HomeMy WebLinkAbout1138 AUSTIN ST - Building PermitsSCOPE OF WORK: TEAR OFF EXISTING ROOF MATERIALS, INSTALL 1 LAYER 15# FELT ON A 6:12 PITCHED ROOF AND REROOF
WITH 30 YEAR CERTAINTEED COMP SHINGLES ON AN ATTACHED HOUSE AND GARAGE, APPROX 17 SQUARES.
REPAIR AND REPLACE SHEATHING AS NEEDED. COMPLIANCE FORMS ATTACHED TO JOB CARD AND CITY. PERMIT.
OWNER: MAGY JEFFREY BRIAN - Address: 1138 AUSTIN ST Unit:
PHONE: 714-996-9020 - -City/State/Zip: COSTA MESA, CA ,
APPLICANT: RATLIFF, JEFF
PHONE: 714,773-1820
CONTRACTOR: HOYT ROOFS
Address: 1809 N ORANGETHORPE PARKUnit:
City/State/Zip: ANAHEIM, CA 92801
ARCHITECT:
ENGINEER:
FEE SUMMARY
Reroof Plan Check:
$0.00 ,
Reroof Permit Fee:
$125.25, '
Reinspection Fee:
CITY OF COSTA MESA
Bldg Std Admin Fund
$1.00
BUILDING DIVISION
r 77 FAIR
DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
�.
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER: B10-00304
PERMIT TYPE
B ROOF2
STATUS:- ISSUED.
APN: 14160308
DATE ISSUED: 10/15/2010
ISSUED BY: RMD
JOB ADDRESS:
1138 AUSTIN ST
CM Suite/Unit:
Vicinity: HOUSE AND GARAGE ROOF
Squares: 1700
- -
_ - - Valuation: $5,800.00
SCOPE OF WORK: TEAR OFF EXISTING ROOF MATERIALS, INSTALL 1 LAYER 15# FELT ON A 6:12 PITCHED ROOF AND REROOF
WITH 30 YEAR CERTAINTEED COMP SHINGLES ON AN ATTACHED HOUSE AND GARAGE, APPROX 17 SQUARES.
REPAIR AND REPLACE SHEATHING AS NEEDED. COMPLIANCE FORMS ATTACHED TO JOB CARD AND CITY. PERMIT.
OWNER: MAGY JEFFREY BRIAN - Address: 1138 AUSTIN ST Unit:
PHONE: 714-996-9020 - -City/State/Zip: COSTA MESA, CA ,
APPLICANT: RATLIFF, JEFF
PHONE: 714,773-1820
CONTRACTOR: HOYT ROOFS
Address: 1809 N ORANGETHORPE PARKUnit:
City/State/Zip: ANAHEIM, CA 92801
ARCHITECT:
ENGINEER:
FEE SUMMARY
Reroof Plan Check:
$0.00 ,
Reroof Permit Fee:
$125.25, '
Reinspection Fee:
$0.00 "
Bldg Std Admin Fund
$1.00
Address:
City/State/Zip:
PHONE:
License No. -
License No.
License No. 606111
714-773-1820 ..,-
CELL:
PHONE:
PHONE:'
Unit:
-OTAL FEES $126.25 - -
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 holidays
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 %. INSPECTION TYPE DATE INTITIALS CODE % INSPECTION TYPE DATE IN MALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final /� ,� �,r 208 Final Plumbing
200 Final Re -Roof "e ��-I% ��� `Y\V w— 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
ft
WORKEVIS' COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self-Insure for workers
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers' compensation insurance, as required by
section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation Insurance carrier and policy
number are:
Earrie%��/f3"7� t�l��J
(This soft. need not De cnmp'ere0dthe penny is va
alved,•at we nh�undretl d Iars(s 100) or less)
P �t Numbery R" 25;4 — D-0 / 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 Lab r Co e, I shall forthwith comply with these provision .
/� �J
RpNwrtlJdlpodtur = — rLDare---�
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 1 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. 2 (;
•ic. _-_�" CIS, �L /I� G 7i
/0// S -N
rr _ ire ors'se ur
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:
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 conlmclor(s) license pursuant to the Contractors License Laws.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
Signature Date
3057-46(3107) -
Owner ID verified by drivers li , e. ❑ Yes ❑ No
Driver's License No.
