HomeMy WebLinkAbout2257 COLGATE DR - Building Permits� � CITY OF COSTA MESA
4 �SiAM 9 � BUILDING DIVISION ` '
> , . � 77 iTAIR DRIVE, COSTA MESA, CA 92626 • Q14) 754-5273 • Fax (714) 754-4856 • vevew.ei.costa-mesa.ea.us
r
°. ` FOR INSPECTIONS CALL: (714) 754-5626
��°""°� PERMIT NUMBER: B10-00094
PERMIT TYPE B_ROOF2
APN: 41908206
JOB ADDRESS: 2257 COLGATE DR CM
Vicinity: RESIDENCE AND ATTACHED GARAGE. ONE STORY
Squares: 2100
STATUS:
DATE ISSUED:
ISSUED BY:
Suite/Unit:
Valuation:
ISSUED
04/13/2010
KJB
$2,600.00
SCOPE OF WORK: TEAR OFF EXISTING ROOF. REPAIR / REPLACE SHEATHING AS NECESSARY. INSTALL 30 YEAR CLASS A
COMP. ROOF PITCH IS 4:12.
OWNER: BILDERBACK, CHARLES D TR
PHONE:
APPLICANT: ALVAREZ, AUSCENCIO
PHONE: 714-785-7378
CONTRACTOR: 3 A ROOFING
Address: 762 HUDSON AVUnit:
City/State/Zip: CqSTA MESA, CA
ARCHITECT:
ENGINEER:
FEE SUMMARY
Reroof Plan Check:
Reroof Permit Fee:
Reinspection Fee:
Bldg Std Admin Fund
TOTALFEES
$0.00
$83.25
$0.00
$1.00
Address: 2257 COLGATE DR
City/Slate/Zip: COSTA MESA, CA
Address: 762 HUDSON AV
City/State/Zip: COSTA MESA, CA
PHONE:
92626
License No.
License No.
License No. 873754
714-785-7378
CELL: 714-957•2825
PHONE:
PHONE:
Unit:
Unit: .
„OURS FOR GONSTRUGTION ACTIVITY; EFFECTIVE 3/18/2010 - PER CMMC SeG. 13-279
Monday thru Fnday - 7:00 am thru 7:00 pm. Saturdays - 9:00 am thru 6:00 pm. Prohibitietl all hours - Sunday5 and the following Federal
New Years Dav. Memorial Dav. Indeoendence Dav. Labor Dav. Thanksoivino Dav and Christmas Dav
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenfs under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 1241-92)
EXPIRATION: PffRM1T 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 fnal approval will result in the expiration of this pertnit.
COOEr. INSPEL710NTYPE �ATE INiITIAL WUE� INSPECTIONiYPE �A7E INTOIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final � 208 Final Ptumbing
200 Final Re-Roof � 210 Final Electriwl
201 Final Block/Relaining Wall 272 Final Fire Prevention
202 Final Factoy Fire Place 220 Final Planning Approval
203 Final Sign 222 FinalSile
204 Final Demolition 250 Final BuiltlincyOccupancy
WORKERS' COMPENSATION DECLARATION:
I hereby atfirm untler penalty of perjury qne ot the Sollowing declarations:
❑ I have and will maintain a certi�cate of consent to self-Insure for workers'
compensation, as provided (or by seclion 3700 of the Labor Code, for the
�perfo�rm� ce of the work for which this permit is issued.
�I have and will maintain wnrkers' compensation insurance, as required by
[�6n 3700 of [he Labor Code, for the pedormance of the vrork for which this
permit is issued. My vrorkers' compensation Insurance carrier and policy
number are:
C ne'. S`�� L'� �' (%�%�p
(Tnrs sMAn need rwl De mmpleted A lne pe�mrt is value0 a( one huntlretl dollars (5f00) oi less )
Poi umber. D(�C� 3�z�Qf�OSf-
❑ I certify that in [he peAormance of Ihe work for which this permit is
issued, I shall noI employ any person in any manner so as to become subjecl
ro the vrorkers' compensation laws of California, and agree that if I should
become subjey Ihe workers' compensation provisions of Section 3700 0(
the Labor C de shall fort on,,ply with these provisions.
� iQv
nf" 9^emr€" '- CEOa`-v
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERP.GE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
(5100,000), 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 hereDy aKrm that 1 am licensed under pmvisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business and Professions Code, antl
my license is in full force an,cd eflect.
.,:;Li'c ? .� �J �� Cla . �
i iU
�Caureel0Y5"9ignature"' " „�RQ3( -%".�
e;i•- ��t�
CONSTRUCTION LENDING AGENCY:
❑ I hereby aKrtn that there is a consWction lentling agency for Ihe
perfortnance of the work for which this pertnit is issued. (Sea 3097, Civil Code).
