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Home My WebLink About1087 SANTA ROSA AVE - Building Permits • • CITY OF COSTA MESA r 45a' BUILDING DIVISION A I..• .li 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us It. FOR INSPECTIONS CALL:(714)754-5626 . fi PERMIT NUMBER/308-00190 PERMIT TYPE B_ROOF2 STATUS: ISSUED • APN: 41205204 DATE ISSUED: 0613012008 ISSUED BY: RMD • JOB ADDRESS: 1087 SANTA ROSA AV CM Suite/Unit:': Vicinity: HOUSE AND GARAGE ROOF.:.,' Squares: 2400 - . • - - • Valuation: - $13,500.00 SCOPE OF WORK: TEAR OFF(E)ROOF:MATERIALS, INSTALL 2 LAYERS OF 30#FELT ON A 4:12.PITCEHD ROOF AND REROOF WITH 50 YEAR EAGLE LITE TILE, LESS THANv6 PSF(ICBG#ESR 1900)ON AN ATTACHED HOUSE,AND , ' GARAGE,APPROX 24 SQUARES. REPAIR AND REPLACE SHEATHING AS NEEDED. S WNER: PHAM,THANH LAN T - Address: 1087 SANTA ROSA AVE, • Unit: PHONE: - - City/State/Zip: COSTA MESA,CA - • APPLICANT: DELANO,.CARL ., • ' Address: 7760 MARIA DR - Unit: PHONE: 951-360-3339 .' - City/State/Zip: RIVERSIDE CA CONTRACTOR: CARL DELANO ROOFING License No. 661116.. ' Address: 7760 MARIA DRUnit: PHONE:' 951-360-3339 City/State/Zip: RIVERSIDE CA 92509 ' CELL: ARCHITECT: License No. ' PHONE' ' ENGINEER: .. • -• License No. PHONE: -.,„ • FEE SUMMARY ' Reroof Plan Check: $0.00 Reroof Permit Fee: $237:25 - Reinspection Fee: $0.00 ....' I .. • TOTAL FEES $237.25 • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with'all applicable codes, and'all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODEX INSPECTION TYPE 4m INTMA.S CODE It INSPECTION TYPE . DATE ' 'MAO 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Finald 208 Final Plumbing - ' 200 Final Re-Roof 740 -0$ Casit 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 dme._sense. ❑Yes ❑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 compensation, as provided for by section 3700 of the Labor Code, for the b Y(type of document,i.e.-property tax bill or deed): performance of the work for which this permit is issued. - - . ❑ I have and will maintain workers'compensation insurance, as required by I 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('we(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 Cartier: S{rfG fc,rsd or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This section need not be completed rlfhe pe/md is valued at one hundred dollars($100)orless.) 2,Art 2,Sec.341,Title 8,California Administrative Code). Policy Number: 1863 3'V.?`et ❑ As owner-builder, I will not employ anyone to do work which would 0 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 Lab de,IIssyaN forthwith comply with these provisions. Applicant's Signature Date 30.22.•~41C— Division of Industrial Safety Permit Number: Appirwnt's Signature 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? 0 Yes ❑ No Lic /�rClass# 3 /O (Section 25533 of the California Health and Safety Code, with some /_— exceptions, requires registration with the Costa Mesa Fire Department by 777 ��/ 3Ookswere" 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). ❑ 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? ❑Yes ❑No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government 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? 0 Yes ❑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 0 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 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 inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. , S� a of Legal Owner(s) ^^''�� Dale Signature Date deer /OTeasO 3057-46(3/07) And/or qulhonxetl Applicant Date • • • ESR-1900 REPORTT" Issued November 1, 2007 This report is subject to re-examination in one year. Business/Regional Office•5360 Workman Mill Road,Whittier,Carty-lb •(562)6990543 ICC Evaluation Service, Inc. Regional Office•900 Montclair Road,Suite A Birmingham,Alabama 35213 •(205)599-9800 WWW•iF-C"es.Ckra Regional Office•4051 West Flosstwor Road,Country Club Hill s,Illinois 60478•(708)799-2305 DIVISION:07—THERMAL AND MOISTURE PROTECTION provided in each tile for the Malibu and Capistrano tiles Section:07320—ROOF TILES produced at the Florida plant. Ridge and rake trim units,as illustrated in Figure 1,are produced to match each product. REPORT HOLDER: Product designations,dimensions and installed dry weights are indicated in Table 1. Roof tile profiles are illustrated in EAGLE ROOFING PRODUCTS Figure 1. 3546 NORTH RIVERSIDE AVENUE RIALTO, CALIFORNIA 92377 3.2 Eaglelite®Tiles: (909)822-6000 Eaglelite®tiles are produced in the same size, manner and www.x. ,,lel'c fitac.con1 shapes as the conventional-weight Eagle®tiles described in Section 3.1,except for substitution of lightweight aggregates EVALUATION SUBJECT: and additives for sand.Product designations,dimensions and installed dry weights are indicated in Table 1.Roof tile profiles EAGLE® AND EAGLELITEe INTERLOCKING CONCRETE are illustrated in Figure 1. ROOFING TILES: CAPISTRANO, MALIBU, BEL AIR, BEL 4.0 INSTALLATION AIR ESTATE, BEL AIR DOUBLE EAGLE, PONDEROSA, PONDEROSA ESTATE, PONDEROSA DOUBLE EAGLE 4.1 General: AND PONDEROSA GOLDEN EAGLE Installation of the Eagle® and Eaglelite® concrete roof tiles must be in accordance with the Concrete and Clay Roof Tile 1.0 EVALUATION SCOPE Installation Manual for Moderate Climate Regions,dated July Compliance with the following codes: 2006, published by the Tile Roofing Institute and Western - States Roofing Contractors Association(hereinafter referred • 2006 International Building Code®(IBC) to as the TRI/WSRCA installation manual),and recognized in ■ 2006 International Residential Code®(IRC) ICC-ES ESR-2015P,except as otherwise noted in this report. This report and the TRI/WSRCA installation manual must be • Legacy Codes(see Section 8.0) available at the jobsite at all times during installation. The Properties evaluated: minimum roof slope on which the roof tiles are installed must be 212:12 (20.83%). Care must be taken during field • Fire classification installation to ensure that horizontal joints are kept parallel to • Weather resistance the eave and vertical joints are at right angles to the eave in order to ensure uniform contact between the tiles and proper • Wind-uplift resistance fit. All cracked and broken roof tiles must be replaced. .2.0 USES Underlayment must comply with and be installed in accordance with IBC Section 1507.3.3 or IRC Section The Eagle®and Eaglelite®concrete roof tiles installed over R905.3.3, as applicable. solid sheathing are used as Class A roof coverings in 4.2 Adhesive Set Systems: accordance with the exception stated in IBC Section 1505.2 and IRC Section R902.1. The roof tiles may be installed with roof tile adhesives that are 3.0 DESCRIPTION recognized in a current ICC-ES evaluation report for use in concrete roofing tile applications. Installation of tiles using 3.1 Eagle®Tiles: these adhesive set systems must be in accordance with the adhesive manufacturer's ICC-ES evaluation report. These roof tiles are interlocking extruded concrete roof tiles composed of Type II portland cement, washed sand, and 4.3 Fire Classification: proprietary additives and comply with ASTM C 1942.Mineral When installed in accordance with this report,the Eagle®and coloring oxides are mixed with the portland cement and water Eaglelite concrete roof tiles are Class A roof coverings in for through-color or for surface application following extrusion. accordance with the exception stated in IBC Section 1505.2 All roof tiles are cured to reach required strength before and IRC Section R902.1. shipment.Tiles are manufactured with 3/4-inch-wide(19 mm) interlocking sidelaps designed to resist surface water 4.4 Wind Resistance: penetration and maintain proper alignment. All tiles have The tiles are limited to the following locations: protruding head lugs on the underside, which provide for mechanical attachment over battens, or provide a stable 4.4.1 IBC: For applications beyond the prescriptive foundation for nail attachment to solid decking.Two nail holes parameters specified in IBC Table 1507.3.7,the tiles and the are provided in each tile, except that three nail holes are fastening systems must be designed to withstand the F'.