HomeMy WebLinkAbout1020 CONCORD ST - Building PermitsCITY OF COSTA MESA r
O'rtp MFS BUILDING DIVISION
i0 77 FAIR DRIVE. COSTA MESA, CA 92626 • (714) 754-5273 - Fax (714) 754-4856 - www.ci.costa-mesa.ca.us
r
FOR INSPECTIONS CALL: (714) 754.5626
PERMIT NUMBER: BC10-00406
PERMIT TYPE: B_COMBO STATUS: ISSUED
Sub Type: RES—ALT DATE ISSUED: 09/07/2010
ISSUED BY: RMD
10B ADDRESS: me100'C
2ONCORD'STM CSuite/Unit:
APN: 14165138 ��y ZOning:R1, ,
Vicinity: FIRST FLOOR BATHROOM Primary Occ:
Const Type: V -B SQ. FT: 0 Valuation: $19,000.00
SCOPE OF WORK: MINOR INTERIOR REMODEL TO FIRST AN EXISTING FLOOR BATHROOM. WORK TO INCLUDE THE
REMOVAL AND REPLACEMENT OF AN EXISTING SHOWER WITH HOTMOP, TILE, DRYWALL, REPLACE 1 VENT FAN, 5 LIGHT
FIXTS, 3 OUTLETS, 2 SWITHCES, 1 SHOWER DRAIN, 1 SHOWER, 1 WASH BASIN, 1 WATER CLOSET. ELECTRICAL
MANDATORY MEASURES
ATTACHED TO JOB CARD AND CITY PERMIT.
OWNER: IWAI, KAZUKO
Phone: 714-751-1033
APPLICANT: HOLLERBECK, JOHN
Phone: 818-324-6696
Address: 1020 CONCORD ST
City/State/Zip: COSTA MESA, CA
Address:
City/State/zZip:
CONTRACTOR: T L C HOME IMPROVEMENT INC License No. 299161
Phone: 800-989-1410 Address: 333 S GRAND AVEUnit:
Cell: City/State: LOS ANGELES, CA
ARCHITECT: License No.
ENGINEER: License No.
COMBINATION PERMIT FEE SUMMARY
Building Plan Check:
$0.00
Building Fees:
$307.25
Electrical Fees:
- $34.50
Mechanical Fees:
$34.15
Plumbing Fees:
$62.70
SMIP Residential:
$1.90
SMTP Commercial:
$0.00
Bldg Std Admin Fund
$1.00
TOTAL FEES:
$441.50
Unit:
Unit:
25TH FLOOR
ZipCode 90017
PHONE:
PHONE:
"Refer to fee receipts for all fees paid for project
HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 - PER CMMC Sec. 13-279
Monday thru Friday -7:00 am thin 7:00 pm. Saturdays -9:00 am thru 6:00 pm. Prohibited 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 r, INSPECTION TYPE DATE IN1nIALS CODEX INSPECTION TYPEOAT INTITIALS
yI�
1616 Fixed System Final Fire Prevention 206 Final Mechanical / 10-, S - 10
1266 Pool Spa Final 208 Final Plumbing X IO -I - r0 M P
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
VAib- 2(e -
F9
WORK€RS' 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 ��^^
Carri`e,i
r (nee; sepon neefni he mmpeteda the perrn9iisvliuumf at one hundred dixi(SIM) w less)
Policy Number: J!571L�V kQ1 if
I certify that in the performance of the work for which this permit is
4sued.1 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 ubject to the workers' compensation provisions of Section 3700 of
the L Cotle, I s t II fo hwitl comply with these provisions.
��diram's Signature �--Da�
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.
Class #
C�actor. Signature at —�
CONST CTION LENDING AGENCY: 1�--
❑ I ereby affirm that there is a construction lending agency for the
perfo ance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
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 contractors) license pursuant to the Contractors License Laws.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
• r
Owner ID verifed 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:
❑ 1 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, v 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.
Applimilt's Signature
Division of Industrial Safety Permit Number:
Date
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 feel 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.
Signature Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and state that
the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize 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.
