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Home My WebLink About1465 DEAUVILLE PL - Building Permits 0 CITY OF COSTA MESA 0 at.a. BUILDING DIVISION Fm .�) 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 'A. MSS l. FOR INSPECTIONS CALL: (714)754-5626 PERMIT NUMBER: P10-00039 PERMIT TYPE PLUM STATUS: ISSUED APN: 41814622 DATE ISSUED: 03/3112010 ISSUED BY: RMD JOB ADDRESS: 1465 DEAUVILLE PL CM - -Suite/Unit: I Vicinity: - - . . SCOPE OF WORK: PLUMBING PERMIT FOR WATER HEATER CHANGE OUT FORA SFD,'SAME LOCATION. COMPLIANCE FORMS ATTACHED TO JOB CARD AND CITY PERMIT. . OWNER: DELREZ, MARY S - _ Address: 1465 DEAUVILLE PL - PHONE: . City/State/Zip: COSTA MESA,CA. • - • APPLICANT: LITTLEFIELD,SCOTTAddress: 24707 SAN FERNANDO RD : PHONE: 888-611-4328 - . City/State/zZip: SANTA CLARITA,CA CONTRACTOR: AFFORDABLE WATER HEATERS AND PLUMBING License No. 627368 ' Address: 24663 RAILROAD STREET - ' •.''- ' "" - PHONE: 661-259-7131 - - - - City/State: NEWHALL,CA ZipCode: 91321-1742 . CELL: • - ARCHITECT: License No. PHONE: ENGINEER: License No. PHONE: • PLUMBING PERMIT FEE SUMMARY PLAN CHECK FEE: - $0.00 PERMIT FEE: $35.80 TOTAL FEES: $35.80 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE It. INSPECTION TYPE DATE INTII1AL$ CODE 4 INSPECTION TYPE DATE INTITIAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing Sr /O "t '� 200 Final Re-Roof _ 210 Final Electrical ..��yy 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 __ WORKERS`COMPENSATION DECLARATION: Owner ID verified by driv icense. ❑Yes ❑No , I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized Carver: n ZR t-hh by this permit,and that no building structure,scaffolding.falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (Tins secldn need not be completed the perms is valued at one hundred dollars($100)or less.) 2,Art 2,Sec.341,Title 8,California Administrative Code). Potiby Number: ZO1,7 69g-7 6 Li ❑ As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of Applicant's Signature Dale the Labor Code,I shall////orthwith comply with these provisions. —+L .5— 3 r -10 Division of Industrial Safety Permit Number: • 1's Signature ‘Date''' HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑YesNo ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is infull force and effect. a registration form for acutely hazardous materials? fp Yes Lic..#.n" 12 W273 bct Class# CI , (Section 25533 of the California Health and Safety Code, with some ✓ / exceptions, requires registration with the Costa Mesa Fire Department by `2-- �� .31— 1� each business which at any one time has on hand a quantity of acutely Leo ors Signature V'Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued. (Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes 1:Er-No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required Signature Date to register acutely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? El Yes El No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? El Yes ❑No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). 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 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑ No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑ No thereon,and who does such work himself or herself or through his or her own 8 (If"yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and ❑ I, as owner of the property,am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). 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 ❑ I am exempt under sec. ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: 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. Signature of Le I Owne(s) Date Signature Date 3-31_is 3057-46(3107) — cllpd/n:AL nzed'Applirant Date. Prescriptive Certificate of Compliance: Residential CF-IR-ALT Residential Alterations (Page 1 of 5) Project Name: Climate ZoneI( #of Stories Dt\ Q—e, 2eS: 01p^ce 1 General Information Site Address: Enforcement A en te: ��s De�� cls P� g `� 1 ^�a 3 3! 