}REPORTS'- are nw ro he connrowd us representing aesthetics or mer other oarih,ne,not speeili,ollr addressed.nor ore thee he Lamp-veil us mi endorsement of the suh/ert ul the repos or a rewmmendanm,for its use. there is no warranty hr ICC Evaluation Sert in.Inc.express or implied.us to mm finding or oilier matter in this report.or as to oto product covered hr the report. - Copyright©2007 Page 1 of 8 • • Page 2 of 8 ESR-1900 aerodynamic wind uplift moment.The required aerodynamic 5.3 The tiles are limited to installation on roofs with a slope uplift moment must be determined in accordance with IBC of 60 degrees or less from horizontal. Section 1609.5.3,or may be determined from Table 2,3 or 4, for each respective tile profile. The maximum allowable 5.4 Mechanical fastening requirements in Table 5 are aerodynamic uplift moment must be determined in applicable for areas where this report indicates that the accordance with Table 5.The roof tiles must be mechanically fastening is adequate to resist wind loads as noted in fastened such that the allowable aerodynamic uplift moment Sections 4.4.1 and 4.4.2.This report evaluates the uplift for the roof tile/fastener/deck combination, noted in Table 5, resistance of the the system only.Other items,such as exceeds the required aerodynamic uplift moment determined batten design,batten fastening,sheathing design(other in accordance with IBC Section 1609.5.3 or Table 2, 3or4, than the minimum thickness required for fastening of the for each respective tile profile. The fastening requirement roof tile), fastening of the sheathing to the structure, determined from the use of Table 5 applies over the entire etc., are outside the scope of this report and must be roof. required to resist the forces prescribed by the applicable code. 4.4.2 IRC: For applications beyond the prescriptive parameters specified in IRC Section R905.3.7,the tiles and 6.0 EVIDENCE SUBMITTED the fastening systems must be designed to withstand the Data in accordance with the ICC-ES Acceptance Criteria for aerodynamic wind uplift moment.The required aerodynamic Clay and Concrete Roof Tiles(AC180), dated October 2005 uplift moment must be determined in accordance with Table (editorially revised January 2007). 2, 3 or 4, for each respective tile profile. The maximum allowable aerodynamic uplift moment must be determined in 7.0 IDENTIFICATION accordance with Table 5.The roof tiles must be mechanically Each Eagle field tile is imprinted with the EAGLE logo (see fastened such that the allowable aerodynamic uplift moment Figure 2). Tiles produced at the Sumterville, Florida, plant for the roof tile/fastener/deck combination, noted in Table 5, have the EAGLE logo and "FLORIDA" (see Figure 3) exceeds the required aerodynamic uplift moment determined imprinted on each field tile.Each Eaglelite tile is identified by by Table 2, 3 or 4, for each respective tile profile. The the product name"Eaglelite"on a tag and a light-colored strip fastening requirement determined from the use of Table 5 across the headlap area. Each shipping pallet must have a applies over the entire roof. label bearing the Eagle Roofing Products name; the tile 4.5 Reroofing: designation; manufacturing location and address; color; quantity of tiles per pallet; production date; installed weight; Eagle° and Eaglelite° tiles may be installed over existing and the evaluation report number(ESR-1900). asphalt shingles,provided the requirements set forth in IBC Section 1510 or IRC Section R907, as applicable, are met. 8.0 LEGACY CODES Damaged or rusted flashing must be replaced. Existing The products in this report were evaluated for compliance framing must be adequate for the additional load. Structural with the requirements of the 1997 Uniform Building Code T" data verifying adequacy must be submitted to the code (UBC). official. The existing roof must be inspected in accordance with the requirements of the applicable code. The roof 8.1 Uses: classification is as noted in Section 4.3. The Eagle°and Eagelite°concrete roof tiles installed over When reroofing wood shake roofs,existing shakes must be solid or spaced sheathing are noncombustible roof coverings removed and solid decking and tile must be installed,as with in accordance with Section 1504.2 of the UBC. new construction. When installation is over existing spaced 8.2 Description: sheathing boards, underlayment complying with the requirements of the applicable code or an underlayment See Section 3.0. recognized specifically for this type of use in an ICC-ES 8,3 Installation: evaluation report, installed with or without battens, may be used. One layer of No. 30 felt or approved equivalent For new construction, see Section 4.0, except that for wind underlayment must be installed on the roof prior to application resistance, the installation must be justified as equivalent to of tile. Details not covered under this section are identical to that specified in UBC Tables 15-D-1 and 15-D-2. For those described in Section 4.1. reroofing, the existing roof must be inspected in accordance 5.0 CONDITIONS OF USE with UBC Appendix Chapter 15. Section 1515,and installed in accordance with UBC Appendix Chapter 15,Section 1517, The Eagle°and Eaglelite°concrete roof tiles described in this and Section 4.5 of this report. report comply with, or are suitable alternatives to what is specified in, those codes listed in Section 1.0 of this report, 8.4 Conditions of Use: subject to the following conditions: See Section 5.0. 5.1 The roof tiles must be installed in accordance with this 8.5 Evidence Submitted: report, the applicable code and the TRI/1NSRCA installation manual. In case of a conflict between the See Section 6.0. installation manual and this report,this report governs. 8.6 Identification: 5.2 The roof decking and roof framing system must be See Section 7.0. designed for the appropriate loads determined in accordance with the applicable code. Page 3 of 8 ESR-1900 TABLE 1-TILE DIMENSIONS,INSTALLED WEIGHTS AND MANUFACTURING FACILITIES TILE DESIGNATION PROFILE INSTALLED DRY WEIGHT'(psf) DIMENSIONS'(in.) MANUFACTURING FACILITY Eagle® Eaglelite Length Width Capistrano High 8.8 5.7 Malibu Medium 7.7 5.5 Bel Air, Bel Air Estate.Bel Rialto,California Air Double Eagle, 17 123/0 Phoenix,Arizona Ponderosa,Ponderosa Stockton,California Estate,Ponderosa Double Flat(Low) 9.7 7.0 Sumterville,Florida Eagle and Ponderosa Golden Eagle For SI: 1 inch=25.4 mm,1 psf=4.88 kg/m'. 'Installed dry weight is based on a 3-inch headlap. 2A11 dimensions are nominal. TABLE 2-REQUIRED AERODYNAMIC UPLIFT MOMENT,Ma(ft-Ib)'-CAPISTRANO TILES EXPOSURE B-Gable 7°<9 27°(02:12<0 6:12) Hip=25°< Bs 27°(5:12< Bs 6:12) Height(feet) Basic Wind Speed, V(mph-3-second gust)-Importance Factor=1.00 85 90 100 105 110 120 125 130 140 145 150 0-30 11.6 13.0 16.1 17.1 17.7 23.1 25.1 27.1 31.5 33.8 36.1 40 12.6 14.1 17.4 19.2 21.1 25.1 27.2 29.5 34.2 36.6 39.2 50 _ 13.4 15.0 18.6 20.5 22.5 26.7 29.0 31.4 36.4 39.1 41.8 60 14.1 15.9 19.6 21.6 23.7 28.2 30.6 33.1 38.4 41.1 44.0 EXPOSURE B-Hip 7°<Bs 25°(11/2:12<Bs 5:12) Height(feet) Basic Wind Speed, V(mph-3-second gust)-Importance Factor=1.00 85 ' 90 100 105 110 120 125 130 140 145 150 0-30 8.7 9.8 12.0 13.3 14.6 17.3 18.8 20.3 23.6 25.3 27.1 40 9.4 10.6 13.1 14.4 15.8 18.8 20.4 22.1 25.6 27.5 29.4 50 10.1 11.3 13.9 15.4 16.9 20.121.8 23.5 27.3 29.3 31.3 60 10.6 11.9 14.7 16.2 17.8 21.1 - 22.9 24.8 28.8 30.9 33.0 EXPOSURE B-Gable 27°< Gs 45°(6:12<Gs 12:12) Height(feet) Basic Wind Speed, V(mph-3-second gust)-Importance Factor=1.00 85 90 100 105 110 120 125 130 140 145 150 0-30 7.1 7.9 9.8 10.8 11.9 14.1 15.3 16.6 19.2 20.6 221 40 7.7 8.6 10.7 11.7 12.9 15.3 16.6 18.0 20.9 22.4 24.0 50 8.2 9.2 11.4 12.5 13.7 16.3 17.7 19.2 22.2 23.9 25.5 60 8.6 9.7 12.0 13.2 14.5 17.2 18.7 20.2 23.4 25.1 26.9 EXPOSURE B-Monoslope 10°< Bz 30°(2'4:12< es 6'4:12) Height(feet) Basic Wind Speed, V(mph-3-second gust)-Importance Factor=1.00 85 90 100 105 110 120 125 130 _ 140 145 150 0-30 12.6 14.1 17.4 19.2 21.0 25.0 27.2 29.4 34.1 36.6 39.1 40 13.6 15.3 18.9 20.8 22.8 27.2 29.5 31.9 _ 37.0 39.7 42.5 50 14.5 16.3 20.1 22.2 24.3 29.0 31.4 34.0 39.4 42.3 45.3 60 15.3 17.2 21.2 23.4 25.7 30.5 33.1 35.8 41.6 44.6 47.7 For SI: 1 fool=304.8 mm, 1 ft-lb= 1.356 N.m, 1 mph= 1.61 km/h. 'This table.is based on a Tile Factor of 1.4625 ft3(0.0414 m3).The Tile Factor has been determined from a multiplication of the exposed width of the roof tile,the length of the roof tile and the moment arm of the roof tile.In this case.the exposed width and the length of the tile are 11.506 inches(292 mm)and 17 inches(432 mm).respectively.The table will provide conservative required aerodynamic wind uplift moments for any roof tile that has a Tile Factor less than 1.4625 ft3(0.0414 m3). • Page 4 of 8 ESR-1900 TABLE 3-REQUIRED AERODYNAMIC UPLIFT MOMENT,M.(ft-Ib)'-MALIBU TILES EXPOSURE B-Gable 7°<Os 27°(171:12<Os 6:12) Hip=25°<Bs 27°(5:12<Os 6:12) Height(feet) Basic Wind Speed, V(mph-3-second gust)-Importance Factor=1.00 85 90 100 105 110 120 125 130 140 145 150 0-30 11,8 13.2 16.3 18.0 _ 19.7 23.5 25.5 27.6 32.0 34.3 36.7 40 12.8 14.3 17.7 19.5 21.4 25.5 27.7 29,9 34.7 37.2 39.8 50 13.6 15.3 18.9 20.8 22.8 27.2 29.5 31.9 37.0 39.7 42.5 60 14.4 16.1 19.9 21.9 24.1 28.6 31.1 33.6 39.0 41.8 44.7 EXPOSURE B-Hip 7°<Bs 25°(1'/,:12<Os 5:12) Height(feet) Basic Wind Speed, V(mph-3-second gust)-Importance Factor=1.00 85 90 100 105 110 120 125 130 140 145 150 0.30 8.8 9.9 12.2 13.5 14.8 17.6 18.1 20.7 24.0 25.7 27.5 40 9.6 10.8 13.3 14.6 16.1 19.1 20.8 22.4 26.0 27.9 29.9 50 10.2 11.5 14.2 15.6 17.1 20.4 22.1 23.9 27.7 29.8 31.8 60 10.8 12.1 14.9 16.4 18.0 21.5 23.3 25.2 29.2 31.4 33.6 EXPOSURE B-Gable 27°<Os 45°(6:12<B s 12:12) Height(feet) Basic Wind Speed, V(mph-3-second gust)-Importance Factor=1.00 85 90 100 105 110 120 125 130 140 145 150 0-30 7.2 8.1 10.0 11.0 12.1 14.4 15.6 16.8 19.5 21.0 22.4 40 7.8 8.8 10.8 11.9 13.1 15.6 16.9 18.3 21.2 22.8 24.3 50 8.3 9.3 11.5 12.7 14.0 16.6 18.0 19.5 22.6 24.3 26.0 60 8.8 9.8 12.2 13.4 14.7 17.5 19.0 20.5 23.8 25.5 27.3 EXPOSURE B-Monoslope 10°<Os 30°(2'4:12<Os 6'I8:12) Height(feet) Basic Wind Speed,V(mph-3-second gust)-Importance Factor=1.00 85 90 100 105 110 120 125 130 140 145 150 0-30 12.8 14.3 17.7 19,5 21.4 25.4 27.6 29.9 34.6 37.2 39.8 40 13.9 15.5 19.2 21.2 23.2 i 27.6 30.0 32.4 37.6 40.3 43.2 50 14.8 16.6 20.4 22.5 24.7 29.4 31.9 34.6 40.1 43.0 46.0 - 60 15.6 17.4 - 21.5 23.7 26.1 31.0 33.7 36.4 42.2 45.3 _ 48.5 For SI: 1 foot=304.8 mm,1 ft-lb= 1.356 N.m. 1 mph= 1.61 km/h. 