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HomeMy WebLinkAbout210 SUSANNAH PL - Building Permitsr2 ' t t. CITY OF COSTA MESA • 051"4%._ BUILDING DIVISION Fa :I 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us v. FOR INSPECTIONS CALL: (714)754-5626 *' ;" M PERMIT NUMBER: BC10-00155 PERMIT TYPE: B_COMBO STATUS: ISSUED Sub Type: RES ALT DATE ISSUED: 04/12/2010 ISSUED BY: RMD JOB ADDRESS: 210 SUSANNAH PL CM Suite/Unit: APN: 43918125 Zoning: Vicinity: KITCHEN AND BATHROOM Primary Occ: Const Type: V-B SQ. FT: 0 Valuation: $8,000.00 SCOPE OF WORK: MINOR REMODEL OF KITCHEN AND (1) BATHROOM, CHANGE OUT OF KITCHEN HOOD, 1 VENT FAN, 2 LIGHT FIXTS,5 OUTLETS AND 2 SWITCHES(IN KITCHEN), 1 BATH TUB, 1 KITCHEN SINK, 1 WASH BASIN AND 1 WATER CLOSET. DRYWALL WORK ASSOCIATED. COMPLIANCE FORMS FOR EL ATTACHED TO JOB CARD AND CITY PERMIT. OWNER: NELSON, RICHARD J Address: 210 SUSANNAH PL Unit: Phone: 949-642-1607 City/State/Zip: COSTA MESA,CA APPLICANT: BALDWIN,CHRISTI Address: Unit: : Phone: 949-235-4856 City/State/zZip: CONTRACTOR: R J TANNER CONSTRUCTION License No. 744104 Phone: 949-235-4856 Address:• 893 OAK STUnit: Cell: City/State: COSTA MESA,CA ZipCode 92627 ARCHITECT: License No. PHONE: ENGINEER: License No. PHONE: COMBINATION PERMIT FEE SUMMARY Building Plan Check: $0.00 Building Fees: $153.25 Electrical Fees: $33.40 Mechanical Fees: $41.40 Plumbing Fees: $39.20 SMIP Residential: $0.80 SMIP Commercial: $0.00 Bldg Std Admin Fund $1.00 TOTAL FEES: $269.05 "Refer to fee receipts for all fees paid for project HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010- PER CMMC Sec. 13-279 Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibited all hours-Sundays and the following Federal holidays: New Years Day,Memorial Day, Independence Day,Labor Day,Thanksgiving Day and Christmas Day NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.•92-28,§1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE S. INSPECTION TYPE DATE IN717IALS CODES INSPECTION TYPE DATE IN1111ALSr1 1616 Fixed System Final Fire Prevention 206 Final Mechanical )' 1011i1/0 H A-- _ 1266 Pool Spa Final 208 Final Plumbing X 10 I 1 4 lin i-hr a 200 Final Re-Roof 210 Final Electrical X 101 ICT fit) }1—._ 9I 201 Final Block/Retaining Wall _ 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site v I,o( q/ 204 Final Demolition 250 Final Building/Occupancy I. li 1 to 1 WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver s license. 0 Yes 0 Not I hereby affirm under penalty of perjury one of the following declarations: Drivers License No. Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance.as required by section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a number are: c-+ person is required to descend,will be made in connection with work authorized Carrier: .Jj&'-TE, J))Kti- by this permit.and that no building structure.scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This seci ,need nor b/ r ecmplleteddthe pemut is valued at one hundred dollars($100)&less) 2 Art 2,Sec.341.Title B.California Administrative Code). POGEy.Number: 1.J'f `ri 0 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 Applicant's Signature Date the Labor Code.I shall f rthwith comply with these provisions. C) f11,1 tie ) �O t�f 1 24- 1 _17---- Z_ 1 O Division of Industrial Safety Permit Number: l 1! ACYA/p`dlkent's���SiLLLgne�lur ••1 ""T Dale I i.: 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 (5100,000). IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS (Section 25505 of the Califomia Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be fled 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 4 CLICK z 44 104 iClass# 13 (Section 25533 of the California Health and Safety Code, with some -Q yn JI0JiC)Z4h(( A 4 - I2.-- j 2 j O exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely contractor's Signature Dare hazardous materials equal to or greater than a weight of 500 pounds. or a Cj- 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 fa 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? ❑Yes ❑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 Califomia Government Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications fa non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I. as owner of the property, or my employees with wages as their sore 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? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own 8 "yes", attachcertificate o (If f employees, provided that such improvements are not intended or offered for compliance from the appropriate air pollution 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 properly, 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 Dale 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 Contractus 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. Signal a of L IOwners) \ Date Signature Date ( nIAEA- il-J2 -10 1 ✓l 305746(3707) ehddr Authorized Applicani LDate- L/ V _Prescriptive Certificate of Compliance: Residential CT-112-ALT„ --.tesidential Alterations t (Pale 1 of 5) Project Name: I Climate Zone it / , I k of Stories General Information Site Address: r� 1 O 5,syn 4.f A 4 is , Enforcement Agency N1c3 A Date: 14_I2_1:P Building Typed Single Familyil0 Multi Family Circle the Frzml Orientation:N,F,S,W,or degrees 1: Project Type: 0 Alterations 0 Envelope❑Fenestration 0 Roof 0 HVAC Conditioned Floor Area(CFA): Replacement or Change Out 0 Duct Replacement ❑ Water Heater - / ,1 NOTE: This Jnr•n+is not to he used far Nandi, Com tructetl Buildings nr Atlrlitions .1/ Insulation Mites For Opaque Surfaces(for Furring use the Mass and Furring Strips Construction table below) Assembly Alteration Cl Opening of framed cavity alone-Alterations that involve the opening of theframed cavity of a walk ceiling, or floor must install the mandatory minimum insulation value per§'15(1 far the altered assembly.Fill in Columns A-C and enter mandatory insulation value in Column H. ❑Replacement of entire assembly-Replacement of an entire wall, ceiling, orfloor assembly requires the installation of Component Package-D insulation values in Table 151-C'. Fill in Columns A-J. • -- .-Opaque Surface Details_For the furred portioned of Mass Walls see Furring Strips Construction Table below. A B C D ' R F C - `fi Proposed s"ha" Standard Values From JA4 Table Framing ' Thickness, Framed Continuous JA4 Proposed Tag/ Assembly Name Material Spacing, U- JA4 Table Cavity Insulation Assembly Assembly ID' or Type' and Sizes or Others factor" Number' R-value R-Value' Cell Values U-factor9 F Note:For furred assemblies,accounting for Continuous Insulation R-value,see Page JA4-3 and Equation 4-1. For calculating fin-red walls use the Mass and ' :Furring Construction table below. I.For Tag/ID indicate the identification name that matches the building plans. 2.Indicate the Assembly Name or type:Roof/Ceiling, Walls,Floors, Slabs, Crawl Space,Doors and etc...Indicate the Frame type and Size: For Wood, Metal, Metal Buildings,Mass,enter 2x4,2z6, or etc...see JA4 for other possible frame type assemblies, 3. Enter the thiclmess for mass in inches or Spacing between framing members enter; 16"or 24"OC;or Other-for all other assembly description such as Concrete Sandwich Panel,Spandrel Panel,Logs,btra1 Bale Panel and etc.... 4.Based on the Climate Zone;enter the Standard U facto from Table 151-B, C or D for each different assembly Name or type. 5.Enter the Table number that closely resembles the proposed assembly. 6. Enter the R-value that is being installed in the wall cavity or between the fuming; otherwise, enter "0". 7. Enter the Continuous Insulation R-value for the proposed assembly; otherwise, enter "0". 6.Enter the row and column of the U factor value based on Column F Table Number and enter the Assembly U-factor in Column J 9.The Plupnxet/Assembly II-factor, Ca/a nn.1,, must be equal to as less than the Standard U-factor in Column E it comply. • Furring Strips Construction Table for Mass Walls Only A I B 1 C DIE F I C I 1l I I I J 1C L I M Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation Walls From Reference in Furring Space from Reference Joint Appendix Table 4.3.5,4.3.6,4.3.7 Joint Appendix Table 4.3.13 . U c ,... 