10 Building Type,%Single Family D Multi Family Circle the Front Orientation:N,E,S,W,or degrees Conditioned Floor Area(CFA): Project Type: D Alterations O Envelope 0 Fenestration D Roof 0 HVAC Replacement or Change Out D Duct Replacement., Water Heater NOTE:This form is not to be used for Newly Constructed Buildings or Additions Insulation Values For Opaque Surfaces(for Furring use the Mass and Furring Strips Construction table below) • Assembly Alteration ❑Opening of framed cavity alone—Alterations that involve the opening of the framed cavity of a wall,ceiling,or floor must install the mandatory minimum insulation value per§150 for the altered assembly.Fill in Columns A—C and enter mandatory insulation value in Column H. ❑Replacement of entire assembly—Replacement of an entire wall,ceiling,or floor assembly requires the installation of Component Package-D insulation values in Table 151-C. Fill in Columns A—J Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below. A I B C D E F G I H I I J see Note Pro sed Standard_ Values From JA4 Table Framing Thickness, Framed Continuous JA4 Proposed Tag/ Assembly Name Material Spacing, U- JA4 Table Cavity Insulation Assembly Assembly ID' or Type' and Size' or Other' factor' Number' R-values R-Value' Cell Values U-facto Note:For furred assemblies,accounting for Continuous Insulation R-value,see Page JA4-3 and Equation 4-1. For calculating furred walls use the Mass and ( Furring Construction table below. '-- 1.For Tag/ID indicate the identification name that matches the building plans. 2.Indicate the Assembly Name or type:Roof/Ceiling, Walls,Floors,Slabs, Crawl Space,Doors and etc...Indirnte the Frame type and Size:For Wood,Metal,Metal Buildings,Mass,enter 2x4,2x6, or etc....see JA4 for other possible frame type assemblies. 3. Enter the thickness for mass in inches or Spacing between framing members enter;16"or 24"0C;or Other for 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-factorfrom Table 151-B, C or D for each different assembly Name or type. 5.Enter the Table number that closely resembles the proposed assembly. 6. Enter the R-value that is being installed in the wall cavity or between the framing;otherwise,enter"O". 7. Enter the Continuous Insulation R-value far the proposed assembly;otherwise,enter "0". 8.Enter the raw and column of the U-factor value based on Column F Table Number and enter the Assembly U-factor in Column.1 9.The Proposed Assembly U-factor, Column J,must be equal to or less than the Standard U factor in Column E to comply. Furring Strips Construction Table for Mass Walls Only A I B C D E F G H I J I K L M Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation Walls From Reference in Furring Space from Reference Joint Appendix Table 43.5,4.3.6,4.3.7 Joint Appendix Table 4.3.13 S oa F."5 Assembly X+ N o c so ° m� rev a Final Mass Name or JA4 Table O 2 v v c 2 E'o C > v zu > Assembly Thickness' Type' Number' 6 j 5 °w w k 3 u' a > > w rx U-factors? Comment — € Registration Number: Registration Date./Time: HERS Provider: 2008 Residential Compliance Forms August 2009• ' IPrescriptive Certificate of Compliance: Residential CF-lit-ALT Residential Alterations (?Page 2 of 5) Project Name: Climate Zone# #of Stories f l • Mass and Furring,Strips Construction(footnotes) 1-Indicate the type of assembly to include;Hollow Unit Masonry Walls,Solid Unit Masonry,Solid Con. ete Walls,Etc. Additional assemblies can be found Reference Joint Appendix JA4. 2. This is the U-Factor based on the thickness of the assembly in inches. 3. The R-value of the insulation to be added on the interior or exterior of the assembly. 4. The Calculated R-Value is the R-value of the fired out section of the assembly. 