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HomeMy WebLinkAbout1062 SANTA CRUZ CIR - Building Permits CITY OF COSTA MESA BUILDING DIVISION Fy .AlQq$ 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us v. IFNIF FOR INSPECTIONS CALL:(714)754-5626 PERMIT NUMBER: B10-00068 PERMIT TYPE B_ROOF2 STATUS: ISSUED APN: 41206120 DATE ISSUED: 03/1112010 ISSUED BY: RMD JOB ADDRESS: 1062 SANTA CRUZ CI CM Suite/Unit: Vicinity: HOUSE AND GARAGE ROOF Squares: 0 Valuation: $9,000.00 SCOPE OF WORK: TEAR OFF(E)ROOF MATERIALS, INSTALL NEW PLYWOOD AND A MINIMUM OF 2 LAYERS OF 15#FELT ON A LESS THAN 4:12-2:12 PITCHED ROOF OR A MINIMUM 1 LAYER OF 15#ON A 4:12 PITCHED ROOM AND REROOF WITH CLAYLITE TILE ESR-1017.(5.9 PSF)ON AN ATTACHED HOUSE AND GARAGE,APPROX 25 SQUARES.COMPLIANCE FORM ATTACHED TO JOB CARD AND CITY PERMIT. OWNER: DENICK,SCOTT Address: 1062 SANTA CRUZ CIR Unit: • PHONE: 714-749-3466 - • City/State/Zip: COSTA MESA,CA APPLICANT: DENICK,SCOTT - Address: 1062 SANTA CRUZ CIR Unit: : PHONE: 714-749-3466 City/State/Zip: COSTA MESA,CA CONTRACTOR: OWNER-BUILDER License 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: $167.25' . Reinspection Fee: $0.00 Bldg Std Admin Fund $1.00 TOTAL FEES $168.25 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. CODES. INSPECTION TYPE DATE INTIALS CODES INSPECTION TYPE DATE INTITIAL§ 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical 1266 Pool Spa Final _ ` 208 Final Plumbing 200 Final Re-Roof ''OP-//)A, 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 driver s license. 4J Yes ❑No I hereby affirm under penalty of perjury one of the following declarations: "'e-- "^'Ito.No.—'�-'•` Expires:-S.-2-1-\b ❑ 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: 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 ❑ 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 section need not be completed if the permit is valued al one hundred dollars($1e0)or less) 2,Arty Sec.341,Title B,California Administrative Code). Policy Number: ❑ As owner-builder, I will not employ anyone to do work which would _-- ..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 Iss ed, 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 La r Cod all forthwith comply with these provisions. \ ` 1-144-46 U 1 f�V Division of Industrial Safety Permit Number: (Applicant's Signature - 181^l • 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 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 Dale 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)? ❑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? ❑Yes ❑No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested That he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications fa 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 fivefi" hundred dollars($500).): of the California Health and Safety Code). k....-�f�1=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 Califomia 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 ❑ 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 Ucense Laws.). certify under penalty of perjury that I have read this application and state that 0 I 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 inspectiory urposes. I agree not to occupy or allow occupancy of any building '1 II authorized y thi a it until final inspection. 3 T-1L l/,� J\t_, yureat.Cegat.Owertsl a te- eSignatJ mire oz•-• Date`s 3057i6(3107) And/or Authorized Applicant Date yr 1310 - Oo341r- j , Prescriptive Certificate of Compliance: Residential 7.12-ALT Residential A Iterations (Page I of 5) . 