Expires:
1
-. 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 feel 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.
Signature Date
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant need to file and
certify a Business Plan for emergency response to release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the 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 Safely 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 agreeto 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 andstatethat
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 byis ermit uatil final inspection.
///( lig W/l'�/D
Sf3 urYL7 Leggy Owner) Date/
Thr//v
$4a7o. �. pat_J
CITY OF COSTA MESA
BUILDING DIVISION
ROOF COVERING CERTIFICATION
Permit No. b I —w30�
Property Address / �� ltz,1571N le -o57+ k -4E -<Q C'A 1? 7,
Owner
Contractor "47 ✓L2e)r/S . 11 ,
State Contractor License Number to O4o /// Classification C 35
I hereby certify that I have installed, or caused to be installed, a minimum Class B roof covering at the above
address in conformance with Chapter 15, of the latest adopted edition of the California Building Code, and the
installation instructions of the manufacturer.
❑ I further certify that I am the owner of the property. (Owner -Builder permittee only).
X I further certify that I am:
❑ Owner of sole proprietorship company
❑ Full partner of the company
❑ Limited partner of the company
0 Officer of the corporation
I certify that as an authorized officer or agent of the company or corporation, I am empowered to make this
certification, which shall be binding on all successors or assigns of the company or corporation.
I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building
Division for acceptance.
Received by Building Division
By:
IoW
Date
0990.46 MW 6108 While -Building Div;Canary - Contractor; Pink Owner
c parry or Cor6 0 orate Name
�/ Address
�� (2
Printed or Typed Name
/v / � S//o
Certificate of Compliance: Residential
(Page 7 of
Zone iia w # o"tories
General Information
-
Site Address- 1 �%-✓fryN/ S -T
Enfarcemenl Agency: ate:
101
t
Building Type Single Family ❑ Multi Family
-
Circle the Front Orientation: N, E, S, W, or degrees
Conditioned Flom Area (CPA):
Project Type: ❑ Alterations ❑ Envelope O Fenestration_.fd-1tSof O HVAC
Framing
Replacement or Change Om ❑ Dtlel Replacement O Water Heater
NOTE: This form is nor Yo be usedfin NewL, Constructed Buildings mAdditions
Jnagdarmn Values For Opaque S'tgfaces (Jot Furring use the Mass and Futring S'n'ips Construction table below)
Assembly Alteration
/
❑ opening of framed cavity alone- Aherations that involve the opening ofthefonred cavio, ofa wall, ceiling, m floor must install the fig'
mandaio-v rninin um insulation value per §150 fm the altered assembly. Fill in Columns.4 -C and enter niandaron; insulation value in Column H.
Replacement of entire assembly-Replacemen of an ewe mall, ceiling, or floor assemble requtires the installation ofComponeni
Package- D insulation values in Table 151-C. Fill in Columns A - J.
O a ue Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below.
A B C D
E
F G I U 1 1,- 9
Proposed S.. ma's
Standard
Values From JA4 Table
Framing
Thickness,
in Furring Space from Reference
Framed Continuous JA4
Proposed
Tag/
ID'
Assembly Name Material
or Type' and Size
Spacing,
or Other'
U-
factor"
JA4 Table Cavity Insulation Assembly
Number R-valuee R -Value? Cell Values
Assembly
U -factory
Asmnbly
`
u "
Final
Mass
Name or
Nae For (timed assemblies, aceinaim. for Continuous Insulation R -value, see Page JA4-3 andbgnaion 4-1. For calculating fumed walls use the Mass and
;Furring Corsovction table below.
J. For ToglID indicme the idenitfrcanoa name thin matches the building plans.
2. Indicate the Assenrbir Name or type: RooflCeiling, Walls, Floors, Slabs, Crawl Space, Doors and etc ... Indicate the Frame type and Size: For
Wood, Metal, Metal Buildings, Mass, enter 2s4, 24 or etc... see JA4 for other possible frame type assemblies.
3. Enter the thickness fo mass iu inches ar Spacing between framing members. enter; 16 -or 24 "OC; or Other for all other assemble description
such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel and mc_..