5.-6.The Final Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference Jo' t Appendix JA4. The equation is the inverse of Column D added to Column 1. Column K is the inverse from column J. 7.Insert the calculated U-factor value on to the Opaque Surface Details in Column J FENESTRATION PROPOSED AREAS ❑Replacing window alone—Replacement windows shall meet the U-Fact' and SHGC Value requirements of Component Package D in Table/51-C. The Total Fenestration and West facing Area requirements are of applicable. ❑Adding 50112 or less of window area—Newly installed windows sh I meet the U-Factor and SHGC Value requirements of Component Package Din Table 151-C ❑Adding more than 50112 of window area— Newly installed ndows shall meet the U-Factor and SHGC Value and the Fenestration Area requirements of Component Package Din Table 151-C. Comp to the Altered Fenestration Allowed Area Table on Page 2 of the CF-1 R-ALT Orientati• Fenestration Type and Frame (North, ..st, PropsedAreat Maximum Maximum NFRC or Default (Window,Glass Door or Skylip)3t) South, • est) CB) U-factot2'3 SHGC''3,° Values C 1.Fenestration area is the area of total glazed. oduct(i.e.glass plus frame). Exception: When a door is less than 50%glass, the fenestration area may be the glass area plus a "2 inch -me"around the glass. 2.Enter value from Component Package D ',-quirements in Table 151-C. 3.Actual fenestration products installed a 1 as indicated in CF-6R-ENV Form shall be equivalent to or have a lower U-factor and/or a lower SHGC value than that specified on the C r-IR ALT Form. 4.Submit a completed WS-3R Form if. educed SHGC is calculated with exterior shading. 5.If applicable at this stage enter"NE'C"for NFRC Certified windows or are CEC'Dault"values found in Table 116-A or B. ALTERED FENESTRATIO''ALLOWED AREAS(Complete if more than SOft'offenestration is added) A B C D F F G Allowed Existing Fenestration Total Area PA of Entire %of Fenestration Area Fenestration Allowed Proposed Area2 Dwelling CFA Area Removed Area Added (A x B) (E-D)+C Total Fenestration Area .20 02) West Fenestration ,.at (Required In .05 > CZ's 2,4&7 5) 1. West Fencstr. ion Area includes west-sloping skylights and any skylights with a pitch less than 1:12. 2. West facing: axing area removed cannot be "counted"twice." In order to distribute the west glazing area removed to the other orientations, input the :.t glazing area removed in the Total Fenestration Area row,column D. ' 3.Include th Proposed Area of the West facing fenestration in both Area columns below. 4. To meet c.mpliance,the Proposed Area must be less than or equal to the Total Allowed Area for BOTH the Total and West Fenestration Areas. Registration Number: Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms August 2009 • • Prescriptive Certificate of Compliance: Residential CR-IR-ALT Residential Alterations 'age 3 of 5) Project Name: Climate Zone# #of Stories C ROOFING PRODUCTS(COOL ROOFS)§151(012 When the area of exterior roof surface to be replaced exceeds more than 50%of the existing roof area,or more than 100 fl,whichever is less,the new roofing area must meet the roofing product"Cool Roof"requirements of§152(b)1Hi,152(b)1Hii,or •2(b)1Hdi. Check applicable alternative or exception below if the roof alteration is exempt from the roofing product"Cool R..f'requirements.Note:If any one of the alternatives or exception below is checked,the Aged Solar Reflectance and Thermal Emittance requir ents for roofing products in §118(i)are not applicable.Do not fill table below. ❑Cool Roofs Not Required in Climate Zones 1-12, 14,and 16 with a Low Sloped. Less or 2:12 pitch. ❑Cool Roofs Not Required in Climate Zones 1 through 9 and 16 with a Steep-Sloped Roofs(pitch gre. -r than 2:12)and product unit weight less than 5lb/tl. Alternatives