HomeMy WebLinkAbout1601 SEA HORSE CIR - Building Permits J .
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PROJECTJ.DDREss: 1601 SEA HORSE CIR UNIT: 0 - CITY OF COSTA MESA - BUILDING PERMIT PERM NO: G 044709
' OWNER'S NAME: SEA HORSE DEV. • '
• ADDRESS: 2915 REDHILL PERMIT NO: G 044709 PLAN CHECK NO: 01193-89 A ' GOVT: N SUPP : N
CME CA2092626 • CONSTRUCTION TYPE; PERMIT TYPE: ELE MEC PLU S03 <TR PURPOSE: NEW
ARCH/ENGINEER: j. MILLER ASSOC . REO.NO.:870 1739 JOB DESCRIPTION : NEW SFD / APARTMENT :SQ FT: 2, 462 '
ADDRESS: 2021 DEREK DR UNIT: 241
I FULLERTONCA 92631 ' CLAIM VALUE: • 110, 000 . 00 CALC-VALUE: 140, 417., 60 GROUP OCC: R-3 / .
- PERMITTEE: FABRE CO •
714 ) 649-2
ADDRESS: 1120 STAR RTt. BOX COMMENTS : ONE OF THREE BLDGS ON THIS LOT •
ORANGE r,:67 ************#*********** *****##################******############*##**########
LICENSED CO)ITMCTOR DECLARATION: I hereby.•' t at .� sf Ch pter 9'(commencinq 'tA Section Z O N I N G REQUIREMENTS
• 7000)of Divis n 3 of the Business and Profess', Code, . d •• , �. ��ireis
d -Mc, S E T B A C K S ..
CITY tic.:0 9 9 E LIC.:4 9 P % al ,: • .
�p ��-g shill get MAIN BUILDING - - ACCESSORY BUILDING -•--
Data: Signature:+ � ANT: 20 FT IN REAR: 16. FT IN FRN•Td FT IN REAR: FT ' IN
WORKERS'C PENSATION DECLARATION: I hereby affirm that ha a or a certificate of i• rs'
Compensation nsurance,or a certified copy thereof(Section 3811 ri g ;, LEFT: 5 FT IN RGHT: 26 FT IN LEFT: FT . IN RGHT: FT IN
POUCY NO.: 077698089 EXP 10 1r•
/ coMPAxy:STATE FUND � 41 ' • PARKING REQUIRED : 2 PARKING PROVIDED : 10 PARCEL: 42519120 ZONE: R2 .
k Certified copy is hereby furnished. ® Certified es, tit.. •. t � risio . PLANNING NOTES> DETACHED APARTMENT UNIT. REAR STBK IS SEPARATION FR ANOTHER
'AL"SMP - > RES. 10 PKING SPACES TOTAL PROVIDED ON-SITE
Date: IC APDhcanL: l ��\_�AV� �, -
EXEMPTION FROM WORMERS'COMPENSATION DECLARATI s se p...-:,4i
sm�'.��ji(I ,,,s for one h n ed($100)or less) „ D E V E _L 0 P M.E N 'T E E R; V C E S'. R E Q U I R E M E N T S
I certify that in the performance of the work for whic is per it is Y"• in any manner i as to become
subject to the rk '.0 a ion Laws of Ca orma. /��.w , • ZONING APPROVED- AY 'J -
�� �K IG' E DATE: 10 .27
Dae: SignatEe: .a- s_-,_= - I
' ... • .
