HomeMy WebLinkAbout3185 COLLEGE AVE - Building PermitsO p
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� CITY OF COSTA MESA �
BUILDING DIVISION
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.cos[a-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER: P10-00010
PERMITTYPE PLUM STATUS:
APN: 41814518 DATEISSUED:
ISSUED BY:
JOB ADDRESS: 3185-GOL-L-EGE-AV-C.�M� Suite/Unit:
Vicinity: � '—""'.
SCOPE OF WORK: WATER HEqTER CHANGE OUT. STORAGE TANK WATER HEATER.
OWNER: KOPKE, MARIE C TR � Address:
PHONE: . , . City/State/Zip:
APPLICANT: BLOCK, ROBERT . ` , Address:
PHONE: - - . " ' � City/Stale/zZip:
CONTRACTOR: ALL STAR WATER HEATERS INC
Address: 30300 PUERTO VALLERTA -
PHONE: 800-727-0977 � . - � � -
City/State: MENIFEE, CA � ZipCode:.92584
ARCHITECT: � - � � License No.
ENGINEER: ' � License No.
ISSUED
0112 012 0 1 0
KJB
3185 COLLEGE AVE
COSTA MESA, CA
License No. 812894
CELL:
PLUMBING PERMIT FEE SUMMARY
PLAN CHECK FEE: $0.00
PERMIT FEE: $35.80
TOTAL FEES: $35.80
PHONE:
PHONE:
NOTICE: The work authorized by thig pyrmit shall comply with all applicable handicap access requirements under Califomia 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.
COOER. INSiECT10NTYPE DATE INTIPr1L5 COOEp INSPECiIONTYPE DRTE INTITIRLS
1618 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing X�"1 _Il l%�
200 Final Re-Roof 210 Final Electncal
201 Final BIocWRetaining W all 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Appmval
203 FinalSign 222 FinalSite
204 Final Demolition 250 Final Building/OwuDancy ._
WORKERS' COMPENSATION DECLARATION: �
I hereby aKrm under penalty of perjury one of ihe (ollowing declarations:
❑ I have and will maintain a certificate o! consent to self-Insure for workers'
compensation, as providetl (or by section 3700 of the Labor Code, for the
p rform nce of Ihe vrork for which this permit is issued.
I have and will maintain vrorkers' compensation insurance, as required-by
ection 3700 of the Labor Code, for the peAormance of the work (or which this
pertni[ is issued. My vrorkers' compensation Insurance carrier and policy
number are:
[� arrierl. ���0�–� � /�S
�--�jTTserton neetlipf be romWeleO d(he peimR is value0 al me huntlred tldlars (5100) orless.)
. b i1'cy Number ���L,� (ZM i`�P� ��� ���
❑ I cehify ihat in Ihe performance of the work (or which ihis permit is
issued, I shall not employ any person in any manner so as to become subject
to the workers' compensation laws of Califomia, and agree that if I should
become subject b the workers' compensation provisions of Section 3700 of
�forihwith m I with these provis Ons.
�Ayprtf'Fnl^s i5 a— lure 1�- 6at
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE
IS UNLAWFUL AND SHALL SU&IECT 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, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrm that I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 0( Ihe Business and Professions Code, and
my license is in full force and eflect. / /
rt�# �'�� � �� -lasc„#_ v� `N
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� N�a �otsSignaNre—" PDate
CONSTRUCTION LENDING AGENCY:
❑ I hereby aKrtn thal there is a construction lending agency for the
peRortnance of the v.aM fa which this pertnit is issuetl. (Sec. 30W, Civil Code).
Lender's Name:
Lendeis Address:
Signawre Dale
OWNER-BUILDER DECLARATIONS:
I hereDy aKrm thal untler penalty of perjury lhat I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the followinq reason (Sec. 7031.5,
Business and Professions Cotle: Any ciry or counry which requires a permit lo
constmct, alter, improve, tlemolish, or repair any stmcture, prior to its
issuance, also requires the applicant for such permit to file a signed statement
[hat he or she is licensed pursuant to the provisions of the Conlractors
License Law (Chapter 9(commencing with Section 7000) o( 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 703L5 by any
applicant for a permit subjec[s the applicant to a civil penalry of not more ihan
fve hundred dollars ($500�.�:
❑ I, as owner of the property, or my employees with wages as their sole
compensation, WILL DO TME WORK, and ihe structure is not intended or
otfered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not appty to an owner of property who builds or improves
lhereon, and who does such work himself or herself or through his or her own
employees, provided that such improvements are nol intended or offered for
sale. If, however, the building or improvement is sold within one year of
completion, the ovmer-builder will have the burden of proving that he or she
did not builtl or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to construc[ the project (Sec. 7044, Business and
Professbns Code: The contractors License Law dces not apply to an ovmer of
property who builds or improves thereon, and who contracts tor such project with
a contractw(s) license pursuant to the Contractors License Lava.).