Si
to ol, Legal Owner( Date
3057-46 (Jle])
n
Signature Date ,_ `/✓p io1 f�
`,A,_pdIOGAWtiorized'ApOliwm
Certificate of Comnlia. Residential
CF -1 R -ALT
(Yale 1 (il' 5)
General Information
Site Address:es'lloll
Enforcement Agency Late: T
Cl
Building Type Family ❑Multi Family
Circle the From Orientation: N, 16XII or degrees
Proposed Properties ol'Masunry and Conciele
liroject Type: Alterations D Envelope D Fenestration Roof O HVAC
Conditioned Floor Area (GFA):
Replacement or C Is gt Out El Duct Replacement ❑ Water Heater
NOTE: Tinx.fi rm is not it, be user{ jor Nen li, Constructed Buildings in Additions tom_
,Ins dation Values For Opaque Surfaces (far Furring use the. Mass and Furring Strips Construction ruble belon)
Assembly Alteration
0 Opening of framed cavity alone—Alterations that involve due opening of the fionned cavil), oft wall, ceiling, or form musi install the
mandatory miniunan insulation value per §/50 for the altered assembly. Fill in Columns A —C and enter mandamn, insulation value in Cohonn H.
0 Replacement of entire assembly— Replacement oj'an entire wall, ceiling, orfloor assenbly requires tire installation ofContponenr
Paeka e -D insulation values in7'able 151-C. Fill in Columns A—J.
Opaque Surface Details For the furred portioned ofMass Walls see Furring Strips Construction Table below.
A B C 1)rStandard
F C H 1 .I K
F C - — ---- it I J
Pro rased C°
Proposed Properties ol'Masunry and Conciele
Values From JA4 Table
Framing Thickness,
Framed
Continuous JA4 Proposed
Tag/ Assembly Name Material Spacing,JA4
IDS or Type and Size'' or Ocher'Numbers
Table Cavity
R -valuer'
Insulation Assembly Assembly
R -Value Cell Values U -factor°
U
c
u
i
U
Note: For lunrd assemblies, accounting jar Continuous Insulation R -value, see Page JA4-3 and Equation 4-1. For calculating f vied walls use the Mass and
iFur7 ing Consnvction eble belom
1. For Tag1JD indicate the identification name that matches the building plans.
2. Indicate the Assembly Name m' type: Roof/Ceiling, Walls. Flocs, Slabs, Crawl Space, Doors and etc... Indicate the Frame type and Size: For
Wood, Metal, Metal Buildings, Mass, emer 2x4, 2x6, or etc... see JA4 jor other possible frame type assemblies.
3. Enter the ihidtress jar mass in inches or Spacing henvee»_fi arning members enter, 16 "or 24 "OC; o- Otherjor 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- acer from Table 151-B, C or D for each different assembly Name or type.
5. Enter the Table number thal closely resembles the proposed assembly.
6. Enter the R -value that is being installed in the wall cavity or between die framing; otherwise, enter "0 ".
7. Enter die Continuous Insulation R -value far tiro proposed assembly; otherwise, enter V
8. Enter the row and column of the U -factor value based on Column FTable Number and enter the Assembly U -factor in Column.!
9. The Proposed Assembl' Ufacmr, Colunm .1, must be equal to or less than the Standard U factor in Column E to comply.
Fuirinp Strips Construction Table fm' Mass Walls Only
A I Ji I C 1 1) 1 E
F C H 1 .I K
L
M
Proposed Properties ol'Masunry and Conciele
Added Jnterior or Exterior Insulation
5\'alls From Reference
in Furring Space from Reference.
Joint A r rendix Table 4.3.5. 4.3.6. 4.3.7
.late Apricadix Table 4.3.13
U
c
u
i
U
o
F- O
U�
m
u.v
Filial
Assembly
�•
j
o.
R
m_
�+
Mass
Name or
JA4 Tabic
i=
m
E
E
ASsembl
Thickness'
Ty e'
Number'
_ "
—
^ u ,�
�,
�, '�
_ C
< s°
C
U -factor
Comment
Registration Numbs) : Reg_ iso ution Date/Tirne: HERS Provider:
2008 Residential Compliance Forms
August 2009
Certificate (if Compliance: Residential
I RCSitleletial Alteratiotac 0"tt,'r. S of S) 1
Ii ERS VDRL EI CATION SUMMARY The enforcement ngenra• should ycm special attention to the HERS Aleasures specifier) in this
chedrlisi below A con>.aleied and signed CF -4R Fornr for all the rnearures splecified shall he subnoucd m lite building inspector before final
inspection.
