HomeMy WebLinkAbout1139 AVIEMORE TERR - Building PermitsCITY OF COSTA MESA
J
o MF BUILDING DIVISION
i 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
�• FOR INSPECTIONS CALL: (714) 754.5626
'°°"�� PERMIT NUMBER: B10-00129
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 42233119 DATE ISSUED: 05111/2010
ISSUED BY: RMD
JOB ADDRESS: 1139 AVIEMORE TR CM Suite/Unit:,
Vicinity: HOUSE AND GARAGE ROOF
Squares: 2600 Valuation: $5,000.00
SCOPE OF WORK: TEAR OFF EXISTING ROOF MATERIALS, INSTALL 1/2" CDX, INSTALL.1 .LAYER OF 40# FELT ON A 4;12
PITCHED ROOF, REROOF WITH METRO METAL SHINGLES 1.3 PPSF (ER 5626) ON AN ATTACHED. HOUSE AND
GARAGE, APPROX 2600 SF. COMPLIANCE FORMS ATTACHED TO JOB CARD AND PERMIT. -
OWNER: CHILDS, JEFFREY S Address: 1139 AVIEMORE TER Unit:
PHONE: 949-646-7746 City/State/Zip: COSTA MESA, CA -
App (CANT: JOHNSON, SCOTT Address: 13672 ONKAYHA CIRCLE Unit:
PHONE: 714-651.6130 City/State/Zip: IRVINE, CA
CONTRACTOR: WESTERN ROOFING SYSTEMS License No. 675902
Address: 13672 ONKAYHAUnit: PHONE: 714-778-6294
City/State/Zip: IRVINE, CA 92720 - CELL:
ARCHITECT: License No. PHONE:
ENGINEER: License No. PHONE:
FEE SUMMARY
Reroof Plan Check: $0.00
Reroof Permit Fee: $111.25
Reinspection Fee: $0.00
Bldg Std Admin Fund $1.00
'OTAL FEES $112.25 t� V
HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 311812010 - PER CMMC Sec. 13-279
Monday thru Friday - 7:00 am thru 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 t, INSPECTIONTYPE DATE INTITIALS CODE INSPECTION TYPE DATE INTITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final Ly1 208 Final Plumbing
200 Final Re -Roof 210 •J 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
WORKERS' 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
p rmance of the work for which this permit is issued.
XI have and will maintain workers' compensation insurance, as required by
an 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation Insurance carrier and policy
numbeCarierr are U, n" 44 0 n
'-"(This section need no fel /tel/ lefed A/th ppe)rmd is valued at one
lhundred dollars (g 100) or less)
Policy.N tuber: (i t �-7% /0.0 7
t
❑ 1 certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to become subject
to the workers' compensation laws of California, and agree that if I should
become subject to he workers' compensation provisions of Section 3700 of
the Labor Code,all forthwith comply with these provisions.
ApplicardP gna a_i O
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. /��3
Lic. #. 7 $ 96 a, Class..-- u
67
�Qp actor4&Sgnature Dae
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
Signature
OWNER -BUILDER DECLARATIONS,; -„ �,�,
hereby affirm that under penalty'of,, pdrjury that II'am EXEMPT FROM THE
CONTRACTORS LICENSE.'LAW fbri.the following reason (Sec. 7031.5,
Business and Professions Code: Any city or county which requires a permit to
construct, alter, improve, demolish, or repalrfany structure, prior to its
issuance, also requires the 1.
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 v✓ill 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 contractor(s) license pursuant to the Contractors License Laws.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
3057-46(3/07)
Owner ID verified by dr`, e. 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, or demolition
or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp
2, Aft 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.
Applicant's Signature pate
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building.. occupant need to file and
certify a Business Plan for emergency response to release or threatened
release ore hazardous material? ❑ Yes ❑ No
(Section 25505 of the California Health and Safety Code requires, with some
exceptions, that a Business Plan be filed with the Costa Mesa Fire
Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperature and pressure).
2. Does or will the applicant or present or future building occupant need to file
a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
hazardous materials equal to or greater than a weight of 500 ,pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperature and pressure).
3. Does or will the applicant or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materials)? []Yes ❑ No
(Section 25534 of the California Health and 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 authorizerepresentatives 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.
