HomeMy WebLinkAbout2024 REPUBLIC AVE - Building Permits 1 s :
CITY OF COSTA MESA
601 BUILDING DIVISION
F77 FAIR DRIVE.COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
tv. FOR INSPECTIONS CALL: (714)754-5626
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PERMIT NUMBER: BX10-00155
PERMIT TYPE B_MISC STATUS: ISSUED
APN: 42248113 DATE ISSUED: 07/22/2010
Zoning: , ISSUED BY: RMD
JOB ADDRESS: 2024 REPUBLIC AV CM Suite/Unit:
Vicinity: Primary Occ: Const Type :??
SQ. FT: 0 Valuation: $2,000.00
SCOPE OF WORK:
ENLARGE EXISTING 40"WINDOW TO A 72"WI NDOW AND CHANGE OUT A SECOND WINDOW LIKE F OR LIKE LOCATED IN
KITCHEN (NO CHANGE IN HEADER).
OWNER: COPPI, DOLORES AMADA Address:: 2024 REPUBLIC AVE Unit
City/State: COSTA MESA,CA Zip Code: 92627
Phone: 949-642-3611
APPLICANT: BRUSH,THOMAS E Address: 2024 REPUBLIC AVE Unit:
City/State: COSTA MESA,CA Zip Code: 92627
Phone: 949-642-3611
CONTRACTOR: OWNER-BUILDER License No. 000000
Address: Unit:
City/State:
Zip Code: Phone Cell:
ARCHITECT: License No.
Phone
ENGINEER: C K ALLEN,JR License No. 1823
Phone 949-548-7144
FEE SUMMARY
Building Plan Check: $45.01
Building Permit: $69.25
Electrical Permit: $0.00
SMIP Residential $0.50
SMIP Commercial $0.00
Bldg Std Admin Fund $1.00
TOTAL FEES $115.76
HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 311812010 -PER CMMC Sec. 13-279
Monday thru Friday-7:00 am thru 7:00 pm. Satrudays-9:00 am thru 6:00 pm. Prohibited all hours-Sundays and the following Federal Holidays:
New Years Day, Memorial Day, Independence Day, Labor Day,Thanksgiving Day and Christmas Day
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODES. INSPECTION TYPE OATS INTIIIALS CODED INSPECTION TYPE DATE INTITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site �/�
204 Final Demolition 250 Final Building/Occupancy MEI/s-, tifilJ2
,
WORKERS'COMPENSATION DECLARATION: Owner ID verified by drivers license. ❑ ❑ No
I hereby affirm under penalty of perjury one of the following declarations: Driver's-Lice a No. tE$pir`es:>• 0/}
❑ 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 0 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
by this permit,and that no building structure,scaffolding,falsework,or demolition
Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This sedipn need not be completed :he penM is valued at one hundred dollars($100)a less.)
2,Art 2,Sec.341,Title 8,Califomia Administrative Code).
Policy Number:
0 As owner-builder, I will not employ anyone to do work which would
'1E4 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 Date
the Labor Code,I shall forthwith comply with these provisions.
'yy 14 27,724(11_ y Z a 1
0 Division of Industrial Safety Permit Number:
V , plftant's'Siggalre / 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? ❑Yes 0 No
($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 in full force and effect. a registration form for acutely hazardous materials? ❑Yes ❑No
Lic.# Class# (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
Contractors Signature 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 far 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 0 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
to register acutely hazardous materials with the Fire Department.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 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? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia 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 0 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? 0 Yes 0 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
city ordinances regarding Hazardous Materials and Emissions.
1417.. 4211--#s• owner of the properly, 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 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
❑ I am exempt under sec. the information given is correct. I agree to comply with all stale laws and city
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
v���/----/// authorized by this permit until final inspection.
Vi/ 7 "rZ,J-Jo Signature of Legal Owner(s) Dale
`Stgnature.W4.. ' Date^"' 47/7d� 0t
_-134 4.:.