Duel Seeding, & Testing HERS vegficonon isrequired,for this measure.
❑ YES ❑ NO Yes: In Climate Zones 2 and 9-16, if moo; than 40 linea, feet ofnew or replacement ducts alt installed in unconditioned
splice, the ducts arc to be seeded per �1152(b)IDii and the newly iustulled ducts me to be insulated ped §151(f) 10.
❑ EXCEPTION. Existing duct systems that arc extended, which :u e coustt'ucted, inxulated or sanded with asbestos.
❑ YDS ❑ NO YES: In Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC equipment and ducting) is replaced, the
ducts are to be sealed per §A 52(b)l Di.
❑ YES ❑ NO YEs: 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 of heating coil, or the furnace heat exchanger) the ducts are to be
sealed per §152(b)IE.
❑ EXCEPTION: Duct systems that are documented ul have Leen previously seated confirmed through HEIS
verification in accordance with procedures in the Reference Residential Appendix IU3,
❑ EXCEPTION: Duct systems with less thin) 40 linear fact in unconditioned space.
❑ EXCEPTION: Existing duct systems constructed.insulated or scale(] with asbestos.
Reirioerant Charge - Split System HERS verification is reguired--for this measure,
❑ YES ❑ NO YES: In Climate Zones 2 and 9-15, 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 m heating coil, or the furnace heat
exchaneer) a rei4ieerant chaise measurement shall be verified per § 152('p)IF.
Central Fan Integrated (CFI) Ventilation System and Fan Wati Draw
The ventilation requirements of E150fo) do not apply to existing, residential homes.
Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow HERS verlficatiol is required fm this measure.
❑ YDS ❑ NO YES: In Climate Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is
replaced. the airflow and fan wan draw shall be verified net § 152(b)1 Ci to meet the renuirements of §151(]`)713.
Documentation Author's Ileclaration Statement
• I certify that this Cerfificate of Compliance documentation is accurifteezQ emnplete.
Name: b
Si at e: 69
�Date:"-�/
Company: -
Dat
Address:/�//�,��
If Applicable O CEA o' 11CEPE
�j VA-&41cl !°Yt `v
(Certification H):
City/state/zip: �0v
Phone: (/-// �/
t
b
-Responsible Building Desi-ner's Declaration Statement
�-
o J am eligible under Division 3 of the California Business end Professions Code to accept responsibility lot the building design identifier) dlf
this Cel't)fleate of COmphance•.
• I certify that the energy featuros and performance specifications for the building design identified oil this Certificate of Compliance conlbrnl
to the requirements or Titic 24, finis 1 and 0 of the Caldbr»hl Code of Regulations.
• The building design features identified on this Certificate of Compliance are consistent with the information provided to document this
bllliding d051�11 On the olllet applicable comphailec forins, wol'hsheet5, calculalions, plalls and speclrlcalions sublllllled ter thc• Enforcement
agency hr approval with this building permit anolication.
Name:
s ignatw e:
Con patty
I Date:
Address:
License:
CiPWStatc/Zip:
I I'hone
Fnrassistance or questions regarding the Enerar Standardly, contact tilt, Eller— Hotline at J-8/10-1-72-33110.
I(egicuauou /cumber: Regisira ion Datelfime: HERS P, ovidel
2008 Rosidentiol Compliance Felt ims Auguct 2009
Mandatory Measures Si, mars MF -IR
Residential (Pane 2.01'3)
Site Address: Eal'orcem mt A ency: Urate:
4q1210
§ 1500)4: Solar water -heating systems and/or collectors are certified by the Solar Rating and Certification Corporation.
Ducts and Fans Measures:
§150(m)l: All air -distribution system ducts and plenums installed, are sealed and insulated to meet the requirements of CMC Sections 601, 602,
603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-42 or
enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape or otter duct -closure system that meets rue applicable
requirements of UL 181, UL 181A, or UL 181B or aerosol sealant that steers the requirements of UL 723. If mastic or tape is used to
seal openings greater than 1/4 inch the combination of mastic anti either mesh or tape shall be used
§ 150(m)l: Building cavities, support platforms for air handlers, and plenums tdelinud or constructed with materials other than scaled sheet metal,
duel board or flexible duct shall not be used for conveying conditioned air. Building cavities and supper platforms may contain ducts.
Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts.
§ I50(m)2D: Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape
is used in combination with mastic and draw bands.
§ I50(m)7: Exhaust fan systems have back draft or automatic dampers.
§ I50(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dam ers.
§ I50(m)9: Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Cellular foam
insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that
can cause degradation of the material.
§I50(m)10: Flexible ducts cannot have porous inner cores.
§I50(o): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air Quality in
Low -Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation required in
Section 4 of that Standard.
Pool and Spa Heating Systems and Equipment Measures:
§114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency Regulations;
an on-off switch mounted outside of the heater; a permanent weatherproof plate or card with operating instructions; and shall not use
electric resistance heating ora pilot light.
§114(6)1: Any pool or spa heating equipment shall be installed with at least 36" of pipe between filter and heater, or dedicated suction and retum
lines, or built-up connections for future solar heating
§114(b)2: Outdoor pools or spas that have a heat pump or gas heater shall have it cover.
§1 14(b)3: pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or
programmed to run only during off-peak electric demand periods.
§150(p): Residential pool systems or equipment meet the pump sizing, flow rate, piping, filters, and valve requirements of §150(p).
Residential Lighting Measures:
§150(k)l: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies contained in
Table 150-C and is not a low efficacy luminaire asspecified by § 150(k)2.
§I50(k)3: The wattage of permanently installed luminaires shall be determined as specified by § 130(d).
§150(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall be electronic and shall have au output frequency no less than 20 kHz.
§150(k)5: Permanently installed night lights and night lights integral to is permanently installed luminaire or exhaust fan shall contain only high
efficacy lamps meeting file minimum efficacies contained in "fable I50 -C and shall not contain a line -voltage socket or line -voltage
lamp holder; OR shall be rated to consume no more than five watts of power as determined by §130(d), and shall not contain it medium
screw -base socket.
§150(k)6: Lighting integral to exhaust fans, in rooms other than kitchens, shall meet the applicable requirements of §150(k).
§1.50(k)T All switching devices and controls shall meet the requirements of § I50(k)7.
§ I50(k)8: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy.
EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,500 fl' or 100 watts for dwelling units larger than 2,500 If? may be exempt
from the 50% high efficacy requirement when: all low efficacy luminaires in the kitchen are controlled by a manual on occupant
sensor, dimmer, energy management system (FMCS), or a multi -scene programmable control system; and all permanently installed
luminaries in garages, laundry rooms, closets greater than 70 square feet, and utility rooms are high efficacy and controlled by a
manual -on occupant sensor.
§I50(k)9: permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of illuminated
cabinet.
§150(k)I0: permanently installed luminaires in bathrooms, attached and detached garages, laundry rooms, closets and utility rooms shall be high
efficacy.
2008 Residenlial Conroliance Forms August 2009
Mwidatory Measures S► .mart' MF -IR
Residential fJ a"e 3,of 3)
Site Address: Entortienent Agency: Uate:
EXCEPTION l: Permanently installed low el7icacy, luminaires shall be allowed provided that they are controlled by it manual -on
Occupant sensor certified to comply with the applicable requirements of §1 19.
EXCEPTION 2: Permanently installed low efficacy luntinairos in closets less than 70 square feet are bill required to be controlled by a
manual -on occupant sensor.
§ 150(1:)11: Permanently installed luminaires located in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms, closets, and utility
rooms shall be high efficacy luminaires.
EXCEPTION I : Permanently installed low efficacy lunnivaireS shall be allowed provided they are controlled by either it dimmer switch
that complies with the applicable requircmcnts of § 1 19, or by it manual -on occupant sensor that complies with the
applicable requiremmnts of § 1 19.
EXCEPTION 2: Lighting in detached storage building less than 1000 square feet located on it residential site is not required to comply
with §150(1)11. -
§ 150(k)12: Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact (IC) by Underwriters Laboratories or
other nationally recognized testing/rating laboratory, and have it label that certifies the lumiunan C is airtight with air leakage less then
2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; and be scaled with it gasket o -caulk between the luminaire housing
and ceding.