1 •u ° •- u u tN G ^ G.G r vat Assembly i' 1p c ° F- f0, `o o,'. G„V .1; !J.- , e. r Final Mass Namc or JA4 Table e n i' .a t`, — E E °o w 4 = v yr Assembly Thickness' Type' Number' S ^ 1 = w r tE G 2 C < - m ',I U-factort''7 Comment 1 Pegi.suatinn Number: Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Cornelia!'cc: Residential CF-IR-ALT Residential Alterations' (Page 5 of 5) , ctrihjeci:JV:uire: Clim_ateZone ft ft of Stories HERS VERIFICATION SUMMARY The enforcement agent),should pay special attention to the HERS Measures specified in this • checklist below A completed and signed CF'-41?Form for all the measurer specified shall be submitted to the building inspector before final inspection. Duel Sealing 6'. Testing HERS verification is required for this measure. ❑YES 0 NO YES:In Climate Zone:.2 and 9-16,if more than 40 linear feel of new or replacement ducts are installed in unconditioned space,the ducts are to be sealed per III 52(b)1Dii and the newly instilled ducts are to be insulated per§151(1)10. • ❑ EXCEPTION: Existing duct systems that are extended, which are constructed,insulated or scaled with asbestos. o YES 0 NO YES:In Climate Zones 2 and 9-16, if the existing space.conditioning system (HVAC equipment and doming)is replaced,the ducts ale to be sealed per§1 52(h)lDi. ❑ YES 0 NO 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(1)11E. D EXCEPTION:Duel systems that are documented to have been previously sealed confirmed through HERS - - "verificatiotrin-accordance with proceduresln the,Reference Residential Appendix RA3, D EXCEPTION:Duet systems with less than 40 linear feet in unconditioned space .. ❑ EXCEPTION: Existing duct systems constructed. insulated or sealed with asbestos. Refrigerant Charge- Split System HERS verification is required fa this treasure, ❑YES 0 NO YES:In Climate Zones 2 and 8-15,when the existing HVAC equipment is replaced(including the replacement of the air handier,outdoor condensing unit of a split system A/C or heat pump,cooling or heating coil,or the furnace heat exchanger)a refrigerant charge measurement shall be verified per*152(611E. • Central Fan Integrated (CFI)Ventilation System and Fan Watt Draw The ventilation renuirements 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 0 NO YES:In Climate Zones 10 through 15,when the existing space-conditioning system(HVAC equipment and ducting)is . replaced.the airflow and fan watt draw shall be verified Der*152(010 to meet the requirements of§151(MB. 1 Documentation Author's Declaration Statement • I certify that this Certificate- of^Compliance documentation is accurate and comnllete. Name: Ckfat 5 I t_Jt3L_b Wi � ( Sig lei An - d# �l Company: T^` , `t� Date: to Address: If Applicable 0 CEA or CEPE 1CI 0A� Sr (Certification R). City/Slate/Zip: 1'h n^ .1 CI OST.& MESO. CA 412(02 -7i 235 -46540 ILc6po risible Building Designer's Recta ra flop Statement --•--I tun eligible under Division 3 oldie California Business and Professions Code to accept responsibility for the building design identified nn this Certificate of Compliance. • I certify that the energy Ieatures and performance specifications for the building design identified on this Certificate of Compliance conform to the requirements of Title 24,parrs I and 6 offthe California Code of Regulations. • The building design features identified on this Certificate of Compliance arc consistent with the information provided to ducumem this building design on the other applicable compliance forme,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application. Name: Signature: Company: Date: Address: - License: City/Emit/Zip: Plume: Far assistance ar questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. Registration Rumbw-: Registration Date/Time: HERS Pro,icier: 2008 Residential Compliance Forms August 200.9 • Mandatory Measures Summary MF--IR Residential (Page 2 of 3) . Siteddress: Enforcement Agency: Date:.. klaSDI -i — 210 SosANNIisQ4 f—. Cr'51vA MrTs4 ( —(z- 0 §1500)4: Solar water-heating systems and/or collectors are certified by the Solar Rating and Certification Corporation. Ducts and Fans Measures: §150(m)I: All