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HomeMy WebLinkAbout183 ADMIRAL WAY - Building PermitsCity of Costa Mesa .;Building Safeti,Department CERTIFICATE O'F O CC,U'P''A N -C Y P.O. Box 1260 Costa Mesa; California The.Building located at 1RI Mnir; hasi,been inspected and found to com for a Group P—'4 t tot -1 Occupancy. Use of'Building_ Legal Descriptio (See reverse sine for Metes and Bounds) Building Permit No kgs ` Electrical,Per_mit No. 48429 Plumbing Permit No. 78679 t+N umbar of apartments —0— and/or'guest'rooms - —0— ISSUED TO: Building Official, -,� (} 1'. by !/.iG9iCG�2 P., I. &.d1. / >`S�ORPORAI2D Victor G':.I ri-Dixector Building_ Divi:S+cr 1 Date C1nfnMr. 1091 This Certificate of Occupancy SHALL -BE posted im.a conspicuous place7on the,pire'nlises and SHALL NOT .BE•removed except 6y the, Building Official of the City -of Costa Mesa under Sec: 306 lel U.B.C. '(' - 0 Form'Bt1'34 Rev. 11/70 �" • into 3586 with the provisions of all City of Costa Mesa Ordinances applicable thereto k r j i r COSTA MESA W -A` ING-SAFETY DEPARTMENT API ATION FQ�(,4,TRUCgjURAA PERMIT1,1'2s 99 TL P.O. BOX 1200 L#irSTA MESA, CALIFORNIA 92626 Fj RECEITC& PERMIT / 4 ?P / r7 For Applicant to Fill in letely - Use Ink 0 \1lff T r (. BUILDING /A A.P. NO. 27- 28 ADDRESS i�Vl7' _ BUILDING OWNER OR ADDRESS TENANT p, I. & I. Inc. MAILING UNIT `` /// <fA ADDRESS 13919 Struikman Road SPACE NO.. TR.NO. T BLK. L 10957 7 CIrYCerritos, CA 90701 NO. 926-440 NEW ADD ALTER REPAIR IMOVINGI DEMOLISH CONSTRUCTION LENDER X BRANCH OWNER P. I. & I., Inc. ADDRESS VALUE _ USE S.F. residence -V4 ARCHITECT TEL.714) ENGINEER NO. 979-69Rg'2-- r``'//nn %C � L v ADDRESS 3184-B Airway,Costa Mesa 92626 ZONE /"" TYPE GROUP APPROVED CONTRACTOR BY DATE ADDRESS TEL. CITY NO. STATE CITY APPROVED SETBACKS LIC. NO. LIC. NO. SIZE NO. OF 72"IF 1.606 2 ROM C/L STREET) OF LOT acres NOW ON LOT FRONT FT. USE OF S.F. residence EXISTING BLDG. S T. Separate permits are required for L. SIDE electric, plumbing and heating work. REAR USE OF BUILDING AND WORK TO BE PERFORMED PLANNING CTION residential condominium unit, garage & i -{�4 / 7 DATE APPROVED carport trellis APPROVED,4 0BY DATE / O iJ I hereby acknowledge that I have read this application and state 3 that the above information Is correct and agree to comply with all laws regulating building construction, and I shall not employ p, /1i pq 6X any person In violation of the workman's compensation laws of /A/_•� /l C�7�/�'�+ the State of California. / SQ. FT. I hereby certify that I am properly licensed as aconvactor under the State of California Business and P f UPode, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that s h icon are In ce and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from s of th allfornia Business VALUATION PERMIT FEE $ and Profess! PLAN CHECK $/ Q Signs -0 Perml /'� or 3 / Authorized Agent Da TOTAL PAID $ ��- Fj ue v .v �; CITY OF COSTA MESA BUILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 • www costamesacaoov FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: E12-00005 PERMIT TYPE ELEC STATUS: ISSUED APN: 43929307 v DATE ISSUED: 01/04/2012 ISSUED BY: KJB JOB ADDRESS: 183 ADMIRAL WY CM 'Suite/Unit Vicinity: a' SCOPE OF WORK: REPLACE FAU, ;COIL AND A/C UNIT. NO RELOCATION OF FAU OR A/C UNIT -REF: M12-00003. Iitectrical Plan Check Fee:. $0.00 Electrical Permit Fee: $35.80 Reinspection Fee $0.00 TOTAL FEES $35.80 Al, FF A: 'z. 'NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related tkgulations. (Ord. No. 92-28, § 1, 12-21-92) PPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 1INSPECTIONS: 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. ODER. INSPECTION TYPE DATE INnTIALS LODE% INSPECTION TYPE DATE INnTIRLS .1616 Fixed System Final Fire Prevention 206 Final Mechanical .1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof 210 Final Electrical •%,� 201 Final BlocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign OWNER: JURGENSON, SHARON r'" Address: 183ADMIRALWAY'Unit' • PHONE:,.'City/State/Zip: „ COSTA"MESA CA- APPLICANT: LUCEY, STEVEN ... Address: 144 S VALENCIA;,Unit:SUITE B PHONE: 626-963.8383City/State/7Zip: .GLENDORA-, _CA CONTRACTOR: COMFORT ZONELicense No. 760955 Address: 144S.VALENCIAUnit: -SUITE B -., - ,. ` PHONE: -: -626-963.8383 `-- City/State: GLENDORA, CA " ZipCode: 91741 CELL, ELECTRICAL PERMIT FEES ,. Iitectrical Plan Check Fee:. $0.00 Electrical Permit Fee: $35.80 Reinspection Fee $0.00 TOTAL FEES $35.80 Al, FF A: 'z. 'NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related tkgulations. (Ord. No. 92-28, § 1, 12-21-92) PPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 1INSPECTIONS: 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. ODER. INSPECTION TYPE DATE INnTIALS LODE% INSPECTION TYPE DATE INnTIRLS .1616 Fixed System Final Fire Prevention 206 Final Mechanical .1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof 210 Final Electrical •%,� 201 Final BlocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign :204 Final Demolition 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy plq LJ 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 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 Carrier5 Policy Number: W Y—y`•( ❑ I certify that in the performance of the work for which this parr issued, I shall not employ any person in any manner so as to become st to the workers' compensation laws of California, and agree that if I s become subject to the workers' compensation provisions of Section 37 th1JgbwX,eJe, I shall forthwith comply with these provisions Applipanis Signa Date WARNING: FAILURE TO SECURE WOR ' COMPENSATION COVEF IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIB PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLT ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGE PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (comm with Section 7000) of Division 3 of the Business and Professions Cod my license- isinfull foMS ate and effect. Lic. # '[ Class# z" antraDate CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency f performance of the work for which this permit is issued. (Sec. 3097, Civil C Of AS the Lender's Name: I Lender's Address: Signature Date OWNER -BUILDER DECLARATIONS: I hereby affirm that under penally of perjury that I am EXEMPT FROM ITHE 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 heor 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 therefroml 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 town owner of property who builds or improves thereon, and who does such work himself or herself or through his or herlown employees, provided that such improvements are notintendedor 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 ori 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.)., ❑ lam exempt under sec. Business and Professions Code for this reason:' Signature 3057-46(3/07) r1 Owner ID verified 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):- .. , r DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I 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, 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. Applicant's Signature Date 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 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 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 requirementof 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? [IYes ElNo 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. Itagree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty ofperjury that I have read jthis 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. aLaga�a� y D Ie 1 C--. And/or Authorized Ap0l,cant a Data CITY OF COSTA MESA 4�0"pMF1q BUILDING DIVISION fp 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 - Fax (714) 754-4856 • www costamesaca.aov FOR INSPECTIONS CALL: (714) 754-5626 `Oaeowrto .fi 4 PERMIT NUMBER: M12-00003 PERMIT TYPE MECH STATUS: ISSUED APN: 43929307 DATE ISSUED: 01/04/2012 202 ;�`. `ISSUED BY: KJB JOB ADDRESS: 183 ADMIRAL WY CM Suite/Unit Vicinity: Final Demolition SQ. FT: 0 SCOPE OF WORK: REPLACE FAU, COIL'AND A/C UNIT. NO RELOCATION OF FAU OR A/C UNIT:' REF: E12-00005 OWNER: JURGENSON SHARON.. - .Address: - 183 ADMIRAL WAY-:Unit'�. ' PHONE:' - City/State/Zip ,: COSTA MESA,CA- APPLICANT: LUCEY, STEVEN ,/•-' ` '.- , "'^` Address ::.- S VALENCIA Unit:SUITE B _:- PHONE: 626-963-8383 - - _.'144 City/State/zZip: GLEN DORA; CA COM CONTRACTOR: COM - - License No -- 760955 - -, e Address: 144 VOARENCOIAUnit: SUITE B '. , - - PHONE. '.