HomeMy WebLinkAbout2009 REPUBLIC AVE - Building Permits 4-4tsi"Fsp. CITY OF COSTA MESA
.,._ c v', P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200
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July 21, 2011
Glen Davidson
2009 Republic Ave.
Costa Mesa, Calif 92628
RE: PERMIT EXPIRATION
Recently, I received a letter from you requesting an extension of a roofing permit (#B10-
00261) which was issued on September 1, 2010. In response, I checked our records and I
found that the last inspection of this roofing project was performed on October 11,2010
by Mark Perkins—Building Inspector. So it has been approximately 9 months since our
inspection staff confirmed that progress had been made on this permit.
Section 105.3.2 of the 2010 California Building Code stipulates that a permit does expire .
if no progress has been made for a period exceeding 180 days therefore this permit has
expired. The good news is that there is only one inspection left that needs to be
performed so instead of charging you for a full new permit, I will authorize you to pay a
one time inspection fee of$47.50 in order to renew this permit.
Please call me if you have any questions:
Keith Clarke—Building Official
714-754-5277
Building Division(714)754-5273 • Code Enforcement(714)754-5623 • Planning Division(714)754-5245
FAX(714)754-4856 • TDD(714)754-5244 • www.ci.costa-mesa.ca.us
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CITY OF COSTA MESA
,o F BUILDING DIVISION
Wl 77 FAIR DRIVE,COSTA MESA, CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
v. !'^a FOR INSPECTIONS CALL: (714)754-5626
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PERMIT NUMBER: B10-00261
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 42248121 DATE ISSUED: 09/01/2010
ISSUED BY: RMD
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JOB ADDRESS: 2009 REPUBLIC AV CM Suite/Unit:
Vicinity: PATRIAL ROOF
•
Squares: 790 - Valuation:• $2,000.00
SCOPE OF WORK: PARTIAL REROOFONLY:TEAR OFF EXISTING ROOF MATERIALS, INSTALL EITHER A MINIMUM OF 2 LAYERS
15#FELT ON A 2:12 TO LESS THAN 4:12 PITCHED ROOF OR A MINIMUM OF 1 LAYER 15#FELT ON A 4:12
OR GREATER PITCHED ROOF;REROOF WITH 40 YEAR COMP SHINGLES ON ONLY 1,270 SF OF HOUSE. REPAIR
AND REPLACE SHEAHTING AS NEEDED. COMPLIANCE FORMS ATTACHED TO JOB CARD AND CITY PERMIT.
OWNER: DAVIDSON, GLEN E Address: 2009 REPUBLIC AVE Unit:
PHONE: 949-645-6909 - City/State/Zip: COSTA MESA, CA
•
APPLICANT: DAVIDSON, GLEN E Address: 2009 REPUBLIC AVE• Unit: :
PHONE: 949-645-6909 City/State/Zip: COSTA MESA,CA
CONTRACTOR: OWNER-BUILDERLicense No. 000000
Address: Unit: PHONE:
City/State/Zip: CELL:
ARCHITECT: License No. PHONE:
•
ENGINEER: License No. PHONE:
FEE SUMMARY •
Reroof Plan Check: $0.00
Reroof Permit Fee: $69.25 •
-
Reinspection Fee: $0.00
Bldg Std Admin Fund $1.00 •
- -
TOTAL FEES $70.25
HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3/1812010 -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 Califomia 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 DATE INTITIALS CODE p INSPECTION TYPE DATE IN11TIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof _1 T Et 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
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WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's license. Yes ❑ No
I hereby affirm under penalty of perjury one of the following declarations: DM.stticerise No.
❑ 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):
6, 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
by this permit,and that no building structure,scaffdding,falsework,or demolition
Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap. 3.2,Gm
(This seam need nal be completed the permit is valued at one hundred dollars($100)or less.)
2,Art 2,Sec.341,Title 8,California Administrative Code).