air-distribution system ducts and plenums installed,are sealed and insulated to meet the requirements of CMC Sections 601,602, 603,604,605 and Standard 6-5;supply-air and return-air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall he sealed with mastic,tape or other duct-closure system that meets the applicable requirements of UL 181,UE181A,or UL 18113 or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to • seal openings greater than 1/4 inch,the combination of mastic and either mesh or tape shall be used §I50(m)1:Building cavities,support platforms for air handlers,and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. §150(m)2D:Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and draw hands. §1500)7:Exhaust fan systems have hack draft or automatic dampers. - --•..--- §150(m)8:Gravity.yentilating systems serving conditioned space have either automatic or readily accessible,manually operated dampers. §150(m)9:insulation shall be protected from damage,including that due to sunlight,moisture,equipment maintenance,rind wiird:'Cellular foam .._ " """ insulation shall be protected as above or painted•with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of theimaterial. §150(m)I0:Flexible ducts cannot have porous inner cores. §150(0): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable Indoor Air Quality in Low-Rise Residential Buildings. Window operation is not a permissible method of providing the Whole Building Ventilation required in Section 4 of that Standard. • Pool and Spa Heating Systems and Equipment Measures: §114(a): Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency Regulations; an on-off switch mounted outside of the heater;a permanent weatherproof plate or card with operating instructions;and shall not use electric resistance heating or a pilot light. §114(b)I:Any pool or spa heating equipment shall be installed with at least 36"of pipe between filter and heater,or dedicated suction and return lines,or built-up connections for future solar heating §1 14(b)2:Outdoor pools or spas that have a heat pump or gas heater shall have a cover. 014(6)3:14(6)3: Pools shall have directional inlets that adequately mix the pool water,and a time switch that will allow all pumps to be set or programmed to run only during off-peak electric demand periods. §150(p): Residential pool systems or equipment meet the pump sizing,flow rate,piping,filters,and valve requirements of§150(p). 12esidential.Lighting,M easures: t'§l50(k)l: High efficacy luminaires m-LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies contained in Table 150-C and is not a low efficacy luminaire as specified by§150(k)2. §150(k)3: The wattage of permanently installed luminaires shall he determined as specified by §130(d). 41 §150(k)1: Ballasts for fluorescent lamps rated 13 Watts or greater shall he electronic and shall have an output frequency no less than 20 kHz. i §I50(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain only high efficacy lamps meeting the minimum efficacies contained in Table 150-C and shall not contain a line-voltage socket or fine-voltage lamp holder;OR shall be rated to consume no more than five watts of power as determined by §I 30(d),and shall not contain a medium V screw-base socket. n §150(k)6: Lighting integral to exhaust fans,in rooms other than kitchens,shall meet the applicable requirements of§150(k). yy 1• §I50(k)7: All switching devices and controls shall meet the requirements of§150(k)7. §150008: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall he high efficacy. EXCEPTION:Up to 50 watts for dwelling units less than or equal to 2,5(1(1 ft2 or 100 watts for dwelling units larger than 2,500 IC may be exempt from the 50%high efficacy requirement when: all low efficacy Iuminaires in the kitchen are controlled by a manual on occupant ! sensor,dimmer,energy management system(EMCS),or a multi-scene programmable control system;and all permanently installed 1 luminaries in garages,laundry rooms,closets greater than 70 square feet,and utility rooms are high efficacy and controlled by a manual-on occupant sensor. 