Slgnatur Legal ens) Dat
�_.. tq a
And/or AutrerTzed Applicant p
U Certificate of
Alterations
Project Name:
L/>v t-6 D
nage I of
# of Stories
T
General Information
Site Address: /3 I (/ �� G`r,�
Enforcement Agencf,,5,�,J-'/ 4
Date: p
1
Building Type '0.$jngle Family 0 Multi Family
Circle the Front Orientation: N, E, S, W, or degrees /V
Z rU CJ
Conditioned Floor Area (CFA): 7
Project Type: 0 Alterations 0 Envelope 0 Fenestration ,roof 0 HVAC
Re lacement or Change Out 0 Duct Replacement 0 Water Heater
gNOTE: This for'nr is not to be user! forNewly Constructer! Buildings or Additions
Insulation Values For Opaque Surfacer (/o) Furring use the Mass and Furring Strips Construction table belon)
Assembly Alteration
0 Opening of framed cavity alone—Alterations that involve the opening of the framed cavity ofa wall, ceiling, orfloor must install the
mandatory minimum insulation vahtepei ,¢150 far the ahered assembly. Fill in Columns A —C and emer mandator), insulation value in Column H.
0 Replacement of entire assembly—Replacement ofan entire wall, ceiling, orfloor assemble requires the installation ofConponem
Package- D insulation values in Table 157-C. Fill hr Cohrmns A — J
0 ague Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below:'
I C D
E
F G I -- -..H ..... .....,. �,_-..- _.. .. J
Proposed s" Nw
Standard
Values From JA4 Table
Framing Thickness,
in Furring Space from Reference
Framed Continuous JA4
Proposed
Tag/
Assembly Name
Material Spacing,
U-
JA4 Table
Cavity Insulation Assembly
Assembly
ID'
of Type)
and Size or Other
factor"
Number'
R -value' R -Value' Cell Values
U -factor°
Assembly�..v
".v
u
_
Final
Mass
Name or
JA4 Table
Ley
d.
G'C N
.e v o
U
E
U,O
A
C
Lem
Assembly
Thickness'
T c'
.Note: For furred assemblies, accounting for Continuous Insulalion R -value, see Page JA4-3 and Equation 4-1. For calculalingfu -red walls use the Mass and
IFUrring CanSIMM017 table below,
1. For Tag/ID indicate the identification name that notches the building plans.
2. Indicate the Assembly Name or type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc ... Indicate 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 thicknessfior mass in inches a- Spacing between framing members enter, 16 "or 24"OC, 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 factor from Table 151-B, C or D for each different assembly Name o- type.
5. Enter the Table number runt closely resembles the proposed assembly.
6. Enler the R -value that is being installed in the wall cavity bi between the fr'on ing; otherwise, enter "0 ".
7. Enter the Continuous Insulation R -value far the proposed assembly; otherwise, enter "0".
8. Enter the row and column of the flfactor value based on Column F Table Number and enter the Assembly U -factor in Column J
9. The Proposer/ Assembly Ufacmr, Coh mn,l, must be equal to or less than the Standard U-faclor in Column E to comply.
Furrin E Strips Construction Table for Mass Walls Only
A B C llI E
F G H I .1 1 K
L
M
Proposed Properties of Masonry and Concrete
Added Interior or Exterior Insulation
Walls From Reference
in Furring Space from Reference
Joint A endix Table 4.3.5, 4.3.6. 4.3.7
Joint Appendix Table 4.3.13
U
mU
o
Y
.-
v
r
U
Assembly�..v
".v
u
_
Final
Mass
Name or
JA4 Table
Ley
d.
G'C N
.e v o
U
E
U,O
A
C
Lem
Assembly
Thickness'
T c'
Number'
<
c-
LL 3
s' �+
¢ m
w w
U -factor''°
Comment
I
I
Regisiration Number: Registration Daic/Time:
ompm,s
2008 Residential Compliance Fm
HERS Provider:
August 2009
ROOFING PRODUCTS (COOL ROOFS) §757()912
When the area of exterior roof surface to be replaced exceeds orore than 50% of the existing roof area, or more than 1,000f?, whichever is
less, the new roofing area must meet the roofing product "Cool Roof'requirements of §151(b)]Hi, 152(b)IHii, or 152(b)]Hiii.