Lender's Name:
Lender's Atldress:
Signaiure Date
OWNER-BUILDER DECLARATIONS:
I hereby aKrm ihat under penalty of perjury tha[ I am EXEMPT FROM 7HE
CON7RACTORS UCENSE lAW for the following reason (Sec. 7031.5,
Business antl Pro(essions Code: Any city or counry which requires a permit to
construct, alter, impmve, demolish, or repair any strucNre, pnor to its
issuance, also requires the applicant for such permit to file a signed statement
Ihat he or she is licensetl pursuant to the provisions o! the Contractors
License Law (Chapler 9(commencing with Section 7000) ot Division 3 of the
Business antl Professions Code) or that he or she is exempt therefrom and
[he basis for Ihe allege0 exemptioa Any violation of Section 7031.5 by any
applican[ for a permit subjects the applicant to a civil penal�y of not more �han
Me huntlretl dollars ($500).):
❑ I, as owner of the property, or my employees with wages as �heir sole
compensation, WILL DO THE WORK, and the stmcture is not intended or
oHered for sale (Sec. 7044, Business and Professions Cotle: The Contractors
License Law does not apply to an owner of property who builds or improves
thereon, and who does such work himself or herselt or through his or her ovm
employees, provided that such improvements are not intentled or oftered for
sale. If, however, the building or improvement is sold within one year of
completion, the ownervbuilder will have the burden of pmving that he or she
did not build or improve for purpose of sale.).
❑ I, as ovmer o( the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS lo cons[ruct the projecl (Sec. 7044, Business and
Professions Code: The wntractors License Law dces not apply to an ovmer of
property who builds or improves thereon, and v.ho cont2cts for such project with
a conlracta(s) license pursuant to the Contractors License Laws.).
❑ I am exempt under sec.
Business and Professions Code tor this reason:
aos��<ciaroi
Ovmer ID verifed by tlriver s license. t� Yes �❑ No
Driver's License No. Exp�res:
Verification of Ovmership by (rype of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation Me (5) or more feet in depth into which a
person is required Io descend, will be made in connection wi�h work authorized
by lhis pertnil, and Ihat n0 building slrucNre, scaffdding, talsework, a demolition
or dismantling thereol, will be more than thirty-six (36) fee[ high. (Chap. 32, Grp
2. M 2, Sec. 341, Ttle 8, Califomia Atlministra[ive Code).
❑ As owner-builder, I will not employ anyone to tlo work which vroultl
require a permit from the Division of Industrial Safety, as noted above, unless
such person has a permit to do such vrork from lhe division.
AppliCam's SignaWre
Division o! Intlustrial Safely Permit Number _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or presenl or fuWre building occupant neetl to file and
certify a Business Plan for emergency response to release or Ihreatenetl
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of Ihe Califomia Health and Safety Cotle requires. vnth some
exceptions, that a Business Plan be fled with the Costa Mesa Fire
Department by every business which has ai any one time during a reportetl
year a quantity of hazardous materials equal to or greater than a vreight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl gas
at standard temperaWre and pressure).
2. Does or will the applicant or present or fuWre building occupant need to (le
a registration form !or awtely hazardous materials? ❑ Yes ❑ No
(Section 25533 0! the Cali(omia Health antl Safety Cotle, with some
exceptions, requi�es registration wi[h the Costa Mesa Fire Departmenl by
each business which al any one time has on hand a quantily of awtely
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 slandard
temperaNre and pressure).
3. Does or will the applicant or present or fWure building occupam need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous matenals)? ❑ Yes ❑ No
(Section 25534 of the Califomia Health and Safety Code pmvides that the
Costa Mesa Fire Department may require the preparation, certification and
fling with Ihe Fire Departmen[ of an RMPP by businesses which are requiretl
to register acutely hazardous matenals with [he Fire Department.
4. If an RMPP is presently required, has Section 25534 of the Calilornia
Health and Safety Code been fully complied with? ❑ Yes ❑ No
5. Does or will Ihe applicant or presenl or future building occupanl require for
the work which is the su6ject of Ihis applica[ion a permi[ for such constmclion
or modi�cation trom Ne South Coasl Air �ualiry Management District or from
any other air pollution contml district or agency? ❑ Ves ❑ No
(Sectbn 658502 of the Califomia Govemment Cade requires that the requested
infortnation be fumished on applications fa rwn-residential building permits).
6. Will any part of the faciliry ro be constmcted untler this permit be within
t0001eet from the outer boundaries of a school? ❑ Yes ❑ No
(I( "yes", the facility must mee[ the requiremen[ of Sections 25534 and 42303
of the Califomia Health antl Safety Cotle).
7. If a permit from the South Coast Air �ualiry Management District or other
air polWtion control district or agency is required for the vrork which is the
subject of this applicatioq have all o( the disclosures prescribed by Califomia
Health and Sa(ely Code Section 42303 been made? ❑ Yes ❑ No
8. (If'yes", attach certifcate o! compliance from the appropriate air polWtion
control oRicer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
information given above is correcl I agree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
SignaWre �ate
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I
certify under penalty of perjury lhat I have reatl [his application ana state Ihat
the information given is wrrecl I agree to wmply with all state laws antl city
ordinances relating to builtling construction, and authorize representatives of
the City of Costa Mesa to enter upon the above-descrihed property for
inspection purposes. I agree not to occupy or allow occupancy of any builtling
aWhorized by this permit until final inspection.
n ureofLeBalOwn s) te
/.� l!�
ey,�anPai�w�� a e
Projec� Namc:
, ,
Climatc Zunc k
��
CF-1 R-A L'
(Pa�e ] of'c
I H uf Slorics
%
:ic ue Sw•tacc
A B
fag/ Assembly
Rm
C
Material
rtinned of Moss Wadls sec Rurring Svips Constructinn 7'able beloe�.