NOTICE:If,after making this declaration,you should 'rA�� --
become su6ject to�ro ers'Compensa io-rtovlsions at the Labor BUILDING APPROVED BY :' ' . DATE
S
Code,you must forthwith comply with such provisions or this pprmd shat be deemed revoked. "• -
CONSTRUCTION LENDING AGENCY: I hereby affirm that there iso ionstructian fending agency for the'pertormance,ot the work for 'APPL I CATION ISSUED BY:'' G'• ` ' DATE: 10±121:1A)
1A)
which this permit is issued(Section 3097,Civ.C). _ = s **********************• E • • *• ########## *#
LENDER: SEA HORSE DEV FUNDING ` ************#****#******#*********iE** • x**********************#***#**eE*********
ADDRESS: 2015 REDHILL, #F203 •
LEGALIZATION:N F•'E; E i S U M M A R Y • ' STRUCTURAL SEGMENT:Y
CM. CA..'.92626 ' ' '
•
OWNER BUILDER DECLARATION: I hereby affirm that lam exempt IroRthe Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SM I P/RES GRADING •
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 783 . 00 39 , 5 0 ' 100 . 42 21 . 75 ' 9 . 83
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed •
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 12'7 . 23 251 -. 501 '251, ; ,:. SHIP/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
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 3 .00 1'S . 0 0, - • , 15.1;•00
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN CHECK, • TOTAL ' PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS--7-7-> 954 . 50 33 . 00 ,7„:',.,,\4:27.....24. '• ' 11 14., 74 1.114 . 74 : , 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. If,however the building or REVENUE.D IVIS ION TOTALS--->. COLLECTED 1 114.•:74., OVER/SHORT•' 00 '
improvement ose sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC .-,FIRE-' SMAP/TOT GRADING PLAN-CHECK . •
for the purpose of Sale). ,
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 783 . 00 4 2 . 5 0 115 . 42 3.6 :75 9 .8 3 127 . 24
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon
and who contracts for such projects with a contractoris)license pursuant to the Contractors'State License Law).l am aware .****************************'******4E**fl**********#********************-)E********
that proof of their Worker's Compensation insurance should be provided to me. IND I V I D U A L' )'-F E E BR EAKDOWN
❑ I am exempt under Section: B.&P.C. •
for this reason: TYPE QTY D E S C R I P T I 0: N UNIT COST ' TOTAL COST
1.
Date: Owner: SFR 2062 • APT-TYPE V-MASONRY OR TYPE III-GOOD 64 . 80 •
133, 617 , 60
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and - 400 RES-GARAGES TYPE V • 17 . 00 6, 800 . 00
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requiremen r ' ELE 2062 NEW RES BLDG FOR 1 -,OR 2 UNITS/ SQ FT . 03 7 2 . 17
permit for construction or modification from the Air Duality Management District.Residential construction applications ar • pt.from ELE 9 FIXTURES, LIGHTING •�- 1 ST 20 EA. . 75 6 , 75
these provisions. • !� ELE 3 RECEPT/OUTLET 1 ST 20 EA. • . 75 2 . 25
Date: Applicant: , MMI ELE 1 RECEPT/SWITCH • 1 ST 20 EA. . 75 . 75 •
I hereby certifythat I have read this application and •ethat th.a�• ;Lit, • c.la•ee to comply with all city and county ' MEC 1 INSTALL FORC/AIR FURN <= 100 K BTU/II 9 . 00 9 , 00
ordinances and state laws relating to building const lion and fere a 'al this 'tyt,enter upon the above-mentioned MEC I GAS PIPING SYS 1 -c.4 OUTLETS • 3 . 00 3 . 00
property for v��-- • .., MEC 1 GAS PIPING SYS 5+ OUTLETS PER OUTLET . 75 . 75
/ T� MEC 2 VENTILATION FAN CONN TO SINGLE DUCT 4 , 50 9 . 00
Date: Signature •.
�7 PLU 2 BATHTUB 2 . 00 4 . 00 '
Driver's License or Social Security x: .
1' .7 - -_1 . '
•
164148 White=Buildino:Green-Code Enforcement:Cenarv-Applicant:Pink-Revenue:Goldenrod-Assessor ' - "- •,
CONSTRUCTION AND PLANNING' r- POOL & SPA
Date Inspector Date Inspector
APPROVALS , Permit # - " - APPROVALS Permit #
.f
-1. Temporary Electrical'Service or-Pole •-. 1 52. Pool & Equipment Location
(1 I• 2. Soil Pipe-Undrgrnd.. • _ .. !�/!ar/ "` •09(.. •53. Steel Reinforcement
- 3. Electrical Conduit Utility-Undrgrnd. • `, - I - -54. Forms , .'I
4. Electrical Conduit-Undrgrnd. •- - .- • - •- t IL
4 -55. Electrical Bonding
' 5.--Steel Reinforcement I • -156. Rough Plumbing & Pressure Test
6. Electrical;OF ER'Grnd.f - (�y/y�_7 r Pt - _ 57. APPROVAL TO COVER-GUNITE -
7. Footings ' 4_ S [yv��._ /(�7 [ _ 58. Electrical Conduit-Undrgrnd. ..
- 8. Foundation __ =_ jj 'n�-. -• .59. Gas Pipe, 0 Undrgrnd., Test - s
• 9. Water Pipe-Undrgrnd__ .. A. --4 - 1Zt})ccf;, .(.40 60. Backwash Lines, P-Trap, 0 Undrgrnd. . _ - -- .
