HomeMy WebLinkAbout621 SEAVIEW LN - Building Permits a ,
CITY OF COSTA MESA
0 os� y, BUILDING DIVISION
anot
.. l; : 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
'? FOR INSPECTIONS CALL: (714)754-5626
'`a"^'^ “. PERMIT NUMBER: P11-00013
PERMIT TYPE PLUM STATUS: ISSUED
APN: 93405028 DATE ISSUED: 01/10/2011
ISSUED BY: RMD
JOB ADDRESS: 621 SEAVIEW LN CM Suite/Unit:
Vicinity: HALLWAY CLOSET
SCOPE OF WORK: PLUMBING PERMIT TO CHANGE OUT WATER HEATER LOCATED IN HALLWAY CLOSET FOR SFD.
COMPLIANCE FORMS ATTACHED TO JOB CARD AND CITY PERMIT.
OWNER: FULLER,JOHN R TR Address: 621 SEAVIEW LN
PHONE: City/State/Zip: COSTA MESA,CA
APPLICANT: MCLAIN,TONY Address:
PHONE: 714-540-8400 City/State/zZip:
CONTRACTOR: PROSERV PLUMBING AND DRAIN License No. 798615
Address: 3012 ENTERPRISE ST UNIT F PHONE: 714-540-8400
City/State: COSTA MESA,CA ZipCode: 92626 CELL:
ARCHITECT: License No. PHONE:
ENGINEER: License No. PHONE:
PLUMBING PERMIT FEE SUMMARY
PLAN CHECK FEE: $0.00
PERMIT FEE: $35.80
TOTAL FEES: $35.80
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord. No.92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE Y. INSPECTION TYPE DATE INID1ALS CODEX INSPECTION TYPE DATE IN1111ALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing /-/g-/1 .1y #1/azaD
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's license. 0 Yes 0 No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
O I have and wit maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain workers'compensation insurance, as required by
section 3700 of the Labor Code, for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
/ by this permit,and that no building structure,scaffolding,falsework,a demolition
Corner. 1 et\CI:11 erns or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(Th7ssedk'need not be cdmpleted4 thepermttit valued al one hundred dollars($700)or less)
2,Art 2,Sec.341,Title 8,California Administrative Code).
fPolicyflumber: (NC 7-63/-COZ6 31-O)D
0 As owner-builder, I will not employ anyone to do work which would
❑ 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 L bor Code,I shall forthwith comply with these provisions.
1_ Applicant's Signature Date
iD r Division of Industrial Safety Permit Number:
������///��✓"11L44C.. ,Appppliicaant'sSignaatture / 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? 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? 0 Yes 0 No
Lic.4—79.3 )] Class# C' - (t, (Section 25533 of the California Health and Safety Code, with some
(�--- exceptions, requires registration with the Costa Mesa Fire Department by
//-mow- - - - )-10-/) 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)? 0 Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the 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 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 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the Califomia Health and Safety Code).
O 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 Califomia
License Law does not apply to an owner of properly 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
properly 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
❑ 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.
Signature ofLegailD;r(sl Date
Signature Dale 7128".�J'/6�O,fa� )J
30 57-4 6 13/07)
rr
'Authpnzed Applicant r‘ .-- Date
Prescriptive Certificate of Compliance: Residential CF-1 R-ALT
Residential Alterations (Page 1 of 5)
Project Name: !- � I Climate Zone# b I #of Stories
en C-- e/9-
/
General information ///```
Site Address: �a?.f Sea ale 4) / •,,- Enforcement Ageney:' /` M I Date: I _ i o- J/
Building Types Single Family El Multi Family . Circle the Front Orientation: NOS,W.or degrees
-
Conditioned Floor Area(CFA): Project Type: U Alterations Q Envelope!:Fenestration]: Ii Roof❑ VAC
Replacement or Change Out ❑Duct Replacement H Water Heater
NOTE: This form is not to be used for Newly Constructed Buildings or Additions
Insulation Values For Opaque Surfaces(for Furring use the Mass and Furring Strips Construction table below)
Assembly Alteration
❑Opening of framed cavity alone-Alterations that involve the opening of the framed cavity ofa wall ceiling, or floor must install the •
mandatory minimum insulation value per§150 for the altered assembly. Fill in Columns A-C and enter mmmdatory insulation value in Column H.