D !i � �F C H ..I.' '� J -�-
Standurd Values From JA4 Table
Thiclmess, Frumed Continuous 1A4 Yroposed
Spacing, U- JA47'able Caviry Insulation Assembly Assembly
or Othe� factor' Numbers R-value� R-Value� Cell Valuee U-factor°
Jnsvlalion R-value, see Page JA4-3 nnd Equaiion 4-l. For cafadoiingfinred wa(!s use �he Mass nnd
l. For 7'og/ID indicate Ihe iden�ifica(iwi name lhal mmches Ihe building plans.
?. Indico�e ihe Assemblr Nome ar type: Rooj/Ceiling, Wa/ls, Floors, Slabs, Crawl Space, Doors and etc...lndicaie the Frmne rype and Size: For
IVood, Metal. Mem! Buildings, Mass, emer 2xS, 2x6, or etc... see JA4 far o�her possiAle fr•ame ry��e assemblies.
3. Emer �/�e ihic%iess (or mass in inchcc or Spacing benveen 7raming members enrer; 16'br 24 "OC,- or Otherfa� all o0ier assembly descrip�ian
ruclr as Cnncrere Sondwich Panel, Spandrel Panel, Logs, Sn�aw Bale Panel and etc.... .
4. Based on dre C(in�ate Zorte; enrer �he Standard U facior jronr T'abJe 151-B, C ar D jor� each d�erent assemLl�� Name or type.
5. Enter thr Table number �ha� closelv resembles the yropased assem6h�.
6. Enrer the R-value 11ra� r�� Geimg ina�talled in 1he wall cavin+ or Genveeiv the j�anring; otherwise, en�er "0 ".
7. Emcr Ihe Continuous Inaidaiiov R-na(ue jor �he praposed assembl��; nthenvixe, emer "0".
d'. Lmer �he rn�� and calumn ojlhr U jacim� value based ou CoGwur F Table Nurnber und emer !he Assemhl�� U-facmr in Calumn J
). The Propnsr,Ad.r.semGip U fac�or, Co(a�mn J, nnu� 6e eqiml m or less thmr the,Standnrd U-Tacmr in Colunv� E �o camply.
Furrin � Strips Construction Table for Mass Walls Onh�
A B C U C i� C II I .I K L M
Ih�upused 1'ruperlies of Mnsonrp:nul Cuncre�c Added Inleriur or Lxlerior Insulaliun
N�:dle I�rum Reference in Rurring Sp��ec frum Iteferenee
Jnint A i �eudia'Pable 4.3.5, 4.3.G.4.3.7 duint A��endix'fablc 4.3.13
— `u
— �`c c �• u
V �.j y v° - V
� ` o FL A �,
�, u. o � u.
Asscmbh. " ° � � o U.. " _"v Final
L�o � G � a b'O C� q L'? ' _
Mass Namcm JA4'fablc �= u � � E E o 't � �� � � Assembly
Thickness l� c' Num6e� <�� c" � � ?� Q u N U-CactOi'�'� Commem
�
I I I I I
Regi.sirulinn Number: Regis'tration Da�e/Time: HERS Provider:
200b' Reside�vio! Comp(iunce Forma� �lugusl ?009
Certificate of Compliance:
I Project Name:
i
ROOPING PRODUCTS (COOL ROOFS) §l51(n12
iVlrca Nre nrea nf ec�errnr �nofsarjamin be replaced erceed.c iirore
less, tlic i+e�n ronfing aren mus� mee/ Uac rnofrug praduc� "Cao! Rar.
Climntc 7,one #
CF-IR-ALT
N of
SO% njUre eristixg roojaren, or �ieore ll+uu 1, D00 jr, rvhrc/zever rs
�nirenien(s oj§l52(b)/Hi, 152(b)IHii, or I52@)1Hiii.
Check applicnble nl�ernniive or c�ception below iJrhe rooJalterariar is exemprJi�om rhe roofing producr "Cool Roof" .er�uiremenrs. No�e: ljan��
one oj�he a/�erna�ives a� escepiion Gelmv is checked, the Aged Solm� ReJlec�oncc m�d Thennul Emit/nnce reyuirements,/or rnofing prnducra� in
m�e no� anulicuLle. Dn no� rll �aGle Lelow.
Roofs Not Required in Climate Zoncs I-I2, 14, and I( with a Low Sloped. Less or 2:12 pitch.
Roofs Not Required in Climate Zones I[hrough 9 and 16 with a Steep-Sloped Roots (pitch greater thnn 2:12) and product unil weight less
,Ilenmtives [o §I52(b)I Hi nnd §]52(b)Hii, Steep-slope ruoi' (pitch > 2:12) �
❑ Insulation with a[hennal resistance of at Icast 0.85 hrfl' °F/IItu or at Ieast � 3/4 inch airvspaee is added to the roof deck
ovcr an at4c; or
❑ Existing ducts in the attic are insulated and sealed aceording to § 151(Q 10; or
❑ In climare zones 10, 12 and 13, with I ft' of free ventilation area of attic ventilation for every l50 ft2 of a�tic floor area, and.
where at least 30 percent of the free ventilation azea is wi�hin 2 feet vertical distance of the roof ridge; or
❑ Building has at least It-30 ceiling insulation; or
❑ Building has radiant barrier in the attic meeting the mquirements of § I51(�2; or
❑ Building has no ducts in the attic; or
❑ In climate zones 10, i 1, t3 and 14, R-3 or greater roof deck insulation above venied atiic.