'This table is based on a Tile Factor of 1.4860 ft'(0.0421 m3).The Tile Factor has been determined from a multiplication of the exposed width of the roof tile,the length of the roof tile anti the moment arm of the roof tile.In this case,the exposed width and the length of the tile are 11.691 inches(297 mm)and 17 inches(432 mm),respectively.The table will provide conservative required aerodynamic wind uplift moments for any roof tile that has a Tile Factor less than 1.4860 ft'(0.0421 m3). • Page 5 of 8 ESR-1900 TABLE 4-REQUIRED AERODYNAMIC UPLIFT MOMENT,M,(tt-Ib)'-FLAT PROFILE TILES EXPOSURE B-Gable 7°< Os 27°(1'/,:12 c Os 6:12) Hip=25'<Bs 27°(5:12<Os 6:12) Height(feet) Basic Wind Speed, V(mph-3-second gust)-Importance Factor=1.00 85 90 100 105 110 120 125 130 140 145 150 0-30 11.6 13.1 16.1 17.8 19.5 23.2 25.2 _ 27.2 31.6 33.9 36.3 - 40 12.8 14.2 17.5 19.3 21.2 25.2 27.3 29.6 _ 34.3 36.8 39.4 50 13.5 15.1 18.6 20.6 22.6 26.9 29.1 31.5 36.6 39.2 42.0 60 14.2 15.9 19.6 21.7 23.8 28.3 30.7 33.2 38.5 41.3 44.2 EXPOSURE B-Hip 7°<Os 25°(1'/2:12<Os 5:12) Height(feet) Basic Wind Speed,V(mph-3-second gust)-Importance Factor=1.00 85 90 100 105 110 120 125 130 140 145 150 0-30 8.7 9.8 12.1 13.3 14.6 17.4 18.9 20,4 23.7 25.4 27.2 40 9.5 10.6 13.1 14.5 15.9 18.9 - 20.5 22.2 25.7 27.6 29.5 50 10.1 11.3 14.0 15.4 16.9 20.1 21.9 23.6 27.4 29.4 31.5 60 10.6 11.9 14.7 16.2 17.8 21.2 23.0 24.9 28.9 31.0 33.2 EXPOSURE B-Gable 27°<85 45°(6:12<Bs 12:12) Height(feet) Basic Wind Speed, V(mph-3-second gust)-Importance Factor=1.00 85 90 100 105 110 120 125 130 140 145 150 - 0-30 7.1 8.0 9.8 10.9 11.9 14.2 15.4 16.6 19.3 20.7 22.2 40 7.7 8.7 10.7 11.8 12.9 15.4 16.7 18.1 21.0 22.5 24.1 50 8.2 9.2 11.4 12.6 13.8 16.4 17.8 19.3 22.3 24.0 25.6 60 8.7 9.7 12.0 13.2 14.5 17.3 18.8 20.3 _ 23.5 25.2 27.0 EXPOSURE B-Monoslope 10°< Os 30°(21/,:12 c Os 61/,:12) Height(feet) Basic Wind Speed, V(mph-3-second gust)-Importance Factor=1.00 85 90 100 105 110 120 125 ' 130 140 145 150 0-30 12.6 14.1 17.5 19.2 21.1 25.1 27.3 29.5 34.2 36.7 39.3 40 13,7 15.4 19.0 20.9 22.9 27.3 29.6 32.0 37.2 39.9 42.7 50 14.6 16.4 20.2 22.3 24.4 29.1 31.6 34.1 39.6 42.5 45.5 60 15.4 17.2 21.3 23.5 25.8 30.6 33.3 36.0 41.7 44.7 47.9 For SI: 1 foot=304.8 mm, 1 ft-lb= 1.356 N.m, 1 mph= 1.61 km/h. 'This table is based on a Tile Factor of 1.4863 ft'(0.0421 m').The Tile Factor has been determined from a multiplication of the exposed width of the roof tile,the length of the roof tile and the moment arm of the roof tile.In this case,the exposed width and the length of the tile are 11.552 inches(293 mm)and 17 inches(432 mm),respectively.The table will provide conservative required aerodynamic wind uplift moments for any roof tile that has a Tile Factor less than 1.4863 ft'(0.0421 m3). Page 6 of 8 ESR-1900 TABLE 5-ALLOWABLE AERODYNAMIC UPLIFT MOMENT(ft-Ib) Tile designation:Capistrano Fasteners "1r2"Plywood Sheathing "/3 "Plywood Sheathing Batten Installation 2-10d ring shank nails 28.6 41.2 26.8 148 screw 28.7 28.7 25.5 248 screws 51.3 51,3 37.1 1-10d smooth or screw shank nails 11.3 13.0 8.2 2-10d smooth or screw shank nails 13.1 15.4 12.7 1-10 smooth or screw shank nails-field dip 29.3 29.3 24.4 1-10d smooth or screw shank nails-eave clip 35.5 35.5 29.4 2-10d smooth or screw shank nails-field clip 33.8 33.8 44.0 2-10d smooth or screw shank nail-eave clip 44.3 44.3 47.2 Tile designation: Malibu 2-10d ring shank nails 36.1 45.5 36.4 148 screw 33.3 33.3 30.1 248 screws 55.5 55.5 41.9 1-10d smooth or screw shank nails 12.9 15.2 8.7 2-10d smooth or screw shank nails 19.1 23.4 11.9 1-10 smooth or screw shank nails-field clip 30.5 30.5 29.6 1-10d smooth or screw shank nails-eave clip 25.2 25.2 27.5 2-10d smooth or screw shank nails-field clip 41.7 41.7 40.2 2-10d smooth or scre'v shank nails-eave clip 38.1 38.1 37.6 Tile designation: Flat Profile Tiles 2-10d ring shank nails 39.1 46.4 24.6 1-#8 screw 39.1 39.1 25-6 248 screws 50.1 50.2 36.1 1-10d smooth or screw shank nails 13.5 16.0 10.1 2-10d smooth or screw shank nails 20.2 25.0 12.8 1-10 smooth or screw shank nails-field clip 30.5 30.5 29.6 1-10d smooth or screw shank nails-eave clip 25.2 25.2 27.5 2-10d smooth or screw shank nails-field clip 41.7 41.7 40.2 2-10d smooth or screw shank nails-eave clip 38.1 38.1 37.6 For SI: 1 inch=25.4 mm,1 ft-lb= 1.356 N.m. General notes for Table 5: 'See the Note for Figure 1 for the hole that must be used when a single nail or screw is required. 'Ring shank must be lad ring shank polymer coated galvanized steel nails[nominally 3 inches(76 mm)long,nominally'/,cinch-diameter(7.9 mm)flat heads, nominally 0.121-inch(3.07 mm)shank diameters,and nominally 0.131-inch(3.33 mm)ring diameters]. 'No.8 screws must be coarse-threaded and 2'12-inch-tong(64 mm),plastic-coated,galvanized steel wood screws[square drive,flat countersunk head having a nominal diameter of 0.335 inch(8.51 mm),shank diameter of 0.131 inch(3.33 mm)and a screw thread diameter of 0.175 inch(4.45 mm)]. 4Smooth or screw shank nails must be 10d galvanized(mechanically plated complying with ASTM A 641, Class I)steel[nominally 3-inch-long (76 mm),nominally 51,6-inch-diameter-flat-head(7.9 mm).nominally 0.128-inch(3.25 mm)screws or screws with 0.131-inch(3.33 mm)smooth shank diameter]. 'When using eave and field clips, attachment of the tiles must be accomplished by a combination of nails and clips.Tiles must be nailed to the sheathing or battens with one or two 10d galvanized nails (conforming to the requirements noted in Note 4 above) as indicated in the table. Additionally,each tile must be secured with a 0.060-inch-thick(1.52 mm)and 0.5-inch-wide(12.7 mm)clip which is secured to plywood sheathing or eave fascia,as appropriate,with a single nail per clip.For clips having more than one nail hole,place nail in the innermost nail hole(the one closest to the upright of the clip).The following clip/nail combinations must be permitted: a. Aluminum alloy clip with 1.25-inch(32 mm)I-ID galvanized roofing nail[0.128-inch(3.25 mm)shank diameter]. b. Galvanized steel deck clip with 1.25-inch(32 mm)HD galvanized roofing nail[0.128-inch(3.25 mm)shank diameter]. C. Stainless steel clip with 1.25-inch(32 mm)PID galvanized roofing nail[0.128-inch(3.25 mm)shank diameter]. °On field clips,the clip position is appropriate for a tile head lap of 3 inches(76 mm). 'For eave clips,the clip position is appropriate for a'/4-(19.1 mm)to 2-inch(51 mm)overhang at the eaves. 'Corrosion-resistant roofing nails must have 0.124-inch(3.15 mm)shank diameters,24,-inch(64 mm)length,and 0.395-inch(10.03 mm)head diameters. Page 7 of 8 ESR-1900 ;c ; a . S �, } r_ �,." .c:-: wtw ra.s.o-.W) F , rT hEAs W ACO fARStIWp Mn IY '�>• •••:.• �� CCMYrmN {,..^�^ PONDEROSA TO ••:','••:""•-•'•':', `:.-. . R -R • ._ "ice` '- -�ppR,.� l..�w . WN----"-1 C-•••-•'",-,,,lBEI AIR IRA IMtlrM ''',...,N,:::`,4,-::::: ri c ti` at-,.1• , t"dP h�;;1c torn t.t. Note:When a single fastener is used,the nail hole nearest the tile overlap(far-right)must be used for the Flat and Mailbu profiles.The nail hole in the right-hand pan must be used for the Capistrano profile. • FIGURE 1—FIELD TILE AND TRIM SPECIFICATIONS . • . Page 8 of 8 • ESR-1900 ":3=22,..=•=2., ref 0" . ...„, . ,, • $q(IL 1-4c- -, :'Ufl)fc:, PlOth:C FIGURE 2—EAGLE ROOFING LOGO FIGURE 3—FLORIDA LOGO • PROJECTADORESS: 1087 SANTA ROSA AV UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 05068_ OWNER'S NAME: MROZ, MITCHELL D ADDRESS: MROZ, G JEAN PERMIT NO: P 050685 PLAN CHECK NO: N bOVl: N SUPP: N 1087 SANTA ROSA AVE COSTA MESA CA 92626 CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH 714 546-7139 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : REPLACE SHOWER, TOILET & SINK SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC : R-3 / PERMITTEE: MITCHELL & JEAN MROZ ( 714 ) 546-7199 ADDRESS: 1087 SANTAEROSA AVE 3CP***F******3REFEr************IE�F*********DQE*********yE**�E+FAFT6***�F*�6*�E�6�EAFRTP****�A� ***** k COSTA MESA CA 92626 • LICENSED CONTRACTOR DECLARATION: I hereby altirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQU IR EMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: MAIN BUILDING ACCESSORY BUILDING Date: Signature: FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm than have acenificate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN 'Tmpensation Insurance.or a certified copy thereof(Section 3800,Lab.C). • ICY NO.: EXP.DATE:eANe: PARKING REQ. PROV: PARCEL: 41205204 ZNE; REF NO: JMPANY: copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> > ********************************-***************.