6id+,l risme I Climate Zone Lol-5totes �� Qac o0 ? General Information 1fi:?Ail`drexs: 'D/'1 C \Ne I rn uccement Agency: fin__ I ata"—O ��`. d�_ I b Building Typtuga 'amity D Multi Family Circle the Front Orientation:N,E,5,W,or degrees v Project Type: D Alterations D Envelope D Fenestration 7tooi D HVAC x�4yl Cord itigrxoc�^Area' FA): Z�eZ Replacement or Change Out ❑Duct Replacement ❑ Water Heater NOTE: This farm is not to he used far Newly Constructed Buildings or Additions Insulation Values Far Opaque Surfaces(fur Furring use the Mass and Furring Strips Consu'uction whir bea1,19 Assembly Alteration D Opening of framed cavity alone-Alterations that involve the opening of the framed cavity of a wall,ceiling, or floor must install the mandato ,'minimum insulation value per,'150 for the altered assembly.Fill in Columns A-C and enter mandator,'insulation value in Column H. ❑ Replacement of entire assembly-Replacement of an entire wall, ceiling, or floor assembly requires the installation of Component Package-D insulation values in Table 151-C. Fill in Columns A-.1. Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below, A ll C D • • H • F ( G 1 E ,1 Proposed S"t0' Standard Values From JA4 Table Framing Thickness, i Framed Continuous JA4 Proposed Tag/ Assembly Name Material Spacing, U- ' 1A4 Table Cavity Insulation Assembly Assembly ID' , or Type' and Size'- or Other' + factor' Numbers R-value° R-Value' Cell Value^ U-factor9 • I _ I Note:Far fared assemblies,accounting for Continuous Insulation P-value,see Page JA4-3 and Equation 4-I. For calculating finned walls use the Mass and I Flaring Consrnrction table below. . 1.For Tag/ID indicate the idetificatiar 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,anter 2s4, 2x6, or etc... see JA4 for other possible fame type assemblies. 3. Enter the thickness for mass io inches or Spacing between framing members enter; 16"or 24"OC;or Other.far 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-facto[_from Table 151-B, Cor D for each different assembly Name or type. 5.Enter the Table number that closely resembles the proposed assembly. 6. Enter the 12-value that is being installed in the wall cavity or between the franting; otherwise, enter "0". 7. Enter the Continuous Insulation 1?-value for the proposed assembly;otherwise, enter "0". 8.Enter the row and column of the U•factor value based on Column P Table Number and enter the Assembly U fbctor in Column J 9.The Proposed Assembly LI-factor, Column.1, must be equal to or less than the Standard 11-factor in Colum E to comply. Furring Strips Construction Table for Mass Walls Only A C D I E _ F c l H 1 I Proposed Properties of Masonry and Concrete Added Interior or Exterior Insolation Walls From Reference in Furring Space from Reference Joint Appendix Table 4.3.5,4.3.6.4.3.7 Joint Appendix'fable 4.3.13 tij U t u " U ao Atistillbiy ^ F- o .. p•. Final Mass Nauss cm g JA4 - = o = E E E m a ,2 t Assembly Thickness' Type Numher � •-` � = m = a= � 6 n'. r < tp w c � U-faclor�' Comment I I� Regisnalitn Numbs': Registration Date/Time: PIERS Provider: 2005 Residential Crmrpliatce FORM August 2009 • Prescriptive Certificate of Compliance: Residential CF-IR-ALT Residential Alterations (Page 3 of 5) Project Name: Climate Zone 4 6 Al of Stories ROOFING PRODUCTS (COOL ROOFS)§151(1)12 When the area of arteria'roof surface to be replaced exceeds more than 50%of the existing roof area,or more than 1,000 fir', whichever is _less, the new roofing area must meet the roofing product"Cool Roof'requirements of§152(b)1Hi, 152(b)1Hii, or 152(b)1Hiii. Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof"requirements.Note:/f any • one of the alternatives or exception below is checked, the Aged Solar Reflectance emd Thermal Eminence requirements.for roofing products in §118(1)are not applicable.Do no(fill table below. ❑ Cool Roofs Not Required in Climate Zones 1-12, 14,and 16 with a Low Sloped. Less or 2:12 pitch. ❑Cool Roofs Not Required in Climate Zones 1 through 9 and 16 with a Steep-Sloped Roofs(pitch greater than 2:12)and product unit weight less than 51b/ti'. Alternatives to§152(b)111i and §152(h)Hii,Steep-slope roof(pitch>2:12) El Insulation Insulation with a thermal resistance of at least 0.85 hrft'°F/Btl or atleast a 3/4 inch air-space is added to the roof deck over an attic;or ❑ Existing ducts in the attic are insulated and sealed according to§151(f)10;or ❑ In climate zones 10, 12 and 13,with ItYoPfreeventilatimr area of attic ventilation for every 150112 of attic floor area,and where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge;or ❑ Building has at least R-30 ceiling insulation;or ❑ Building has radiant barrier in the attic meeting the requirements of§15l(f)2;or ❑ Building has no ducts in the attic;or ❑ hi climate zones 10,11,13 and 14,R-3 or greater roof deck insulation above vented attic. Exception to§152(b)111iii,Low-slope roof(pitch_<2:12) ❑ Building has no ducts in the attic. Other Exceptions 0 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/ft'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 Roofing Products"Cool Roof'Requirement: Roof Slope Product Weight Product Aged Solar Thermal CItRC Product ID Numbers < 2:12 >2:12 < 51b/ft' > 51b/ft' Tyne Reflectance3'4 Emittance SRIS © 106-60\ \ 3 °" % \ ❑ ❑ ❑ ❑ 04 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 ❑ 0 ❑ ❑ ❑a I. The CR1?CProtiucm ID Number can be obminetlfmm Ibe Cool hoof Rating Council's Rated Product Directory at w,vn..coolrools.ore/mnductx/search.nhp 2.Indicate the type of product is being used for the rooftop,i.e.single-ply roof,'asphalt roof,metal roof etc. 3, If the Aged Reflectance is not available in.the Cool Roof Rating Council's Rater!Product Directory Men use the Initial Reflectance value from the same directory and use the equnriar(0.2+0.71prnrr c,/-0.2)m obtain a calculated aged value. Where p ix the L»tial Soler Reflectance. 4. Check box i/the Aged Reflectance is n calculated value using the equation above. 5.Calculate the SRI value by using the SRI- Worksheet at http://mmu•.enenet'.creyuv/lide24/and enter the reselling value in the SRI Column above and attach ucopv of the SRI-Worksheet to the CF-IP. 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 §11 S(i)4. Select the applicable coating: ❑ Aluminum-Pigmented Asphalt Roof Coating ❑ Cement-Based Roof Coating 0 Other • Registration Number: Registration Dole/Time: HEILS Provider: 2008 Residential Compliance Forms • August 2009 • Prescriptive Certificate of Como/tante: Residential C7-1R-ALT Residential Alterations (Page 5 of 5) , Prujecl Name: I Gt, 1m at aTili:R /t I w r�tueies K(�� C r H7;RS \'ERIh']CAT1ON SUMMARY The enforcement agency should pop special nuemian to the HERS Measures specified in this checklist below. A completed anti signed CF-41(Form for all the measures specified shall be submitted in the building inspector Were final inspect Duct Sealing & Testing HERS verification is required far lin.s measure. ❑YES 0 NO YES:In Climate Zones 2 and 9-I6,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 ti]51(1)10. 0 EXCEPTION:Existing duct systems that are extended; which are constructed,insulated Or sealed with asbestos. ❑ YES 0 NO 1'ES: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(h)1Di. ❑YES 0 NO 1'L'S:In Climate Zones 2 and 9-]6,if the existing HVAC equipment is replaced(including the replacement of the air handler; outdoor condensing unit of n split system,cooling or heating coil,or the furnace heat exchanger)the ducts are to be sealed per§152(b)1E. D EXCEPTION:Duct systems that are documented to have been previously sealed confirmed through HERS Verification hi accordance with procedures imthe Reference Residential Appendix P.A3. D EXCEPTION:Duct systems with less than 40-linear feet in unconditioned space. 