§150(k)l3: Luminaires providing outdoor lighting, including lighting for private patios in low-rise residential buildings with four or more dwelling
-.. units, entrances, balconies, and porches, which are permanently mounted to if residential building or to other buildings on the same lot
shall be high efficacy.
EXCEPTION I: Permanently installed outdoor low efficacy Luminaires shall be allowed provided that they are controlled by It manual
on/off switch, a motion sensor not having an override or bypass switch that disables the motion sensor, and one of the
following controls: a photocontrol not having an override or bypass switch that disables the photocontrol; OR an
astronomical tune clock not having an override or bypass switch that disables the astronomical time clock; OR an
energy management control system (EMCS) not having an override or bypass switch that allows the luminaire to be
always on
EXCEPTION 2: Outdoor luminaires used to comply with Exception] to § 150(k)] 3 may be controlled by a temporary override switch
which bypasses the motion sensing function provided that the motion sensor is automatically reactivated within six
hours.
EXCEPTION 3: Permanently installed luminaires in or around swimming pool, water features, or other location subject to Article 680 of
the California Electric Code need not be high efficacy luminaires.
§150(1)14: Internally illuminated address signs shall comply with Section 148; OR not contain a screw -base socket, and consume no more than five
watts of power as determined according to § 130(d).
§150(k)15: Lighting for parking lots and carports with a total of for 8 m more vehicles per site shall comply with the applicable requirements in
Sections 130, 132, 134, and 147. Lighting fix parking garages for 8 or more vehicles shall comply with the applicable requirements of
Sections 130, 131. 134. and 146
§I50(k)16: Permanently installed lighting in the enclosed, non -dwelling spaces of low-rise residential buildings with four or more dwelling units
shall be high efficacy luminaires.
EXCEPTION: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by.an occupant sensor(s)
cenified to comply with the applicable requirements of § 119.
2008 Residential Compliunce Forms Angust 2009
51L�DREss: 1020 CONCORD ST UNIT:
0 __'ME: IWAI, KAZUKO
ADDRESS: 1020 CONCORD ST
COSTA MESA,CA 92626
ARCHIENGIN EER: 714) 751-1033 REG.NO.:
ADDRESS: UNIT:
PERMITTEE: COASTAL ROOF DESIGN (714)583-9038
ADDRESS: 24236 LARKWOOD LN
EL TORO CA 92630
LICENSED CONTRACTOR 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 i5 in full force and effect.
cI/�i 0ggg5 STAT'
uc.:634121 , CLAGS Qj39 EXP: 00/00
rDate' _!r/� 9`f Signature:_U'/�'A^--
ORRERS' COMPENSATION DECLARATION: t hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers'
Compensation Insurance, or a certified copy thereof (Section 3800. Lab. C).
POLICYNO.: 1137669-94 EXP. DATE: 07/01/95
COMPANY: STATE FUND �y�I
❑ Caddied copy is hereby furnished. (X Candied copy is IileL t thin .. ity Building Division,
ate' ¢ /b/9 � Applicant:
I%EMPTION FROM WOR EPS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred (S1DO) or less).
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 WorkersCompensation Laws of California.
Date'. Signature:
NOTICE: If, alter making this declaration, you should become subject to the Workers' Compensation provisions of the Labor
Codeyou must forthwith comply with such provisions or this permit shall be deemed revoked.
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 (Section 3097, Civ. C).
LENDER:
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason
(Section 7031.5 Business and Professional Code: Any city of 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/she is licensed
pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he/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).
1. as owner of the property or my employees with wages as their sole compensation, will do the work, and the
Elstructure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law
does not apply to an owner of a property who builds or improves thereon, and who does such work himself/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 will have the burden of proving he/she did not build or improve
for the purpose of sale).
I,as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business
❑ and Professions Code: The Contractors' State License Law does not apply to an owner of properly who builds or improves thereon
and who contracts for such projects with a contractor(s) license pursuant to the Contractors' Slate License Law). I am aware
that proof Of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B. 8 P. C.
Or this reason:
Date: Owner:
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and
25534 and that I or any future building occupant will/will not (circle one) need to comply with said state codes and the requirements for a
permit lot construction or modification from the Air Quality Management District. Residential construction applications are exempt from
these provisions.