4. Based on the Climate Zone; carer the Standard U facror fi on? Table 151-B, C or D fo each d event assembly Name or n pe.
S. Enter the Table number than closely resembles Me proposed assembly.
".
6. Liter the R -value that is being inslahed in the wall cavi(, o' between the foaming; olhewise, carer 1V
). Lnier the Continuous Insidaliou R -value for the proposed assembly; othelwise, enle "011.
b'. Enter the row and Colunm of due U factor value based on Colunm FTable Number- and enter the AssernblP U-facror in Column J
9, The Proposed Assenrbir, V -(acme, Column.),, muni be equal to or less than lire Standard U -factor in Column E to comp, t
Furring Strips Construction Table for Mass Walls Only
A I B I C I D I E
F G H 1 .1 1 K
L
M
Proposed Properties of Masonry' and Concrete
Added Interior or Exterior Insulation
Walls From Reference
in Furring Space from Reference
,final Appendix Table 4.3.5, 4.3.6. 4.3.7
.joint Appendix Table 4.3.13
Asmnbly
`
u "
Final
Mass
Name or
,
-
Assembly
Thickness'
Iype'
Number'`
_
= m
LL
�. 5
r
'�`
w r
U -factor 6.9
Comment
Regi.suation Numbe: Regisrrunon DutelTnne:
2008 Residential Compliance Fornm
HERSProvider:
August 2009
Prescriptive Certificate of Cornolian
Residential Alterations
residential
CF -IR -ALT ]
a nrlctnr:1)c _ i
ROOFING PRODUCTS (COOL ROOFS) §151(1)12
When the area of exterior roofsurface to be replaced exceeds more than 50% of Ore existing roof area, or more than 1,000 f?, whichever is
less, the new roofing area must meet the roofing product "Cool Roof'requirenienis of§152(b)IHi, 152(b)IHii, or 152(b)IHiii. '
Check applicable alternative m' exception below if the roof alteration is exempt f'om the roofing product "Cool Roof'�requirements. Note: lfon),
one of the ahernatives'ot exception below is checked, the Aged Solar Reflectance and Thermal Emillance requirements for roofing products in
�¢I18(i) are not applicable. Do not ftl) table below. �e e
❑ Cool Roofs Not Required in Climate Zones I-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 5lb/ft2.
Alternatives to §152(b)IHi and §152(b)Hii, Steep -slope roof (pitch > 2:12)
❑ Insulation with a thermal resistance of at least 0.85 hre'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 seated according to §151(f)I% or
❑ In climate zones 10, 12 and _13, with I_ ft' -of free ventilation area of attic ventilation for every 150 ft 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)11iiii, Low -slope roof ( pitch 5 2:12)
❑ Building has no ducts in the attic.
Other Exceptions
a
❑ Roofing area covered by building integrated; photovoltaic panels and solar thermal panels re exempt from the below Cool Roof criteria.
. ❑ Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/ftt 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 Exem t from the Roofing Products "Cool Roof' Re uirement
Roof Slope
Product Weight
Product
Aged Solar
Thermal
CRRC Product ID Number'
< 2:12 > 2:12
< 5lb/ft' > 5Ib/ft'
Type,
Reflectance 3,4
Emittance
SRIS
❑
❑
❑
❑
❑4
❑
❑
❑
❑
❑4
❑
❑
❑
❑
❑4
❑
❑
❑
❑
❑4
❑
❑
❑
❑
❑4
/. The CRRC Product ID Number can be oblained fr'onr Me Cool RoofRo/ing Council's Rated Producl Directory at www.coolroo(r.orn/product.,/search aha
2. Indicale the I)gie ofproduct is being ntserl,for due roof top, i.e. single -ply roof, asphalt roof, metal roof, Cie,
. If the Aged Reflectance isnot available in.1he Cool RoofRaring Council's Rated Product Directory then use the initial Refleclance value from tine same
directory and use lire equation (0.2+0.7(pa,iuiat— 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance.
4. Check box ft /lie Aged Reflectance is a calculated value using the equation above.
5. Calculate die SRI value by using die SRI- Worksheel at hlurlhv viv.enerky ca.rovllilie241 and enter the resulting value in the SRI Column above and mlucb atopy of
the SRI- IVorksheel in the Cr -JR.