****************)(-*********)E***** Dale', Applicant: DEVELOPMENT SERVICES REQUIREMENTS EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($1001 or less). I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: 1-Date: i 1(p— lI Signature: NOTICE;II,after making this declaration,you should r lie subject to the Waite ompensation provisions of the Labor BUILDING APPROVED BY ; DATE Code.you must forthwith comply with such provisio this permit shall be deem revoked. CONSTRUCTION LENDING AGENCY: I hereby allirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• • • DATE: /r — l which this permit is issued(Section 3097,Civ.Cl. ********'****'*******'I('3h*1 **k * ** * k***** '***k******3F******3f****** - - ** LENDER: ****************************************** -************************************ ADDRESS: LEGALIZATION:N F E E S U MARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 6 00 repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 2 i% SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 3,00 I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE I structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 6 . 00 3. O 0 0 . 00 9 , OO 9 . 00 , O 0 does not appty to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED; 9 . 00 OVER/SHORT; 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/TOT GRADNG PLAN—CHECK • I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 9 . 00 ❑ and Professions Code: The Contractors'State se Law does t apply to aowner ttctors'who builds improves thereon and who contracts for such projects with a coneraomgaidoese pursuant to the Contractors'StateLicenseLaw). Lw).I aware ************************ E***** E** E******** E************************************ that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN 6 I am exempt under Section:B P 7 O 4 4 B,8 P,C. for his reason: ALL WORK BY OWNER TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: /— I(-91 r owner J. PLU 1 SHOWER 2 , 00 2 • 00 I do hereby certify that I am aware of and understand the requirements of Calif rig Health and Safety Code tions 25505.25533,and FLU 1 WASH BASIN 2 . 00 2 , 00 25534 and that I or arty future building occupant will/will not(circle one)need to... ply with said state codes and the requirements for a PLU 1 WATER CLOSET (TOILET) 2 , 00 2 , 00 permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from END OF FEES these provisions. ��//��a'' l--1 Date: 1 -1G-91 Applicant: en / r I hereby certify That I have read this application and stale the ibove information is cone dr agree to comply with all city and county ordinances and slate laws relating to building construction and authorize representatives o this city to enter upon the above-mentioned properly for inspection purposes, Date' Signature: 01 00078107-00378107 TOT' 0,Pi Driver's License or Social Security if: DATE: 01/15/91 TINE: C°:02 1641-46 Wtme—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor 1 1 CONSTRUCTION AND PLANNIN♦ . & SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement - ' 3. Electrical Conduit Utility-Undrgrnd. 54. Forms - 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7, Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation � -- 59. Gas Pipe, 0 Undrgrnd., Test 7 , 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 7 10. Structural Floor System y 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection - 1 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final i 13. Roof Drains 64. Plumbing System • Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating - 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical • 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL • 30. Drywall Nailing ' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat I : 79. FINAL INSPECTION 32. Electrical Power Meter-Final 1 80. FOOD CERTIFICATE ISSUED it 33. Final Electric l <1 Notes: 34. Final Heating & Air Conditioning -01 35. Final Gas Pipe-Test I 1' 36. Hood or Canopy ; %,I 37. Final Factory Fireplace 38. Final Plumbing rig/ SO 39. Water Service-Final I 40. Gas Service-Final 41. Solar Domestic-Final i i I 42. Backflow Preventer j ' 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING - 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY ' No. Date PROJECT ADDRESS: 1087 SANTA ROSA AV UNIT: ' CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 065641 OWNER'S NAME: MROZ, MITCHELL D ADDRESS: MROZ, G JEAN PERMIT NO: B 065641 PLAN CHECK NO: 00134-94 S GOVT: N SUPP : N 1087 SANTA ROSA AVE COSTA MESA, CA 92626 CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : REPLACE "7" WINDOWS & "1 " DOOR SQ FT: 5, 000 ADDRESS: UNIT: CLAIM VALUE: 5, 000 . 00 CALL—VALUE: 5, 000 , 00 GROUP OCC: R-3 / PERMITTEE: CRAFTSMAN BUILDERS (714 ) 540-1750 ADDRESS: 501 W ROWLAND COMMENTS : THIS PERMIT TO COVER WHAT IS IN THE JOB DESCRIPTION S.A. CA 92707 ***iE********yE**********ira6***x**********yE*******+ ***********y6*y6*******x********* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in lull force and ellect. SETBACKS cl '` 365 STATE LIC.:47792 c s: B Ie:_ _ Signature MAIN BUILDING ACCESSORY BUILDING 'CDM NSATI NDECLARATION: Iherebyatfu atlhave ¢ olconsent loselhinsure0ratenilicaleotWorkers' FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN `mpensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN ICYNO.: PWC243480 EXP.DATE: 08/01 /94 OMPANY: GOLDEN EAGLE PARKING REQ: PROV: PARCEL: 41205204 ZNE: R1 REF NO: ❑ Cenifidcopy shereby furnished. 69 Certifiedct. with the cit :undingDivision. PLANNING NOTES> REPLACE SIX EXISTING VINYL WINDOWS, ONE WOODEN WINDOW AND > ONE DOOR WITH LIKE, !-. — ' Dat: D APPlicanl'. i /� - �r *******************************************************************7E*********** MPTI N FROM WORKERS'COMPENSATION DECLARATION: is section need not be complet i it the permit is for one hundred(S10)or less). DEVELOPMENT SERVICES REQUIREMENT S I that in the performance of the work for which this permit is issued,I shall not empl; any person in any manner so as to becomeiiip rthe Workers'Compensation Laws of California. ZONING APPROVED BY Cr DATE: 111101 1- ,',is'E Signature: o E:If,alter matting this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE; I I I J 11 Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. p CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY; . . / 1 which this permit is issued(Section 3097.Civ.C1. *.*****. ***************,**.*iFi6* .**** 7p� *A**: •tI*/ * LENDER: *****************************************************************,if,*i6*********** ADDRESS: LEGALIZATION:N F E E SUMMARY .STRUCTURAL SEGMENT:Y 1 OWNER BUILDER DECLARATION: I hereby allirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 7 2 . 0 0 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed , 50 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business / SNIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 46 . 80 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE •/ / I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE I structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 72 . 50 0 .00 46 . 80 119 . 30 119 . 30 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale. II,however the building or improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED : 119. 30 OVER/SHORT: 00 for the purpose of sale(. BLDG PMT(1j3 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.arofesr of s the property. m exclusivelyate License with licensed pycontractorsnto of uctproperty the project h (Setionor ov, thires$ ^ 1I7F EF'iE�iFik 1E iE R . 50 46 , 80 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner tr property who builds or improves usib ti`'I j('Il ' and who contracts for such projects with a conlracror(s)licence pursuant to the Contractors'Slate License Law).I am avuFA Ns T. *******.*********It.***.*****.***********.******.*******I*******.***** that prool of their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section: B.8 P.C. REQUIRED IQED I N D I V I D U A'L• FEE BREAKDOWN for this reason: TYPE QTY id' DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: SFR 5000 ALTER BY VALUE RESIDENTIAL NOZONE 1 .00 5, 000 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and ,END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. / - Dale: Applicant: I hereby certify that I have read this application and state that the above info oration is correct.I agree to comply with all city and county ordinances an state laws relating to building construction and hereby authoriz 1representatives of this city to enter upon the above-mentioned pm e I r e specu n purposes. 01 00153494-00153496 1 a E T 117.30 Date: /D�W signature: 1 stA A4' DATE: 01/11/94 TIME: 15:54 rivers Li ense or Social Security a: , / 4 164146 White—Building:Green—Code Enforcement,Canary—Appli.1ntt Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNIi\ ` - l•--- I ----- -' L8aSPF, -- .-r - -- APPROVALS Permit.p___- Data inspector I APPROVALS ccrmit -, Date inspector i 1. Temporary Elegy-ice: Snvic or Pole 1 57 ?uai 2: Ecu ,mea Luc.,' I 2. Soil Pipe•Undrgrnd. .