❑ I am exempt untler sec.
Business and Professions Code for Ihis reason:
SignaWre Date
0059-46�3I0])
� �
Owner ID veri0ed by driver's license. ❑ Yes ❑ No
Driver's License No. Expires:
Veri(ication of Ownership by (rype of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certAy Ihat no excava[ion five (5) or more fee[ in depth into which a
person is required to descend, will be made in connection with work authonzed
by this pertnil, and that no building stmcture, scaffdding, falsev,nrk, or demolition
or dismantling thereo(, will be more ihan thirty-six (36) feet high. (Chap. 32, Grp
2, Art 2, Sec. 341, Ttle 8, Califomia Atlminist2[ive Code).
❑ As ovmeo-builder, I will not employ anyone to do work which woultl
require a permit (rom the Division of Industrial Safety, as noted above, unless
such person has a permit to do such work (rom the division.
ApPhranfs SignaWre Da�e
Division of.lndustrial Safe[y Permit Number.
HAZARDOUS MATERIALS ANO EMISSIONS CERTIFICATION:
1. Will the applicant or present or fuWre building occupant need to (le and
certify a Business Plan for emergency response to release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the Cali(ornia Health and Safety Code requires, with some
exceptions, that a Business Plan be filed wi[h the Costa Mesa Fire
Deparimenl by every business which has at any one time during a reported
year a quantity o( hazartlous materials equal to or grea[er than a weigh[ of
500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard [emperature and pressure).
2. Does or will the applicant or present or (uWre builtling ocwpant need to fle
a registra[ion form for acutety hazartlous materiats? ❑ Yes ❑ No
(Section 25533 0( Ihe Cali(omia Heal[h antl Safety Code, with some
exceptions, requires regisiralion with �he Costa Mesa Fire Department by
each business which at any one time has on hantl a quanti[y of acutely
hazardous materials equal to or greater than a weight o( 500 pounds, or a
volume of 55 gallons, or 200 cubic feel o( compressed gas at standard
temperaWre antl pressure).
3. Does or will the applicant or presen[ or fu[ure buildinq occupant neetl [o
prepare an RMPP (Risk Management and Prevenlion Pmgram for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of Ihe Cali(omia Health and Safery Cotle provides that [he
Costa Mesa Fire Department may require the preparation, certifcation and
filing wilh Ihe Fire Depariment of an RMPP by businesses which are requiretl
ro register acutely hazardous matenals with the Fire Department.
4. I( an RMPP is presently required, has Section 25534 of the Califomia
Health and Safely Code been fully complied wi[h? ❑ Yes ❑ No
5. Does or will !he applicanl or present or fulure building occupant require for
the work which is the subject of this application a permit for such conshuction
or motlifica[ion from ihe South Coast Air Quali[y Management Districl or trom
any other air pollution control dislricl or agency? ❑ Ves ❑ No
(Section 658502 of the Cali(omia Govemment Code requires that the requestetl
in(ortnation be fumished on applica�ions fa noo-residential building permits).
6. Will any part of the (aciliry to be constructed under this permit be within
1000 fee[ from the outer boundaries of a school? ❑ Yes ❑ No
Qf "yes", the facility must mee[ the requirement o! Sections 25534 and 42303
of the California Healih and Safery Code).
7. If a permit from the South Coast Air �uality Management District or other
air pollution control districl or agency is required for the work which is the
subject of this applicatioq have all of ihe discbsures prescribed by California
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. Qf'yes", attach certificate of compliance Gom the appropriate air pollution
control oKcer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury lhe
information given above is correct I agree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
SignaWre
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalry of perjury that I have read this applica[ion antl state tha[
the information given is correcL I agree to comply with all state laws and city
ordinances relating to building construction, antl authorize representatives of
the Ciry of Costa Mesa to enter upon the above-described pmperty for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by �his permit until final inspection.