0 Replacement of entire assembly-Replacement of an entire wall, ceiling,or floor assembly requires the installation of Component
Packaee-D insulation values in Table 151-C. Fill in Columns el-J. •
Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below. •
A R C Il E F j G Ic II I 3
Proposed See nme Standard Values From JA4 Table
Framing Thickness. Framed Continuous JA4 Proposed
Tag/ Assembly Name Material Spacing, U- JM Table •Cavity Insulation Assembly Assembly
Ill or Type? and Size' or Other factor° Numbers R-valuer" _ R-Value7 Row/Cols U-factor9
-I
Note:For furred assemblies,accauntingfm Continuous Insulation R-value,see Page JA4-3 and Equation 4-1. For calndatingfarred walls use the Mass and
Furring Construction table below.
I.For Tag/ID indicate the identification name that matches the building plans.
2.Indicate the Assembly Nance or type:Roof/Ceiling, Walls,Floors, Slabs, Crawl Space, Doors and etc...Indicate in column G the Frame
material and Size:For Wood, Metal, Metal Buildings. Mass,enter 2x4, 2x6,or etc... see JA4 for other possible frame type assemblies.
3. Enter the thickness for mass in inches or Spacing between framing members enter; I6"or 24"OC:or Other for all other cessentbhv description
such as Concrete Sandwich Panel.Spandrel Panel,Logs,Straw Bale Panel and etc....
4. Based on the Climate Zone:enter the equivalent U--factor found in JA4 Table based on the R-Value front Table 151-B, C. or D
5. Enter the Table number that closely resembles the proposed assembly.
6. Enter the R-value that is being installed in the wall cavity or between the framing;otherwise,enter "0".
7. Enter the Continuous Insulation R-value far the proposed assembly;otherwise, enter "0".
8.Enter the row and COMM!?of the U-factor value based ou,Column F Table Number and enter the Assembly U-factor in Column J
9.The Proposed Assembly U-factor, Column J,must be equal to or less than the Standard LI-factor in Column G to comply
Furring Strips Construction Table for Mass Walls Only .
,4 B I C D I E F I G I ll I 1 1 .1 K I, M
Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation
Walls From Reference in Furring Space from Reference
Joint Appendix Table 4.3.5,4.34 4.3.7 Joint Appendix'fable 4.3,13
UO GL ii ; J
P �- F Final •
Assembly 4-v o - - 4
mass Name or JA4 Table -r _ - - c o m- _ - T. Assembly
Thickness' Type' Number' �% _ =w L-' jz ,_ ._' r= < > m 4._ U-factorr`n Comment .
_ I
I I I I I
1 I I 1 I I I I
l2gistr6ti6nA'unibec: .;.. -"-.• - - ',Registration Dare/Time; • -- HERS,Provider:.
2008 Residential Compliance Tornts March 20/0
•
/Prescriptive Certificate of Compliance: Residential CF-I R-ALT
Residential Alterations (Page 4 of 5)
Project Name: Climate Zone# li of Stories
R. 1"C NU3S tc. 6 � /
H\'AC SYSTEMS- HEATING
Minimum Duct or Piping Configuration
Heating Equipment Efficiency • Distribution Insulation Thermostat (Central.Split.
Type and Capacity^.3 (AFUE or HSPF) Type and Location' R-Value Type Space. Package or Hvdronic)
•
I.Indicate Heating Type(Central Furnace, Wall Furnace, Heat pump, Boiler. Electric Resistance, etc.)
2.Electric resistance heating is allowed only in Component Package C, or except where electric heating is supplemental(i.e., if total capacity
<2 KI1'or 7,000 Btu/hr electric heating is controlled by a time-limiting device not exceeding 30 minutes). See§151(6)3 exception.
3.Refer to the HERS Verification section at Page 4 of the CF-IR-ALT Form for additional requirements and check applicable boxes.
4. Indicate Type or Location(Ducts, Hbdronic in Floor,Radiators.etc.) •
HVAC SYSTEMS-COOLING - -' • ... - -.. ' - •--
Minimum
Efficiency Duct or Piping Configuration
Cooling Equipment (SEER/EER or Distribution Insulation Thermostat (Central,Split. •
Type and Capacity: • COP) Type and Location R-Value Type Space.Package or Hvdronic)
I. Indicate Cooling Type(A/C,Heat pump, Evap. Cooling, etc)
2. Refer to the HERS Verification section on Page 4 of the CF-IR-ALT Form for additional requirements and check applicable boxes.
3. Indicate Type or Location(Ducts, Hydronic in Floor, Radiators. etc.)
•
WATER HEATING
List water heaters and boilers for both domestic hot water(DHIV)heaters and hydronic space heating. Individual dwelling DHW heaters rant be
gas or propane fired. Hot water pipe insulation from the DHW heater to the kitchen(s)and on all underground hot water pipes is required in all
component packages in all climate zones.
External Tank
Water Heater Type/Fuel Distribution Type Number In Tank Energy Factor or . Insulation
Type (Standard.Recirculating)''- System Capacity(gal) Thermal Efficiency li-Value'
GaS L\fir jail so g- )b
I.Indicate Type(Storage Gas, Heat Pump, Instantaneous, etc.)