1rd ) §I50(k)9: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of illuminate cabinet. t§150(k)10: Permanently installed luminaires in bathrooms,attached and detached garages, laundry rooms,closets and utility rooms shall he high efficacy. 2008 Residemial Compliance Forms August 2009 . .Mandaiory Measures Summary MF-1R_ Residential._,, (Page 3 of 3) SittfTlaress: Enforcement Agency: 243 So .NNAP- . Coo,. 1-4Es,A- 1+-12 - 10 EXCEPTION I: Permanently installed low efficacy luminaires shall be allowed provided that they are controlled by a manual-on occupant sensor certified to comply with the applicable requirements of §I 19. • EXCEPTION 2: Permanently installed low efficacy luminaires in closets less than 70 square feet are not required to be controlled by a i, pakomoccatimmseaso-- §15o0yt t: rernraneony ne.WI _ .---._. ....__.....,.. ..._........_. ..._..... bathrooms,garages, laundry-monis,closets,and utility rooms shall be high efficacy luinmaires. EXCEPTION I: Permanently installed low efficacy Ium in aires shall he allowed provided they are controlled by either a dimmer switch Thal complies with the applicable requirements of§I19,or by a manual-on occupant sensor that complies with the applicable requirements of §119. EXCEPTION 2:Lighting in detached storage building less than 1000 square feet located on a residential site is not required to comply with*150(1011. §150(k)12: Luminaires recessed into insulated ceilings shall be listed for zero clearance insulation contact(IC)by Underwriters Laboratories or other nationally recognized testing/rating laboratory;and have a label that certifies the Iunli unaire is ainight with air leakage less then 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283;and be sealed with a gasket or caulk between the luminaire housing and ceiling. §I50(k)I3: Luminaires providing ontdoor lighting,including lighting for private patios in low-rise residential buildings woh f'unrbr more dwelling -- - "" units,entrances,balconies,andporches,which are permanently mounted to a residential building or to other buildings on the same lot.. shall be high efficacy. EXCEPTION I:Permanently installed outdoor low efficacy luminaires shall be allowed provided that they are controlled by a manual on/off switch,a motion sensor not having an override or bypass switch that disables the motion sensor,and one of the following controls: a photocontrol not having an override or bypass switch that disables the photocontrol;OR an astronomical time clock not having an oven-ide or bypass switch that disables the astronomical time clock;OR an energy management control system(EMCS)not having an override or bypass switch that allows the luminaire to be • always on EXCEPTION 2:Outdoor luminaires used to comply with Exceptionl to§150(k)13 may be controlled by a temporary override switch which bypasses the motion sensing function provided that the motion sensor is automatically reactivated within six hours. EXCEPTION 3: Permanently installed luminaires in or around swimming pool,water features,or other location subject to Article 680 of the California Electric Code need not be high efficacy luminaires. §150(k)14: Internally illuminated address signs shall comply with Section 148;OR not contain a screw-base socket,and consume no more than five watts of power as determined according to§130(d). §150(k)15:Lighting for parking lots and carports with a total of for 8 or more vehicles per site shall comply with the applicable requirements in Sections 130, 132, 134,and 147.Lighting for parking garages for 8 or more vehicles shall comply with the applicable requirements of Sections 130, 131, 134,and 146 §150(k)16: Permanently installed lighting in the enclosed,non-dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires. EXCEPTION: Permanently installed low efficacy luminaires shall he allowed provided that they are controlled by.an occupant sensor(s) certified to comply with the applicable requirements of§119. / (I 2008 Residential Compliance Forms Angus/ 2009 ADDRESS OF RUMORS: 260 SUSANNAH PL uNr: ,i A MESA - BUILDINGPERMIT j p I OMIERSNM4EIFItNOAN:NELSON, RICHARD © PERM NO: B 080047 ADDRESS:2 0 SUSANNAH PL • CITYOF COSTe COSTA MESA,CA 642-6727 92626 PERMIT NO: B 080047 PLAN CHECK NO: N GOUT: N SUPP: N APPL.MAILING ADDRESS CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE: OTH 0 j� ' ARCHITECT OR ENGINEER: ISC.NO.: JOB DESCRIPTION : T/OFF SHEATH & EROOF W/COMP SHINGLES SQ FT: 5, 500 i ARCH.OR ENG.'S ADDRESS: WIT: CLAIM VALUE: 5, 500 . 