� 53. Steil Reinforcement I 3. Electrical Conduit Ut:I1ty•Unrlrgrnd, _- 54. Farm; I ' 4. E';Vccal Condu.t•Undryrd. --_ 55 Electrical Ocrchrq �___- 1 --_-_, . SV!t i Ro nfo'cement 55. rn "Hr-.13 r7 8 P•. - r: Test 6':s=i_c ',JEER ERG•^i ! S . ,lair:=`:'r1_ '/' C:'`•ER.GI''. � : Ii Footings 1513. Litct- c4l Cm dog W.d' _ 1_i-__-_ ' __-__ _ 8. Fecundation 1 59. Gus P.ca, Li 'Ururg•''d , T1s; 1 Si V:2ter Piee-Unargrnu. ----- 1 60. 'r;arS:•;ash Errs, P-1 rao Und•gr id i I--- 10. St ..etur3t Floor System - 61 A:-PRCVAL 70 Circle I II --, c..,.e• i . - r .+-n.., .•.r- ,. --_.__.--!- _-__-_ -_-__ __ __ 4. - _ - 2 7__ c . u c. ' . 12, Si. %J.. Cap 63. Hautta S'. Ven+ ' :ra I 1 13. Roof D1 o:n5 -- 6+. 7•umbing S;st-m F• , ! 14. Roup Plumbing - - - - 65. Electrictl•F cal I 1 15 Ru^a.i E,eetricat-Conn ..r --- 66. Sol:' SV ;er•.-F r;,' 11•- I .. ._1 .. 16. Ra,1n E'ectrc Wiring -!-_ 67. Fr•nrrng & Asc.<s Ann..; 17. Rn.,r,i I;r.n^g Sign 68 APPROVED FOR ?' PS ERIkG I 18. Rough Electrical-T Oa• C^'.u'no 69. POOL1SP.A SYSTL".S FINAL 19. Rot.:h I-jaating & Au- C, .-1 ' c'n,ng IRE DEPT. EGUt;i C''t-;;T _ -__1_-- .L _ - . 20.•Ro.-gh Factory Fireplac.' ' r-- :1PPRCV/s1;5 F,rr :'t -_ ___.-;'''_ H _-i 21. D , in 5trt.ctu- -_- -i- I 70. r[I_r'!ry[+ n .y - __:-. r__-__ _-___ - - -r-___ _. , 22 .11.-7•,,,- \-r^t lat.ng. I "7' i ,.,,..ct'.. r., • ' -]r,� I (-__- I-__ - . t 23. Gas 'lot-Rough w Tilt - -- - - .72. U/,,,.. ;oc 1:,, 1-- ---t-. __ - _ ___- -- _- __•--_ - __ __-�__ ___ . _ _ •i .f _ - _ _ _a_-_ 24 Roof 11-ler-nu : - • . 1 173 - .;...,.T c. - r._ • !J I. ' ' 1 I 26. Run' Sheathing . . • ;.i, .c ,.1C I I -_-- __ -_ - _._ _ __.1.T._- r^x-i-__-_ - -__ __. _ _ -___ _.__ 21i,.T.Etr Ce ling iStvct,. -'I �,'L.i✓coat _ . i /5. Ors C^Lny s• _T- _ I27. F. :is ..r- F!dsF.i'q - -_- - - t_----I-7u.' St: . ._ ..L . __ - - _, _ I __ - __ ____ - . '✓ __:aN:_tt Stdlcg 77. F1• D S�'4E `" ^ > -- - - '- -- --- - -tea- --- - - -- - - --- - - ' 3:. " '•.em Cot j 7! ":AL iu, " I.. I l- --- - - - - , - ,.�----- - - - - - - -. - - - - - I 3/. £ 1.t _APc.te ::l -Fl , . ' ' EPC. •IFaD2!' ' ;'','.1 ;. I.. 1. .. 3'. 'F n.r E�trC 1 .11/ 1 ' 1Nit' 34 LH ±i1 ± I - -- 1 - •--- - - - - i 05. I- 1 rf :annpl I r F -_- _. _ _ - _ _ _ _ _ L37 F_ c, Facory F' n' '. -- - - - - - - - - - L-4-7- - ---,,--- ;- _-___ -_____ _ _ _ - 32 .: ,r S:rvice=f IC " - -- , • - il '-- -- ---- - - - - - ---F . - - -- 1- ..;0. -- - - --- -- ----- - ---- - - -G: _ ry ire r'no . _. �- -- -.I _ --- -- - ---- I •r?. C.nef:o:: Preventer - . _ t. - -~� _ i- 43. Raetlow Irrigation -- I ' •t4 L rdiccpe Irrigation Still m 5 At es.e: o- L . - -- - -I • - I t.1t _ �" :JILL/111Gcl ,' STRUCTU :JILL/111GIli u f / "Pb. - -- J---- - - - _ - - 48. f-IiNALPLANNING //✓ 49. Eli,.41C Release to Edison 50. G.. P Astt to Southern Cal fornia Gas Co - 51. Cc?, i IFICATE OF OCCUPANCY -- - - - ----__ _______--__ -- w . Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. .. ems CITY OF COSTA MEEoSA -CONSIR,IJCTION PERMIT PE MIT N 31 //��[ TRACT NO, LOT NO. UNIT NO. 9OI 5 11 /04/87 43,7.5 TL Project Address /X01 -�(Lt ��'�( q,„N /Y!/C ,/ M • -� • ' Applicant's Mailing Address LOST S�'ry I\pD�Y 4Vc d .I f7. TYPE OF CONSTRUCTIONI ❑ NEW ❑ ADD ❑'ALTERATION ❑ REPAIR r Owner's Name i '4 • /1 Z— Phones"164/`tY ❑ CONVERSION IJ DEMOLISH ❑ OTHER ( A.P.# - Zone / D Cf2I,PTION OF WORK/USE OF BLDG, Two 5'U/ ficy)M 4 Address ion cSaaj`a s- Iso *UQ.. cos4o Y/(P.SG Q.Q, y S Main Building: Accessory Building: Arch/Eng. OO 11)Oin CfZ. ,License No. / TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL E Front 0 Address AS�a1 (1Qs4'p4a pr. Ni nse o b .5- ❑ TENANT .IV%ELECTRICAL ❑ PLUMBING (^MECHANICAL BR • N ear Contractor's Nam - Phone C7 OTHER C Right - - N �/I(� PROJECT DESCRIPTION SQ. FT- OCCUPANCY Address(mailing) • CONSTRUCTION TYPE VALUATION$ 501 0_3 S Left City License No. ZONE GRADING CU.YDS. ACRESR LICENSED CONTRACTOR DECLARATION - /p//� Q Ping. Ret.# ��`— Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: P a.3 oe 7 / Q KWW/ Planning Notes: m with section 7000) of Division 3 of the Business antlsProfessions Cotle,and s // my license is in full force and effect. S License Class License No. - PLUMBING FEES Date Signature - YORKERS'COMPENSATION DECLARATION Bar Sink Showers hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL - FEE$ of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer. Service Sink 3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW / Policy No. Company Backflow Irrigation Sewer Cap ❑ 50+ KW / ❑ Certified copy is hereby furnished. Construction POI¢Sub. ❑ Certified copy is filed with the city Building Division. Bathtubs • Sewer Connection / Date Applicant _ Cooking Unit Meter Duo to_ 100 amps / EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher, '� 'NJ Meter Dover 100 amps n /� (This section need not be completed if the permit is for one hundred ($100) or /• �" less). Dishwasher 'Solar Piping Dryers ❑Gas ❑Electric \\ Sub Panel • • / ' I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manna so as to b ome subject to the Drinking Fountains Solar Tank / Fan / I r bD Worker9 mpp��ePpation Laws of California.yDp \Motors❑0-1 HP ❑1Y-8 Date fig —IS 1 Signature �--,7"--&41 Floor Drains Swimming Pool w/Spa F.A.U. NOTICE: If,after making this declaratiogr)/Wlyou should become su ct to the Ind.�Olar 09-15 HP ❑16w15+ Workers' Compensation provisions of t e Labor Code, you mus orthwith Floor Sinks Urinal \ comply with suchFixtures j 12 pp p y provisions or this ermit shall be deemed revoked. Microwave I O L CONSTRUCTION LENDING AGENCY Gas Service. Outlets Water Closet DevRe oxes - I hereby affirm that there is a construction lending agency for the performance - .i - Pole Light of the work for which this permit is issued (Section 3097 Civ-JC.) - t , Lender's Name Interceptors- Water Heater 11• /O Outlets ^1 Range aS-0� Lender's Address Kitchen Sink Water Service OWNER BUILDER DECLARATION Switches Sign I. �� I hereby affirm that am exempt from the Contractor's License Law-for the Lavatories-% Auto-Wash • y p / Standing Sections following reason (Section 7031.5 Business and Professional Code: Any'city or Garbo @ Dis oral county which requires a permit to construct,alter,improve,demolish or repair P,Trap' Laundry Trays r' Generator ❑O-rkW ❑5-15 KW any structure, prior to its issuance, also requires the applicant for such permit Tush Compactor to file a signed statement that he/she is licensed pursuant to the provisions of R • OOfDra ins 1 ; • he Contractor's License Law (Chapter 9.(commencing with Section 7000) of .- ' I evision 3 of the Business and Professions Code) or that he/she is exempt i 1 herefrom and the basis for the alleged exemption. Any violation of Section • / 7031.5 by any applicant for a permit subjects the applicant to a civil • •penalty of not more than five hundred dollars($500). • 1 , LJ I, as owner of the property or my employees with'wages as their sole Reinspection Fee I $15 Issue Fee $ 3 \ compensation, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL Reinspection Fee $15 Issue Fee ,4FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type0 - DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By h. pgte pletion, the owner will have the burden of proving he/she did not build or im- ' Duct-Under Ground Building Approved By /Date rove for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By - -- — Datarbri tractorsto construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating135J'h ❑0-100,000 BTU ❑100,000 BTU SUMMARY OF FEES builds or improves thereon, and who contracts for such projects with a con- (!I tractor(s) license pursuant to the Contractor's License Law). I am aware that / Exhaust System LUJ Multiple 0 lr System Repair/Alteration DO BUILDING PERMIT $ SMIP $ - proof of their worker's Compensation insurance should be provided to me. r PLAN CHECK $ PERMIT ❑ I am exempt under Section B.& P.C.for this reason ' Firepl/Fact.Blt, ICBG#91y5 Fire Dampers D yrs p 395 p t O PLUMBING $ ISSUANCE . $ Date II —y— '+ / Owner ,14 , Heating System&Ducting Registers p0 $ ENERGY P.C. $ PLAN CHECK 25% I hereby. certify that I have read thi plication and state t;r] the above ❑0-100,000 BTU (]100,000 BT `` GRADING $ information is correct. I agree to com ly with all city and co ` ordinances ELECTRICAL $ LI/A -and state laws relating to building c nst uction and hereby a. Drize repre- PLAN CHECK 50% $ /'}�� MICROFILM $ sentatives of this city to enter up the above-mentioned property for inspection purpos s. ` �4 MECHANICAL $ �1 Signature j. ,/ii ,/ .Z Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ .s0 43 , CMF 3865-46,rev.ws/54 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor I 1 `,)CONSTRUCTION AND PLANNING POOL &SPA Date . Inspector Date Inspector APPROVALS Permi4.# .- ,'APPROVALS Permit# '1;:`Temporary ElectricajService or Pole 52. Pool & Equipment Location r 4 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement . 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4:Electrical Conduit-Undrgrnd. • 55. Electrical Bonding 5. Steel Reinforcement. 