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
❑ Other
Registration Number:
2008 Residential Compliance
Registralion DatelTime:
HERS Provider:
August 2009
I�) Prescriptive Certificate of Cool.. .ce_Residential
� r� li esidential Alleratltnas /1 �
.I YrrfJ�acl%Iv'gme:ru.•�T� ��`•'Wy
CF -1 R -AUT
(Pate � o1 Sl
HERS VERIFI CATJ ONSUMMARY The enlarcemea ogenershould pan• special attention m the HEZIS h9easwes specified in this
checlrhsi below. A complete, and signed CF -4A' Form for all the• measures spec Pied shall be submitted u, the building inspector- bafo, e final
Duct Sealing, & Testing, HEML venlicanon is required far this measure
❑ }'ES ❑ NO 1'CS: in Climate Zones 2 and 9-16, if more that, 40 linear feet of -new o, replacement ducts are installer) in unconditioned
space, the ducts ore to be sealed per §152(b)1Dii and the newly installed ducts are to be insulated pm §151(1)10.
❑ EXCEPTION: Lxisting duct systems that are extended, whicli are constructed, insulated oscaled with asbestus.
❑ YES ❑ NO YES: in Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC egmpmem and ducting) is replaced, the
ducts are to be sealed pet § 152(b)l Di.
❑ YES ❑ NO YES: ht Climate Zones 2 and 9-) 6, if the existing HVAC equipment is replaced (including the replacement of the an handler.,
outdoor condensing unit of a split system, cooling or heating coil, or the furnace )neat exchange) the ducts are to be
sealed pen §I52(b)IE.
❑ EXCEPTION'. Duct systems that are documented to have been previously sealed confirmed through HZRS
verification in accordance with procedures in the Reference Residential Appendix RA3.
❑ EXCEPTION: Duct systems with less than 4U linear feet in unconditioned space.
❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
Refrigerant Charge - Split System HERS verification is required,fm this measure.
❑ YES ❑ NO YES: In Climate Zones 2 and 6-15, when the existing HVAC equipment is replaced (including th7orth.-
ent of the air
handler, outdoor condensing unit of a split system A/C or heat pump, cooling or heating co;rnace heat
exchaneeri a refrieerant clnaree measurement shall be verified Der 6152(b)IF.
ICenti-al Fan Integrated (CFI) Ventilation System and Fan -Watt Draw'
The ventilation requirements of §150(0) do not apply to existine residential homes.
Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow HERS verification is required -/or this measure.
❑ YES ❑ NO YES: In Climate Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is
replaced, the airflow and fan watt draw shall be verified net § 152(b)1 Ci to meet the rectuntments of 5151(MB.
Documentation Author's Declaration Statement
1 certify that this Certificate of Compliance documentation is accurate and complete.
/ -
Name. rte/ 'p
�7/
Signature:
p�G
K/�Ca/^ Q'rrS // /V e
Compain, ,Go
Dat /a —�.�
Address.
id'? Al- d4,4
If Applicable ❑ CEA er O CEPS
V1+G-Fd19A1-6
(Certification A):
City/StaIll
te iu: ^ UE/ CA 1 2?01
("554J7'7 3 - / &2-0
%Res)ionsiblc Building Designer's Declaration Statement
e I am eligible under Division 3 of the California Business and Professions Code to accept respunsibility lot the building design identified oil
this GettiScate of Compliance.
• I cmtif), that the e tigy featurm and performance specifreation;. fol the building design identified on this Certitte.ae of Compliance conform
to the requirements of Title 24, fans I and 6 Of tilt Calhbr1118 Coale of ldegulations.
• The building design feature+ identifier) on this Certificate of Compliance arc consistent with file information )Arnvided to ducunaem this.
building design on the other applicable conipliuucc tuna:.. worP,shceta, calculations, plans and speciftcatiom. submitted u, the cnforeemcnn
ueener for approval with this building pernnii application.
Name
Sngnauuc:
Connpen)':
Date:
Address:
License.
C+ndSotel-Sip:
I Phone:
Tin assistance or question;' regarding the Energy Standulds, conrnet flu Energy Nolline• rut. 1-800-772--3011.