Excep[ion to §l52(b)1Hiii, Low-slope roof (pitelr �1:12)
❑ Building has no ducts in the attic. �
Other Gxceptions �
❑ RooSing area covered by 6uilding integrated; photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria.
�� � Roof constructions that have thertnal mass over the roof inembrane with at least 25 Ib/ft' is exempt from the below Cool Roof criteria.
Note: Ifno CRRC-I label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise,
Check [he a licable box 6elow if Exem t from the Roofin Products "Cool RooP' Re uirement:
Roof Slope Product Weight Product Aged Solar Thermal
CRRC Produci ID Number� < 2:12 > 2:12 < 516/ft� > 516/flZ T e� Retlectanee3'4 Emittance SRI
❑ ❑ ❑ d ❑^
�Q�
���
���
���
�_�
�_�
�_�
�-�
Tl�c C/iRC !'rnduc� ID NumLer cnn Le abmined fi�anr 1he Cool Roof2aling Council's lin�ed I'roduc! Uirecinq� n� wwiv,coofrnnLe.org/prodimie/svnrclt i�
lndicale Ihe IJ�pr. nfproducl ix 6eing useA(nr lhe roof lop, i.e. single-plr rouf asphnl! rnof, mem( roof, etc.
/flhc Aged ReQec�nnce is no� nvnilaLle in.U�e Coa( RoojXating Cmmci/'.e Rared Prroducr Direc�ory �6en use dm Iniria( ReJlec�ance vnluefi�om !he snme
diretmp� nnd use Ihe etpialim� (O.P+OJ((lp�iiial— ��1I i� �Main n rnfculured aged voluc. Where p i,v Ihe Inilin( Solnr IteJlecmnce.
C7�eck Gaa' if'U�r. �Iged Itefieclance is n calculaled inlue using Ihe eynnlion abnve.
Cnlcula�e dic SR/ vo6�c 6�� ��sing tlir Sli/- Warkshcei n/ hund/�o�mv enerim cu enn//ifle24/und erller Ihe resulling vnL�e in tl�c SRl CnLuror nhnve nnd nttach nropy
Ihe SHI- IVnrkaheel in �he CF-!(i.
i apply Liquid Rield Applied Cun�ings, �he coating must be applied ncross the entire roof surface and meet thc dry mil thickness or coveragc
�ommended by tlic coatings manufacturer and mee� minimum performance requiremcn�s listed in §I 18(i)4. Select the applicable coating:
Aluminum-Pigment�d Asphalt Roof Coating
Cement-Based Itoof Coating
Other
RegisU'ulinn Number: Registralio�r Dale/fime: HE2SProvider:
2008 Residentiu! Compliance Fonns �
August 2009
keratirm.c
Yrujncl Nnmr.
of Cumnli.+nce: 12esidential
Climate'Lunc tY
cr-i
t; 01'
� o(
ft�RS �'�RIP'1CATlOf� SUMMARY The enjorcemem ngencr shmdd ynr spcciul unemio�i in lhe HERS Nleus�ves e'peci)ied in diie
cheddisi LelnH�. il coury(e�edandsigned CF-4R F�rnr for o// �he mena�ure.r e7�eciJiedshnll be su6miuecf tn ii�e building inspec�or belorr Iinnl
1)uCt .Soalilld 6: 7�e5tine HE2$ reri/icnlion is required /a' Ihis mciu�urc.
❑ 1'lS ❑ NO YGS�. In Climate Zemes ° and 9-I G, ii' morc than 4U linear fee� oi'new ur repiucemem ducts .u�e inst�illed in unconditioncd
spnce, the ducts ure to be sealed per � 152(b)1Dii �nd the newly instulled ducts nrc io be insulated pei §I51(f110.
❑ lXCCI'Tlp�: Lzisting duc[ systems tl�ol ure exieuded; �vhich :u�e cuustructed, insulated m� ve:�led witli nsbestos.
❑ YES ❑ NO 1'L5: ]n Climaie 2ones 2 and 9-] G, if 8ie existing space-conditioning srsiem (HVAC equipment and duciingj is repleced, the
ducts am to be sealed per �152(b)1Di.
❑ 1'�5 ❑ NO 7'L'S: ln Climate Zones 2 und 9-16, if tiie existing HVAC eyuipmeni is repluccd (including the replacemem of the uir hundle�;
outdoor condensing unii uf n split system, cooling or he�ting wil, or lhe furnuce Leai exchanger) the ducts are to be
sealed per §]S2(b)IE. �
❑ EXC�PTIOR: Uuci systems thnt nre ducumented tu hzrve Leen previuusly sealed cunfirmeA through HCP.S
�� verificatimi iu uccurdance with prucedures in the Reference ]tesidential Appendix HA3.