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE i.:'Fnofi rigs 58. Electrical Conduit-Undrgrnd. 8: Foundation 59. Gas Pipe, O Undrgrnd.,Test , / ' 9: Water-Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final • • 16. Rough Electric Wiring I 67. Fencing & Access Approval 17. Rough Wiring Sign • 68. APPROVED FOR PLASTERING 18. Rough.Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL 19. Rough`Heating & Air Conditioning 12-3.87 LES FIRE DEPT. REQUIREMENT 20. Rough Factory'Fireplace IZ-3_61 LCX " APPROVALS Permit# _ • 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil 23. Gas Pipe-Rough & Test , 72. Underground Flush N 24. Roof Framing• 73. Undergrnd.Storage Tank O Gas ❑Oil 25. Roof Sheathing • 74. Overhead Hydro ' I ' 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL f 29. Insulation 78. FIRE PREV. FINAL . • 30. Drywall Nailing - • HEALTH DEPT. REQUIREMENT • • 31. Plaster Brown Coat 79. FINAL INSPECTION • 32. Electrical Power Meter-Final • `V0 �4, 80. FOOD CERTIFICATE ISSUED i' 7"r ! r` 33. Final Electric 7137446Notes: f 9/8R P(1 p/cvs7s/frirS' �? '17.1=734. Final Heating & Air Conditioning ' Leo /.�O �� /�G 35. Final Gas Pipe,-Test Y� v1 - 36. Hood or Canopy 37. Final Factory Fireplace t//1/1 1-45D - - • - 38. Final Plumbing. t 39. Water Service-Final 40. Gas Service-Final • :4.1. Solar Domestic-Final - 42. Backflow Preventer ' -43. Backflow Irrigation - ' 44. Landscape Irrigation System ' - 45. Sound Attenuation - . - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING • 48-Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co • 'r 51. CERTIFICATE OF OCCUPANCYt No. "Date 1 I i CITY OF COSTA MESA 10g-) fA pr,,( Building DEPARTMENT Address OF LBUILDING SAFETY alifebPIf P. (Ylno-z owner y.1,p R Contractor Registered Deputy Building Inspector Certificate of Compliance Address Permit Date ,•Date of 'is Certificate e—'S_a_c___Number R/1 /4) Issued ab/R ) To the Director of Building Safety: I hereby certify that the following portions of work on the buildings at the above address which required continuous inspection and which I was employed to inspect, were inspected by me and comply with the provisions of the Building Code applicable thereto. 1) Concrete 3) Welding 5) Special Cases 2) Masonry 4) Reinforced Gypsum Swimming Pool Size 1406-11:1 Gunite v ' Hand Pack Sacks Cement'l 'a- 1 Tons of Sand 2t, Approximate % of water in aggregate 51:)/ 45 This report covers work completed during week ending 61/A.L. i 2 REMARKS: S 4C,5J7 S feeL. CGl_ rm)co.,+^C WO)*icmAna)) d• JL E-' 1)1-+.5 REGISTERED DEPUTY BUILDING/, INSPECTOR (>2tio � t- 1$ IZ / Name I ! 1i �rAlo> Address y a . 6"1/20,„ 7 F ,)4,?-6a) Laboratory Fri,win Telephone 4'741-513) Form BU 6 lit i:- O 1 1yb1 Q&, Twining Laboratories f sout4etn c rifotnia, gnz.ip e �I e 0 ilk� -1- 3310 Anwar 'V,. Malum a,uvess P 0 Bo• 47 Long Bener,. Cl 9080' 2131426-3355 /1213) 636-2386 / 17141 828-6432 TESTING 0,11CL 'bI4.3 n �. .• St-Por 5.mu In. CI 92703 !1141531 2045 September 8, 1981 Examination: SC81-5798 COMPRESSION TESTS ON GUNITE CYLINDERS Max Sitter P.O. Box 3454 Fullerton, California 92637 PROJECT SWIMMING POOL & SPA ADDRESS 1097 Santa Rosa, Costa Mesa SAMPLE FROM shallow, transition, main drain ABCNITECT CONTRACTOR Owner Mitchell D. Mroz EMOINENI SUECONTI•CTOR B. C. Adams Sam Lopez SPECIFIED MIX 4.2-1 STRENGTH 2,000 psi DATE CAST 8/26/81 SLUMP SIZE I & II: 6-1/8" x 12-1/2" III: 7-1/8" x 13" DATE TESTED 9/05/81 9/05/81 9/05/81 SPECIMEN NO. I-shallow II-transition III-main drain COMPRESSION 10-Day 10-Day 10-Day TOTAL LOAD, LBS. 82,000 77,000 72, 000 POUNDS PER SQ. IN. 2,785 2, 613 2,445 10-Day average: 2, 614 COMPLIANCE 10-Day tests comply with specifications. MADE ET DELIVERED BY RECEIVED ON SPECIMENS Sam M. Sitter 8/31/81 DISTRIBUTION. Max Sitter - 3 -Cnata Mesa Bldg. Dept. /Chuck Conner SEP 14 1981 Neale Zuidema P.POPTS •41 5a ,,1rlo •5 ,nL CJHafI..,i.L ✓eOPEa1. OF CLI ew,s •ur$ooir•nOH FOP ✓o•L,C•,1oN or OUP P(POMTS. CONCLUSIONS OR CI ,P•Crs ...on oM re4•M1oiu. Tnev -S •I-SER•I 0 Pt•.o.NC OUP w,ITTIN •✓PNOv•L .S • MUTU•L ✓aonCTION To CL,LNTS T..L PuSLIC APO OURSCLves Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OE COSTA MESA PERMIT NO. TRACT NO. LOT •NO. BLDG.NO. ' DOSS RUCTION PERMIT 8 5 / j/4,3 '7 yr x'921 8/07/81 1 /4./46 IL Project Address 'O 87 .5/ikITA RDSA AVE TYPE OF CONSTRUCTION Ovfner •M:'I.'TG#JE(L -V, MROZ Phone rtg 7t°19 ❑ NEW /`s`a'fV-._DD ❑ ALTERATION Address 1087 Sfrnyi3 PDCs A; kyr r 0 REPAIR 0 CONVERSION ❑DEMOLISH Arch/Eng. License No. 0 OTHER ZONING REGULATIONS D ESC RI PTI OF 2/Kist/ A.P.# /-I (-7�'l C�� Address � �/ ZONE g 1 PLNG. REF. Contractor &i,/R • Phone ' TYPE OF RMIT -BUILDING �� TO BUILDING SETBACK C/I ST. PROPERTY LINE yrr Address ❑ GRADING FOUNDATION ❑ STRUCTURAL SIDE YARD // {�- LICENSED CONTRACTOR DECLARATION ❑ TENANT ❑ ELECTRICAL ❑PLUMBING ❑MECHANICAL SIEEDE YARD / , Cr-• • I hereby affirm that I am licensed under provisions Of Charter 9 (corn- RIGHT r mencing with. section'7000) of Division 3 of the Business and 0 OTHER Professions Code, arid my license Is in full force. and effect. REAR YARD(TO P/L) 5 ,.T PROJECT DESCRIPTION License Class _ License No. PKG.SPACE REQ. PROVIDED Date Signature SQ.FT. ` � WORKERS'COMPENSATION DECLARATION OCCUPANCY—CONSTRUCTION TYPE STREET WIDTH �p s,�•� PARK FEE $ -reby affirm that I have a certificate of consent to self-insure or a VALUATION/ /4/ 1 ZONE ZONING APPROVED BY b�1G/S ) I DATE 5/7/n/ ficate of Workers' Compensation Insurance, or a certified copy eof,(Section 3800,Lab.C.). GRADING CU.YDS. ACRES SPECIAL CONDITIONS: Polity No. Company o Certified copy is hereby furnished.' ' REMARKS: - ' o Certified copy is filed with the city Building Division. • - EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be-completed If the permit 14 for one hundred - - - - - - ($100) or less). I Certify that in the performance of the work for which this permit is Issued, I shall not•employ any person In any manner so as to become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK subject to the Workers'Compensation laws of'Calif ornia. - - - BATHTUBS SHOWERSLP/VELUM., AAG iaNt Date Signature ' 'SO FT SO FT • NOTICE: If after making this declaration, you should become subject TOILETS • URINALS GENERATOR 0-1 KW-1-10 KW ' to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER forthwith comply with such provisions or this permit Shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW 50 + KW revoked. - - - CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS MOTORS 0-1 HP, 1-10 HP ' I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS ,(INC.SOLAR) 10-50 HP 50+ HP - formance of the work for which this permit is issued (Section 3097 • Civ. C.). FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES ' Lender's Name Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS OWNER BUILDER DECLARATION INTERCEPTORS di CLARIFIERS , POLE LIGHTS I hereby affirm that I am exempt from.the Contractor's License Law for the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL s(' /4. P TRAP / POLES ULIION Any city or county which requires a permit to construct, alter, C. — POLES METERED SUB Improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION PANELS MAIN SUB gyjres the applicant for such permit to file a signed statement that he yyr,censed pursuant to the provisions of the Contractor's License Law GAS SERVICE OUTLETS 'SERVICE AMP • .-ate, 9 (commencing with Section 7000) of Qivision 3 of the J- tens and Professions Code) or that he Is exempt therefrom and the WATER HEATERS BTU OUTPUT n"yes for tan alleged a per mttlon. Any violation of Sectiontoa 7l by i G t ars any- applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS /(�Lsl�1, -`.Xi'n' q of_not more than five hundred dollars ($500). • ❑ I, as owner of the property, or my employees with wages as their SOLAR TANK COLLECTORS . .. , sole compensation,-will do the work, and the structure is not Intended - - or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE3 Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself or ISSUE FEE 3 _ APPLICATION APPROVED BY DATE through his own employees, provided that such improvements are not _ intended or offered for sale. If, however, the building or improvement MECHANICALPLAN CHECK ' is sold within one year of completion,the owner will have the burden - - _ SUMMARY OF FEES __ r�� Ilh PERMIT , o�f.'roving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU BUILDING $ q �•-�.,bSMIP • $ • Cl l, as owner of the property, am exclusively contracting with AND DUCTING licensed contractors to construct the project (Section 7044, Business 100,000 +BTU PLAN CHECK $ PERMIT and-Professions'owner-of Code: Thebuild orContractor's LicenseovLaw does not apply to ISSUANCE $ an os from chproperty who builds c Improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING tracts from such projects with a contractor(S) Iicesnetl pursuant to SYSTEM $ GRADING $ the Contractor's-License Law). _ 100,000+BTU PLAN CHECK $ • _ 0 I am exempt under Section B.