10. Structural Floor Syste .
m .• ` 61. APPROVAL TO DECK
11. Property Sewer Line & House Connectionfi/efil;Orr62. Backwash & Receptor-Final ,
12. Sewer Cap = - _ • 63. Heater & Vent-Final
13. Roof Drains r' ` -
__ ''1 64. Plumbing System - Final
L o�'1.'(.Qa 65. Electrical-Final
see _ (�a •
14. Rough Plumbing
15. Rough Electrical-Conduit __ 66. Solar System-Final -
- 16. Rough Electric Wiring 24P-g0 tReseci 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 8 -Air Conditioning _ .9444,5 G6O .: . FIRE DEPT. REQUIREMENT - . _ _
20::Rough Factory Fireplace : _ • 2`(, 4L LW < APPROVALS_' ",Permit # - -
T.
21. Ducts, in Structure - -- - ' _70. Underground Hydro .
22. Ducts, Ventilating- _ - 71. Product Piping D Gas ❑Oil
23. Gas_Pipe-Rough & Test ', ' ^ a 72. Underground Flush - _ '
24. Roof Framing _. _ • -73:: Undergrrid.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing _ t 2- 90 lir. - 74. Overhead Hydro
26._T-Bar Ceiling/Structural) &tMonocoat • 75:.Dry Chemical .
.27.- Frame Frame and Flashing - - ! Ar! 76. Dry Standpipe _ -• - -
- 28. Lathing& Siding • - gih 77= FIXED SYSTEM FINAL . - • 4_
29. Insulation _ .'(p & :be_.- 781-:'FIRE PREV. FINAL '
30. Drywall Nailing "4l� 1e . HEALTH;DEPT. REO.UIREMENT.
.31. Plaster Brown Coat laINAL INSPECTION '
' 32: Electrical Power Meter-Final _ c: !if000 CERTIFICATE ISSUED."_33. Final Electric .-
- '/ -dr Than QROo, OK-..s0onc TO
34. Final Heating & Air Conditioning 6.% iw j''/ :site c 't s . - _ -
35. Final Gas Pipe-Test- • •_cN/QQ C ,� Q ca; o -----
n H..
'_36. Hood or Canopy - �� - " °'' '
• 37. Final Factory Fireplace
���� e W - -
` d J 0 V
V
- 38. Firial Plumbing aj ,� a m a • ^ -
c
39. Water Service-Final • - - m o irr, - -t.¢ .
r40. Gas Service-Final • • -. - - Q 6 �. m d ' - -•
y E n c a•�
41. Solar Domestic-Final -• , - • '
42. Backflow Preventer - . ' - -
43. Backflow Irrigation - -
44. Landscape Irrigation System ' ' - - - - - - '
45: Sound .Attenuation - . - • -
:46.-Handicap Regulations -. i - . - ,.
r _ _
47.'FINAL STRUCTURE & BUILDING ��ft t:. - -
48- FINAL PLANNING - `�-'%t, 'goa�ry
"49. Electric Release to Edison ..
- 50. Gas Release to Southern California Gas Co -L. ' ..
51. CERTIFICATE OF OCCUPANCY ' -
No. Date
A
PROJECTADDRESS: UNIT: - -
•
OWNEWS NAME: .
•
ADDRESS: PERMIT NO: G 044709 PLAN CHECK NO: 01193-89 A PAGE: 2
• *****************************************44***34**IF**3*33334**3****33*3*1E*4*****3*
y ARCHIENGINEER: REG.NO.: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
• ADDRESS: UNIT:
PLU 1 DISHWASHER 2 . 00 2 . 00.
PERMITTEE: PLU 1 LAUNDRY TUB OR WASHER •
2 . 00 2 . 00
ADDRESS: PLU 2 SHOWER 2 . 00 4 . 00
• PLU 1 SINK, BAR 2 . 00 2 . 00
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section PLU 1 SINK, KITCHEN 2 . 00 - 2 . 00
7000)of Division 3 of the Business and Professions Code,and my license Is In lull force and effect. PLU 1 WASH BASIN 2 . 00 2 . 00
crquc.: . STATEUC.: CUSS: PLU 2 WASH BASIN (SET) 2 . 00 4 . 00
Date: Signature: PLU 3 WATER CLOSET ( TOILET) 2 . 00 6 :00
•
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' PLU 1 WATER HEATER AND/OR VENT 2 . 00 2:00
Compensation Insurance,or a certified copy thereof(Section 3800.Lab,C). PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 2 . 00 I 2 :00
POUCY NO.: EXP.DATE: PLU 1 GAS PIPING SYS 5+ OUTL—PER OUTLET . 50 . 50
•
COMPANY: ELE 1 SERVICES BELOW 600 V & BELOW 200 AMP 18 . 50 18 . 50
❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. i PLU 1 GAS SERVICE — 2 . 00 2 . 00
, , PLU 1 CONNECTION TO BUILDING SEWER, EA — 5 . 00 5 . 00
Date: Applicant: END OF FEES
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (TMs section need not be comyleted if the permit is for one hundred($103)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. _ .