Check applicable alterative or exception below if the roof alteration is exempt from the roofing product "Cool Roof' requirements. Note: If any
one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Eminence requirements for roofing products in
,§118(i) are not applicable. Do not fill able below. —
❑ Cool Roofs Not Required in Climate Zones 1-12, 14, and 16 with a Low Sloped. Less or 2:12 pitch.
ool Roofs Not Required in Climate Zones I through 9 and 16 with a Steep -Sloped Roofs (pitch greater than 2:12) and product unit weight less
than 5lb/ft
Alternatives to §152(b)1Hi and §152(b)Hii, Steep -slope roof (pitch > 2:12)
Off3lnsulation with a thermal resistance of at least 0.85 hrfl`•'F/Btu or at least a 3/4 inch air -space is added to the roof deck
over an attic; or
❑ Existing ducts in the attic are insulated and sealed according to §151(f)10; or
❑ In climate zones 10, 12_and 13, with 1 ft' of free ventilation area of attic ventilation for every 150 ft' of attic floor area, and
where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge; or
❑ Building has at least R-30 ceiling insulation; or
❑ Building has radiant barrier in the attic meeting the requirements of §151(f)2; or
❑ Building has no ducts in the attic; or
❑ In climate zones 10, 11, 13 and 14, R-3 or greater roof deck insulation above vented attic.
Exception to §152(b)1Hiii, Low -slope roof (pitch 52:12)
❑ Building has no ducts in the attic.
Other Exceptions
❑ Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria.
❑ Roof constructions that have thermal mass over the roof membrane with at least 25 IbIW is exempt from the below Cool Roof criteria.
- Note: If no CRRC-I label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise,
Check the applicable box below if Exem t from the Roofing Products "Cool RoofRequirement:
Roof Slope
Product Weight
Product
Aged Solar
Thermal
CRRC Product ID Number
< 2:12 > 2:12
< 5lb/ftZ >_ 5lb/ftZ
T e2
Reflectance;'4
Emittance
SRI
❑
❑❑
11
EY
❑
11
El
❑
❑4
❑
11
11
❑
❑4
11311:1❑
❑
❑4
1. The CRRC Product ID Nutnber con be obtained from the Cool Roof Rating Council's Rated Product Direca)y at www. coolroofy.ornhiroductsLsemnh.nlm
1. Indicate the pyre of product is being used.jor die roof lop, i.c. single -ply roof, asphalt roof, metal roof, etc.
. If the Aged Reflectance is not available in.lhe Cool RoofRaling Councils Rated Product Directory then use the Initial Reflectance value from the same
direclnry and use the equation (0.2+0.7(puhiat — 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance.
4. Check box V [lie Aged Reflectance is a calculated value using the equation above.
5. Calculate the SRI value Gv using Ilse SRI- Worksheet at ham)://www.eneray. ca.eov/tidc24/and enter the resulting value in the SRI Column above and atach atopy of
the SRl- Worksheet to the CP -1 R.
To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage
recommended by the coatings manufacturer and meet minimum performance requirements listed in § 118(i)4. Select the applicable coating:
❑ Aluminwn-Pigmented Asphalt Roof Coating
❑Cement -Based Roof Coating
11Other
Registration Number:
2008 Residential Compliance Forms
Registration Dane/Time: HERS Provider:
August 2009
1,rescri tive. Certificate of Compliance: Residential J CF -IR -ALT
Residential Alterations (Pa(re. � 01 5)
Pr ject Nn re: �i n 1 / 10,,
��G� ,11r ate'+Cone 4
HERS VERIFICATION SUMMARY The enforcemenl agenca' shauld pap special atrenlion it, the HE/tS Aleusures spec{/ted in this
checklist below. A completed tmcl signed CF -4R Fornr for all the mea.sw es syrecified shall be subnrined io the building inspector before final
inspection.
Duct Sealing S Testing HERS veryicalion is required for this measure.
❑ YES ❑ NO YEs: in Climate Zones 2 and 9-16, i1' more than 40 linear feet of new or replacement ducts are installed in unconditioned
space, the ducts are to be sealed per § 152(b)1Dii and the newly installed ducts are to be insulated per §151(1)) 0.
❑ EXCEPT] ON: Existing duet systems that are extended; which are cunstru tied, insulated o sealed with asbestos.
❑ YES ❑ NO YES: In Climate Zones 2 and 9-16, if tile existing space -conditioning system (HVAC equipment and ducting) is replaced, the
ducts are to be sealed•pei §152(b)1Di.