3057-4613/071 CAjWlarAuthorized Applicant .. Y{�---Date1
•
CITY OF COSTA MESA
o • "'E `p BUILDING DIVISION
A ,p 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
tFOR INSPECTIONS CALL: (714)754-5626
PERMIT NUMBER: B10-00077
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 42248113 DATE ISSUED: 03/22/2010
ISSUED BY: RMD
JOB ADDRESS: 2024 REPUBLIC AV CM - Suite/Unit:
Vicinity: ROOF
Squares: 1600 Valuation: $3,200.00
SCOPE OF WORK: TEAR OFF(E)ROOF MATERIALS, INSTALL 1 LAYER OF 15#FELT ON A 4:12 PITCHED ROOF AND REROOF
WITH 30 YEAR COMP SHINGLES ON AN ATTACHED HOUSE AND CARPORT,APPDX 16 SQUARES. REPAIR AND
REPLACE SHEATHING AS NEEDED. COMPLIANCE FORMS ATTACHED TO JOB CARD AND PERMIT.
OWNER: COPPI, DOLORES AMADA Address: 2024 REPUBLIC AVE Unit:
PHONE: City/State/Zip: COSTA MESA,CA
APPLICANT: RAYS,GRONAU Address: 14571 HIGHCREST CI Unit: :
PHONE: 949-559-9369 City/State/Zip: IRVINE,CA
CONTRACTOR: RAYS ROOFING License No. 361042
Address: 14571 HIGHCRESTCIUnit: PHONE: 949-559-9369
City/State/Zip: IRVINE,CA 92604 CELL:
ARCHITECT: License No. PHONE:
ENGINEER: License No. PHONE:
FEE SUMMARY
Reroof Plan Check: $0.00
Reroof Permit Fee: $97.25
Reinspection Fee: $0.00
Bldg Std Admin Fund $1.00
TOTAL FEES $96.25
HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3/18/2010-PER CMMC Sec. 13-279
Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibitied 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 I. INSPECTION TYPE DAT INIIIIALS COM• INSPECTION TYPE, DATE INTIALS
•
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final � �.,� 208 Final Plumbing
•'t�
200 Final Re-Roof ^ a6-/o 4'/YU /Wi 1 210 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: Owner ID verified by drive license. ❑Yes 0 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
�tE
Carrier:, fciby this permit,and that no building structure,scaffolding,falsework, demolition
5�/J- Neor or dismantlingthereof,will be more than thirty-six(36) 9 ( p feet high. Cha 3.2,Grp
\-' 7'h"ssfil6in need not be completed ifthe permit is valued at one hundr�ee dollars($100)or less) 2,M2 Sec.341,Title 8,Califomia AdministrativeCode).
PolicyNumber:00 2.-.47Z��/ - JO0 O
❑ As owner-builder, I will not employ anyone to do work which would
❑ 1 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 Date
the L-:or Code,I s II forthwith comply with these provisions.
_r"' 20 f p Division of Industrial Safety Permit Number:
• Applicant's Signature 1Oatte 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? 0 Yes 0 No
($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 in full forcetand effect. q a registration form for acutely hazardous materials? 0 Yes 0 No
Lic.# 3&f O( Class# C-3 / (Section 25533 of the California Health and Safety Code, with some
i.-�� exceptions, requires registration with the Costa Mesa Fire Department by
v7l�MZ-Z60 each business which at any one time has on hand a quantity of acutely
C�ctar:s Signature L--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 ❑ 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
to register acutely hazardous materials with the Fire Department.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 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? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia 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 0 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 0 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
0 am exempt under sec. the information given is correct. I agree to comply with all state laws and city
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.
Signareof Legal Owner(s) Date
Signature Date / /��yQf�� j 22-.2 b I 0
3057-46(107) rAndndfor'Auttnod¢edd'ApWcant [ Date
& '7 - 60077
.-j resci•iptive Certificate of Contulian cc: Residential CF-].R-ALT
Residential Alterations /// (Page ] of 5)
I'ro'•ci Nome: I Climate Zone ti / I Ii of Tories
2a�F !
General Inlin-mation t�,
Site Address: 20 Z r/ le Du SLI L 4k c I Enforcement Agency:nA N. !I -e U le: 7_2 1- 7 0 /0
Building Type J ogle Family 0 Multi Family • Circle the Front Orientation:N,E,SS,W,or degrees•�7 /�
J'roiect Type: 0 Alterations 0 Envelope D Fenestration hoof 0 1-JVAC
Colyditioned Moor Area(CPA): Replacement or Change Out 0 Duct Replacement 0 Water blunter C—
NO'TE:This form is not to he used for Hmvlw Constructed Buildings or A((((nions'
Insulation Values For Opatpn'Surfaces(/hr Furring use Me Mass and Furring Strips Construction table below)
Assembly Alteration
D Opening of framed cavity alone-Aherarions that involve the opening of the framed cavity of wall ceiling, or,/laor must install the
niandaiorr minimum insulation value per§15016r 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 131-C. Fill in Columns A-J. .
Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below.
.A B I C I D • E F 1 G .I H 1 [ 3 -.
Proposed 5°'O1f 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 Tyne' and Size' or Other' factor" Numbers F-values R-Value7 Cell Values U-factor9
Note:For furred assemblies,accounting for Continuous Insulation R-vaiue,see Page JA4-3 and Equation 4-1. For calculating furred walls use the Mass and
I Furring Construction table below.
' 1.For Tag/1D 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-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 thickness for mass in inches or 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 15)-B, C or D for each different assembly Maine 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 caviy or between the timing;otherwise, enter "0",
7. Enter the Continuous Insulation Il-value for the proposed assembly; otherwise, ever "0".
8.Enter the row and column of the U factor value based our Column F Table Number and enter the Assembly U-facto'in Column J
•
9.The Proposed Assentbl w U-factor, Coburn.1, must be equal lo or less Liar the Standard U-factor in Column E to comply.
Furring Strips Construction Table for Mass Walk Only
A B C I) E F C II I 3 I: L M
Proposed Properties of Masonry acid Concrete Added Interior or Exterior Insulation
Walls From Reference in Furring Space from kat:relice
Joint A n eudis 9ltblc 4.3.S,4.3.6,4.3.7 doing A r tr ulix'rubls.4.3.13 •
C N C S
ti �. ..] - u b - U I
Assembly ` J e `. U Y F G L/,,,-.) u 'ii Final
Moss Name of JAil inblc e - E R o° 'E n o , Assembly
Thickness' Type' Nunhcr < - t' d. ' C Gi
YI - a_ �. z _t �" w � � U-(actor• Comment
f I
Registration Number: Regisontion Date/time: HERS Provider:
2008 Residential Compliance Forms August 2009
4
• Prescriptive Certificate of Compliance: Residential
[
CF-1R-ALT
Residential Alterations _ (Page 3 of 5)
Project-Nume:-Y" ' 1-Cllrlltlte Zone ti II of-Stories
ROOFING PRODUCTS (COOL ROOFS),§151(D12
lichen the area of exterior ronfsurface to be replaced exceeds more than.S(1%of the existing roof area, or wore than 1,000 ff, whichever is
less, the new roofing area must meet the roofing product"Cool Roof"requirements of§l52(b)1Hi, 1520)11111, or 152(b)1 Hiii.
Check applicable alternative or exception below;film roof alteration is exemprfr'onr the roofing product "Cool Roof'requirements. Note:if any '
one of the alternatives or exception below is checked, the Aged Solar Refleclmme and Thermal Enrinonce requirements for roofing products in
,¢118(1)arc not applicable.Do norftll table below.
ti
19 ooh Roofs Not Required iu Climate Zones I-12, 14,and I b with a Low Sloped. Less or 2:12 pitch. _ 11
Cool Roofs Not Required in Climate Zones I through)and 16 with aSteep-Sloped Roofs(pitch greater than 2:12)and product unit weight less `�/I/////
than 51b/far.
Alternatives to§152(h)1Fli and §152(h)Hii,Steep-slope roof(pitch>2:12) • `—
❑ Insulation with a thermal resistance of at least 0E5 hr'ftr'°F/Bre or at.leust 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§I51(010;or
❑ In climate zones.10, 12 and 13,with I fir of-free-ventilationarea of attic ventilation for every 150 ft2 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 o9151(02;151(02;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<2:12)
❑ 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.