Policy Number:
❑ As owner-builder, I will not employ anyone to do work which would
CEP I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers'compensation provisions of Section 3700 of
the Labor Code,1 sh- forthwith comply with these provisions. Applicant's Signature Date
/ r Division of Industrial Safety Permit Number:
ria,- 4 9!/l /o
A�f45ignature 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 ❑ 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
ATTORNEYS 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
Contractor's 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).
0 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 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 Califomia
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑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? ❑Yes ❑No
issuance,also requires the applicant for such permit to file a signed statement
that he or she is licensed pursuant to the provisions of the Contractors (Section 65850.2 of the Califomia Government Code requires that the requested
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on applications for non-residential building permits).
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 Califomia Health and Safety Code).
r teas owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No
thereon,and who does such work himself or herself or through his or her own
8. (If"yes", attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044, Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:
a contracta(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ am exempt under sec.
theinformationgiven 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
au a by thisrnit til final ins ection.
4112,
, Vi m
ature of L ge vmer(s) e
seird'a/fi�ire(f�' Vi
305]-46(3/0]) And/or Authonzed Applicant Date
Prescriptive Certificate of Compliance: Residential CF-1R-ALT
't! Residential Alterations (Page 1 of 5)
Project Name: Va A n`'�^ Climate Zone# / #of Stories ,
•
General Information V CX XY `
Site Address: r1 6,01 (/,.Upu b�e L_- Enforcement Agency: C Z i _ t1 s - Date: /C ill
to
Building Type 19-& tgle Family 0 Multi Family Circle the Front Orientation:N,E,5, W,or degrees l
Conditioned Floor Area(CFA): Project Type: 0 Alterations 0 Envelope 0 Fenestration !a-ttrsffi ❑ HVAC
Replacement or Change Out 0 Duct Replacement 0 Water Heater _
NOTE:This_farm is not to he used far Newly Constructed Buildings or Additions
Insulation Values For Opaque Surfaces(for Furring use the Mass and Furring Strips Construction table below)
Assembly Alteration
0 Opening of framed cavity alone-Alterations that involve the opening of the framed cavity of wall, ceiling, orrfloor must install the
mandatory minimum insulation value per§150 for the altered assembly. Fill in Columns A-C and enter mandatory insulation value in Column H.
0 Replacement of entire assembly-Replacement of an entire wall, ceiling, or floor assembly requires the installation of Component
Package-D insulation values in Table 151-C. Fill in Columns A-J.
Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below.
_ D E - - F ' _ G H
Proposed See Note
' Standard Values From JA4 Table
Framing Thickness, Framed Continuous JA4 Proposed
Tag/ Assembly Name Material Spacing, U- JA4 Table Cavity Insulation Assembly Assembly
ID' or Type' and Size or Other3 factor" Numbers R-value6 R-Value' Cell Values U-factory
Note:For furred assemblies,accounting for Continuous Insulation R-value,see Page JA4-3 and Equation 4-l. For calculating furred walls use the Mass and
;Furring Construction table below.
I.For Tag/ID indicate the identification name that matches the building plans.
2.Indicate the Assembly Name or type:Roof/Ceiling, Walls, Floors, Slabs, Crawl Space,Doors and etc-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. Ether the thickness,for mass in inches or Spacing betweet_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, Car D for each different assembly Name or type.
5.Enter the Table number that closely resembles the proposed assembly.
6. Enter the R-value that is being installed in the wall cavity or between the framing; otherwise, enter "0".
7. Enter the Continuous Insulation R-value for the proposed assembly;otherwise, enter "0".
8.Enter the row and column of the U-factor value based on Column F Table Number and enter the Assembly U-factor in Column J
9.The Proposed Assembly LI-factor, Column.l, must be equal to or less than the Standard(I-factor-in Column E m comply.