Date', Applicant:
I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all city and county
ordinances and state laws relating 10 building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for inspection purposes.
ate' _ /0 l%Y Signature:�—
Driver's License Or ocial Security x:
164146 While—Building: Green—Code Enforcement: Canary—Applicant; Pink—Revenue; Goldenrod—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 068414
PERMIT NO: B 068414 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION ; T/OFF S RESHEATH 6 REROOF W/COMP. SQ FT: 7,000
CLAIM VALUE: 7,000.00 CALC—VALUE: 7,000.00 GROUP OCC: R-3 /M-1
COMMENTS: SMOKE DETECTOR(S) REQUIRED IN HOME.
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Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN
BUILDING
----------
---------
ACCESSORY BUILDING---------
FRNT: FT IN
REAR:
FT IN
FRNT:
FT IN REAR: FT IN
LEFT: FT IN
RGHT:
FT IN
LEFT:
FT IN RGHT; FT IN
PARKING REQ:
PROV;
PARCEL:
14165138
ZNE: REF NO:
PLANNING NOTES>
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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: V*J**
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LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 90.00 •70
PLAN SMIP/NON—AES
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS ---- > 90.70 0.00 0.00 90.7 90.70 •00
REVENUE DIVISION TOTALS-->
COLLECTED: 0.70 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIR IP/TOT GRADING PLAN—CHECK
90.00 •70
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
SFR 7000 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 7,000.00
END OF FEES
SMOKE DETECTOR
REQUIRED
V
i*DUPLICATE RECEIPT*
01 00165666-00165667 Till 90.70
DATE: 08/10/94 TIME: 08:53
I
/ aONSTRUCTION AND PLANNING
POOL & SPA
'
kPPROVALS Permit # 1�.
Date
Inspector
APPROVALS Permit #
Date
Inspector
Temporary Electrical Servide or Pole
,�
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. •.'p. �c
53. Steel Reinforcement
c,,
3.-Electrical Cond6i2'Uiility-Ufhdrgrnd._ '
l
54. Forms
-. 4.'Elgctrical Conduit-Undrgrnd. ��
55. Electrical Bonding
' 5. Steel Reinforcement
X
56. Rough Plumbing & Pressure Test
=
tkctrical LIFER Grnd. "
57. APPROVAL TO COVER-GUNITE
-
': Z. "Footings --
58. Electrical Conduit-Undrgrnd.
,,18. Foundation ; '
59. Gas Pipe, Q Undrgrnd., Test
9. Water Pipe-Undrgrnd.
60. Backwash Lines, RTrap, Q Undryrnd,
10. Structural Floor'System
61. APPROVAL TO DECK
11. Property Sewer Ling.& Hot7s0`ConnEction
,';
62. Backwash &Receptor-Final
n
.'
12. Sewer Cap 1 - ;;
63. Heater & Vent-Final
13, Roof Drains
I
64. Plumbing System - Final
14. Rough Plumbing -
65. Electrical-Final
15. Rough Electricai-Condua -.
66. Solar System-Final
16. Rough Electric:Wiring
67. Fencing &Access Approval
17, Rough Wiring Sign
68. APPROVED FOR PLASTERING
18. Rough ElectricaRT Bar Ceiling
`
69. POOL/SPA SYSTEPOIS FINAL
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPRO'VAtS= I Permit # >'
20. Rough Factory Fireplace I T, r- y
']
t
-,s
21.:Duct , in Structu e • _....
T 1
'-'
* SAY
- '0.
Y lJmderground;Hych-o
22. Ducts, Ventilating
�•
71. Product_Piping CGas Coil
n
23. Gas•Pipe+Plough &•7as �;
;r �;
i ,.. L
j2, Underground F;ush� ;
24,-RoaPFraming .
�lk
1
Z73.'tUndergrnd'StoragjankOGas ❑Oil
'74,�Qverhead
25. Rodf'Sheathing
`l
*
Hydro -LLQ
26.*13ar Ceiling (Structural) & fbonocoat
t o
7 :_•�'
75.--,Dry Chemical
27. Frame and Flashing' ry. ,
'
76.E Dry Standp,pe
.•
4Laing &Siding
77.-FIXED SYSTE28.MJFINAL
29. Insulatio
i
78.; FIRE PREV. FINAL
t'
-;k Drywall Nailing
i
!