❑ YES ❑ NO YES: ]n Climate Zones 2 and 9-16; if the existing HVAC equipment is replaced (including the replacement oftile an handler,
outdoor condensing unit of a split system, cooling en heating coil, or the furnace heat exchanger) the ducts are to be
sealed per §I52(b)IE.
❑ EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS
verification io accordance with procedures in the Reference Residential Appendix RA3.
❑ EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space. '
❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
Refrigerant Charge - Split System HERS verification is iequired,for this measure.
E3 YES ❑ NO YES: In Climate Zones 2 and 5-15, when the existing HVAC equipment is replaced (including the replacement of the air
handler, outdoor condensing unit of a split system A/C in beat pump, cooling of heating coil; or the furnace heat
exchanger) a refrigerant charge measurement shall be verified per §152(01F.
Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw
The ventilation requirements of §150(0) do not apply to existing residential hones.
Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure.
❑ YES ❑ NO YES: In Climate Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is
replaced. the airflow and fan watt draw shall be verified ver §152(6)) Ci to meet the reauhemems of § 15) (f)7B.
1
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate and complete.
NameSG,,�—
Signature:
Company v S % _4 ,� Date:
Address: If Applicable ❑ CEA o' D CEPE
`� 2+ 0 1 Q 4 C/ {; (Certification H):
City/State/Zips phone:
,te71Y 77OPL
Responsible Building Designer's Declaration Statement
o I am eligible under Division 3 of the California Business and Professions Code to accept responsibility 1'or the building design identified on
this Certificate of Compliance.
• 1 certify drat the energy features and performance specifications lot the building design identified on this Certificate of Compliance conform
to the requirements o(:Tille 24, Paris 1 anil 6 of the California Code of Regulations.
• The building design features identified on this Certificate of Compliance arc consistent with the information provided to (Incumeut 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:
4Id,s. �
License:
ate/Zip:
Phone:
For assistance or questions regarding flit Enmgp Standards, con#net the Energy Hotline at; )-800-772-3301).
kegistrarion Number: Regisowimr Dwe/Time: I-/EItS Provicier:
211(]8 Resicicivial Compliance Farrns Aztgust 2009
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations
CITY OF COSTA MESA' I PERMIT NO.,_ TRACT NO. LOT NO- BLD �2By� I r
CONSTRUCTION PERMIT: Tr'OiS ; TL.
'Applicant's Meiling Gf�rs - r' - TYPE OF, CONSTRUCTION ' NEW `," ADD ALTERATION -REPAIR - - I I • ' :y ! y' j.
1 i. �-e^M1� 1 +"•"��L �� ❑.CONVERSION ❑ DEMOLISH ❑'OTHER'
Project Address -
I Owner's Name --DESCRIPTION;OF WORK
i- - s�' hon0 f r 'ZONI G REGULATIONS S '
Address L'13' firV 1--p-/Ma V4= C. - .-.. r-
_ -TYPE OF PERMIT' GRADING - FOUNDATION, STRUCTURAL P.. P. ZONE
Arch/Eng - - I License NO I ❑}T.ENANT' ❑ ELECTRICAL' !PLUMBING" - ❑MECHANICAL y p,LNG. REF._ c - ,`BUILDING.
Address - • . r - ' 1 r 1 :-OTHER TO BUILDING - I
- I - 1 - - _ - fl PE TV LINE' ,REAR YARD (TO P/L)
Contractor s Nam (' r� K."P Phone., �b ' PROJECT DESCRIPTION SG: FT OCCUPANCY
Addre55(meiling) �rd ��'t" _ CONSTRUCTIONTYPE VALUATION $_ - LEFT SIDE YARD r RIGHT SIDE YARD
ZONE _ GRADING CU,YDS. ACRES PKG. SPACE 'REQ. PROVIDED
( License No.
LICENSED CONTRACTOR DECLARATION- , Remarks:�i•:..�,(1 ' ' STREET WIDTH - •PARK FEE $ !
' Ater
1 hereby;affirm that I -am licensed. under provisions of Charter 9 (commencing ! , ,
Il with section 7000) of Division 31 of the Business and Professions Cotle, and I - i I i 1 SPECIAL CONDITIONS: i r
my license Is In fu farce no effect.