�al Owner�s� I p le
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�yyAnd/p[AulM1orize4Applican�� \� afe'
�fY
N:�me:
Cencrnl Infurm:ilion
Si�c Address: � I�G P �
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Building Type S�inglc Faniily D Multi
Conditioned Floor Aroa (CPA):
Residcntial
Agency:
r� v � U V V I
' CI�-1R-AI
(�'a�e l oS
�c N /� I t7 uf� �turie�
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Unlc: i �.,..� l�.r
Circ)e the Froni Orientation: 1�, E, S, U�, or degrees
Yroject Type: ❑ Alterations � Envelope � Fene:
Renlare.ment or Chanee Out ❑ Duct Reolacemen
AC
N07'E: 7his Jimu i.v nnr ro Le user! /nr Nerv(r Cnu.siructerf Uuildings nr Addiiinns
lnavdrttion Vnlues Pm� Opnquc tiur/nces (far Fiirring u.ce !he Mass m�d Furring S�rip.r Corisn�uctimi �abl<a be(t�w1
Assembl�� Alterntiun
❑ Opening of (rnmed c��ritp alone- Aherarions dmr involve �he opening oj�he fi�mned cmiq� ol�+ �+'pll, ceiling, orfloor musf ins�all !he
rnandamrr utmimmn insulu�ion oalue per �/SOfor 1he al�ered assembh�. Frll in Ca/umns A-C mrd eiVer mm�damri' iirsula�ian ✓ulue in Column H.
❑ keplucement of entire assemblp-Replacemeni ojan entire �vall, ceiling, m�Jloor assernLl�� re9uires the ins�allarion oJComponeni
lacknve- D insedmion va(urs in TaLle 15l -C. Fill in Coh�mns A- J.
Suri'nce llet�ils Rur e�c furred
Tag/ I Assembly Name I Material
ID or Tvoe and Size'
Noic: Fm _lurred aa�semblies, ncmuming fa�
tinned nf Mass N'alls see l�urrin� 5t
D E - �. -
Standard
�hicw�ess,
Spucing, U- JA4 7'able
or Other� factor° Number°
see Paqc JA4-3 and
Cunstruction 77�b1e belne�.
Values From JA4 Table
Framed Continuous JA4
Caviry Insulation Assembly
use
1. For Tag/!D indicaie die idemification name Ih4i �imrches �he builcting plmu�.
Z. Indica�e �he Assemblr Nume or rype: Roo/7Ceiling, Walls, F(oors, Slabs, Craw/ Space, Doors ond e�c...lndicme (he Frmne type and Size: For
Wood, Meml, Metal Buildings, Mass, emer 2x4, 1s6, or e�c... see JA4 {or a0ier possible.(r�ame p ye assemblier.
3. Enter ihe �hickness (ar muss in inches or Spacing LenNeen fi'aming members en�er; I6 "or 14 "OC; a� O�herjor all o0ier assembly descripiion
such ns Concrete Sandwich Panel, Syandrel Yaiel, Loga, S�raH� Bale Pane! and etc....
4. 13nsed a� tlie C(inmte Zone; emer dre Srandm�d U-(acior fi�om Table I57-B, C m� D jor eacly d�erent assembl�� Name or ry pe.
5. Enter the Table number lhal closelv resemLle.t !he proposed assemblr.
G. Ln�er llm R-valuc (ha� i,v being insw(!ed in !he wull cavirn or be�veen (he f�nming; ofhe��vise, enler "0 ".
Z Enter ihe Cavinua�s Insvdatiar R-na/ue ja�lhe praposed assemblp; o�herwise, emer "D".
d'. Ln�er !he roa� and cnA�nm of ihe U fac�or value based on Column F Tn61e Number and en�er �he AssemG7�� U facior in Column J
). The Propn.sed dea�entbin U fnc�nr, Column.l, mus� be equal �o a' less ihmi Ihe Smudard U-fanor in C�ltunn E �o rompJ��.