� � ��XCLPT101@:�Uuct svslems with less fhmi 4U linear feet in unconditiuned space.� . .
❑ EtiCLPT]UN: Gxisting duct svstems constructed, insulated m� sealed with f�sbestos.
12�f�1'1�EYeIIY Ch�l'tC - SJ��It SYstem HERS verification is� reguired,for this mea.sw'c.
❑ YES ❑ NO YES: ln Climate Zones 2 and 5-15, when fne existing HVAC equipment is replaced (including the replacement of the air
handler, outdoor condensino unit of a split system A/C or heat pmnp, cooling or heating coil; or the fumace heat
exchaneerl a refrieerant cliaree measuremeni shall be verified ner F152(b)JF.
Centrul Fan Inte�rated (CFI) Ventilation System and Fan Vl'att Draw
The ventilation reauirements oT 6] 50(0l do not anoh� m existine residential homes.
DucYed Split S,ystems - Air Condiiioners and Heat Pumps: Airilow HERS i�erifcorion is reguirecljor this meas�are.
❑ Y�S ❑ NO ]'ES: ln Climace Zones 1 D through 15, when the existino space-conditioning system (HVAC equinment and ductin�) is
reolaced. �he airfloW and ian watt draw� shall be verified per � 152(hp Ci ro meet the requirements of & i 51(f17B.
Documentation Author's Declaration Statemeni �
I certif�� that this Certifcate of Comuliance documentation is accurate
Name: -
5?i�l a o �'� JG�%2 Z ..:. ;
Compan)'..�y� n ,/f _ � �� O
-✓ ri- ( I.ZT�
Address: � � 7 �-�-I't� � s
City/State/Zip: „ n n /
l
-13 -/ O
❑ CEA or i7 CEPE
H):
--737
I'Lespunsible Ruil�lind Designer's Decl:u�atiun St.nement
� 1 am eligiblr. uncler Division 3 of the Culifornia Business and Professions Code tu accepi responsibiliq� for the buildiog design identified on
ihis Cenificate of Compli�nce.
• ] certif�• thal Ihe eneroy featw�es �nd performanec speci5catiom; 1or lhe buildin� desigu identiLed on liiia Certifieartu tiT Compliance confonn
tu thc rcquircincnts of Tillc 24, P�ms 1.md 6 of the Culil'orni�i Code of Regidations.
•'!'he buildiug design features idcmiGed on this Ceriificate oYCompliance aire consis�ent with the inii�rmatiun prnvided «� documem thiti
buildiu� clesign on th� other applicnble compliance tunns, worlshec�s, culculations, plan:; uud specifica�ions su6n�iitted tu A�c enlorcement
aeencv Im� aonroeal wilh this 6uildin�� uenni� aunlication.
Name:
Golnpnnl':
Addi ess:
Ci�w'StatdZip:
Signaturc:
Phone�.
Tnr a,s.si.ctancc rn� guestir�us reg�n�ding the E�ierg�' Smndm�d.s, cnmacl t6c Bnerbr I-lotli�ve «t: /-R00-i72-3300.
1(egia'vrntion lJuniber: /(egi.nrnGmi Daie/I'imc: HERS l ro��icier:
200E Rcsidentia! Compliancc Fnrnrs
Auguav 300J
Pfl0.1ELTADDPESS: 2zS7 COLGATE DR
.owNcesxarne: gILDERBACK, RUTH C
I ROOflESS: zzS% COLGATE DR
COSTA MESA,CA
� 714) 696-5793
FNCH/ENGINFEfl:
ADOPESS:
14 a °N�T:
92626
HEG.NO.:
uxit:
PEHMITiEE: NOCK PLUMBING (719)895-1246I
aooaess: 11610 SEABOARD CIR
STANTON CA 90680
UCENSEU LONTNACTOB OECIABATION: I �ere0y af�irm ��at I am Iicen5e0 unGer Omvisions oi Ctupter 9(commentinA w��h $ection
7000� of Drv�son 3 0l Ihe Business and Pmfessions Coae. and my license is in tull force antl efleci.
ci uc.: 0386 STRTEIIC.:SSS9%1/j cuss:
ate: � Sipnamre: �� ����+•
KEB ' COMPE SAtION OECIAflPTION: I hereby afli ai I have a cenihc o sell-insure or a cenificate of warkers'
Compensation Insurance. or a certdiea coDY �nereol (Section 3800, Lab. C).
roucrNo.: 1167992-99 E%P.OPTE: O3IOS�9S
comvaxv: STATE
CenilieU co y is hereby lumishetl. [� Cenifietl covY is ' witn ihe city -' g Division. �
ai ADPlican�'.
MPTION FROM WOHflENS' COMPENSATION OECLAflATION: (This seaion nee0 not �e campleleA if Ihe permil is lor ane hunOrea (5100) ar less).
I ceriify �hal in I�e perbrman[e Oi t�e work �or whicA this pefmi� is issuetl, I Shall no� empl0y any persOn in any mannef 5o aSlo becOme
sub�ecl to Ine woMers' Comoensation Laws ol California.