„626-963.8383 City/State: GLENDORA, CA' - ZipCode: 91741 - -' 6. ; ` ""CELL: Pt �1. is MECHANICAL PERMIT FEE -SUMMARY MECH ITEM FEE: '`, $53.10 PLAN CHECK FEE: $0.00 INVESTIGATION FEE: $0.00 REINSPECTION FEE: $0.00 TOTAL FEES: $53.10 CL AQ; Ci, ,1} NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related rpulations. (Ord. No. 92-28, § 1, 12-21-92) gPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. lIkSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all tRquired inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. EObE N. INSPECTION T•L DATE INTITIALS CODE Y INSPECTION TYP DATE INS$ .'1'}}616 Fixed System Final Fire Prevention 206 Final Mechanical f266 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 2114 Final Demolition 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy • •/ WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a c'artificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, fort the performance of the work for which this permit is issued. ❑ I have and WE maintain workers' compensation insurance, as requiretl by section 3700 of the Labor Code,'for the peiformance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy number auil ,i I Carrier: -> I\rCJ4•t�" (This section need nor be cumpletedj/the permd is valued at 4re hundred dollars Policy Number: W ❑ I certify that in the performance of the work for which this per issued, I shall not employ any person in any manner so as to become s' to the workers' compensation laws of California, and agree that if I s become subject to the workers: compensation provisions of Section 3S the Labor C9 e, I shall forthwith comply with these provisions Applicen lure Dale' WARNING: FAILURE TO SECURE KERS' COMPENSATION COVE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIT PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGE PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (com with Section 7000) of Division 3 of the Business and Professions Cr my license is in fullforceand effect. Lie. # Class # ontra�tDIN Dale CONSTRUCTION LE: ❑ I hereby affirm construction lending agency performance of the work for which this permit is issued. (Sec. 3097, Civil Lender's Name: Lenders Address: Signature Date OWNER -BUILDER DECLARATIONS: ' I hereby affirm that under penalty of perjury that I am EXEMPT FROM CONTRACTORS LICENSE LAW for the following reason (Sec. 70 Business and Professions Code: Any city or county which requires a parr construct, alter, improve, demolish, or repair any structure, prior t issuance, also requires the applicant for such permit to file a signed state that he or she is licensed pursuant to the provisions of the Contra License Law (Chapter 9 (commencing with Section 7000) of Division 3 c Business and Professions Code) or that he or she is exempt therefrom the basis for the alleged exemption. Any violation of Section 7031.5 b) applicant for a permit subjects the applicant to a civil penalty of not more five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their compensation, WILL DO THE WORK, and the structure is not intend( offered for sale•(Sec. 7044,; Business and Professions Code: The Contra License Law does not apply to an Owner of property who builds or impr thereon, and who does such work himself or herself or through his or her employees, provided that such improvements are not intended or offers sale., If, however, the building or improvement is sold within one ye completion, the owner -builder will have the burden of provingthathe of did not build or improve for purpose of sale.)' ' I Owner ID, verified 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 FERTIFICATION: ❑ I 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, Art 2, Sec. 341, Title 8, California Administrative Code). — ❑ As owner-bui(der, I will not employ anyone to do work which would is require a permit from the Division of Industrial Safety, as noted above, unless ct such person has a permit to do such work from the division. Of Applicant's Signature . III the .5, to its the and any or for r of she ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Businessland 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: Signature Date I 3057-4613/0] 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 I'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 futurelbuilding 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 witti 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 Govemment 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 COMP11 LIANCE: 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. 