HEALTH DEPT'REQUIREMENT
31. Plaster BrtOwn.Coai,r79.
FINAL IN&P OTION
-32. Electrical'Povv'r MetecFinal J
* co
•
80. ;FOOD CERTIFICATE ISSUED
33.;Pinai Electric'
'Note's:
� 4. Fina' Heating-$ Aii'Conditionir>,y-_
iiJL.k-Q
35. Final Gas Pipe-*Test'
(j J�lMli'
36. Hood',or Canopy
I
I
I
-
-
r37. Final Factory Fireplace' L,r
I It:
38. FinaliPlurnbing i ••
•• i
i
I'
-- '' _'--
39. Water. Service Final .
40. Gas Servica-Final
41. Solar Domestic-Final•
42. Backf low Preventer-
V
-'
1
-
43. Backflow Irrigation •�
- -
r
,
'44. Landscape Irrigation System j
at -
45. Sound Attenuation
F'
h t
46. Hand ica p.Regdlatioris
47. FINAL STRUCTURE & BUILDING
48. PrINAL PLANNING.-
,
49. Electric Release to Edison
r•
s
n
50. Gas Release to Southern Califgr.nia-Gas Co
51. CERTIFICATE OF OCCUPANCY'
-
•
- .- .c.
No. Date
29261
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 - COSTA MESA, CALIFORNIA 9202!
For Applicant to Fill In Completely
TYPE OR PRINT
a COSTA MESA, CALIFORNIA ■
6L -VD
USEOF mg
EXISTING BLDG.
SETBACK LIN[ FROM/
CENTER OF STREET O REAR YA D
SIDEYARD LEFT S / RIGHT
DESCRIPTION OF WORK
OCT 16-68PAISBOO 828* ***
cxsA 103.5C
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
e[CEIrT No. I q
! PROVED op/'Pz DATE
ZONING
ZON NO. Or YI[ Or Nt
i ' ((PUN[ 7 Bu1LDIH0
DESCRITON �-'S / O1/C �L _,—Z
A. P. NO. �� S
/I—
NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
YARDS APPROVEDI YARDS APPROVED
MAIN BUILDING ACCESSORY BUILDING
NG �^T Y�
--- -- --NO.OF/
VAR.#
DATE
L7 L� [� ROOMS
ST RI
C.U.P.
APPROVED
XT
COVEREXTERING ALL L' COVERIN
By PROVE V\n'TY'
DATE
1 X [ R
it V V V
O INe AND WORKT 'B PERP
RM[
D.
W
LAUTHORIZED
Bc. FT. X1'3—d
Y ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
THE AMOUNT SHOWN UNDER VALUATION
IE FOR THE
0
TE THAT THE ABOVE IS CO JABOT A
H ALL CITY DINANCES AND
OCONSTRU ION.
THEO
AGREE TO COM•
We URSULATI
PURPOSE OF ESTABLISHING A PERMIT
FEE ONLY.
VALUATION
�7(J
PERMITFEE
IZED AG AQ,/NT
TOTALFEE 5
�" n OCCIDENTAL LOAN COMPANY DAIC ]2-27-68
�DB ADDRESS 1020 Concord Street BUILDING PERMIT NO. popAl
147-652-45 LOT TRACT FIRE ZONE VALUES 27. 4?C_nn
;INSPECTIONS
Si nature
I Date
GROUP I &
J
TYPE
V ZONE R-1
SOIL
SUBCONTRACTOR
PERMITS ISSUED
Dote Number Si nature
GAS
WATER
Pla
n
ROUGH PLUMBING
—R
PROP. SWR. LINE HOUSE CON.
SPRINKLING SYSTEM
M ISC 5
ROUGH EATIN ANO AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND POWER
ROUGH WIRING
Neatin
and
Vent.
TRENCHESLV7FORMS M/STEEL REIN F.
FLOOR SYSTEM
e
C
BOND BEAM STEEL REINFORCE
SHEATHING
C
7,
FRAME AND FLASHING
LATHING — IN OUT
C
PLASTER, BROWN COAT
STRUCTURAL, FINAL
HEATING, VENT., REFRIG. AND A.C., FINAL
i
PLUMBING, FINAL AND GAS TEST
t
ELECTRIC, FINAL
�2 `°/
BUILDING, FINAL
♦♦ssem�
SPECIAL REQUIREMENTS
_