I�urring Strips Construction'I'aUlefor Mass Walls Unlv
A IS C U 1"s � F G fl I .I K L M
I'ropused lh�uperlies ul' M:i�unr)' �md Concrcle Added Interior or Gxterior lusulaliun
N9dls I�rum Relerence in Fm'ring Sp:�ce IYum ltefereucc
Juint A>>cuAia "fahlc 4.3.5. 4.3.b. 43.7 Jninl A i�cudix "I'ablc 43.13
�.G
�
U � �._1 u L< A V
%�51CI11`l��' G+ � L�p'�, ~ ~ O N�'d Leu ��U Final
Mnss N�unc ar JR4 7'aMc o_ _= F E o 't m e' `' A55emb�y,
.`� °
"fhickncss' "I' re' Numhcr' - - - 4 LL ',� �.', � ¢ ;: � R U-faCior�'� Comment
II
I (
I I I I I I
licgi.su�atio�� Number: Registration Ua�e/l�ime: HEKS J'rnvider:
2(IOb' Resideiuial Convp[iunce Form.s August 200y
��Prt�yriptive Certiiicate of Cumplian�Residenti:il CI�-1 k-ALT
'7�esitlentin! Alterrtlions (Pa��e 4 uf 5)
Praject Narne: � Climatc Zone tt tl ol'Sturies
%
liegisnmion Numbeic ltegi.vtru�iai Du�e/7'ime: HEItS Prm,ider:
2008 Residentia7 Compliance Forms At�gusl 2009
l�ieasures Summ
ii�,��i�„��.�i
Sitc AA�h�czs:
linli�recmenl Agenc}': � U��te:
NFI+-�R
�,���� � ��r 3
NOTE: I,nH�-rise residentin/ buildings sirGjeG �o the S�undm�ds nva�st comply widi nll npplrcuble mnndamrp meustires lis•7ed,
regurdles.�� of d�e complinnce upprnach used. More a•u�ingen� energ7� meusure,s li.sied on tlae Certr/ica�e oJ'Complinnce (CFJli,
CF-lR-�IUD, or CFJR-dL7'Form) .chu(l stq�ersede !hc ilems nmrhed with un asteri.ch (*J beloir. This Mandnra�p Nlensures
Swmm�r��.s1�u1! Ge inco�porn�ecl inlo the permil docunvem.s ond d�c uyplicoLlc jenrure.r shn(I be ca�sidered Gp ull pur[iea� ns nnninnun
compur�ei�7 pe�formance s��ecificalio»s �mlvel/�er d�ep arn shorvi� elsemhere in dae docurraervs or imthis sumu�arl'. Sxibnvil all
�q�p[icnble.rn.clinrts ofd�e MF-lli Fnrm �vidi p/cuar. �
D�SCltll''Cl ON
I;nvelone Measures:
¢ I IG(a}I: Doors and windows be�ween conditioned and uncondiiioned spaces are manufactured lo iimi� air leal
§1 16(�Q4: Penestration products (excepi field-f'abricated windows) h.ive u Inbel listing the cenified U-Pactor, ct
(SHGC) and infiltration that ineets �he requirements of ¢10-1 I 1(a).
§ I!7: Gterior doors and windows are weather-stripped; all jomts and penetrations are caulked and sealed.
§ I 1 S(a): Insulation specified or installed meets Stundards for Lisulating Material. lndicate type und include on
§ I I8(i): The t6ermal emitlance and solar reflectance values of the cool roofing material meets the requirement:
n Conl Roof is specified on �he CP-1 R Ponn.
*§ I50(a): Minimum R-19 insulation in wood-f'rame ceiline or equivalent U-fac[or.
§1S0(b): Loose fill�insidatiou shall conform with manufacturer's installed design labeled R-Value.
"§ I50(c): Minimum R-13 insulation in wood-frame wall or equivalent U-factor.
*§I50(d): Minimum R-13 insulalion in raised wooddrame flom' or equivalent U-factor.
§150(fl: Air retarding wrap is tested, labeled, and installed according to ASTM E] G77-)5(:
§lS0(gl: Mandarorv Vapor6aRier ins�alled in Climate Zones 14 or IG.
§ I50(I): Water absorption rate for slab edge insulation material alone without facings is no
Rreater than 2.0 perndinch and shall be protected from phYsical dama�.c nnd UV I
Tirepl,ices, Decorative Gas Appli:mces smd Gas Log Measures:
§I50(e)]A: Masonry or factory-6uilt fireplaces have a closable metal or glass door coverin
§150(e)IB: Masonry a� factoq�-built fireplaces have a combeistion outside air in�uke, whici
with a with a readily accessible, operable, and tight-frtting damper nnd or a cor
�I50(c)2: Continuous burning pilol lights tmd the use of indoor air for cooling u Lrebox ja�
buildine..are prohibited.
Conditioning. W;rter Hcatin�� and Plumbing Svstem Meas�n•es
I 13: HVAC equipmcnl, wnler henters, showerheads, faucets nnd all othcr
§I
when
Solar Hca� Gain Coefficient
Form.
ou the CF-1
water vapor permeance rate is no
the entire opening of the f�rebox.
s at le�st six square inclies in area mid is equipped
arc
vented to the owside of thc
�y [hc Eucrgy Commission.
meet Ihe air releasc vzlve,
¢ I 15: Continuously buming pilol lights arc prohibited for n�tural gas: fan-typc cenual furnxces, household cooking appliances (appliances with au
electrical su I� volta �c connectiun witl� >iloi li �hts that conswne less them IS(1 Dtu/hr arc cxem t), and uol and s ai heaicrs.