& P.C.for this BOILERS BTU - ELECTRICAL $ 1Z. $ reason - MICROFILM $ SYSTEM REPAIR,ALTERATION PLAN CHECK $ ' Date Owner - -' - ' - TOTAL FEE$ - I hereby certify that I nave read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL $ Ainformation is correct. I agree to comply with all city and county - PLAN CHECK $ V ordinances and state lawsrelatingto construction,and hereby authorize VAN CE P PC $ representatives o t s ci y o enter upon the above mentioned property for nof o�,s - ] - '7J 4:-(P.— Signature Date 7/�1�/�/ • - FINAL FEE $ ' / / Drivers'License or SS y ' / ISSUE FEE CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING - POOL&SPA . ':z,,. :- APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location g'-4_$i (t-l; 2. Soil Pipe-Undrgrn 44. Steel Reinforcement • / • , 3. Electrical Conduit Utility-Undrgrn • 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding Sump [3t*ief 5. Steel Reinforce 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE t�L.4-1( c-Z 7. Footings - 49. Electrical Conduit-Undrgrn _ - -S--0.45--,'; , 8. Foundation 50. Gas Pipe, E[Undrgrn,Test • - cl, - a 9. Water Pipe-Undrgrn - - G 51. Backwash Lines, P-Trap, ®-Undrgrn - $.-2^-1C ` • 10. Structural Floor System 52. APPROVAL TO DECK cc-PST-SIC&--- 11. Property Sewer Line & House Connection 53. Backwash & Receptor-Final 9-i+sr.n) ' iP6 • - 12. Street Sewer Connection - ,-- - _ 54. Heater &Vent-Final - 9-i'sreo ' 13. Rough Plumbing - - - 95 Plumbing System - Final - -- - - 1-:-1°T--51 sIU 14. Rough Electric-Conduit '56. Electrical-Final - -/5 . .' /a '.- ( C-,Q • 15. - Rough Electric-Wiring • • - 57. Solar System-Final 16. Rough Heating &Air Conditioning ba. Fencing &Access Approval 9-A_5----a%) .L.-.._ . 17. Ducts, in Structure - . 59. APPROVED FOR PLASTERING . -)6--1, icy • 18. Ducts, Ventilating - - - 19. Gas Pipe-Rough &Test . 60_ POOL/SPA SYSTEMS FINAL - /p /�,� e� 20. Roof•Framing _ . . . .. • . 21: Roof Sheathing - , ,� . 22 Frame and Flashing NOTES: 23: Insulation • + . 24. Lathing & Siding - 25. Drywall Nailing . 26. Plaster Brown Coat - • +‘ .. . .. • - 27', Electrical Power Meter-Final • . - - - 28. Final Electric ' ' . . 29. Final Heating & Air Conditioning - -30. C Final:Gas Pipe-Test . . , - _ • 31. Final:Plumbing . • •32. __Water Service-Final _ 33. Gas Service-Final -: - _ . , - • 34. Solar Domestic-Final - • - : 35. Landscape Sprinkling System - - - - • 36. Sound Attenuation • .. 37. Handicap Regulations- - : - - - 38: -FINAL STRUCTURE & BUILDING _ __ - _ - -`� _ -" --- -- - - -- - - - "- 39. Special Requirements Completed - .._.. - - • 40. Electric Release to Edison • • - ' - - - - - • - 41. Gas Release to Southern California Gas Co. - - - - 42. CERTIFICATE OF OCCUPANCY _ __ _ No - Date _ -- Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. / • CONSTUCTIION PERMIT IE7�f TR c g Lo "q' u"IT "o. 726 10/12/ / 3O2P !!_ 4A#MESA Address 1051 Sa e f�T�9O0 Avej' / / ' • Applicant's Mailing Address - nil /)21 1-a?,A /��si¢�. mesaTYPETYPE OF CONSTRUCTION NEW U ADD U ALTERATION U REPAIR I ' n r Mtlie/ l t vtrCt- Phone * "7!1 1 - ❑ CONVERSION ❑ DEMOLISH ❑ OTHER 0 S�on� A.P.# Lf 1 ` Ci;2 -V r Zone R\ wner's•Name —• W ^ T q Address • 5at1 l? 1sa DESCRIPTION OF WORK/USE OF BLDG. l�.C' q2 ADO' S Main Building: Accessory Building: Arch/Eng. �- '• - i /�s,� License No. CI_I 1 J TYPE OF PERMIT ❑ GRADING �L FOUNDATION LWSTRUCTURAL E Front `Q/ o Address 5 ( l yr' LaJjuina 11k'i `iz443 01TENANT ❑ ELECTRICAL ®'PLUMBING ❑ MECHANICAL B Rear 20' - - N Contractor's Name O ' Phone El OTHER C Right N PROJECT DESCRIPTION SQ. FT. OCCUPAN v R&3 g 7 r Address(mailing) ' - �� a.'�-� K i G CONSTRUCTION TYPEQtJ VALUATIONS S Left 5 City License N0. ZONE GRADING CU.YDS. ACRES( R LICENSED CONTRACTOR DECLARATION -. Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: s P� Planning Notes: M PeP with section 7000) of Division 3 of the Business and Professions Code, and ec s 183 .9 I my license is in full force and effect. sv0g. 3/0 € PG A- 541 - g S T License Class - License No. - (XB �S Signature - . . PLUMBING FEES !KERS' COMPENSATION DECLARATION -.• Bar Sink Showers ..ereby affirm that I have a certificate of consent to self-Insure or a certificate ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.) ,- Backflow Preventer Service Sink Automatic Washer Transformer 0 15-50 KW • Policy No. Company Backflow Irrigation Sewer Cap0 50+KW Construction Pole Sub. Ti Certified copy is hereby furnished. • Certified copy Is filed with the city'Building Division. • ' Bathtubs Sewer Connection Zoo Cooking Unit Meter ❑up to 100 amps Date Applicant ' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION • Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100) or ' less). Dishwasher Solar Piping Dryers OG as ❑Electric Sub Panel I certify that in the performance of the work for which this permit is Issued,I shall not employ any person in any nn t become subject to the • Drinking Fountains Solar Tank Fan Motors❑0.1 HP ❑1 h-B _,��/ Workers' CC,pp typeppsxiyp aws of Calif nn A ' ' Date I f7 /aim/OQ Signature /-�//ice/ 4 Floor Drains Swimming Pool w/Spa O F.A.U. I olar ❑9-15 HP❑16-15+ NOTIC : If,after making this declara ion,.you sho Id bac subject to the , Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service • Outlets- - I Water Closet 2'0d Device Boxes of the work for which this permit is issued (Section 3097 Clv. C.) Interceptors ' Water Heater Outlets,' - Lender's Name Ptan Lender's Address Kitchen Sink Water Service Switches OWNER BUILDER DECLARATION • Sign I hereby affirm that) am exempt from the Contractor's License Law for the 2 Lavatories • Auto-Wash �y Garbage Disposal ' '- following reason (Section 7031.5 Business and Professional Code: Any city or 9, P Standing Sections „� county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 KW ❑5-15.KW • 'V structure, prior to its issuance, also requires the applicant for such permit Trash- Compactor lite a signed statement that he/she is licensed pursuant to the provisions of Roof Drains Contractor's License Law(Chapter 9 (commencing with Section 7000)of - _ .vision 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil Lienalty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered - -- Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or Improves DEVELOPMENT SERVICES REQUIREMENTS' thereon, and who does such work himself/herself pr through his or her own Boiler Hood or Type I ❑ V • employees, provided that such improvements are t Intended or offered foryP .W/OS 1'Q••11 r sale. If, however,the building or improvement is sold within one year of com- Canopy Type II ❑ --� Zoning Approved By Date prove , the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By.-'� - Date /V��'$7 rove for the purpose of sale). I,as owner of the property, dm exclusively Contracting with licensed con- Duct-Structural Refrigeration System Application Issued By r Date /d^1.Z 7 tactors to conzV uct the project (Section ]044,Business and Professions Code: ' The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY OF F $ • builds or improves thereon,and who contracts for such projects with a con- �-y-� tractors license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple❑ System Repair/Alteration BUILDING PERMIT $ fa 33'00 SMIP $ 3 'Jv proof of their Worker's Compensation insurance should be provided to me. _ PLAN CHECK $ PERMIT ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. IC80# //Fire Dampers / PLUMBING $ (3 '00 ISSUANCE $ Date tr WLy Owner fK��jr� Heating System&Ducting Registers • PLAN CHECK 25% $ 2 • 50 ENERGY P.C. $ I hereby ertify th.t I have read this application and sta that the above ❑0-100,000 BTU ❑100, BT GRADING $ information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ and state laws relating to building onstruction,and hereby authorize repre- sentatives of this ci -r .pon the above-mentioned property for inspection purp'.�. ��,//' �` - ( MECHANICAL $ TOTAL FEE $307 •c Signature •a'�i Date Z' Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ Drivers' Licens or S# , , CMF 0865.46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor ... CONSTRUCTION AND PLANNING POOL &SPA APPROVALS Permit# Date Inspector APPROVALS .� Permit # Date Inspector ' 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 11-2.87 Lep 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. • 54. Forms ' • 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. atT!/�.. 04- 57. APPROVAL TO COVER-GUNITE 7. Footings S S t; `o/207 Oki- 58. Electrical Conduit-Undrgrnd. • 8. Foundation I 7'-' 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System P/70/j7 04Z-- 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 12._1-67 LED 65. Electrical-Final ' 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# _ • 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing, 73. Undergrnd.Storage Tank O Gas 0 Oil 25. Roof Sheathing Itf s/$-i 01174. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat / 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding Wide'( �/n . 