0 EXCEPTION:Existin • g 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(b)1F. Central Fan Integrated (CFI)Ventilation System and Fan Watt Draw The ventilation requirements of§150(0)do not aptly to existing residential homes. r 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 watt draw shall be verified tier§152(bl l Ci to meet the renuirements of 6151(f17B. 4locumentation Author's Declaration Statement • I certify that this Certificate of Comnli.nce documentation is accurate an. omniete. (Jame: Signatur1 / Company: Date: • Address. cra ]f Applicable❑ CEA of ❑ CEPS • 22o NftrA](� ein-b< er �(' 1(`—Z Certihcatiou1) ` /Slate/Zip:�e (((�����_���c1`"-t• ®e 11-h LO Phone_: V a oak tat ii`nI ftcsponsible Building esigner's Declaration Stan:N/91(ml • 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified un this Certificate of Compliance. • I certify that the energy features anti performance specifications fol the building design identiiteel on tins Certificate of Compliance confarm to the requirements of Title 24,Parts 1 and 6 of the California Code of Regulations. • The building design features identified an this Certificate of Compliance are consistent with the inlonnntion provided to[locunrent this building design on tit other upplienhlc compliance forms,worksheets, calculations, plans and specifications submitted to the eatoraement agency for approval with this building Permit application. Name: Signature: Cure any. Late: Address: - License. City/Sime/Zip: ('hone: For assistance or questions regarding flit?Energy Stallaari ,, conatcl the Energy Hotline at: 1-8011-772-1300. Itr,'r.sirmion number _ . 1(cgislroupn bate/Tune: HERS Provider: ICC �S SERVICE Most Most Widely Accepted and Trusted ICC-ES Evaluation Report ESR-1017 Reissued May 1, 2009 This report is subject to re-examination in one year. www.icc-es.orq I (800) 423-6587 I (562) 699-0543 A Subsidiary of the International Code Council® DIVISION: 07—THERMAL AND MOISTURE PROTECTION and the tiles are designed for installation with an 11-inch Section:07320—Roof Tiles (279 mm) center-to-center spacing and a minimum 3-inch (76 mm)headlap. REPORT HOLDER: 3.3 Tapered Two-Piece Mission Tile: UNITED STATES TILE COMPANY The tiles are 18 inches (457 mm) long, curved to 909 RAILROAD STREET approximately one-third of a circle, and have a chord width CORONA,CALIFORNIA 92882-1906 of 81/2 inches (216 mm) at the butt end and 7 inches (178 (951)737-0200 mm) at the smaller end. The tiles have an average www.ustile.com thickness of 1/2 inch (12.7 mm) and an installed weight of 9.6 pounds per square foot (46.9 kg/m2). They are EVALUATION SUBJECT: designed for installation with 11-inch (279 mm) center-to- center spacing and a minimum 3-inch(76 mm)headlap. ONE-PIECE "5," TAPERED TWO-PIECE MISSION, MONARCH TWO-PIECE MISSION, FLAT SHINGLE, 3.4 Monarch Two-Piece Mission Tile: ROMANO0 PAN, CLAYLITE® AND CLAYMAX0 CLAY The tiles are 18 inches (457 mm) long, curved to ROOF TILES approximately one-third of a circle, and have a chord width of 63/4 inches (171 mm) at the butt end and a chord width 1.0 EVALUATION SCOPE of 51/4 inches (133 mm) at the smaller end. The tiles have an average thickness of t/2 inch (12.7 mm). The installed Compliance with the following codes: z weight is 10.7 pounds per square foot (52.3 kg/m 2), when • 2006 