Fuming Strips Construction Table for Mass Walls Only
A B C I) E F C 14 I 3 K L M
Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation
• Walls Front Reference in Furring Space from Reference
Joint A t rendis Table 4.3.5,4.3.6.4.3.7 Joint A eadix Table 4.3.13
• o A >io I
v
Assembly = `e a,
'v � ,. ~ v v �� �'„ �nut v Final
Mass None or JA4 Table = v = 6 0 't > _ ` A Assembly
Thickness' T pe NuTuber, < " 2 ' w it G ? N < r U-factor°" Comment
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Registration Number: Registration Date/Time: HERS Provider:
2008 Residential Compliance Forms August 2009
• 1111/
Prescriptive Certificate of Compliance: Residential CF-JR.AL'J
Residential Alterations (Page 3 of 5) %
i Project Name: Climate Zone# /^ #of Stories
•
•
ROOFING PRODUCTS(COOL ROOFS)§151(n11 •
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When the area of exterior roof surface to be replaced exceeds more than 50%of the existing roof area,or more than 1,000 ft', whichever is
_less, the new roofing area must meet the roofing product"Cool Roof'requirements of§152(b)1Hi, 152(b)IHii,or 152(b)1Hiii.
Cheek applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roo'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 table below.
0 Cool Roofs Not Required in Climate Zones 1-12, 14,and 16 with a Low Sloped. Less or 2:12 pitch.
a1 Roofs Not Required in Climate Zones 1 through 9 and 16 with a Steep-Sloped Roofs(pitch greater than 2:12)and product unit weight less
than 51b/ft2.
Alternatives to§152(b)IHi and§152(b)Hii,Steep-slope roof(pitch>2:12)
❑ Insulation with a thermal resistance of at least 0.85 hrft2-1T/Bat or at least a 3/4 inch air-space is added to the roof deck
over an attic;or
o Existing ducts in the attic are insulated and sealed according to§151(1)10;or
.❑ In climate zones 10, 12 and 13,with I fl.of free ventilation area of attic ventilation for every 150 ftof 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(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 52:12) •
o 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 Ib/ft2 is exempt from the below Cool Roof criteria.
- Note:If no CRRC-1 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 Roofin Products"Cool Roof'Requirement:
Roof Slope Product Weight Product Aged Solar Thermal
CRRC Product ID Number <- 2:12 >2:12 < 51b/ft2 > 51b/ft2 Type' Reflectance3'4 Emittance SRI5
❑ ❑
0 0 ❑4
•
❑ 0 0 0 ❑4
D D 0 0 ❑4
O 0 0 ❑ ❑4
❑ ❑ 0 0 ❑4
I. The CRRC Product ID Number can be oblainedfrom the Cool Roof Rating Council's Rated Product Directory at www.cootroors.org/products/search.nhn
2.Indicate the type ofproducl is being used for the roof top,i.e.single-ply roof asphalt roof metal roof etc.
3. Ifthe Aged Reflectance is not available in.the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value frroni the sante
directory and use the equation(0.2+0.7(p,„prat—0.2)to obtain a calculated aged value. Where p is the Initial Solar Reflectance.
4. Check box if the Aged Reflectance is a calculated value using the equation above.
5.Calculate the SRI value by using the SRI-Worksheet at Ivlp://www.enerpv.ca.nov/title24/and enter the resulting value in the SRI Column above and attach aeopy of
die SRI- Worksheet to the CF-JR.
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 §1180)4. Select the applicable coating:
❑ Aluminum-Pigmented Asphalt Roof Coating 0 Cement-Based Roof Coating 0 Other
•
Registration Number: Registration Date/Time: HERS Provider:
2008 Residential Compliance Forms • August 2009
4
' Prescriptive Certificate of Compliance: Residential CF-IR-ALT
Residential Alterations (Pa ge 5 of 5)
- Project Name: (P4 titg Le"
.Climate Zone#/ # of Stories ,
HERS VERIFICATION SUMMARY The enforcement ogener should pqr special anennon in the HERS Measures specified in this
checklist below. A completed and signed CF-4R Form,for all the measures specified shall be submitted ar the building inspector before final
inspection.
Duct Sealing & Testing HERS verification is required for lhi.t'measure.
❑ YES 0 NO YES:iii 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)1Dii and the newly installed ducts are to be insulated per§151(1)10.