$I50(h): lieaiing and/or cooling lo;+ds are cnlculated in . ccordance with AS}IItAE, SMACNA or ACCA.
§ I50(i): 1-leating systeins m�c equipped with thermosta�s thm meci the setbncle rcquirements of Section I 12(c).
¢ I50(I)I A: Smrage gas walcn c�amrs ratcd with an 6nergy Facior no greatcr Ihan the federtd minimal stnndm�d are e�ternally wrappecl wiih
insulation haviug ;m ins�olled therm�il resistance of R-12 or pre�ter.
{ I50(j)I I3: Unfved storage t�mks, such as storage lanks m' backup laul<s I'or solar water-henting system, m� other indirecl hot w�iler �anlcs hnve 1i-12
ezternal insulmion e�r R-1 G intcrmil insulation where �hc internal insulaiion R-valuc is indicnted on �hc exterior qf thc tanlc.
§150Q)2: Firsi 5 feet of'linl tinA cold wa�cr pipes closesi to wmer heater �anl;, non-rccirculating systems, and cntirc lengtli of ia:h�cul�ning sections
of hot waler pipes ;rce insulute[I per Stand•nrds Tablc ISU-B.
§ I SU(j)2: Cooling syslem piping (suction, chilled water, or briuc lines),und piping insulated betwecn heating suurcc and indirect hoi wateriank
shall be insulamd to'Pable 15U-H and E uatiou ISU-A.
a150(j)2: Pipe insulation lor steam hydmnic heating systems or hoi water systems> I i psi, mcets the requiremeutx of Stundm�ds'I'u61e 12:-A.
§ I50(j)3A: Insulation is protected Gom damugc, including thai duc to sunlight, moislurc, equipment mainlenance, and wind.
¢150Q)3A: Insulaiion for ehilleJ wa�er pipiug ;md refrigeram suciiai lines includes a vapm� remrdani or is enclosed entirely in cundi�ioued space.
200d' lte.ridenlird Contpliunce Fm�ms Augus� 200J
lVICaSUiCS SU
Residenti.�l
Sitc Address:
Agenc)': � U�itc:
§150Q)4: Solar water-healing systems and/or collecmrs are certifieA hy the Solar Ratine and Certification Corporation.
DUCts
i_��
2uf3
All air-distribution system ducts and plenums insmiled, nre scaled and insulnted to meei the roquirements ol'CMC Sectious 601, G02,
603, (04, 605 and Stnndm�d 6-5; supply-uir and return-nir ducts ancl plenums are insulated to a minimum inswllecl level of R-4:2 or
enclosed entirely in conAi�ioned space. Openings shnll be sculed wiNi mastic, tape or other duc�-closure syslem [ha� meets Ihc npplicable
requirements ot UL I81, UL I81A, or UL ISIB or nerosol sealant tha� mects the requiremenis oT UL 723. If mastic or tupe is used to
seul openinps greater thnn Il4 inch lhe combination of m�istic an[I eilher mesh or tape shall be used
Building cavities, support platforms for �ir handlers, and plemm�s defined or constructed with materials othcr thau seuled sheei metat,
duct board or llexible duct shali not be used for conveying conditioned ��ir. Building cnvities and support pintforms m�y contt�in ducls.
Ducts installed in cavities and s�pport plt�tforms s1�a11 not be compressed to cuuse rediic�ions in Ihe cross-sectional are� of tl�e ducis.
): ]oints and seams of ducl systems and their components sh�ill not be sealed with cloth back rubber adhesivc duct tupes unless such tape
is used in combination with mastic and draw bands.
Exhaust fan svstems have back draft or automatic
Gravity ventilating systems serving conditioned space hnve either.au�omatic or readity �ccessible, manually operated dam �ers.
]nsulation shall be protected from damage, includirig ihat due to sunlight,-moisture, equipment maintenance, and wind. Cellular foam ����� �� "
insulaUon shall be protected as above or painted with a conling Ihat is water retardant and provides shielding fmm solar mdiation that
All dwelling uni�s shall meet the requirements of ANS]/ASHRAE Standard 62.2-2007 Ventilation and Acceptable lndoor Air Qualiq� in
Low-Rise Residential Buildings, Window operation is nol a permissible me[hod of providine the Whole Building Ventilation required in
Section 4 of that Standard.