Daie: Siqna�ure:
NO710E:11. aiter making i�is tleclaration. you s�oultl become suGlect m the Workers' Campenuiion provisions att�e LaEor
Cotle. you musl lonhwith comvly wit� sucn Orovisions or this Dermit shall be eeemea revoked. -
� LONSTNUCTION LEN�ING RCENCY: I hereby aifirm �hal there is a consimction IenOinp aAency for ihe pedormance of t�e work br
which t�is Dermi� is issueA �Sectian 3097. Civ. C�. . '
LENOEN:
FOOHESS:
OWNEfl BWIUEB OECIAflATION: I hereby allirm IAa1 I am exem0� ��om Ihe Contrac�ars' State License Law �or �he followinp reason
�Section 7031.5 Business an0 Profes9onal Cotle: Any city ol county which requires a permit ta wnslNCC aller, improve. Eemolish, or
r¢pair any slmctWe. ptior to ils issuance. also requires Ihe aDPlicant for such perrttit ta file a signed statement that h¢/she is IicenSeE
pursuam to t�e pmvisions ol I�e Comracmrs' Slaie license Law �C�aO�er 9(commendng wii� Section 7000) ol 0ivision 3 of IAe Business
ana Pmtessians CACe) or inal ne/she is exempt inerefmm ane tne basis for the allepetl exemptian. Any vioWtion af Sedion 7031.5 Dy
any aDPlicanl �or a permii su�lecls ��e applicanl Ia a civil penal�y OI noi mo(e ��an live hunCreG dallaR (5500).
I. as owner o� Ihe pmDetly or my employees vn�� wages as their sole compen5aiion, will Oo lhe wark, and t�e
❑ s�mcwre is not intenUeA o� olleretl for sale (Sec�ian 7044, Business and Pmfessional Cotle: The Contractors' State License Law
does nol apply la an owner af a pro0eny wM Ouilds ar imprOves thereon, an0 who tloes suc� wOrk himsell/Aerself ar I�roug�
�is or Aer own employees. pmvitleC ihai suc� imD�ovemems are not intenae0 or oHereO lor sale. 11, �owever the huil0inq or
impmvemem is so10 vnt�in one year of completion. t�e owner vnll �ave ihe hur0en ol Orovinp hels�e Gitl not bui10 or im0�m'e
for ine purpose of sale),
I, as owner ol Ihe pmper�y, am exclu5ively contracling with licensed contrac�ors �o con5imcl the pmject ($ection 70E4, Busine55
❑ anaPmfessionsCoOe: TheContractors'StaleLicenseLawaoesnotaDDlytoanowneroiD�opertywhobwltlsorlm0�ovesthereon
anA who conVac�s lo� suc� pmjec�5 wiih a coniractor�s�license pursuani �o Ihe Contractors' Stale License Law�.l am aware
that pwo� ol ��eit Worker'S Compen5aiion insurance should be pmvided lo me.
� I am exemp� un0er Sedion: B. 8 P. C.
br tnis reason:
Oa�e: Ownec
10o nereby cenAy ina� I am aware oi and unaersiana Ne requiremenis ol Calitomia Heat�h and Satery Code Sections 25505, 25593, ane
25594 anelhal lor anyluiur¢ �uilding oauDanlwilUwillnot(tirCle one) neetlto comply vn�h said S�a�e totle5 antl Ihe requir¢men�5fofa
permii for conslmclion or modtlication imm t�e Air Ouab�Y Management DiSVic�. flesitlential con9mction apDlications are exempl Imm
Ihese pmvisions,
�ale: ApPlican�:
I �ereUy t¢Nly Ihal I have reatl I�is appliCaliOn ana Slale �Aat ihe aEove intormation i5 Correti. I agree Io tOmON `M�� all tiiy an0 muniy
ortlinancesanaslalelawsrelaling�oDuildingcWstrutli0nantl auitqnzer senldliveso�th6ciry�oenlerupOniheaEOve�menliIXlM
pm erly br insp clion rposes. �
le: SignaWr � /
.�. r's laense o� sociat Seari�y .:
I6a1-a6 Wmie—BuilEmg: Green—CoOe Enlor<emenC Canary—Applicam; Pink—Revenue; GolEenroE—Asseaaor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO; P 066697 PLAN CHECK NO: N
CONSTROCTION TYPE: V—N PERMIT TYPE: PLU
JOB DESCRIPTION : INSTALL WATER HEATER
PERM NO: P 06669
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: NO OTHER WORK AUTHORI2ED BY THIS PERMIT
*�*+�+�*rtx�*�***�*+�*x�*�r�r*��+t�x��r**x�x��rx��r**�r***�rx�r****�r****+r*x�****+�+�-xfr**�r�t*�t�t*x�*�r***�t
2 O N I N G R E Q U T A E M E N T S
S E T B A C K S
--------- MAIN BUILDING ---------- -----= -- ACCESSORY BUILDING ---------
FRNT; FT IN REAR• FT IN ERNT: FT IN REAR; FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV; PARCEL: 41908206 ZNE: REF NO:
PLANNING N6'I'ES> .