O EXCEPTION: Existing duct systems that are extended, which are constructed,insulated or 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 are to be sealed per§152(b)1 Di. •
❑YES 0 NO YES.In Climate Zones 2 and 9-16,if the existing HVAC equipment is replaced (including the replacement of the an handler;
outdoor condensing unit of a split system,cooling or heating coil,or the furnace heat exchanger)the ducts are to be
sealed pet §152(b)IE.
o EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS
• verification ill 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 required,for this measure.
❑YES 0 NO YES:In Climate Zones 2 and 8-15,when the existing HVAC equipment is replaced(including the replacement of the air
handler,outdoor condensing unit of a split system A/C or heat pump,cooling or heating coil,or the furnace heat
exchanger)a refrigerant charge measurement shall be verified per§152(b11F.
Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw
The ventilation requirements of§150(0)do not apply to existing residential homes.
Ducted Split Systems-Air Conditioners and Heat Pumps: Airflow HERS verification is required jar this measure.
- 0 YES In 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 per§152(b)l Ci to meet the requirements of§151(07B.
Documentation Author's Declaration Statement ' ,
• I certiffy that thisCertificateof Compliance documentation is accurate�teand
d complete. �� ,
Name:9e{2/eh L b Q tit O vt I Sii.Jw.CP� ,,�G��'✓ -�.
Company: Date: -
41/Ili o )D
Address: C� If Applicable D CEA or❑CEPE
• 20 b 1 Peridia A v . (Certifications!):
City/State/Zip:: Phone: G��6 96d J/
Cosa M esa � GA 92.627 _ 9g— L7 .. z//
2. se ponsible Building Designer's Declaration Statement •
• I am eligible under Division=of the California Business and Professions Code to accept responsibility for die building design identified on
this Certificate of Compliance. '
• 1 certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform
to the requirements ofTitle 24,Parts 1 and 6 piffle California Code of'Regulations.
• The building design features identified on this Certificate of Compliance are consistent with the information provided to document this
budding design on the other applicable compliance furans, worksheets,calculations,plans and specifications submitted to the enforcement
agency for approval with this building permit application.
Name: Signature:
Company: Date:
Address: • License:
Cray/State/Zip: . Phone: •
For assistance or questions regarding the Energy Standards, contact the Energy Ratline at:J-811/1-772-330(1.
Registration Humbert Regi,srrmion Duce/Time: HERS Provider:
20081(esidennal Compliance Forms August 2009
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SEPARATE PERMITS ARE REQUIRED
•
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ELECTRICAL, PLUMBING, i,TiS 'h, ��,:� I I
HEATING, VENTILATING AND '
REFRIGERATION WORK-- , �t �j
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OF PLANS AND SPECIFICATIONS SHALL NOT BE,CONSTRUED / �TyNN�r�. DEpT-REG. / _
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TO BE P- PERMIT FOR, OR AN APPROVAL OF, ANY VIOLATION • '/- SINE-
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TO Sri 91-• ..: - .I - -', ,
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PR01'ISIONS OF THIS CODE SHALL BE VALID, lll.���+++���' pNiN� //J� /� , �J /�� :,R,14,-
,FAR AS THE WORK OR__USE WHICH IT AUTHORIZES IS LAWFUL _ _ _ Dacca kir_ . - __ -_ -/,Lt NC ,'� Q'Y ?/c ..�j> ' / %Ail. ���r y L /C<El1?I/.-J - j � j�� - •" ,
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IN SAID EL'ANS ANb SPECIFICATIONS-OR FROM-PREVEt1TING L>3 ��,�,-,yJ7l,cirr C i") r iJY�fY'=�� - ,-�G�J - _
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I REQUIREMENTS OF CEJA ' I :
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ORANGE COUNTY BUILDING DEPARTMENT • ' APPLICATION FOR PERMIT
_ �, �.� 636 North Broadway
! "- "-'SANTA ANA, CALIFORNIA .. BU .D ,N G•
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
I ,. RECEIPT NO., PERMIT NO.