Date: ' Signature: - -
•
NOTICE:It after malting this declaration,you should become subject to the Workers'Compensation provisions of.Vie Labor ,
Code,you must forthwith comply with such provisions or this permit stall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for ,
which this permit is issued(Section 3097,Civ.C). ..1,C, 1 ,
LENDER: I
ADDRESS: •.
•
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason
(Section 7031,5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed .I-
pursuant to the provisions of the Contractors State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business ,
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by t
arty applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). t:'
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the y.
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State 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 •t
his or her own employees,provided that such improvements are not intended or offered for sale.If,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 .
•
for the purpose of sale). C. . .
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ' ••
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon , I '
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware
that proof of their Worker's Compensation Insurance should be provided to me. r.
❑ I am exempt under Section: - B.&P.C. '
for this reason:
Date: • Owner: • ' •
y'
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and • •
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 Quality Management District.Residential construction applications are exempt from .
these provisions. f
Date: Applicant: 1
•
I hereby certify that I have read this application and state that the above information is correct I agree comply with all city and county •
ordinances and state laws relating to building construction and hereby authorize representatives of this city to ter upon the above-mentioned
property for inspection purposes.
•
Date: Signature:
•
Driver's License or Social Security N:
164146 White—Building;Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Ass r
. I
CONSTRUCTION AND PLANNING. - POOL& SPA
APPROVALS . Permit# Date Inspector APPROVALS Permit# Date Inspector
•
1. Temporary Electrical Service or Pole - 52. Podl & 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 UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 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�� //� t 62. Backwash & Receptor-Final
12. Sewer Cap �/J! 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
.14. Rough Plumbing SeeetterG 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final •
16. Rough Electric Wiring 4/?4?�9U /7/749/4' 67. Fencing & Access Approval
17. Rough Wiring Sign "'777 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19.,Rough Heating &&AirtConditioning .r C FIRE DEPT. REQUIREMENT
20`.-•Rough Factory-Fireplece = APPROVALS Permit#
21:"Du&s, 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)"&:Monocbat•_ 75. Dry Chemical
27-Frame and Flash Wig`" •-• ;.-
F '_ 76. Dry Standpipe
28. Lathing & Sidingo` -' 77. FIXED SYSTEM FINAL
29. Insulation .�7�.= '" 43. Lig, 78. FIRE PREY. FINAL
vrt30. Drywall Nailing -• •. .••5.- -r• ^, iii HEALTH DEPT. REQUIREMENT
31. Plaster Brown'CoatF+F'?r:"-1'' 79. FINAL INSPECTION
32,Electrical Power' Meter-Final 1 - 80. FOOD CERTIFICATE ISSUED
33 'Final Electric x • c" Notes:L.7.$poliPla, at. Scartent -j'08
34, ,FinalHeating 'Air Conditioning.lb„ . 4c 1,
ieset
35..Final Gas Pipe-Test -- C d bo d "
EL »r h
36 Hood or Canopy `.-� - , .E = ,1)
37..-Final Factory Fireplace ' � E = a o _c. ep
s 9 C'
38. Final Plumbing , ; 'E E >.,cr f o
39- Water Service-Final 44m 1 m E
A q c
40:;Gas Service-Final w o�� I
u to re
41._Solar Domestic-Final �`�d
42. Backflow Preventer
43. Backflow Irrigation • •
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINALI?LANNING rtigniaeit ,
49. Electric Release to Edison . .
50. Gas Release to.Southern'California.Gas Co ' •
51. CERTIFICATE OF OCCUPANCY
No. Date
sSd I.
CERTIFICATE OF COMPLIANCE
PAYMENT OF SCHOOL FACILITY FEES b
•
NEWPORT-MESA UNIFIED SCHOOL DISTRICT
ti
Developer/Applicant : �brl'�. �i LES/ L�^ ftE(�1 .t.L . `9' .