International Building Code(IBC) installation is with a 3-inch (76 mm) head lap and an 83/4- • 2006 International Residential Cade®(IRC) inch (222 mm) center-to-center spacing. One nail hole is provided at the top center of each tile.The tiles conform to • Other Codes(See Section 8.0) the Type 1(high profile), Grade 3, physical requirements of ASTM C 1167. Properties Evaluated: 3.5 Flat Shingle Tile: • Weather resistance The tiles are 18 inches (457 mm) long, 93/4 inches (248 • Fire classification mm) wide and 9/16 inch (14.3 mm) thick. There are three • Wind uplift resistance ribs on the underside of the tiles that are 1/2 inch(12.7 mm) wide, and one rib at the lock that is 1 inch (25.4 mm)wide. 2.0 USES Ribs are approximately 3 inches(76 mm)apart and run the The clay roof tiles described in this report are Class A roof full 18-inch (457 mm) length of the tile. Each tile has two coverings in accordance with the exception to IBC Section nail holes in the top. Installed weight of the tiles is 91/2 1505.2 and IRC Section R902.1. pounds per square toot (46.4 kg/m4). They are designed for installation with 9-inch (229 mm) center-to-center 3.0 DESCRIPTION spacing and a minimum 3-inch(76 mm)headlap. 3.1 General: 3.6 Romano Pan: The tiles are vitrified clay products, and are machine- The tiles are 18 inches(457 mm) long, 11 inches(279 mm) formed and fired to various degrees and have a selection wide and 6/16 inch (14.3 mm)thick,with two nail holes near of burned-on colors. The various colors are obtained by the top of the pan. The installed weight of the tiles is 9.9 controlled firing of the kilns. See Figure 1 for tile profiles pounds per square foot (48.3 kg/m2). They are designed and dimensions. for installation with Two-Piece Mission cover tiles with a 3.2 One-Piece"S"Tile: 13-inch(330 mm)center-to-center spacing and a minimum 3-inch (76 mm) headlap. The tiles are 18 inches(457 mm)t long, 13 inches(330 mm) 03:7^Glaylite_Til� wide and /2 inch (12.7 mm)thick, with two nail holes in the pan side and one nail hole in the cover side. The installed The tiles are similar in shape and size to the One-Piece weight of the tiles is 8 pounds per square foot(39.1 kg/m2), "S"-shaped tiles. The finished tiles are 18 inches(457 mm) /CC-E:1'Evaluation Reports are rim to he construedas representing aesthetics or any other attributes not specifically addressed,nor are they to be mro-nned as an endorsement tithe subject•if the report or recommendationPr its use.]here ts no marronry by ICC Evaluation.Service,Inc,express or implied,at to anyfinding or other matter in this report,or as to any product covered by the report. m� _•—_ Copyright 0 2009 • Page 1 o/5 • ESR-1017 I Most Widely Accepted and Trusted Page 2 of 5 long, 13 inches (330 mm)wide and 3/8 inch (9.5 mm)thick, 5.3 The roof tiles are manufactured at facilities in Corona, with two nail holes in the pan side and one nail hole in the California and lone,California. cover side. The-installed-weight;of_the_tilesists:9_pounds 6.0 EVIDENCE SUBMITTED per-squarevfoot:�(28:81=Rig/rh ). They are designed for inL installation with an 11-inch (279 mm) center-to-center Data in accordance with ICC-ES Acceptance Criteria for spacing and a minimum 3-inch(76 mm)headlap. Clay and Concrete Roof Tiles (AC180), dated August 3.8 ClayMax Tile: 2007. The tiles are 18 inches(457 mm) long, 13 inches(330 mm) 7.0 IDENTIFICATION wide and 13/32 inch (10.3 mm) thick, with two nail holes in The letters "U.S.T." are embossed on the underside of the top. The installed weight of the tiles is 5.8 pounds per each tile near the nail hole. Additionally, a tag must be square foot(28.3 kg/m2). They are designed for installation attached to each shipping pallet that bears the report with an 11-inch (279 mm) center-to-center spacing and a holder's name (United States Tile Company) and address, minimum 3-inch (76 mm) headlap. the product name, the evaluation report number (ESR- 4.0 INSTALLATION 1017)and the installed weight. 