to§152(h)1Hi and§l52(b)Hiy Steep-slope roof(pitch>2:12) ❑ Insulation with a thermal resistance of at least 0.85 hrfi2•°FBtu or at least a 3/4 inch as-spa = s added to the roof deck over an attic;or ❑ Existing ducts in the attic are insulated and sealed according to§151(t)10;or ❑ In climate zones 10, 12 and 13,with I ft''of free ventilation area of attic ventilation , every 150112 of attic floor area,and where at least 30 percent of the free ventilation area is within 2 feet vertical di .. of the roof ridge;or ❑ Building has at least R-30 ceiling insulation;or ❑ Building has radiant barrier in the attic meeting the requirements of§15l( ;or ❑ Building has no ducts in the attic;or ❑ In climate zones 10,11,13 and 14,R-3 or greater roof deck insulatio :.ove vented attic. Exception to§152(b)1Hill,Low-slope roof(pitch_<2:12) ❑ Building has no ducts in the attic. Other Exceptions 0 Roofing area covered by building integrated;photovoltaic •:Cels and solar thermal panels are exempt from the below Cool Roof criteria. ( El Roof constructions that have thermal mass over the roof embrane with at least 25 lb/112 s exempt from the below Cool Roof criteria. \„ Note:If no CRRC-1 label is available,this compliance m:r od cannot be used,use the Performance Approach to show compliance,otherwise, Cheek the applicable box below if Exempt from the oofmg Products"Cool Roof"Requirement: f Roof:lope Product Weight Product Aged Solar I Thermal CRRC Product e)Number` < 2:1 >2:12 < 51b/ft > 51b/&Type2 Reflectance14 Emittance SR15 • 0 0 0 ❑4 ❑ ❑ ❑ 0 ❑4 ❑ ❑ 0 0 ❑4 ❑ ❑ 0 0 ❑4 O 0 ❑ 0 04 1. The CRRC Product ID Number can••obtained from the Con!Roof Rating Council's Ratedt'roduct Directory at www.coolroofs.org/products/search.ohp 1.Indicate the type of product is bein used for the roof top,i.e.single-ply roof asphalt roof metal roof.etc. 3. If the Aged Reflectance is not• • !able in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same directory and use the equal'. (0?+0.7(ptrsttrot-0.2)to obtain a calculated aged value. Wherep is the Initial Solar Reflectance_ 4.Check box if the Aged Ref! •once iso calculated value using the equation above. 5.Calculate the SRI value b using the SRI-Worksheet at httal/www.enerey.ca.govliile24/and enter the resulting value in the SRI Column above and attach acopy of the SRI-Worksheet to 'CF-IR. To apply Liquid Fel• Applied Coatings,the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by th• oatings manufacturer and meet minimum performance requirements listed in§118104. Select the applicable coating: 0 Aluminum-Pigmented Asphalt Roof Coating Cement-Based Roof Coating 0 Other Registration Number: Registration Date/TFme:: HERS Provider: 2008 Residential Compliance Forms August 2009 • Prescriptive Certificate of Compliance: Residential CF-IR-ALT Residential Alterations (Page 4 of 5) Project Name: j -c eLn Climate Zone# #Tories HVAC SYSTEMS-HEATING Minimum Duct or Piping Configuration Heating Equipment Efficiency Distribution Insulation Thermostat (Central,Split, Type and Capacityl''-' (AFUE or HSPF) Type and Location° R-Va!ue Type Space,Package or Hydronic) I.Indicate Heating Type(Central Furnace, Wall Furnace,Heat pump,Boiler.Electric Resistance.etc.) 2.Electric resistance heating is allowed only in Component Package C,or except where electric heating is supplemental(i.e..if total capacity <2 KW or 7,000 Btu/hr electric heating is controlled bye lime-limiting device not exceeding 30 minutes). See§I51(b)3 exception. 3.Refer to the HERS Verification section on Page 4 of the CF-IR-ALT Form for additional requirements and check applicable boxes. 