2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of,§15001). The Prescriptive requirements do
not allow the installation of a recirculating water heating system for single dwelling units.
3. The external water heating tank and pipes shall be insulated to meet the requirements o(61SOQ). -
SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below.
These items may require written justification and documentation and special verification.
NEW ROOF ASSEMBLY-Radian! Barrier
The radiant barrier requirement of§151(02 does not apply to roof alterations.
Slab Edge(Perimeter)Insulation U"ES LI NO
YES:In Climate Zone 16 in Component l'ackages D,R-7 insulation is required.
Heated Slab Insulation 0 YES LINO
YES: Slab edge insulation required for all heated slabs in all Climate Zones. See details in Table 1 I S-A of the standards.
• Raised Slab Insulation U YES ❑NO
YES: In Climate Zones I.2, 11. 13. 14& 16.R-8 insulation is required:in Climate Zones 12& 15.R-4 is required under component Package D.
Thermal Mass
To obtain Compliance Credit for the installation of thermal mass.use the Performance Approach.
_ .. . . —• _ .�_ _
iRegns.tratron iVuniber__. __ . RegiSlrati0n DatelLSine7.t _ �_ � HELLS:Provi<lerr
2008 Residential Compliance Forms March 2010
Prescriptive Certificate of Compliance: Residential CF-I R-ALT
Residential Alterations (Page 5 of 5)
Project Name: Climate Zone q N of Stories
N�' ..s-}r,( 1
HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified in this
checklist below. A completed and signed CF-4R Form for all the measures specified shall be submitted to the building inspector before final
inspection.
Duct Sealing& Testing HERS verification is required for this measure.
❑ YES ❑NO YES: In Climate Zones 2 and 9-16.if more than 40 linear feet of new or replacement ducts are installed in unconditioned
space,the ducts are to be sealed per§152(6)I Dii and the newly installed ducts are to be insulated per§I 51(010.
❑ EXCEPTION: Existing duct systems that are extended,which are constructed,insulated or sealed with asbestos.
DYES ONO YES:In Climate Zones 2 and 9-16,if the existing space-conditioning system(HVAC equipment and ducting)is replaced,the
ducts are to be sealed per§152(6)I Di.
DYES ONO YES:In Climate Zones 2 and 9-16,if the existing HVAC equipment is replaced(including the replacement of the air handler.
outdoor condensing unit of a split system,cooling or heating coil.or the furnace heat exchanger)the ducts are to be
sealed per§152(b)IE.
• ❑ EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS - - •
verification in accordance with procedures in the Reference Residential Appendix I2A3.
❑ EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space.
n EXCEPTION: Existing duct systems constructed,insulated or sealed with asbestos.
Refrigerant Charge- Split System HERS verification is required for this measure.
❑ YES 0 NO YES: In Climate Zones 2 and 8-15,when the existing HVAC equipment is replaced(including the replacement of the air
handler,outdoor condensing unit of a split system A/C or heat pump,cooling or heating coil,or the furnace heat •
exchanger)a refrigerant charge measurement shall be verified per§l52(b)IF.
Central Fan Integrated (CFI)Ventilation System and Fan Watt Draw
The ventilation requirements of§150(o)do not apply to existing residential homes.
Ducted Split Systems-Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure.
❑ YES ❑ NO YES: In Climate Zones 10 through 15.when the existing space-conditioning system(HVAC equipment and ducting)is
replaced.the airflow and fan watt draw shall be verified per§152(6)1 Ci to meet the requirements of§151(117B.
Documentation Author's Declaration Statement
• 1 certify that this Certificate of Compliance documentation is accurate and complete.
Name: o"7 m!CJS-2'^ �n Siena re:
Company: - Date:
roj'ery �rnh,ng 1 —)1
Address: _ . If ApplicableUCEA or[JCEPE
,
�O Z 4''C rertJ'r, (Certification#):
City/State/Zi Phone:
CC:sr j . Meso, C9, gal;z1 l y Su Q1900
Responsible Building Designer's Declaration Statement
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on
this Certificate of Compliance.
• I certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform
to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations.
• The building design features identified on this Certificate of Compliance are consistent with the information provided to document this
building design on the other applicable compliance forms,worksheets,calculations,plans and specifications submitted to the enforcement
agency for approval with this building permit application.
Name: Signature:
Company: Date:
Address: License:
City/State/Zip: Phone:
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-8011-772-3300.
%Registration Number`; _ - 'Registration Date/Time.: - :HERS-Provider:
2008 Residential Compliance Forms Alarch 2010