4.1 General: 8.0 OTHER CODES Except as otherwise noted in this report, installation must 8.1 Evaluation Scope: be in accordance with the Concrete and Clay Roof Tile In addition to the codes referenced in Section 1.0, the Installation Manual for Moderate Climate Regions, products in this report were evaluated for compliance with published by the Tile Roofing Institute and the Western the requirements of the 1997 Uniform Building Code® States Roofing Contractors Association (hereinafter (UBC). referred to as the TRI/WSRCA installation manual), and recognized in ICC-ES ESR-2015P. This report and the 8.2 Uses: TRI/WSRCA installation manual must be available at the The clay roof tiles described in this report are jobsite at all times during installation. noncombustible roof coverings in accordance with UBC 4.2 Roof Slope Limitation: Section 1504.2. The roof tiles must be installed on a minimum roof slope of 8.3 Description: 21/2:12(20.83 percent). See Section 3.0. 4.3 Roofing Classification: 8.4 Installation: When installed as described in this report, the roof tiles are 8.4.1 General:See Section 4.1 except for the following: Class A roof coverings in accordance with the exception to IBC Section 1505.2 and IRC Section R902.1. 8.4.1.1 Claylite Tiles: Claylite tiles must be fastened to 4.4 Wind Resistance: the sheathing with two nails per tile. As an alternative, a single nail, using the fastener hole located in the pan side 4.4.1 General:When installation is on roof slopes greater 13/4 inch (44.3 mm) from the head end of the tile, may be than 21:12 (175 percent), the noses of all tiles must be used when the following conditions are met: securely fastened. a. The roof slopes do not exceed 7:12(58.3%slope). 4.4.2 High Wind Applications: For applications beyond the prescriptive parameters of IBC Section 1507.3.7 and b. Solid sheathing must be not less than 7/m-inch (11.1 s IRC Section R905.3.7, the fastening systems must be mm) oriented strand board or /inch (11.9 mm) determined to withstand the aerodynamic uplift moment in wood structural panels. accordance with the Design Considerations for High Wind c. The structure is located in an area designated by the Applications in Appendix B of the TRI/WSRCA installation building official as being subject to a maximum basic manual. wind speed of 80 miles per hour (129 km/h), 4.5 Reroofing Applications: Exposure C, with the roof height up to 40 feet(12 192 mm)above grade. The tiles may be installed over existing roofs, provided the requirements of IBC Section 1510 and IRC Section R907, 8.4.1.2 ClayMax Tiles: ClayMax tiles must be fastened as applicable, are met.The roof classification is as noted in to the sheathing with two nails per tile. As an alternative, a Section 4.3. single nail, using the fastener hole located in the center, 13/4 inch (44.3 mm) from the head end of the tile, may be 5.0 CONDITIONS OF USE used when the following conditions are met: The clay roof tiles described in this report comply with, or a. The roof slope does not exceed 7:12 horizontal are suitable alternatives to what is specified in, those (58.3%slope). codes listed in Section 1.0 of this report, subject to the following conditions: b. Solid sheathing is not less than 7/15-inch (11.1 mm) 5.1 The roof tiles are manufactured, identified and oriented strand board or 15/32-inch(11.9 