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. '1 of Legal Ownens) Date And/or Authenzed Applicant T\ a Date Simpli('iell Presariptivr CertiilcnCr. o'f Cnntpki�tnc:'L'I�(lf; Itv,videntirrl f11'il C.'Altrvvttion,r CT-;112-AL`7'-IIYAC f sill! Adrlrcaz: - tton Lulnremnem dgenen: line: �(, - _. it .. Y��^ 1 e.1d 1� - - Candltimred .Diel iusutalinmy 7- �,( Enuinmenl Tv cl List hiiaimunl Bfficitnrpr Flom Area renuiremen� Tfitnuoslal ❑ 1'aclulped Ulnl ® Pomace AFUE %t CO)' Over A(11�y�'f dur�/, �tl Q Selbxcl; 'M yidoor C& C4 Cmldensiug Unit yQSEERj3 _ ❑ EE{c Q HSPF! O Itesisumce Served by system sr added ye 1, in me uI[ mo le 'Space, R(<mr nf,xnrly prcanac nmxr Lr; _ R. G (CL ❑ 011e, J. Louipmenl 7;1'pe: Choose the equipluenl being installed; if more than my :system, use wtolber Cp-llt-Nil 4)VAC lar each. system. 2. (vituinutal Equipment �flicimmies:, P SEER, 98'iL ATM, 7.711SPF fin' Typical ralodcntinl syslems. . 'Call lrnctnr �1)li ClllTleni:7ltinll Alit�tllf �ti.t].ZCS)10I1S1�71�1�)e810RIL'I'�ti])eClllrlltlbll St11CBI11 L`]li:� - • I certity that this CerliGcale of Camplimtce documentalimt is accurale and complete. am eligible under [Division l of the California Business and: Profession,. Code to accept respunsi6jiiq Sor the dtsi6m identified on this Certificate of Compliance. I certify Thal tilt enerM, feature:: and perfprnwnee speciflcnlienc fur the desip identified on this'Cenificme of Comphanct wnfomi to lilt requirements of'TittCL2A' Puny: 1 aiid L of the Californul Code of Ilegulatimu:. • . Tilt desipi fenmres idemilled.on flus Cerllflcate of Compliznee are consistent with hie information documented on other,applicahle,_.... compliance ibrms wprlsheelw,eale Ilahone, plans and specifications submitted -to lilt enforcemeni a n •y for approval with Itie_pesmuil . . . llame. .:... .`�, _ .. , ,Si mato,_: ... .... .. .. :: _. .. .Company: ... ._... . •. -. .._:.. _ .. ..... - Late . .. hddress:' .. ..,�... _.. LStF•+.KUIN ..........:. ..... ..License: '-} to oa SSS ' .CitylStale/Zip. G ' L_ J.3GU�1/1 - :. :. ,. .' . Phone: - Z—U NO,'; 1(esitlentiol Compliunce, Forms 10urch -M 10 t.�r v� ,.aut...vn!ct�^wu fr us6nut ,,! • _ G'A11t,Gtd�; x'<)AIIZE' PPIZ4r1 L`L'2�'E,!.ZZFIE'flZJ7S��X11;) - ' 2008 Bi.didino Diet(— L'ECicienv), ,Standards .Re.gidentialTi-NAC:.Alter atinns IE C&irrtai:c Zoites 1 and 3 throttnh 7 C z•-( < �astrll.�rFs 13119INESS AND PROFESSIOM CODE.9ECTION 7:1.10 Willful or deliberatebisragarrl ;nd'violatiou of the huildint, laws, including the California Building Code, and tocaLp7miC.mquiraments cdnsdtutea a cause. for disciplinary action fromthc Contractors Stan. L.icenae Board working in ctuijunetipn with the local building department. This action may consist of fines up to,T5,000 per violation or suspension/revocation of it contractar's license. • �� _ - W11E1 IN IS A PERIYT T I2G0111RUM? A written construction permit shall bt; obtained from the, enforcement agency prior to the erection, construction, recougtructiou, ineut0aiiun,,relacation, or sutet•atiou of any mechanical sys;tam, citcept as permitted hC&ppeadbx Chapter 1, Section I t2.0 of the 2007 California Mechanical Code. Projects requirin , pe mita include, but ai•e. not limited te: • New HVAC installation • MVAC Changenut Replac6menl of fltrnacc, suit, PAU, or,condeuser • Relocation of an existing ENAC unit . Adding or replacing more thati 40fl ducting in unconditioned space. 2009 BUILDING Et NEI EPPIC FICC'I STANDAIMS (T9t1c. A Part 6) RL',01MMVMNTS NCLU �I 1. Heating equipment must have a rnirtunum 78P/i AFUE (Exception: Wall k floor furnaces; room heaters). j 2. Central air: conditioners L heat putrps-.to sthan 65;000 Eitu/hr must have a minimum t 3 SEER. 3 Newly installed e'i',replaced ducts must have a minimum insulation.vatue of R-4.2: 4. A setback type. thermostat (24.1@. clocic'M'ith four set points) is required fotrall alterations. t ., ; i New or replacement ducts must meet the mandatory requirements of Section 1.50frn? All ,joints and opening's inRlie in the HVAC system must be sealed. • Only UL 191,,. UL, 19hA., or -UL 191B approved Capes or mastic, shall be.use'il to seal duct openings. ! " Connecti6ns of metals ducts and the inner core of flex, ducts shall 'o mechanically fastened. Flex: ducts must be, connected using a metal sleevelcoupling. Flet, ducts that arc suspended must be supported every 4ft. max for horizontat runs'with no more than 2" of sag between supports and 6 ft. mar, for vertical runs. 6. The CF-GR-MLCU-p4 must be. completed and signed by the installing contractor. The Inspector will collect this form and verify that the model numbers are the same as the installed equipment. I \153 5'--,iN FEuc£ 6E ttr--Ypt_ V Aa"( Farr" City of Costa Mesa Planning Div. Subject to Building Division Regs. 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