Llcens Class I t Z6 I tens o.¢-� �+ ' _' PLUMBING + I 1 I ( !
! Dated' j.� Sig t_- �4i`���' - Bar Sink i Sewer Cap' 7 I ELECTRICAL 1 '
I- AKERS' COMPENSATION DECLARATION _ - — — - I
^' ' - - - - - Automatic Washer I Meter El over 100 amps'
.;.aby affirm -that Lhave a certificate.of consent to self Insure or a.certiff": tee _ -
'y`'Vorkers' Compensation Insurance,: or a c ifietl cODY thereof (Section BeckflowPreventer f" • ,' - ' - Sewer COnnectlOni - -- -- -_ _
I + , , Construction Pole •: ' Sub Panel ' )
3600, Lab. ) /� , i Backflow Irrigation Solar Collectors '
Policy No.� 99,-t� I ComPaily I j ! i - I Cooking Unit I Sub Pole
. ❑ Certified 60py Is here�furnlahad. , I ) Bathtubs ' - ( Soler Piping y + _ i J
❑ CestdiJetl gofly IsfMep with the city I ision. i _ f Solar Tank Dishwasher .' ;Motors ❑0-1 HP 01X 8 '
Date SSS ��/ _f�,•J Applicant ! ) Clarifiers ' t -
EXEMPTION FROM WORKERS' COIFAPE NSATI ON DECLARATION ( -- Dryers E]Gas7 E]Electrie '- IInc' blarlE19-15 HP E]16-154 "
(This section need lot be completed if the permit Is forione hundred ($100) or J ' Dishwasher Swimming Pool _./Sp., - I
:less - ! 1 Drinking Fountains - Urinal ' 1 Fan Microwave '
I certify that In the performance of the work for;lwhich this permit is issued I 9 7 n _
shall not employ any person in any manner so as to become Subject to lila F.A.U.Pole Light
Workers' Compensation - Laws of California.' Floor Drains I Water Closet - I -'
Date signature - - - - - '
NOTICE: after makingthistle<laratlon;-you shouldlbecome subject to -the- - Floor Sinks-- - .,.. - Water Heater;..,---_. !. '__'_ Fixtures ,i^ _I _ :Range
Workers', Compensation, provisions -,of the Labor Code, you,must forthwith, _
comply with such provisions -or this'.permit Shall bedeemed revoked: Gas Service 'Outlets Water Service + - 1 Device Boxes ; ` I Sign'
CONSTRUCTION -LENDING AGENCY
1 hereby affirm that there Is a con str uct l on lending agency for the performance. Interceptors ; _ - - j_ i i Outlets Standing Sections
of the -work for which this, permit Is Issued (Section 3087 Civ. C.) .. Swit,ches. '
Lender's, Name - I ' Kitchen,Sink� --/ IV/" d, ; -�- - Trash Compactor
Lender's Atltlress - - - qq Lavatories !.- r - Garbage Disposal
OWNER BUILDER DECLARATION - - y { - '
. I hereby affirm that 1 am exempt from the Contractor's. License Law for the Generator 00-5 KW El 5-15 KW
following reason (Sectio117031.5 Business and Professional Code: Any city or P—Trap - -
'county which requires a permit to construct, alter Improve, mi
demolish or repair - _ - Transformer E115-50KW -
any structure, prior to Its Issuance, also requires the applicant for such pert ,Roof Drams 1
to file a. signed statement that he/she is licensed pursuant to the provisions of - ❑5U+ KW '
t'-- Contractor's•LJcense Law (Chapter 9 (commencing,with Section -7000) of IReinapeetion Fee $15'
'.ion 3' of the 'Business and Professions Code)'or that: he/she -is exempt " Showers r Reinspection Fee I $15 -
'..from -and the basis for the alleged exemptlonc-Any violation -.of Section -' ; i Meter ❑up to 100 amps I 'Issue Fee- 1 $ 3
_1.5 by ,any applicant for a permit, subjects the -applicant to a civil I _ I )
penalty of not more than five hundred dollars ($500); : f Service Sink - I Issue Fee I I $ 3 Zoning Approved By Date
LJ I; as owner of the,property or my employees.with wages -as their sole MECHANICAL• I I ' i