mm), four-ply, installed in accordance with this report, the three-layer wood structural panels. TRI/WSRCA installation manual and the applicable c. The structure is located in an area designated by the code. If there is a conflict between this report and the building official as being subject to a maximum basic installation manual,this report governs. wind speed of 80 miles per hour (129 km/h), 5.2 The roof sheathing and roof framing system must be Exposure C, with the roof height up to 40 feet(12 192 designed for the appropriate loads determined in mm)above grade. accordance with the applicable code, subject to the Installation details pertinent to the ClayMax tiles are as approval of the code official. follows: ESR-1017 I Most Widely Accepted and Trusted Page 3 of 5 a. Hips and ridges are provided with continuous 8.4.5 Reroofing Applications:The tiles may be installed nominally 2-by-3 nailers to support ClayMax trim tiles, over existing roofs, provided the requirements of the b. Continuous nailers along the gable rakes are not Appendix to UBC Chapter 15 are met. The roof required. classification is as noted in Section 8.4.3. 8.4.2 Roof Slope Limitation:See Section 4.2. 8.5 Conditions of Use: 8.4.3 Roofing Classification: When installed as The clay roof tiles described in this report comply with, or described in this report, the roof tiles are noncombustible are suitable alternatives to what is specified in the UBC, roof coverings in accordance with UBC Section 1504.2. subject to the following conditions: See Sections 5.1 through 5.3. 8.4.4 Wind Resistance: 8.6 Evidence Submitted: 8.4.4.1 General: See Section 4.4.1. See Section 6.0. 8.4.4.2 High Wind Applications: For applications 8.7 Identification: beyond the prescriptive parameters of UBC Section 1507.7, the fastening systems must be determined to See Section 7.0. withstand the aerodynamic uplift moment in accordance with the Design Considerations for High Wind Applications in Appendix B of the TRI/WSRCA installation manual. ESR-1017 I Most Widely Accepted and Trusted Page 4 of 5 HEAD ;-, END r2--, TOP . i 1---%t--..„ PAN \e" / %."-..,,.... 1112" I "--.. ..- ,- - • ----.-..""*•••,„ ,,.--"--3" N. \., . •-.. 18...•-;\ it //' BUTT 1'N". 7" 7,"/N‘: '•."-t. TAPERED TWO-PIECE MISSION ROOF TILE NY/ HEAD . , .. END 40 ,.,,., 7- *.......„.„.....t. .,. ,/ BUTT END :.'' \.... ONE-PIECE "S"AND CLAYLITE° CLAYMAX°ROOF TILE ROOF TILE •I HEAD END ,-.2" \,, - NH N ,--' ' 1 . ,.<• 16' "••••••C , , \ ` . •,- ..-- 9,n• BUTT END FLAT SHINGLE ROOF TILE ROMANO' PAN For SI: 1 inch=25.4 rnm FIGURE 1—TILE PROFILES ESR-1017 I Most Widely Accepted and Trusted Page 5 of 5 HEAD EN!) 5';.•: TOP PAN 6'14' , '\ 44, "2'I' �.� BUTT IS' •; \ n'n" END MONARCH TWO-PIECE MISSION ROOF TILE For SI: 1 inch=25.4 mm FIGURE 1—TILE PROFILES(Continued) CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO. 6638 DATE October 2, 1970 LOT NO. 19 ADDRESS 1062 Santa Cruz Circle, Costa Mesa The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement , acknowledges that (he-she-they) 1 Mr. & Mrs. M. S.Mokede was-or were) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the city at the time the final tract map was approved. The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the city harmless from any claim resulting in damage or personal injury to the undersigned b reason of the aforementioned uncompleted condition. 0/`M,� BY . Purcha r BY Devel /orzed representative BY Lender OWNER SELTZER ENTERPRISES - C. M. DATE 9-26-69 JOB ADDRESS 1062 Santa en circle 'ILDING PERMIT NO. 30874 GENERAL CONTRACTOR Same i DESCRIPTION of WOK Reel dente W/Attached Garage AP No. _ LOT 1g TRACT 6618 FIRE ZONE VALUES ?4.6'6,00 INSPECTIONS Si nature Date GROUP I & .T TYPE V ZONE R-1 SOIL Al S 1Jt•-/C) PERMITS ISSUED GAS SUBCONTRACTOR - Date I Number I Signature WATER Jw r MS j{rz. P� �byi nyy�.