BUILDING
ADDRESS 2009 Republic Ave. ` - 92-f6 .-S /,j 'o
SCHOOL DIST. ♦a Mesa RECEIVED BY DATE OF APPL. DATE ISSLrED '
OR TOWN Costa
CROOSS ST. Grove Place l\ CT- /0 -/ 3-)3 /10 CT 2 1 1953
BUILDING �/ �
OWNER MOHICAN HOMES, INC. ADDRESS C f /g, ✓�'�' c; _="</ -
MAIL SCHOOL DIST' ////Ll�� ��JJ /,'(//n' �' I
ADDRESS 9363 WILSHIRE BLVD. OR TOWN tCt Z7 Z� *tt .2cti-• i
CITY BEVERLY HILLS N0'CR. 511361 NEAREST �✓ ) ,..,, i /� i
CROSS ST. I ��i'U I/"L� �iC ,
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ARCHITECT PPR TEL. ZOryE ANO. OF flit GROUP, I
ENGINEER LAIN �/'�MCKE RRACHER No. SY. 64891 ///J/ HPLANS I 1/ / .f-u
ADDRES$.MQXEi 1 WALNUT ST. . PASADENA SETBACK LINE FR CENTER OF ST. t
TEL.,„ REAR YARD 19�4' '.SIDE YARD .5 't-8..
CONTRACTOR NEWPORT VISTA CONO. R. 514361
BYPROVED /�. -�� DATE/O'/�J•>
ADDRESS 9363 WILSHIRE BLVD. , BEV.HILLS �(/G
U CORRECTIONS
LEGAL
DESCRIPTION I LOT NO. 158 1 BLOCK 17122
1 ,
(ATTACH METES @ BOUNDS) _ _ '
TRACT '
PLUSI B
NO. OFLDGS
SIZE OF LOT 7200 SQ.FT. NOW ON LOTO 1
USE OF I NO. OF NO. OF
EXISTING BLDG. FAMILIES ROOMS
DESCRIPTION OF WORK .
NEW I X I ALTERATION I ADDITION 1 \ ..�-_
REPAIR 1 I MOVING I I DEMOLISH 1 y
BUILDIN NO. OF r
SIZE PO34 SQ.FT. ROOMS 5 STORIES 1
WALL I ROOF COMPO
COVERING STUCCO COVERING SHINGLES
USE OF NEW RESIDENCE
BUILDING .Att.Carport
APPROVALS
FOUNDATION: LOCATION W$PECTOft DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS, MATERIALS. d/L(/�
APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER-PINNING •
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOPS. /� ' o''
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. BRACING, BOLTS n
LATH. INT. 1� r V?�
.m eP! qrj
SIGNATURE OF NEWPORT VISTA S'D n LATH. EXT, C
l/
PERMITTEE '
. AUTHORIZED AGT� _ _ ���, PLASTER. INT. / �+� kr
tea'
PLASTER. EXT. .2'4 /..-k J7
$4830.00 • P. C. S "a_ MASONRY REINFORCED
FEE i
BOND BEAM
VALUATION— $
SC. FEE L FINAL Adtssk is
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OWNER WILLIAMS, Mary DATE 8-13-75
JOB ADDRESS 2009 Republic Avenue BUILDING PERMIT NO. 140402
GENERAL CONTRACTOR Owner/Bldr. DESCRIPTION of WORK Legalize Garage
a AP No. 115-521-21 LOT TRACT FIRE ZONE VALUE $ 200.00
KTJSPECTIONS Signature Date TYPE V GROUP J ZONE R-1
) SOIL PERMITS ISSUED
4.GAS SUBCONTRACTOR
2 WATER Date Number Signature
Plumbing
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. El
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND [] POWER L
ROUGH WIRING Heating and Vent.