Pool vnd Sp�i Heatin� Svstems and Equipment Measures:
§ I 14(a): Any pool or spa heating system shall be certif�ed to have: a[hermal efficiency that complies with the Appliance Efficiency Regulations;
an on-off switch mounled outside of the heater; u permanent weatherproof pla[e or card wi[h operatiug instmctions; and shal� nof use
Any pool or spa heaung eqmpment
at least 36" of pipe between filter and heater, or dedicated suction and retum
have a heat pump or gas henter shall have a covec �
d inlets that adequately mix the pool water, and a time swilcli that will allow all pumps m be set or
§ I50(p): Residential pooi systems or e
Residential Li{;htin}; Measures:
§I50(k) I: High ef'ticacy Iuminaires or
Table I50-C and.is not a lo
&I50(k13: Thewattaeeo(nermunenil�
meet Ihe pump sizing. tlow
and valve
Heat Sinl< h�is an efficacy that is no lower thnn the
luminaires shall bc delcrrttined as
§ I50(k)4: Hallusts for tluorescent lamps rated 13 W atts or greater shall be electronic and shall have an outpu� Gequcncy no less than 20 kHz.
§15D(k)5: Permnnen0y ins�alled night lig6ts and nigh� lights integral to a permnnently installed Iwnin�ire or cxhaust Tan shall cnntiiin only ]�iglt
efficacy lamps inecting the minimum efGcacies contnined in Table I50-C and shall �wt contain a linc-volt,ige socl<el or line-voltnge
lump holder; OIt shall berated to consumc no morc Ih�m five watts of power as determined by §13U(d), and sh.dl nnt comain a medium
screw-base sockei.
tu exhaus� Cans. in rooms other ihau I<i�chcnti. shtill mec� the aonlicablc renuireinents ul'
4150Qe)"l: All switehing deviees and controls shall meel thc requircinents of� � I SOpc)7.
§150(k)k: A miniinum oT 5(1 percen� oTthc total rnled watl.igt of perinanently insinlled lighting in I<ilchens shall bc high efficacy.
EXCF.PTION: Up to 50 �valls for thvelling units less [han orequnl to 2,500 fiZ or lOD watts fordwclliiig miits larger qmn 2,500 fI"' rney be exeia�pi
from the 50% high efficacy requiremeN when: all low efFicacy luminuires in the ki�chen are conlrulled by a manual ou occupan�
sensor, dimmer, energy management sysiem (EMCS), or a multi-scenc progrummable control system; and ull permanenily installed
Iwninaries in garages, lawidry rooins, closets greatcr than 70 square feel, and utiGty ruums are hfgh efficecy and conlrolled bv n
cabinel.
{15U(k)10: Perma
to cnbinels shall use un mure
g�r�ges,
20 watts of pnwcr per
laundry rooms, closei
of
and u�iliq� rooms shall bc high
2IIOb' Iteside�vtiul Conaplim�ce Farms Augusi 200J
e Certificate ot'
Alteratians
Prnject Namc:
CT-t R-ALT
(Pa c 5 uf 5)
Clim�rtc %onc k N of Storica
HIPRS VL�'RII�'ICATION SUMMARY Thr: er?�orcemeitlagenel�shouldpnpspecial unention l0 1/reHERSN[eosa�resspecified in d�is
cGec/disY belo�r. A cornple�ed nnd signed CF-4R Forni for all the measures speciJied ad�all be sabmined (o the building ins��eclm� before finol
UuCt .�CAlln� S. TeStlit� HERS ne�'i�cnlinu is �'eyuired.fi�r lhi.t� nteasure. .
❑ YTS ❑ NO YLS: ln Climate Zones 2 and 9J 6, iT more than 40 linear feet ofnew or replacemem ducis are installed in uiaconditioned
space, the duc[s are to be sesled per §IS2(b)IDii and the newly installed ducts ure to be insulateci per §151(t)10.
❑ EXCGP'f10N: Existing cluct systemx thait ��re extendecl, wl�ich are consiructed, insult�ted or sealed with asbectos.
❑]'ES ❑ NO YCS: )n Climate Zones 2 and 9-16, if the existing space-conditioning system (HVAC equipme�v amd duc�ing} is replacod, the
ducts are to be sealed per §152(b)1Di.