. i❑Roof constructions that have thermal mass over the roof membrane with at least 25 lb/ft2 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 Exempt from the Roofing Products"Cool Roof"Requirement:
Roof Slope Product Weight Product Aged Solar Thermal
CRRC Product ID Number' < 2:12 >2:12 < 51b/fi2 > 51b/it2 T_yoe2 Reflectancea'4 Emittance SRIs
O 0 ❑ 0 ❑4
❑ 0 0 0 ❑4
O 0 ❑ 0 ❑4
0 0 0 ❑ 04 -
-
❑ ❑ 0 0 ❑4
I. The CRI/C Product ID Number con he obtained from the Coal Roof Rating Council's Rated Product Directory al wwm.coolroo/i,orelomduct.e%Ietn'clt.nlrn
2.Indicme the type of product is being used for the rooftop.i.e.single ply roof,asphalt tour,mead roar,etc.
1. If the Aged Reflectance is not available indite Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value front the sante
director), and use the equation(0.2+0.7(p„,that-0.2)to obtain a calculated aged value. Where p is the Initial Solar Reflectance.
4. Check hos i/tlhc Aged Reflectance is a calculated value using the equation above.
5.Calculate the SRI value by using Ile Slab Worksheet at hap;//mrvtv.ener'ep,cn,env/lit/e24/mud Auer the resulting value in the SRI Column above and attach ocopr or
the SRI-Worksheet to the CF-I 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§I 180)4. Select the applicable coating:
❑ Aluminum-Pigmented Asphalt Roof Coating I❑ Cement-Based hoof Coating 0 Other
I
Registration Number: Registration Date/Time: HERS Provider:
i 2008 Residential Compliance Forms ' August 2009
Prescriptive. Certificate of Compliance: Resider,fin l CF-LR-ALT
.Residential Alterations. ., (J'a"e 5 of 5)
Pru,te 1v'nuic"— •ZI(unatc'Lunc>r / 1 V of:Stories
Ar6"Ser, 6 -_
HERS VEIURI CATJ ON SUMMARY The enforcement agency should pay special anentioi to the HERS Measures specified in this
checklist below A completed and signed CF-41(Form for all the meorurer specified shall be submitted so the building inspector before final
insuecl lot. •
DuCI Sealing d Testing HERS verification is required/o"this morsuli.
❑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 to be sealed per§152(b)IDii and the newly installed ducts me to be insulated pet §151(010.
0 EXCEPTION: Existing duct systems that are extended, which are twistracted,insulated ur sealed with asbestos.
❑ 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 ate to be sealed pet §152(b)7 Di.
O YES 0 NO YES:In Climate Zones 2 and 9-16,if the existing HVAC equipment is replaced(including the ieplaeenient 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§l52(b)lE.
_ 0 EXCEM ON:Duct systems that are documented to have been previously sealed confirmed through HERS
...Verification in accordance with procedures in-the Reference Residential Appendix RA3.
❑ EXCEPTJON:Duct systems with less titan 40:linear feet in unconditioned space.
0 EXCEPTION:Existing duct systems constructed, insulated or sealed with asbestos.
Refrigerant Charge- Split System HERS verification is required for this mieasurz'. •
o YES 0 NO YES: In Climate Zones 2 and 8-I5,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 mer§152(b)IF.
Central Fan Integrated (CFI)Ventilation System and Fan Watt Draw
The ventilation requirements of§l 50(o)do not apply to existing residential homes.
Ducted Split Systems-Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure.
- 0 YES 0 NO YES:In Climate Zones 10 through 15,when the existing space-conditioning system(HVAC equipment and ducting)is
• replaced.the airflow and fan wan draw shall be verified ner§152fb11 Ci to meet the renuirements of*151(f)713.
•
)_Documen[ation Author's Declaration StatementL.,
(----
1
I certify that this Certificate of Compliance documentation is accurate and complete.Name,q Signator
Co�y a�ny: Dat;
fK�`lr -S �a'Fiv4 �o l _3-22 2o/0
Address: If Applicable❑CEA m❑ CEPE
/4L57� ,cb6'dj 9r Crn (Certification 11):
C`ny/Sote/Zip: L 'C P ne.
Z��: cam• 72 0 7Y9 ss, 936, c
=kesjfonsible Bufltliue Lesiguel's Declaration Statement
• 1 ant eligible.node' Division 3 of the California Business anti Professions Code to accept respnnsibilit)' Mr the huilcling design identified on
this Certificate of Compliance.
• I certi])'that the energy features and performance specification:.for the building design identified on this Certificate of Conp1lance cu tIorm
to the requirunenis of Title 24,Pans 1 and 6 of the California Cock of Regulations.
