California 1 Costa R! eceive � by. Date Recd. Date fi d -sue ; � 7—?—J) Nearest I �� 7- 72% Cross St. 19th Street Building VI Address Owner Harbor FG .a .as - Costa Mesa, California I Mail Address Jig ,gG , 17th Street. Nearest - j j Tel. Cross St. I City Costa Mpsa No. Li.8-11 Zone I No. of Type ; Grouptill ti Architect or Lic. i Plans Engineer Approved by Date 1 I ddress Garden Grove City ntractor Dike & Colegrove No. Leo 1301 , Address 419 East 17th Street Legal Lot Description I No. 69 I Block Tract1986��--j`' . (Attach Metes and Bounds) No. of Size of Lot 60 X 110 I Now onB lLot none - - F4� O Use of No. of No. of I Existing Bldg. r, I Families Rooms pj Setback Line from Rear Z Center of Street 501 Side Yard 2 -51 Y DESCRIPTION OF WORK r' New g Alteration I I Addition V I _Repair Moving_ Demolish Building No. of Size_ l Sc. Ft, Rooms 51 Stories ' ] riot Wall Roof I ering 5t,=C, —� Cover_ing COMD: APPROVALS Use of Newp�yn 7,1.Ct. Elan Foundation Location Inspector Date Building amily residence Forms, Materials, and garage Under -Pinning Frame: Fire Stops, Bracing, Bolts I hereby acknowledge that I have read this Application Lath. Int. and state that the above is correct and agree to comply with, all City Ordinances and State Laws regulating Lath. Ext. bnilding construction. Signature of Dike & Colegrove Plaster, Int. Permittee Plaster, Ext. Authorized Agt. �- Masonry Reinforced Valuation Permit Fee $ 4WV. O G Plan Check $ 3,0 p Bond Beam $ 8,000.00 Total 00 Fee $ .73. FINAL Dorm 204 G -H 1M f2nf U PLOT PLAN Show location and distances from property line and between buildings. `'J,:.•� 6 J _. JUL — COSTA �i+:r i )5PDjESA..23K fr s? 23.00 t I .J "U Street PLOT PLAN Show location and distances from property line and between buildings. `'J,:.•� _-._. _ - _. _. JUL — COSTA �i+:r i )5PDjESA..23K fr s? 23.00 t I .J OWNER fi9RBOR ESTATES iz11-1 'DATE 7-755 .:r, .- -1 V' JOBADDRESS 1974 Arnold Ave. BUILDING PERMIT NO. 11182 GENERAL CONTRACTOR Dike & Colegrove VALUE $ 82000.00 L 69 BLOCK TRACT 1986 1�eSidenCe & Gar. Plan 11CR CROUP I TYPE V ZONE R4 FIRE DISTRICT 1199 INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Footing Trench 7-24 Foundation Forms and Grade to Garage Rough Framing T Plumbing, Rough to Slab Plumbing, Rough Comple Temporary Pole Wiring, Rough .1A .� T !q 11 Heating, Rough Heating, Final 'L — J Sewer, House House Sewer, St. Tank or Cesspool _Septic ig, In Outx( - t -ering Plumbing, Final, Fixtures Com e Plumbing, Final Gas Test Wiring, Final o— — /. 'ill s Occuoanev Form 210 G -H 15001-55