compensation will do the work, antl therstructure Is not Intended or offered •„ I Application Approved By 'Date
for Sale'(Sechon 7044; Business and Professional Code: The Contractor's I f
License Law does not apply to an owner Of a property who builds or improves Refrigeration System I—{----�— J
Boiler ,� . r .1 v APPlicatipn Issued -BY '� ' •nate -
thereon„antl ,who does such work himself/herself,or through his or her own ' - 1
! employees, provided that such improvements are:not Intended or offered for ❑0100;000 BTU ❑100,000 BTU. 1 - I
I Sale. If, however, the building or Improvement is sold within one.yeanof com- I Duct= Under Ground , , '( t i SUMMARY OF FEES i
pietion, the ownerlwill have the burden of proving he/she did not build or 9m-.' i ) ,
rove for the purpose of sale)I Duct -Structural System '. Repair/Alteration :BUILDING PERMIT $ i SMIP
I, as. owner of the property, am exclusively contracting withllicensed con- ) i -
tractors.to construct the project (Section 7044, Business,and Professions, Code: 1 Duct Ventilating; '-� 1 - ' _e •I 'PLAN CHECK $ - PERMIT '
The Contractor's License Law ddoes not apply to an owner of property who -1 , ' I I ISSUANCE $ _
builds or improves thereon, and who contracts for such projects with a con- t 'i Exhaust System ❑ Multiple ❑- ` PLUMBING $ i .I 1
tractor(s) license pursuant to the Contractor's License Law), I - . 1 - GRADING i $1 1
❑ I.am'exem t under Section B. & P. C. for this reason 1 #PLAN CHECK ! I
p I Firepl/Fact. Bit. ICBG # , I _
'ELECTRICAL $$ ;
. Date • Owner ” - ' ' Heating'System &Ducting f + 'PLAN CHECK; $ I MICROFILM
• t- hereby - certify -that -1 have -reatl this'- application and -state that -the above ❑0.100,000 BTU -❑100,000 BT' - - - -- - j •i
information Is correct. I agree to comply with all city and county ordinances . , TOTAL FEE $ i
and 'state laws relating 'to buil tn9 const hereby authorize repre- .IMECHANICA'L $ I
senfatives of . thi <i to a r -upon the above-mentioned property 'for Hood or Type I Reinspection Fea' �' $15. LESS '
Inspection Durp s. �S CanopyT e II ❑' - 'PLAN CHECK $
4.'Yf C%s� Dat /J, ADVANCED PC } $ '
SignatureA
Drivers' License or Ss yf Registers ! i Issue Fee i $ 3 i FINAL FEE • ) $ ,I V
CMF 0865-46 rev. 12/82 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
M
0 j'�,I�TRUCTIPKANO�'Pl: N
Date
Inspector
POOL !PA- L
u
g __ !�
- Date
Inspector
Z�N
WPROVALS _"I
Rerrn
TROVALS Permit,+
AP
Temp ry,El�ctri6
1,; al Service �r.Pcli
52.. Pool &.Equipment Location 3
_ora
1�_, 2! Soil Pipe-U*ndrgrn'd.'z
f
53� Steel Rein orcement
Electrical Conduit Utility-Und'r'grnd'
54. Forms
4' Electrical Conduit -Un' drg rnd'
55. Electrical Bonding
Steel 'Reinforcement'''56..
Rough Plumbing & Pressure Test
6: EI.ectriLI_.UFER G�rid�'
.57. APPROVAL TO COVER-GUNITE:
7. Footings
58. Electrical Conduit-Undrarnrj'wi
8. Foundation
- 59. Gas'Pipe ':0 Ondrg a
1 Td., Test'
9. Mter Pipe-b6drgCnd.
60. Backwash Lines, P'T*ra'p,.D Undrgrnd.
10. Structural Floor System
61. APPROVAL TO'DECK
11. Pr'9perty Sewer Line- &'House'Connection'
62. BackwasK& Receptor-Fmal,
12. Sewer Q p,
t
63. Heater &-Vent -Final
13. Roofbrains ;
64. PlumbingSysteIn •Final
14. Rough Plumbing;
65. Electrical -Final -'
15. R duj h E I ebtr i ai I:Co nd b it
-;66. _Solir,SystimFiaal
l 6. Rough-Electric-Wirir)g,l
-67 Fencing
7. Rough Wiring"S ign
68: APPROVED FOR PLASTERING'!