4. Indicate Type or Location(Ducts,Hydronic in Floor,Radiators, etc.) HVAC SYSTEMS-COOLING Minimum Efficiency Duct or Piping Configuration Cooling Equipment (SEER/EER or Distribution Insulation Thermostat (Central,Split, Type and Capacityu COP) Type and Location' R-Value Type Space,Package or Hydronic) I.Indicate Cooling Type(A/C,Heat pump, Evap. Cooling,etc) 2.Refer to the HERS Verification section on Page 4 of the CF-IR-ALT Form for additional requirements and check applicable boxes. 3.Indicate Type or Location(Ducts,Hydronic in Floor,Radiators,etc.) -. I. WATER HEATING •List water heaters and boilers for both domestic hot water(DHW)heaters and hydronic space heating. Individual dwelling DHW heaters must be gas or propane fired,and may not exceed 50 gallons. Hot water pipe insulation from the DHW heater to the kitchens)and on all underground hot water pipes is required in dl component packages in all climate zones. External Tank Water Heater Type/Fuel Distribution Type Number In Tank Energy Factor or Insulation BradType (Standard,Recirculating)2 System Capacity(gal) Thermal Efficiency R-Value3 Br(A4c-or) lw kQr30 _ I3 e'tr Lott bo r L 1 Qictfc • 1.Indicate Type(Storage Gas,Heat Pump,Instantaneous, etc.) 2.Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of§150(n). The Prescriptive requirements do not allow the installation ofa recirculating water heating system for single dwelling units. 3. The external water heating tank and pipes shall be insulated to meet the requirements of§I50(i). SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features.specified in this checklist below. These items may require written justfcation and documentation and special verification. NEW ROOF ASSEMBLY-Radiant Barrier The radiant barrier requirement of§151(1)2 does not apply to roof alterations. Slab Edge(Perimeter)Insulation ❑YES ❑NO YES:In Climate Zone 16 in Component Packages D,R-7 insulation is required. Boated Slab Insulation ❑YES 0 NO YES:Slab edge insulation required for all hcated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab Insulation 0 YES 0 NO YES:In Climate Zones 1,2,11,13,14& 16,R-8 insulation is required;in Climate Zones 12& 15,R-4 is required under component Package U. Thermal Mass To obtain Compliance Credit for the installation of thermal mass,use the Performance Approach. r Registration Number Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential I Residential Alterations _ (Page 5 of 5) Project Name: (1,�, Climate # CV-IR-ALT #of Stories — HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified in this checklist below. A completed and signed CF-41?Form for all the measures specified shall be submitted to the building inspector before final inspection. Duct Sealing&Testing HERS verification Ls required for this measure. 0 YES 0 NO YES:In Climate Zones 2 and 9-16,if more than 40 linear feet of new or replacement ducts are installed in unconditioned space,the ducts are m be sealed per§152(b)1Dii and the newly installed ducts are to be insulated per§1510)10. ❑ EXCEPTION:Existing duct systems that are extended,which are constructed,insulated or sealed with asbestos. Cl YES 0 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§152(b)!Di. 0 YES 0 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 or heating coil,or the furnace heat exchanger)the ducts are to be sealed per§152(b)lE. ❑ EXCEPTION:Duct systems that are documented to have been previously sealed confirmed through HERS verification in accordance with procedures In the Reference Residential Appendix RA3. ❑ EXCEPTION:Duct systems with less than 40 linear feet in unconditioned space. ❑ EXCEPTION:Existing dud systems constructed,insulated or sealed with asbestos. Refrigerant Charge-Split System IEERSverification is required for this measure. Cl YES 0 NO YES:In Climate Zones 2 and 8-15,when the existing HVAC equipment is replaced(including the replacement of the air handler,outdoor condensing unit of a split system A/C or heat pump,cooling or heating coil,or the furnace heat exchanger)a