• The building design features identified on this Certificate of Compliance are consistent with the information provided to tlucument this
building design on the other npplicnble compliance furans,worksheets,calculations,plan::and specifications submitted to the enl'oreentenl
agency lot approval with this building permit application.
Name: Signature:
Company: I Date:
Address: License:
CnydStece/lir: I Phone:
Far assistance or questions regarding the Energy Smut)atde; mime.,the Energy F)Ottt.it'at:1-800-:72-3300.
ltnrn.cncaum Humber" "_ Rcgeritation Hase/Time. HERS Prarrcfer:
The residence at 2024 Republic Street is in substantial compliance with
Building Codes with the following exceptions:
1. The gas line supplying the clothes dryer must be anchored to the
wall and must be provided with a shut-off valve. A gas line
permit is required.
2. The clothes washer is connected to the waste line without a trap.
A permit is required to add a trap and standpipe with vent.
3. The water heater should be anchored so that a slight earthquake
won't dislodge it. This is on a very precarious support.
e%449---
RICHARD HANHART
Building Safety Director
March 18, 1976
ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT
636 North Broadway - BUILDING SANTA ANA, CALIFORNIA del
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
RECEIPT GNO. PERMIT NO.
BUILDING 9 LO. / �
ADDRESS 2024 Republic Ave. •-..C1---C-3.
SCHOOL DIST. RECEIVED BY DATE OF APPL, DATE ISSUED
/7
OR TOWN Costa Mesa
CROOSS ST. Grove Place Kg -i /6 ../3-5? OCT 2 1 ;,,T,;
BUILDING �� ��(�c�
OWNER MOHICAN HOMES. INC. ADDRESS 2...3 T�� / �f '—`/ (�
MAIL SCHOOL DIST. I /
ADDRESS 9363 WILSHIRE BLVD. OR TOWN Chi.. (/!/C!.-.�-'OL'�
CITY BEVERLY HILLS NO. CR. 511361 NEAREST
TSl /
ARCHITECT OR TEL. 6441 ZONEI N , O r I TY I GROUP •
ENGINEER GAIN R MrKFRRArHFR NO. Sy_ 8 4 ./ //
a RESS 2110 F. WAI NUT ST PASAIIFNA SETBACK LINE FROM CENTER OF ST. 1
TEL. REAR YARD 251 . SIDE YARD ' 1..51CONTRACTOR NEWPORT VISTA Coro. CR. 511361 APPROVED fnia,/ / , _
BY `./„v�� DATE L —#-JJ
ADDRESS 9161 WILSHI RE BLVD. , BEV.HILLS / •
LEGAL (/ CORRECTIONS
DESCRIPTION I LOT NO. 166 I BLOCK 1712
(ATTACH METES @ BOUNDS)
TRACT -
PLUS NO.OF BLDGS.
SIZE OF LOT 7200 SQ.FT. I NOW ON LOT 0 ,
USE OF I NO. OF I NO. OF
EXISTING BLDG. FAMILIES ROOMS
DESCRIPTION OF WORK
I X I ALTERATION I I ADDITION I 0
NEW A
O
REPAIR I I MOVING I I DEMOLISH I Z
BUILDING NO. OF i-
SIZE 10311 So.FTROOMS 5 STORIES 1
WALL I ROOF COMPO
COVERING STUCCO COVERINGSHINGLES
OF NEW
-DING RESIDENCE ,Att_Carport
APPROVALS
FOUNDATION: LOCATION INSPECTOR DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS, MATERIALS, Az, J 1). ,� . .,
APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER-PINNING Yr-)
`I.
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOPS.
BRACING. BOLTS .._,,a,..” /� 47.•51
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. ff
LATH. INT. //On 1. aft S'
SIGNATURE OF NEWPORT VISTA CO. '"`/ 7er �f
PERMITTEE (��y LATH. EXT.
AUTHORIZED ACT. ` - // PLASTER, INT. /��/� /—)-S:151
p PLASTER, EXT. n. /!G�
4$30.0 P. C. $ Z MASONRY REINFORCED
0 FEE !T BOND BEAM
VALUATION S ��' .t J"y!
® FEE /6 l FINAL ,-{'/,G-4Y') „.5 /1'�
Z - Z
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