C
-18..R'ou�gh-Eleari6i-T.Ba'!,'I6i!ing
169 POO L/SPA SYSTEMS F I NAL
1 9.- - RoughHeiting & Air Conditioning.
I iFIRE DEPT. REQUIREMENT,
APPROVALS' Perm it
Rough:Factory Fireplace
Structure
76.Underground Hydro
i;,22. Ducts, Ventillaiing,
71. Product Piping 0 Gas 0 Oil
`'23.'d.a0ilie-kough & Test
172: Underground Flush
24. Roof Framing'
73.1 Unclergrncl. Storage TankI.Pbas 0 Oil
25. Rbo'f Sheathing
74. Overhead Hydro
26.>T -Bar Ceiling (Structural)+& Monocoat
75. Dry Chainical
.27. :Frarhe and Flashing 1p
76. Dry Standpipe
28. Lathing &,Siding.
:77. FIXED SYSTEMFINAL,
29,,'. Insulation
78 FIRE PREV. FINAL
-30.:Drywall Nailing
Notes.
1 31 . �,Plaster 13row n Coat Ji
32.!Electricall Power Meter-Fin,al
33.,Finai Eleftric
34. Final Heati4,&-Air Con.ditioning4
35. Final Gas Pipe -Test
i i:
36. HoodbrCanopY
37. Final 'Factory Fireplace.
38. Final Plumbing) mbingi
39. Wateri 'Se'r'vic'e-Final
i
40. Gas Service -Final
41. Solar 160"mestic'F ina I
42. Backflow Neventer
43. Backfli(;vu Irrigation
I
44. Landscape Irrigation System'
45. SouniiAttenuation -
46. Handicap Regulations.
47. FINAL STRUCTUREA BUILDING
48. Special Requirements Completed
49. Electric Release' to �dison L
50. Gas 14elease-to Southern California Gas Co
51. CERTIF,!CATE OF OCCUPANCY
No. Date
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 917 COSTA MESA. CALIFORNIA
For Applicant to Fill In. Completely
TYPE OR PRINT
FEE RECEIVED
JUN 281261
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
COSTA MESA. CALIFORNIA ' For Office Use Only
OWNER TARTAN HOMES INC,
RECEIPT NO.
PERMIT NO.
21 71311'
ADDRESS 7844 E ' RosecransI
MAILT�ED
EC81 RY
Te C8N8D
-.�.�-
DATE ISSUED
JUN 2 8 1961
TBUILDING
CITY Paramount- Calif. N
ADDRESS
ARCHITECT Cl1'ff 0l en & TCOSTA
OR ENGINEER ASSOC eS N- 2
MESA. CALIFORNIA
ADDRESS 9O2S E l0 ence AFIRE
ZFIR
ONE TYPE GROUP I & J
CONTRACTOR N2CCO 'COY orationAPPROVED
BY
DATE 17
ADDRESS 3800 E Coast Highway
ZONING
o a - e . Ca
ZO
r
NO.OF
I PLANE
7-1
USE OP NCITY
BUILDING
STATETEL.LEGALLIC. NO. - NO. OR
DESCRIPTIONLot
18 of Tract No. 3470
SIZE
LOT - O
I NO.OF
'NOA.
P. NO.USE
OF
EXISTING BLDG.
YARDS
APPROVED
EVES
ALL WEETBACR
LINE PROM
(CENTER LINE ST.) !QNTER
OF STREET REARFRONT
FT. IN.
3-3
SIDE YARD ILEFT
IRIGHTR.
SIDEFT.
IN.
DESCRIPTION OF WORK
L. SIDE
IN.
NEW IX
IIALTERAYION-I II ADDITION I
'�FT.
REAR FT. IN.
REPAIR I
II MOVING I DEMOLISH I
APPROVEDBY
DATE
BUILDING NO. OF
SIZE ROOMS STORIES
EXTERIOR WALL ROOF
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
Plan #498B _R - 1 413
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COM-
PLY WITH ALL CITY ORDINANCES AND STATE LAWS ULATINO
THE AMOUNT SHOWN UNDER VALUATION 18 FOR THE
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
VALUATION
BUILDING CONSTRUCTION.
SIGNATURE OF
S
PERMIT FEE S 97
PERMITTEE.
S 14,605.00
1.00
PLAN CHECK $ 17.00
TOTAL FEE
AUTHORIZED AG51.00
n
R
0
1