TRENCHES fl FORMS f STEEL REINF. ❑
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE fl
SHEATHING
FRAME AND FLAS'H�ING •
LATHING — IN IfOUT fl
PLASTER, BROWN COAT
STRUCTURAL, FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST fl ^
ELECTRIC, FINAL YQLC. f /12'15
R111I nmMf. PIMA'
4340 2 FAIL
-••••• kur i'3-75-;-:011] 746* ****1 0.50
`` ' COSTA MESA BUILDING-SAFETY DEPARTMENT
4.--,a)
f P.O. BOX 1200 COSTA MESA,CALIFORNIA 92626
APP I A ION FOR STRUCTURAL PERMIT
r For Applicant to Fill in Co 1 l letely — Use Ink Only 3_
�1 REC E Y D E CE VE• . D�T�E ISSUED
s BUILDING c29 .�/'Q�/C L ir I � + l/_/�L�7
ADDRESS OeZ :-,AAAA.-„ O 3
�/�/J _tet •� µ PERMIT NO,
- OWNER r /J/C. C arm A.P. NO //?) — 5' L/ --s2/
MAIL BUILDING //�I J - /D ,/
ADDRESS ADDRESS 2OV� Lj(• /I/�e:LG(/'CGC /[/C
{ CITY TEL.
s TRACT/7 02 LOT BLOCK
CONSTRUCTION - .,. ' NEW ADD ALTER REPAIR MOVING DEMOLISH
LENDER
BRANCH J OWNER 4/21//L//IL/1940S
ADDRESS
'AL/ZEALOE
a ARCHITECT TEL5 US Er CO/U//E, 1..J2.24/9,46 ..CS "-
OR ENGINEER NO. -„ AAAA ..:.,..... ..._. ._a
.,,FIRE »AAAA.
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ADDRESS I. ZONE PE GROUP
APPROVED .Q Lr---
i CONTRACTOR . BY /�I� DATEI/ _— 7
ADDRESS .'SE / I /ot�e ' inv. !'I'
• TEL. ZO NO.OFI USE OF NE Let Q-?v
CITY NO. i !I♦ PLANS /n BUILD! GD
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F T STATE CITY f YARDS APPROVED YARDS •PPROVED
S LIC. NO. LIC. NO. 4 MAIN BUILDING ACCESSORY BUILDING
Cd• v4 le SIZE NO.OF BLDGS. t (FROM C/L STREET) 1:...._
. SS. OF LOT NOW ON LOT f FRONT F a FT.
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= _ r �
USE OF /
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EXISTING BLDG. a - SL_ ✓
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F ^ Separate permits are required for .- •� /t T.
electric, plumbing and heating work. 7 / 1 �I i �/
_ G arEA- FT. �J U FT.
4L1 USE OF BUILDING ANO WORK TO BE PERFORMED s ../N
F I! DISTANCE BLO S. BET.MAIN&
nQ MAIN BLOC'S. ACCESS. BLOCS.
���l�ry Q _ /S'i /��r ,/� '. VAR.# DATE
..1 [r"/"�r(//]- N'Xf/C 4(76 „. C.U,P,ak /f APPROVED
Zi APPROVEe /�� 6' `/ `,
1 RY t/ --DATE /� r �/ 1
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i I hereby acknowledge that I have read this application and stale a . n
r that the above information it correct and agree to comply with
G• all la:vs regulating ouilaing construction, and I shall not employ
Cti m
sa
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Z ' ,any person in violation of the workman's compensation laws of t--,
Sthe State of California. �L
3 •: 1 herebycertifythat I am ' SO, FT. • m
properly licensed as a contractor under • w
o the State of California Business and Professions Code, Division 2, k. THE AMOUNT SHOWN UNDER VALUATION IS FOR ' m
r Chapter 9, and that such licenses are in full force and effect,or 1 d THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: —
Le
' am exempt from the provisions of the State of Calif rnla Business t QZJ
VALUATION PERMIT FEE S/ e
' and Professions Code, Division 3,6,hapter 9. D -- in
/ PLAN CHECK 5 rn
a Signature of yt, __ _.. .1�1 'l tom(, .�(„4/'•�GL \ a $ 7/�t I to
Permittee _�//I( /l LJfl TAX $ s� I t
1 moi✓ U
Authorized AgentTOTAL PAID S e , S
at A'