❑ PES ❑ NO ]'ES: In Climate Zones 2 and 9-16, 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 furnuce heat exchanger) the ducts are to be
se�led per §152(b) I H. �
❑ GXCGP'PION: Duct systems tUut nre ducumented lo harve been previously sea�ed conGrmed thrungh I{I�.RS
verificatiun in accurdance with procedures in the Reference Residential Appendix RA3.
__ _.... ❑ EXCEPTION: lluct systems with Iess [hxn 40 lineur tee� in unconditinned space.
❑ RXC2PTION: Rxistinr duct svstems cnnsiructed, insulnted or se�iled wi[h asUestos.
�ReYYigerant Charge - Split SysYem HERS uerifca�ion is re9vired fw- thi,s meosm�e,
❑ Y�S ❑ NO YLS: ln Climate Zones 2 and S-l5, when the existing HVAC equipment is replaced (including thc replaceme�u of the air
handler, outdoor condensing unit of a split system A/C or heat pumq eooling or heating coit, or the fumace heat
Central Fan lntegrated (CFI) Ventilation System and Fan WattDraw
The ventilatinn rern�irements nf &150(nl do nnt anolv to existinn residential homes.
Ducted Split Systems - Air Conditioners and Heat Pumps: Airtiow IiLRS venfication is ��egurredfor rhr:c measure.
❑ YES ❑ NO YGS: In Climate Zones 10 thmugh I5, when Ihe exis[ing space-conditioning system (HVAC equipmenl and ductiug) is
. replaced, the airfloe• and fr+n watt drae� shall be verified per § I S2(b)1 Ci to meet the requireinents of § 151(�7B.
Company
Date: i / i_
Phone:
CGPG
Responsible 13uilding Desiener's� Declars�tion Statement � � �
• 1 am eligible under Division 3 of the California Business and I'infessions Code to occept responsibiliry for Ihc building design identified on
this Certi(icfite of Compliaucc.
• 1 certify Niat tlic energy features aud performance speciGeations (br the building design identilicd uu this Certiticale of Cmnpliance conform
to �hc rcquirements otTiUc 24, Pans 1 und ( of the California Code oTRegulations.
• The building design feawres identified on this Cenifieate of Compliance are cunsistent with the information provided to document tliis
building design on ihe other epplicable compliunce Corms, worksheets, calculations, plans and spcciCcotions submiued to the enl'orccmen�
atencv for unnroval with this huildine nennil :mnlication.
Company:
Add�ess:
License:
Pho»e:
I'nr uauistartce rn� gues(inns regtu•ding fhe E��erb�, Stnndnrtla', cnntact (he Lnerbl' Hotline nr: 1-800J72-,300.
Rebda•lin(inn NuuiGer Regi.rh�a�ion Diue/Time: HBXSYraoider:
2005 Residentin( Complianc� �orms
Augus( 2009
OWNER KOPKE� MARIE C. DATE . 8-19-77
JOB aDDRESS 31 5 College Avenue BUILDING PERMIT N0.
FIRE ZONE VALUE
TVPE N GROUI
SUBCON7RAC70R
PROP. $WR. LIN� �J HOUSE CON. U
�PRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING ANO AIR CONOITIONING'
iEMPOHAAY SEAyICE OF POLE
UHOERGROUNO � POWER �
ROUGH WIRING
TRENCHES FORMS STEEL RE
FLOOR SVSTEM
BONO BEr1M � -STEEL REINFORCE [
SHERTHING
FRAME RNO FLASHING
IRTMING - IN n OUT �
PL�STER.BROWN COAT
STRUCTURAL, FINA�
HE�TING, VENT., REFRIG. AND �.C., F11
PLUMBING, FINAL AN� GAS TEST [,
ELECTRIC, FINAL
BWLOING. FINpI.
--�- ._
T�'lf��
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFOFiNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING �/ �B��r�i� �/� .
ADDRESS V
OWNER
MA�� s ��c�
ADDRESS
�r I ' TEL.
CITV `WT.� M��S/�09�'1� N����ir��
BRANCH
AD�RESS
ARCHITECT TEL,
CONTRACTOR �+_ /.�///Ji1�
f;r�r_a
ADDRE55
TEL.
CITY NO.
F STATE CITY
i LIC. NO. LIC. NO.
i
{Ma,� SIZE NO.OFBIDGS.
4. OF LOT NOW ON LOT
a USE OF
�.�. EXISTING BLDG.
�
FSeparate permits are required for
� electric, plumbing and heating work.