i
x�*�r�r*�*��+�*+�+r�*�**x�rx*�*�r*�r�r�***�x*�x**�+r*���r*�**�r�r*x�rx�*****+�*�r�r«�r**+rx��r�***�**
D E V E L O P M E N T S E R V I C E S' R E Q U I R E M E N T S
ZONING APPROVED BY ' DATE:
BUILDING APPROVED BY ; DATE:
APPLICATION ISSUED BY: DATE: �F�;�
*x*�*****rt****x��***«��� x�+t**�r**�* �*
iEiFiEiFiFiEiFif3ElElEiEiFiEif3EiEiEifiElPifiFiFifiFifiFiFiFiEiFiEiElflElE1fI41FifiEiFiEiEiEifiEltiflFiFiEifiEiEifiE�ElEifiF7fififiEiElElEifififiE ifiEifiEiE
LEGALIZATION:N F E E S U M M A R�Y STRUCTURAL SEGMENT:N
PERMIT BLDG PMT PLUM�Ioo ELECTRIC MECHANIC FIRE SMIP/RES GRADING
252 SMIP/NON-RES
PLAN
ISSUE FEE 20.00
BUILDING-DIV-> PERMIT ISSUE PLAN-CAECK TOTAL PAID DUE
TOTALS----> 7.00 20.00 0.00 27.00 27.00 ' ,.00
REVENUE DIVISION TOTALS--> COLLECTED: 27.00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
2%,0�
1E M 4 iE 1f M iF 7E 1E 1E 1E 1E 1E 1ElE 1E iE 1E 1t 1t 1! 1!!! iE it 1f 1E 1E iF 1E 1F 7f if if iE 1t 1t 1f 7t iE iE if if 1f iElE iE iE if if iE M if iE it fE if i! 4 if if 1f if it k iE 1E if 41f iE if it iE 1F fF iF iE 1F
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
"{
PLU t 1 WATER HEATER AND/(�R VENT 7,00 7.00
;a �$ND OF FEES
EXPIRED
. �hCprnRlete lnspections
�t�����.��-
! �
O1 OD1`8491-0�1�3591 T C�T 27.00
GATE= 04/06/9F iIHE: 09�12
''�CON��RUCTION AND PLANNING P� �' `
APPROVAIS Permit # �ate inspector APPflOVAlS Permit .r Date Inspecror
1. Temporary Electrical Service or Pote 52. Poo1 & Equ;pment Locat�on
2. Soil Pipe�Undrgmd. 53. Steel Reinforcemr.nt
� 3.zEtectrical Condvit'fJtility-Undrgrnd. ' 54. Forms
. L: Electrical Conduit-Undrgrnd. ' 55. Electrical Bond�ng
� 5. Steel fieinforcement - 56. Rough Plumb�ng & Pressure Test
��_ElectriFal UFEfi i'irnd. 57. APPROVAI TO COVER GUNITE � I
---i--�
7. Footings - 58. Electncal Cond�rt Undrgrnd.
, 8.'-Foundation � 59. Gas Pipe, C Unu�grncl., Test ,�
� I
9. 4Vater Pipe-Undrgrnd. 60. Bacicv+ash L�nes. P�Trap, .� Ur.drgrnd. i
70. Structural Floor SYstem 67. APPROVAL l0 DECK
17. PropertY Sewer Line & House Connection 62. Backwash & Recepmr�Final
12. Sewer Cap ' 63. Heater & Vent�Final
13. Roof Drains 6a. Plumbing System � Pinai
14. ftough Plumbing ' 65. Electrical-Final
15. Rouyh Electrical�Condurt 66. Solar System-Finai
16. Rough Electric�Wiring 67. fencing & Access AnP�ovai
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electricel-T Bar Ceiling 69. POOUSPA SYSTEf�.15 FINAL
79. Rough Heating & A�r Condihomng FIRE DEPT. REQUIREMENT
20.,Rough Fyctory Fiieplace �X ; -_ • .APPRQVAL3� � �'Permit #
�. - , -
27.�DuctS, in.Structufe, �" . ' ' � Y ' �7�'' � �
.. � � � �0. Ur.derg�ouc.d� Nvclro
22. DuGia, �'entilavnp ` � ' 77. Product-Pip:hg ?uas COii
r
23. Gas Pipe�Rough & Tes[ , y � 72. Underground Fiush� �
� ..
24. Roof Framing� ' �- � •� - 73. Underymd. Smrage Tank �.".. Gas C 0��
25. Roo� 5heathing � � ' ' , � 74,-.p�¢rhead Hvhro - I
26.�T-Bar Geiling (Struuurall & Monocoat x� a ' r�- 75.-Dry Chemicat -- .
27. Freme and Flashing _ -_ . 76. Dry Standpipe '
.28. Lath+n9-$ Siding -' . ', r - � .. + . ~ . . .
. 77. FIXED SYSfEM'FIGAL
29. Insulatiop ` � ' ' " � ' . 78.,�IRE PREV. FINqt^ � .-
30. Drywa�l Nailing -� � • i �• •HEALTN OEPT. REQUlREMENT ''
37. Plaster Brown�CoaZ� �, ' ' 79.• FINAL INSPEC'fIQN �
32._Electricaf Power M�terFinal � � � �.• 80. �OOD CERl4FICATE ISSUED
_33.;�inai E�ectric: � �r � ' ` � ' 'Notes: .