77. FIXED SYSTEM.FINAL 29. Insulation -- /�l�' n 78.: FIRE PREV. FINAL 30. Drywall Nailing ` WV vvvHEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat / Li _ t 79. FINAL INSPECTION • 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric ' Notes: p 34. Final Heating & Air Conditioning a i-3 6-.r4� P�� 11 ./1• 35. Final Gas Pipe-Test P1°0^ .. 6?-pYO.t_ d t. pt., •U, 36. Hood or Canopy (•) - I 1 .ai/ - 37. Final Factory Fireplace 1J j.y7 04.‘ Pilot oe•t sh 38. Final Plumbing ;,,247/p /% 1•7.88 BS &e#'PHn gal 39. Water Service-Final S.rLO� L1rj/� ,..vl" 40. Gas Service-Finalco-yr-VI 05uC///cc�4 41. Solar Domestic-Final J 42. Backflow Preventer 43. Backflow Irrigation ,_,,, �// 44. Landscape Irrigation System f 1 ag 74';X/ �- 45. Sound Attenuation st l46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING T7 48. Special Requirements Completed .. 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - • 51. CERTIFICATE OF OCCUPANCY %� No. Date , -- r I • CERTIFICATE OF COMPLIANCE • . PAYMENT OF SCHOOL FACILITY FEES NEWPORT-MESA UNIFIED SCHOOL DISTRICT. • Developer/Applicant : /414C/nhpii nb. m (-(1Z, Address : ' /O �e San�C( ec?osa f JQ COS Mesa C-A Telephone Number : SLI( 1(9 9 IJgrceI a- Tract/Parcel and Lot Number(s ) : LJ/ o� - os--2 -Ycc" l 7(6orf' sa Loi q.Location of Project':" /0X7 aon-ia KnSO' rale SCM Number of Square Feet of Residential Space 5 8 5 x $1 . 50 Total �� I. S Number of Square Feet of Commercial and Industrial Space ' x $0 . 25 Total ( The provisions of Government Code Section 53080 'are not applicable . This certifies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and 65995 . Checks are to be made payable to Newport-Mesa Unified School District . C� Bu mess Manager • Newport-Mesa Unified School District The above representation as to square footage is true . Developer/Applicant agrees that if it is later determined that such representations are not true then this certificate shall automatically terminate and the appropriate City/County shall be notified . j Date : /0 - 740 Developer/Applicant l .- < .. r 1 w s e•. Yt, sq 6 s `$ ,&o ✓ � v' I v ,pd 4:4 q u ,A ('�, f d I >Aa VI .: .,L ntli-•-• . --?%#- r 'may}, V/� 7 t 4,,_..rsack`1'l/-ori.,b�?'`%/t„e.�TC/-tav3e\71G/�op; �1C/.�N,. a -a.,vi ao-`.-a2r`a l. F�.- "V` ,_ .,....abs._�i :1 t �1BN FORM 116 \ ( -*, BIA FORM 1486 ' r' 9 INSULATION CERTIFICATION ` �3 Imo, This is to certify that, in conformance with the current energy regulations (California Adminis- N:: trative Code, Title 25, State of California*) and approved plans, insulation has been installed in \ ) the building located at: &DcTA J' .S4 ORAAJG - )_� Z City County ,;. }/ qr� /0 8'7 Sgnrri RpsA }lye \ -� 4 \ C Street Na. (If Available) Street Lot Number Tract No. ° 3 -(1 DESCRIPTION OF INSTALLATION -i- C - (/i Type ROOFSof Material (-Thi r—ft- -FJJ Manufacturer t�EAJv/LL£. Thickness v/''1 R Value** I� ' Z ( ' (Or Trade Name) ' C 7. / EXTERIOR WALLS t y `g 2 Type of Material U ‘!FI1e 6� Manufacturer rA�l rVlCThickness SKI",t R Value** y Jrf� 3 (Or Trade Name) s ._' F CEILINGS _ a BAITS: 1 1 // N Type of Material Ur�t �C' D Manufacturer M/IyUI/f �e Thickness R Value** /9 . Q (Or Trade Name) �\o � ` Sq. Ft. Covered )% \\\ BLOWN: 4 \ C Type of Material Manufacturer Thickness No.Bags R\ V (Or Trade Name) - Wt./Bag Sq. Ft. Covered R Value** \� \ , FLOORS Type of Material Manufacturer Thickness R Value** S (Or Trade Name) SLAB ON GRADE 3 C.- 7.;,(14 Type of Material Manufacturer Thickness R Value** a (zi (or Trade Name) Width of Insulation Inches 3 C )xt,; FOUNDATION WALLS (if required) Type of Material Manufacturer Thickness R Value** F � -i (Or Trade Name) 1REMARKS (if desired) „� General Contractor (Builder) v g ��S/�� License Number ,...::SBy Title Date k% Sub-Contractor (Insulation Applicator) SA/J(k�3A4t-�YSLc,?trav License Number 3Cec3c �.\ (Insulation. Masonry, Etc.) (State "SAME” If same as General Contactor) 35 e .b S ;*ESi v; Date /12/7/87 Title 11// ('California Administrative Code, Energy Insulation Standards, declares: EXCERPT from Sec. 19873 of the Health and Safely Coda of the State !P/ �K=p\ "Compliance. Upon completion of the installation of insulation, a mrd of California: L` - certifying that the insulation has been Installed in conformance with the I,� requirements of these regulations shall be completed and executed by "No certificate of occupancy or similar certification that a needy con- p( 'e the insulation applicator and by the builder. This Insulation compliance strutted hotel, motel, apartment house, home or other residential Y( - A card shall be posted at a conspicuous location within the dwelling.") dwelling is habitable shall be Issued by such a building department ¢ unless the structure at Inst satisfies the minimum energy insulation (✓. ( (e'R Value Is the measure of the resistance of a material or building standards established pursuant to this chapter." t component to the passage of heat.The resistance value (R) of mass-type �'?. \t$$¢§§ insulations shall not Include any value for reflective facing.) 3, - - ,/l { Y()(�� Form 116 —m BUILDING NEWS, INC., 3055 Overland Ave., Los Angeles, Calif. 90034—(213)870-9871 _ l'\�\\ Form 1486-0 BUILDING INDUSTRY ASSOCIATION OF CALIFORNIA, INC., 1571 Beverly Blvd., Los Angeles, Calif.90026—(213)625-5771 / - ((if0 -0- - - j-sero l V.'? - - - - gyp- - om— - - - -. May 16, 1989 Mr. and Mrs. Mitch Mroz 1087 Santa Rosa Avenue Costa Mesa, CA 92626 Dear Mitch and Jean: The following is the list of subs you will need to give to the city in your current finalizing clearance. Briggeman Disposal Services (714) 598-8729 and (714) 527-4221 Coast Fireplace 1863 N. Neville Street Orange, CA 92665 Crank Brothers Deck Company 134 Commercial Way Costa Mesa, CA 92626 (714) 646-9356 Hasser Masonry 345 N. Center Orange, CA 92666 (714) 532-3875 The roofing is classified as "Med. Class C shake, AWT." Enclosed is the skylight information from Milgard Windows. Sincerely, OWENS-CORNING Fiberglas. . . • Building Insulation a The contractor named below certifies that the Owens-Corning Fiberglas Building Insulation used carries the NAHB Research Foundation, Inc. label for assured thermal performance and that the Building Insulation is installed in conformance with current energy conservation regulations, California Administrative Code,Title 24,State of California,in the building located at: n 87 SANT/{ Rrap CosTA MESA (06 3 7 Address City Tract Number Exterior Walls I' ' Owens-Corning Fiberglas Type Insulation -772 if-I! Thickness R-Value Ceilings Owens-Corning Fiberglas Type Insulation CD:Al Thickness R-Value Floors Owens-Corning Fiberglas Type Insulation ,al Thickness R-Value Foundation Walls Manufacturer Type Thickness R-Value General Contractor License No. By Title Date (signature) Insulation Contractor JWwtCptiC TAswz Onu License No. 3 08 312 ByTitle v.P Datet2.3.3 7 �33� (Signature) OWENS/CORNING Homeowner Copy(White) FIBERGLAS State Copy(Yellow) _ Builder Copy(Pink) "u" OWENS-CORNING FIBERGLAS CORP. Pub.No.I6-BL-6995-a Insulation Operating Division Litho in U.S.A..Jan..1982 Copyright•1932 Owem'corning Fiberglas Corp. Fiberglas Tower,Toledo.Ohio 43659 29572 JAN -7-69PaI;00 204* *** 1 08.0t COSTA MESA BUILDING-SAFETY DEPARTMENT cH, P.O. BOX 1200 COSTA MESA, CALIFORNIA 62620 For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING l.(�ttt� L � For Office Use Only ADDRESS 1087 Santa Rosa ,Lu�L. RECEIPT NO. PE MIT NO COSTA MESA. CALIFORNIA 271.572 72 RECEIVED NY DATE REEEE,,CEIV D I SUEg OWNER Peltier Enterprises-Costa MesaMAIL �AI /as �' .5/-6� ADDRESS 144 South La Brea AvenueFIRE ADDRESS//�e �'/ L-I-R,�/[/��/ TEL ZONE '3 TYPE Y GROUP��j/ / Los Angeles 90036 NO.936-1104 (( )) APPROVED OR NIGI EVEN ER Frank Gonzales PTio33236878 BY DATE 1336 E. Chapan Avenue 668 ZONING Res. w/ ADDRESS Oran Cali tornia PaeZONE NO.OF US[OP N[W R1 I PLA"E 2 I SUILDI"GAttach.G.rage CONTRACTOR George J. Heltzer & Assoc. _ADDRESS 144 South La Brea Avenue DESCCRIPTION Lot 47. Tract 6637 AL GMT Los Angeles , California 90036 A.P.No. None NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATEC. . 201098 TN• 936-1104 30'TO SIDE&REAR P.L. EAVES SIZE I NO.OP BLDG'. ALLOWED (U..B.C.REQUIREMENT) OF LOT NOW qN LDT O YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. .(FROM C/LI STREET) SETBACK LINE FROM I FRONT tin FT. FT. CENTER OP STREET REAR YARD 9 Q _!` SIDE YARD LEFT 5' I RIGHT 151 R.SIDE /5/ FT. FT. • DESCRIPTION OF WORK L.SIDE C PT. FT. NEW X ALTERATION ADDITION REAR FT. C. FT. DISTANCE BET. BET.MAIN& MAIN BLDG'. ACCESS.BLDGS. REPAIR _MOVING DEMOLISH BUILDING NO.OF VAR.* DATE SIZE ROOMS STORIES 1 C.U.P.# APPROVED a EXTERIOR WALLI ROOF APPROVED I I LyI/ T COVERING COVERING ,Bol h• • BY (,� V/ DATE p+d 6 USE OF BUILDING AND WORK TO BE PERFORMED 0,49TJ a Dwelling and Attached Garage Plan 403CR - Lot 47• / O/7 (/! P SQ.FT. �/ / ) /411°'X 0 I HEREBY ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j I AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT PSS ONLY. i15 PLY ALL CITY ORDINANCE/AND STAT[LAWS REGULATING VALUATION �V BUILDING CONSTRUCTION. :. $ / EnD > SIGNATURE SERMITTEE OF PERMIT FEE D ? � �'� $ pC�C/JC/ to aC 1 r/r , AUTHORIZED AGENT X ....,...>,..+..:...a...., TOTAL FEE ei