�.v1 ROUGH PLU BING MSL./-7� `_`„”--"L� • , T�[� ooes-4ha PROP. SWR. LINE Q MOUSE CON. E / AV/SG -, -'7D �. 1-tenIS...e 4 .c- D /."/y,,A --- SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING M5 4--3-70 TEMPORARY SERVICE OR POLE ' UNDERGROUND ❑ POWER 0 ROUGH WIRING al 445--70 I Healing and Vent'•, TRENCHES E FORMS Pt STEEL REINF. Veq-,-7o /ez /Tf(/�- 0764 ' &---.,,312 /,-,A((Z — FLOOR SYSTEM 4ey-7O (47 . �,k'ec4are;,. .`J ? 0.4 7 BOND BEAM n STEEL REINFORCE [] - SHEATHING ) �JJT p FRAME AND FLAS 1 ! 0/ /'f e LATHING - IN [ OUT rk-f/70 1/f 'DPLASTER, BROWN COAT kb/ tO STRUCTURAL, FINAL I!trg HEATING, VENT., REFRIG. ANbS -E4C ' . 4.-24-74 `n.1J/ t2 ej, ap-, -7,e2 L'J7q� / PLUMBING, FINAL AND GAS TEST n k' '+i i r / \ ELECTRIC, FINAL (�/ n� 9-JC/Tp BUILDING, FINAL /t'' . /'j77-z '0874 NOV 12-69PA1B00 410* ***133.50 CNSA COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECepre D•TESER; s DATE ISSUED BUILDISS 1062 Santa Cruz Circle ,(NG et Tot7' SEP 2 6 969 ADDRE OWNER Heltzer Enterprises-Costa Mesa AP o NPER�Ir•• MAIL 740 No. La Brea Ave. BUILDING /t% /�.... /; 1 7 ADDRESSZ 213 ADDRESS (O - U CITY L.A. Cal . NOL 937-217 ' TRACT 6638 I LOT 19 BLO K ZQ CONSTRUCTION United California Bank NEW (ADD ALTER REPAIR (MOVING DEMOLISH O N LENDER v"I i CL m Main Office J r BRANCH 6th and Spring, L.A. OWNER / CO J ADDRESS VALUE �Q ARCHITECT Frank Gonzales TEL•532-6878 $ / /�� $' U OR ENGINEER NO, FIRE w K //ADDRESS 1336 E.Chapman Ave. ,Orange,Cal. ZONE TYPE / GROUP .-2 S w APPROVED / ILIJ Z CONTRACTOR George J. Heltzer & Assocs . By DATE CO CD Z :Jet ADDRESS Same as above W wTEL. ZONE NO.OF USE OF NEW Single F: n. f]= CITY NO. Ri PLANS 2 BUILDING Res. Z W/att.G:L. H 0 STATE CITY 1707 YARDS APPROVED YARDS BUILDING ACCESSORYP BUILDING Lu CC LIC. NO. 201098 LIC. NO. 7O (FROM C/L S REST) SIZE NO.OF BLDGS. OF LOT NOW ON LOT FRONT FT. FT. USE OF ((�, EXISTING BLDG. R SIDE l FT. FT. I— SIZE OF NO. OFL� Z ' NEW BLDG. ROOMS STORIES L.SIDE /7 FT. FT. U EXTERIOR WALL ROOF _ COVERING COVERING REAR Qtyi FT. FT. —I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& CI.. C- MAIN SLOGS. ACCESS. BLDGS. Q RESIDENCE WITH ATTACHED GARAGE VAR.# DATE O �/ ry C.U.P.# APPROVED / I— Plan N0.4 L a r APPROVED �D DATE /a/6 /6 9 Z (y)f'l O VI hereby acknowledge that I have read this application and state • that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ I— any person in violation of the workman's compensation laws of Ca the State of California. /j 9v to ? I hereby certify that I am properly licensed as a contractor under ((OO SO. FT.�V �/� 7 a the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR dye Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business and Professions Code, Divi •n 3,Ch:•tar 9. VALU TION ex) F. 3,,pod PERMIT FEE $ I— -f`�'-'— N�1!l,�y Signature of /. �� / 5-0 ,gyp Permittee 3; Y (� PLAN CHECK $ �?-2._57° / `E y� Authorized Agent / l�SQ _u. a TOTAL FEE $ .� .fl n e��.f• m •d «_' '�1� ' 101v1-LEE 2 _ v ortoyxeg V86u1 + B ba1W!A66 '----'--- 3 bf:!I CHECK * t 3.!2u0010)0.; k • c .. C bENWI.I LEE $ " ---- 7 ou0 bLOtC:21outue([KWoqDlnieJOu 3 Cpsbte.a' L I co ooxOWW bt 4.ONIe btoAll!Otz 0;4E0 2194e 04 Call;o.u!o Rnaluon :1V rf1V1101A -- Cpobta. at suq ipoi 2000 IIc04eoe 010 !u inn 40100 out; 0140CC 011 _u-IE L(1Nb•O'2E OL EaLVBr12HIVC V bENWIl LEE OVrAC o • 4Po 24et0 04 C011400.!9 gneluoce DUO 61316ez!OU2 CAW, DIAk"Icu 3' IHE VWOfliil 2HOM19 (WIDEN AVrn'C110W la LOB I p6tap. 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