=34. Fin�r Hegting$ Air,Conditioning x �' ; ' � ,_2� � �
� `� 1_1C�=��s���hoz�.o
35. Finai Gas'Pipe-Test - _ � " ' ' -� -
36. Noocj 0� C3nopy � r ,. � i� f >
• n
37. Final Factory Fire�l2cr "`�-'� � f" •
38. Final•.Plumbing ' � ` �� -
39. Water Service�Final � . �- '
40. Gas Service-Final . , - _ . ' ' - „ '
�q7. Solar pomesticPinal :_ � � .. �. � � - .
n �+ � o �
"42. Backflaw Preventer; ' " . , , . �
43. Backfl0w Irrigation � . - ` � '" ' � .�
�
44. landscape Irr.igation System Y . ,; _ - - . . .
.A5.'Sound Attenuation� � � � _ - • • - _ '
-A6. Handicap,RequlatiorSs . �� �� ��� , ,r -� -, '
47. �FINAL STRUCTURE & BUILDING • � � ' ^� � M
48. FINAL PLANNING.; ., . r.
49..Electiic Release to Edison • , � • .
.,
50. Gas Re�ease to Southem Califor�ia Gas Co . �. -,• ' ".
51. CERTIFICATE OF OCCUPANCY �
No. Date
October 25, 1994
.;ITY OF COSTA ME�i
CqLIFORNIA 92fi2&1200 PA. BO% 7T00
DEVELOPMENT SERYICES DEPARTMEM
Dear Costa Mesa Property Owner:
In reviewing past permits, we find that work has been done on your
property located at 2257 Colaate Drive, Permit No. P66697. for a
Water Heater. The permit is valid for 180 days from issuance or
- your last inspection, per Section 303 (d) of the 1991 Uniform
Building Code. Should we not hear from you within 10 days, your
permit will expire as stated herein and additional fees will be
required to finalize the permit.
To activate the above permit, please follow these steps:
1. Telephone (714) 754-5626 or 754-5627.
2. Request an inspection; state address, permit number, and type
of inspection.
3. Be sure to have working smoke detector's as required per
Section 1210(a) of the 1991 Uniform Building Code.
4. Have an adult present at the property at the time of
inspection to provide us access.
Should you have any questions regarding this process, please
contact me at (714) 754-5273.
Thank you for your cooperation.
Since ely,
���� yI-.�(��
da Hua ������ V
Y an paya
Permit Processing Specialist
77 FAIR DRIVE
Builtling Division (714) 754-5273 • CoOe EnfOrCemenl (716) 75a�5623 • Vlanning Drvision (71a) )5a.52a5
FAx pta) 55675pe • TDD (71a) 75a-524a
IV
OWNER 7CFTRY1Tt Nf1M1'S� �(,` DATE /�_7(�_KR _
JOB ADDRESS �2K7 ��lg�tp�lVe ' BUILDING PERMIT NO. 7�2�
GGNERALCONTRACTOR K_ l.f_ Knll Cnnc+r_ Cn_ VALUE$ �9_pon_(7n
AP. No.
ZONE
GROUP T e. ♦ TYPE tI ZONE AI, PLAN NO.
INSPECTIONS I DATE I gU6CONTRACTOR I DATE NUMBER
Final
�
'7�29
COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31�
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
ADDREI55 �59 Colgate DT�
COSTA MESA. CALIFORNIA
OWNER
MAIL
ADDRE55
TEL.
CITY t BegCh /�A� NO.
�_��
K W%oll Conat Co No:
ADDRE55
� " __ �_ _ . CITY LIC.
IEWL LOT
DESCRIGTION NO. �
A.P. NO.
S��E 63 x loo
OF LOT
SETBACI( LINE FNOM
CENTER OG STFEET
•, ��d��.��_ _ ,_ ,
�-a�-s"� � "—
�Ir!".hCE DEPT.
., .,� '-c�:�
•, �
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
BUILDING
ADDRE55
COSTA MESA. CALIFORNIA
FIRE
ZONE
TEL. A
. �o. 660 a
TRACT y
rvo.or e�ocs.
NOW ON LOT DOIIB
SIOE YARD RIGHT b LEFT ()
DESCRIPTION OF WORK
NEW � ALTERATION II qDDIT10N
REPAIR � MOVIN�Gi DEMOLISH
BUILDING 1�n['�c^. . �1.0 NO.OF
ci>c (!�w //l �ROOMS L STORIES
Plan
onrE
CORRECTIONS
���2- � ' �
I HEREBV �CNNOWLE�GE TN�T 1 N1VE RE.�O TRIS �PPl1UT10N �ND �
STATE TH1T THE r�BOVE IS CORRECT ANO �GREE TO COMVLV WITH ALL /
CITY OROIN�NCES AND ST�TE 1�W5 XEGUL.�TING BUILDING CONSTflUC�
T�o�. Y VALUATION
SIGNATURE OF n��OA HOIDBS� IIIC• PERMiT FEE S
PERMITTEE
$ /� � �� PLAN CHECK S
AUTHORIZED AGENT /�J � TOTAL FEE $
30 —
/SJ -
GL � i `��