[,.W. USE OF BUILDING ANO WORK TO BE PERFORMED '
a
�
a Efit/ - 41crF
� 1 " � �
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0 I haraby aeknoWledBe that I have reetl ihis appllcation and scate
(� that tha above Information is correct and aBree to comply with
a ell laws regulatihp building consiruction, and 1 shall not employ
Z eny penon In v�oletlon of tha workman's compensation laws of
� ihe Stete ot CalHomle.
3 I hereby certity thet I em prOperly Ilcansetl os a conitn[tor under � �SQ. FT.
the Sute of California eusiness entl Professions Cotla, Division 3, THE AMOUNT SH
Chapter 9, entl that such Iicensas are in tull force antl eHeci, or I THE PURPOSE OF F
am axempt from the ptovislons of the Stata of Cellfornia Business V ALUATION
entl Professions C da Dlvision 3, Ch ter 9.
Slgnetura af ��
Permlttee �� $�
Authorizatl Ageqt
PA1D
AUG 19-77�,Y5A007758� *****�.50
'ION FOR STRUCTURAL PERMIT
V DATE RECEIVED o�G isencr
A.P. NO. /�JC.J— v ✓
BUILDING
ADOFESS
� TRACT ],'3�
W ADD A fi R P
K
OWNER ��- ��� l�
SE �'✓
FIRE
ZONE T PE
APPROVED
BV
ZONE 1'� NO.OF
/� LANS �
VARDS APPROV ED
MAIN BUILDING
(FROMC LSTREET
ROMT F
SI FT W �
L. SIDE FT�
FEAR W FT�''
DISfANCE BET.
MAIN BLDGS.
VAR. �
RMIT NO.
PK l-_
DATE
VARDS APPROVED
FT
DATE .
APPROVEO
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v
�
!N UNDEF VALUATION IS FOR p7
P.BLISHING A PEFMIT FE O "
e
PERMIT FEE § a
N
m
PLAN CHECK § �
TAX S � LL
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U
TOTALPAID $ �
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COSTA MESA BUIIDING•SAFEfY DEPARTMENT
P. O. BOX 91] C09TA MEBA, CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
BUILDIN6 �� � � `��'`�'�� G
ADDRESS bO V
COSTA MESA.. CALIFORNIA
P. 0. Box 2066
ARCHITECT pa Levanas � TeL.6
ORENGINEER .y 73'1
ADDRE39 ....+.. TTe����
ee1—s�
CONTRACTOR �fetime RCS. HLdg. C07
ADDRfi88 r� O• �X 2066 �
��TY Santa Ana
LIC. No. 2086�6 No � 5�9-ZZoS
OF LOT 20 X 8� I NOW ON LOOB.
USE OF
EXISTING BLOG. N C
BETBACK LIN5 FROM [
CENTER OF BTREHT �J' REAR YARI
SIDHYARDI LEFT O I RIOHT
DESCRIPTION OF WORK
.��... � x �� .. _�a.r,,... � �� ......_...,
BUILDIN NO.OP
SIZE ROOM9 BTOR
EXTERIOR WALL StllCCO I ROOP roCk
COVERING COVERING
11SE OF BUILDINO ANO WORK TO BE PERFORMED
C
with J construction gara�es.
1 HEHEBY RCKNOWL8O08 TNAT 1 NAVB qEAO THI6 1PPL�CATION
AND BTPTE THAT TNE ABOVE IB COPRECT AND AORE6 TO COM-
PLY WITH ALL CITY ORDINANC88 AND BTI�TB IAWB NHODUTINO
aui�ouuo coHsrnucrion.
SIGNATURH OP
PERMITTE
AUTHORIZfiD AGEN � . /%
FEE RECEIVED
�APPL ICA�IQtJ��PEN�30
p
BUILDING
For Office Use Only
P[CH�PT NO. PENMIT NO.
�g f �2 P_
��?f�e� �/ l ����i 1 U8�
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NOTE: NO
ZONIN6
NO.OP U860PN
PI.ANB GUILDIN
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/E OVERHANO BHALL BE LES9 THAN
YARDSAPPROVED I VARDSAPPROVED
MAIN BUILDIN6 ACCESSORV BUILDII
VAR. $R
TH8 AMOIINT
PURP09E OF
$ /�� � %3--
BET. MAIN
ACCESS.B
DATE
! LiLo � a-
UNDEfl VM1LUATION IB FOfl TM8
18HIN0 A PENMIT PEE ONLY.
PERMIT FEE $ ��
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