Address : yl 1<J cf L.L�- l��T" Vii ) l I bCI-
�C�27 C . ,
Telephone Number : 9c¢(s —DZZ.O 72t,ue
Tract/Parcel and Lot Number(s) :
Location of Project : ! /�T?* 57-, c y (--7. - r''fi 1ts-
Number of Square Feet of / ...7 -7,n 1 00
�G,/
Residential Space __ x $1 . 50 Total , ✓2 I
Number of Square Feet of
Commercial and
Industrial Space x $0. 25 Total
Commercial/Industrial Project is : (Check One )
Mini-storage Motel Preschool
Movie Theater _ Bank _ Auto Repair
Racquet/Health Neighborhood Shops Hospital
Warehouses _ R & D Large Office
Heavy Industrial Hotel Office Bldg.
Regional Shops Medical Office Restaurant
Light Industrial Office Park Fast Food
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 ar .-to bQ made payable to Newport-Mesa Unified School District .
j�? �t)
0
( , \ f : --, (3 II\ , • N� C� 4_�_ 4.‘
/ i' 0 Business Manager
Newport-Mesa Unified School District
The above representation as to square foo age is true . Developer/
Applicant agrees that if it is later (ice 4mined -t`hat such repre a-
tions are not true then this certificate-shard auto cally/terminate
and the appropriate City/County sh 1T-tie &ctified. , iI
Date : 1D �'T) a �'.11�,•\ y1 1)1\ ±( AD
Devell''1�oper/Applicant
\I4, 1...f.--LS)2L ii,eu. ZA.t Lc-_,,F.
:MAY 17 '90 I6 28 RLL-COAST FOREST PRODUCTS, INC. •- . ..
Aoit CF Thy%
ATd •
` CER IFICATE OF QUAi. y`yO CONF_ORMANC. E
HE UNDERSIGNED MANUFACTURER HEREBY CER7VIES
that the products identified below and on attached sheets Nosare marked
with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITCI
and were manufactured in conformance with applicable provisions of American National Standard
ANSI/AITC A100.1-1983, Structural Glued Laminated Timber, and that such manufacture has
been at our plant in Drain. OR which plant has a quality control system
approved by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
and inspected periodically by such Bureau. •
The manufacture of these members complies with themanufacturingand fabricating provisions of
Chapter 26 of the Uniform Building Code,
OS NAME: All Coast Forest for Stock & Custom •
JJOS Wed.:nom:
_ Chino, CA
•
OUStamER�S ORDER NO. 8257,Q�' DATE- i1+2-09 MF4R1ORDBRNo. 6840-0
24F-'V4, WP Glue, Archp, Indy Wrap, Arch App, Load Wrap
�,�
SIGNATURE �.. _. .I -v t .COMPANY DlY'Q-Lam
„Ins Quality Control AODRlss FOB 297, Drain) OR DATE 11-20-89 •
•
AITC HEREBY CERTIFIES that the said company at its said plant is licensed by the
AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective.Mark'in respect
of products which comply with applicable provisions of said Standard, that the adequacy of the quality
control system in effect at said plant is periodically inspected and verified.by the Inspection Bureau of
the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of AITC,
said company is capable of complying with applicable manufacturing and testing provisions of said
Standard in respect of products manufactured at said plant, Conformance with the Standard in respect
of any specific or particular product is the sole responsibility of the manufacturer;AITC's guarantee
hereunder being that the said company is qualified to produce a product meeting the said Standard
and that its plant is periodically inspected and verified by the AITC Inspection Bureau.
•
61366
• AITC Cerbfi^ate Na A
AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
, 7 SEAL ^:,
192
•
" •: .,.
i
C 1983 AMC RICAN INSTITUTE OF TIMBER CONSTRUCTION
AITC FORM IBCA
PAGE . 02
714 628
MAY 17 ' 90 16: 38 6154
1 rip yi �U 10.0Y nLL.Lvn.0 I L',-“ J .. . ..+ +4::;****NN**.*******e* 1 • .
Date : 11/03/89 JoG NUMBER: -6340 D Page 1 .