refrigerant charge measurement shall be verified per§152(b)IF. Central Fan Integrated(CFI)Ventilation System and Fan Watt Draw The ventilation requirements of§150(o)do not apply to existing residential homes. Ducted Split Systems-Air Conditioners and Heat Pumps:Airflow HERS verification is required for this measure f_ ❑YES 0 NO YES:In Climate Zones 10 through 15,when the existing space-conditioning system(HVAC equipment and ducting)is j replaced,the airflow and fan watt draw shall be verified per§152(b)l Ci to meet the requirements of§151(076. Documentation Author's Declaration Statement • I certify that this Certificate of Compliance documentation is accurate and complete. Name: SLOT Li T7'14 f i e 14 Signature: P.�O't- - Company: Date: AFFocchable Water heaters , -3 ( ' l0 Address: If Applicable O CEA or O CEPE ;t%&3 Rao t r oa d Ave,- (Certification#): City/State/Zi : Phone: rlewkall CA. 9i3d1 Wbl - aSy- 7131 _ Responsible Building Designer's Declaration Statement • 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform to the requirements of Title 24,Parts 1 and 6 of the California Code of Regulations. • The building design features identified on this Certificate of Compliance are consistent with the information provided to document this building design on the other applicable compliance forms,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application. Name: Signature: Company: Date: Address: License: City/State/Zip: Phone: `—'For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300. Registration Number: Registration Dale/Time: ITERS Provider: 2008 Residential Compliance Forms August 2009 Lot.# .FEE RECEIVED 227 (1 Plan # 320 1` COSTA MESA BUILDING-SAFETY DEPARTMENT FQI` CD P.O.BOX 917 COSTA MESA,CALIFORNIA ' N. ripeI�((p��FF ((! C�77 For Applicant to Fill In,Completely APPLICATION FblPPEICIA TA MESA TYPE OR PRINT • BUILDING BUILDING_ � LJ()Y/[..<.C' �` For Office Use Only ADDRESS RECEIPT NO. PERMIT NO. COSTA MESA. CALIFORNIA ��7n RECEIVED DAT R CEI II / �O TE IS3ED s�/ )�cy AUG1 i s 1964 OWNER Harbor Hall of Fame Homes, Inc. / `L BUILD! O- .. MAIL Box 2066 ADDRESS / ADDRESS f �/ TEL ZONE TYPE I//".GROUP C`l'.--f CITY Santa AFIRE na No.1{29-2204 b`-- ARCHITECT Ray Levanas TEL.OR3-7010 BYPROVED DATE ' OR ENGINEER NO. 11.. ZONING NEC)ADDRESS 3432 Via Oporto. Npt BCI! PN NO.CF: USE OF - 1��-L Lifetime Residential'Bldg Cory / , PLANe� I BUFLDNf 1 ')0jjjYYY•{{{ CONTRACTOR j [L . LEGAL _ f) L r.3 0 !/R LJ3- ADDRESS Box 2066 DESCRIPTION Santa Ana - A.P.NO. I -J p / 1 — 0 CITY NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LIC.NO.208676 Tg. 1(192204 SO"TO SIDE a REAR P.L EAVES SIZEpp NO.OF BUDGE. ALLOWED (U.B.C.REQUIREMENT) OF LOT 20 x 80 NOW ON LOT 0 YARDS APPROVED, YARDS APPROVED USE OF none MAIN BUILDING .ACCESSORY BUILDING EXISTING BLDG. (FROM C/LTREET) _ - SETBACK LINE FROM • 1 N FRONT FT. �� FT. ✓ CENTER OF STREET 151 REAR YARD2510 0 /mA SIDE YARD LEFT - 0 I RIGHT 0. R.SIDE Fr. ' 'V FT. • DESCRIPTION OF WORK L.SIDEO.FT. /�7y rQ FT. NEW EC ALTERATION _ ADDITION REAR :yt� �-�FT.rV�.[ l� FT. . DISTANCE BET. BET.MAIN @ REPAIR MOVING - DEMOLISH- MAIN BLOCS. ACCESS.SLOGS. Z o BUILDING DATE W SIZE 1100 - ROOMS STORIES 2 •CAU.P.$t� :1--- - APPROVED �/ /Il o(/1 . 2 i CQ EXTERIOR WAL ROOF APPROVE -64 COVERING 0GUCCO COVERING Roct BY Vl:'LVW DATE / / '7' USE OF BUILDING AND WORK TO BE PERFORMED Ste. -• d Construction of "T11 occupancy bldg (� x 4th IIJU construction garage _ a . /100 SQ.FT. Q/ 943 P , - N LI I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT BHOWq UNDER VALUATION IS FOR THE a. AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. F O PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. _ VALUATION ', SIGNATURE OF PERMIT FEE $ l �'�� , 0 go PERMITTEE r• - �/1 /,/7 /7.IT LA C' ECK AUTHORIZED AGENTAAXi / I' O TOTAL FEE $ F 3 Z 4