Iferisirooan H mtbe, /(egnrrrnnon DuiclTonc, HERS Provinal
200 Residential Compliance' To' n>s fnugu•+t 2009
!7345
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 817 COSTA MESA. CALIFORNIA
B
For Applitanf fo Fill In Com_plefely
TYPE OR PRINT j
BUILDING
ADDRESS US �_� '
COSTA MESA• CALIFORNIA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
u
RECEIPT NO.
PERMIT NO.
OWNER Seaview Homes Inc.
I
MAIL
RECE EO BY DATE RECEIVff.�D
J V IV E� I3; EQ
ADDRESS Almond
TEL.
CITY Oran a NO.
BUILDING
ADDRESS
ARCHITECT Lya
OR ENGINEEFRamberg & Lowery TENOi.76131
COSTA MESA. CALIFORNIA
FIRE �// ,{/-
ZONE TYPE / GROU I
ADDRESS 2127 N. Main Santa Ana
S. V. Hunsaker SI SOnS
CONTRACTOR
APPROVED DATE
E. Edna Pl.
ZONING
ADDRESS 15855
ZONE NO. UBE OF NEW
R �` I p%LANS C_� BUILDING
LEGAL
DESCRIPTION L- 7X
CITY Irwindale
LIC. TNO. 164929 NO. ED. 87361
SI /_� Q a
X
NO. OF SLOGS.
F LOT (�
Now ON LOT O
A. P. NO.
USE OF
YARDS EVES
EXISTING BLDG.
APPROVED ALLOWED
SETBACK LINE FROM
d
ICENTER LINE ST.)3�_
CENTER OF STREET REAR YARD Gi
FRONT FT. IN.
SIDE YARD I LEFT
RIGHT /
R. SIDE �FT. �� IN.
DESCRIPTION OF WORK
L. SIDE .3 FT. IN.
NEW I ALTERATION I
ADDITION
I
REAR Z 7 FT. -- IN.
APPROVED, BY C DATE
REPAIR II MOVING II
DEMOLISH
I
BUILDING NO. OSF
S�D I
SIZE ROOMS STORIES
EXTERIOR WALL StUCCO
ROOF Comp.
ICOVERING
COVERING gi riima
S�
USE OF BUILDING AND WORK TO BE PER ORM
familv dwelling withattainhed
`=
garage
n!J
Y�c/1 Gf% d
Plan
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT TNM ABOVE IS CORRECT AND AGREE TO COM-
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
VALUATION
BUILDING CONSTRUCTION.
SIGNATURE OFS+ `/ NS`A` (gt 5'
PERMIT FEE
'
_PLAN CHECK 5
PERMITTEE
/✓
S /✓/ 7//
•
AUTHORIZED AGENT
TOTAL FEE gO
u
OWNEI$F-A=- HOIvES, INC. DATE 6-i9-62
JOB ADDRESS Austin bt. BUILDING PERMIT NO.
GENERAL CONTRACTOR S.V. Hunsaker & Sons VALUE $ 7tFII.00
A" No. LOT54 TRACT S S FIRE ZONE DESCRIPTION OF WO E
1 ECTIONS Signature DATE
GROUP TYPE ZONE XU
Soil 4-IA4 -1�O{�z
SUBCONTRACTOR
PERMITS
ISSUED
Gas –Gy
DATE
NUMBER
Water Y
Rough om. Re rig. ❑ Air Cond. ❑
Rough Heating iars' ! G I -
GL_
Rough Plumbing �'�/,, -r--
Miscellaneous Miscellaneous
Prop. Swr. Line ❑House Con..p'SG.Swr. ❑
Sprinkling System
Construction Pole
Underground ❑ Power ❑
Rough Wiring_
ren, es orms tee em . ❑1 ' 77
Floor System
Bond Beam ❑ Steel Reinforce ❑
Sheathing /V AO 6a.
Frame and Flashing jp¢,j-.,e4 ;,/(_ N.
Larking — In 2— Out p/ N! d4 - -19-67
I r, brown coat
_
R, --.g. ❑ Air Cond. ❑ Final
Heating, Final
Plumbing Fixtures, Final /Q'.
Final Gas Test / D. 0-412.
Electric Fixtures, Final /_!
Building, Final //�/;_t,
a.
OCCUPANCY
FORM B04 • 5M — 7.61 (14,)