CUSTOMER : ALL COAST - CHINO •
' --------mn=-sc,aeac ossnseoanaza-..,__v c:....:.:--_ s.c:_a_._.-...smv=:-c�eaa-vcrw - ._ anwr__
-•'I9 NAME: Stock & Gust CUST PO 0 : 6257,f01� • INSP ; Aft.
q
'Ca5/CATION: Chino CA CUST 30Dit :� UQD3 S + NOTE : PKG BY JOB;LA CIT
ca ------ne-a--"...•. ...__�_...ac c---^—z..--------cmc----sa_ a- ¢ y_ -•m=tn-
CE�II4 , w4A , t 4 ____
Notes 1 Mark Oty Camber Dimensions Comb, I App. Wrap S
I =1
11B 1 1 •* 0 6 3/4 x 13 1/2 x E. - 0 24F-V4 I ARCH LOAD
/ + ^ __--/
11B 2 2i{I 0 6 3/4 x 13 1/2 x 12 - 0 24F-V4 I ARCH LOAD
/ /
118 3 1 1 0 6 3/4 x 13 1/2 x 30 - 0 24F-V4 1 ARCH .LOAD
/ {II /
1 1B 4 2 0 6 3/4 x 13 1/2 x 20 - 0 24F-V4 I ARCH LOAD
/ .{ ._ .. /
118 5 1 II 0 6 3/4 x 13 1/2 r. as - 0 24F-V4 I ARCH LOAD
/ , •1 - /
116 6 3 94-0 3 1/8 x 9 x 12 - 0 24F-V4 I ARCH LOAD _L.,_
/ ./
15B 1 6 3 3 1/C x 12 x 60 - 0 24F-V4 I ARCH INDV
_ . _ . . .
I SB 2 12 3 5 1/8 x 12 x 60 - 0 24F-V4 I ARCH INDV
'`. / ' ---/
1 98 3 12 3 .5 1/8 x 13 1/2 x 60 - 0 24F-V4 I ARCH INDV
/ /
I SB 4 2 1 3/4 5 118 x 19 1/it x 46 - 0 24F-U4 I ARCH INDV
/ /
I 58 5 2 1 3/4 5 118 x 21 x 46 - 0 24F-V4 I ARCH INDV
/ .-- - /
I SB 6 2 3 5 1/6 x 22 1/2 x 60 - 0 24F-V4 I ARCH INDV
/ /
I 68 7 6 1 5/8 6 3/4 x 15 x 44 - 0 24F-V4 1 ARCH INDV
/ •-•- /
• I SB 8 4 1 7/8 6 3/4 x 16 1/2 x 48 - 0 $4F-V4 I ARCH INDV
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MEP ''11 ;
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**0****************************LD1***xiF**444**iF********iYiailfr-7 ****** •****s***d•1F1f#liifif3k3E3fif********e
#.... APPROVAL
a:-
This signifies our- accaptan:e of these drawings as being applicable
* to all contract documents and released for nan�. factut'ing.
* CUSTOMER :��� c✓a._PEV• DATE : il (]
MAY 17 ' 90 16 : 42 714 6286154 PRGE . 131
• Wells Insulation Co •
svaawstr wawassvr vw 11 7460
11362 We.,tmincier Ale. #6 Garden Grove.CA 92643
714-530-9530
411
license # 384692
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH
CURRENT ENERGY REGULATIONS,CALIFORNIA ADMINISTRATIVE CODE,TITLE 25,STATE
OF CALIFORNIA, IN THE BUILDING LOCATED AT:
PERMIT # G044709 LOT# TRACT#
RESIDENCE
STREET_16O1 SEAHORSE CIRCLE CM/COSTA MESA
EXTERIOR WALLS:
MANUFACTURER_MANVILLE THICKNESS/TYPE 3 VALUE 11
CEILINGS:
BATTS' MANVILLE 6 1 R- 19
MANUFACTURER MA1SVTTTF THICKNESS/TYPE 11 VALUE 30
BLOWN IN; MINIMUM R-
MANUFACTURER THICKNESS VALUE
SQUARE FOOTAGE COVERED NUMBER OF BAGS USED
FLOORS_ R
MANUFACTURER THICKNESS/TYPE VALUE
SLAB ON GRADE: R-
MANUFACTURER_ THICKNESS/TYPE VALUE
WIDTH OF INSULATION INCHES
FOUNDATION WALLS: R-
MANUFACTURER_ q�-7y�'(� n ,7 THICKNESS/TYPES/TYVALUE
GENEf AL CO - •R 1"��J 2%) �I IY '-
iliCA� �ler/ T LICENSE � rn �( ynr,
,x`1044 ' DATE -I i_ 4U
$ t ma I t
IGNATURE TITLE
INSULATION CONTRACTOR WELLS INSULATION COMPNAY, INC.
CALIFORNIA CONTRACTORS LICENSE#
984697 DATED 5-16-90
PRESIDENT
SIGNATURE TITLE