00 CALC.-VALUE: 5, 500 . 00 GROUP OCC : R-3 / coNmAcrows,WIE:VICTORY CONSTRUCTION COMP ( 714 ) 968-1617 camACTORSMNlmc16458 BOLSA CHICA ST COMMENTS : REROOF 2500SF RESIDENCE W/COMP, SMOKE DETECTORS REQ PER 94UBC ADOREs&HUNTINGTON BEACH CA uCNo.: 514239 'K'*+A********************************************************+('* ***************** 92649 or 147 ZON ING REQUIREMENTS S /IOKE QETECTOI LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I em licensed under provides of Chapter 9 SETBACKS (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. [B '.M - CITY LIG.NO.:057131 uc.cuss:C 39 uc.No.: 1 239 EXP: 11 /94 MAIN BUILDING ACCESSORY BUI Eja FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN oats: /lir--Z /—/tr Comraa«: /Le C LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I am exempt fro a CaNreclaa License Law for the Meowing reason(Section 7031.5 Business and Professions Code:Any city or county whichrequi a panne to construct alter,Improve, PARKING REQ: PROV: PARCEL : 43918120 ZNE: REF NO: demolish,or repair any structure,prior to is issuance,also requires the applicant for such permit o file a signed statement Met he or she PLANNING NOTES> S licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 d the Business end Professions Codej or that he or end is exempt therefrom and the basis for the alleged exemption.My violation of Section '> 7031.5 by any applicant fore permit subjects the applicant to a dad penalty of not more then five hundred dollen[S5001). 4E*1E*lE*1E***1E***if***1E1F**irk*******if**if if*****if**************lE******************lF**** ❑ Lore owner dlhe poperlyor my employees with wages eethai side ashpenselion,wig iso the work.and the eauduraenor imandee DEVELOPMENT SERVICES OEQUIREMENTS • or offered for sae(Section 7044.Business and Professions Cade:The Contractors License Law does not apply loanOwner d properly who bolds a improves thereon, wisuch and o does work Finset(or herself or Sough his or her own employees,provided that such 0 improvements are not intended or offered for sale.5,however,the building or inpeaaneni S sold within one year of completion,the ZONING APPROVED BY DATE: ee owrbuiker will have the burden of proving he or she did not build or improve for the purpose of sale). — ❑ I,as owner of the property,am exdusWely contracting with keened contractors to construct the project(Section 7044,Business and BUILDING APPROVED BY : DATE: Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves(hereon end who contracts for such poleds with a montrador(s)licensed pursuant to the Contractors License Lew). I�d p o i am exempt under Section: B.A P.C.,for this reason: APPLICATION ISSUED BY: DATE: '.0 —2.1 —q4 *+t********************************************** **************+t************** One: Owner. LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y I do hereby certify that I em aware of and understand the requirements of Calloda Health end Safely Code Sections 25505,25533,and 25534,and that)or any Mure building occupant will/wit not(circle are)needle comply with said mate codes and the requirements ler BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES ' GRADING a Anna for construction or modification from the Al Quakyy anagement District.ResiwSI mntmdion applications are exempt from these PERMIT 112 . 25 . 55 provisions. Date: Applicant: S M I P/NON-RES PLAN ' WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following dederations: ISSUE FEE ❑ I have end wil maintain a can't kale ol consent lo self-insure for workers'compensation,as provided for by Section 3700 of the Labor BUILD ING-DIv-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code for the performance dthe work for wNahthis permit eissued. TOTALS----> 112 . 80 0 . 00 0 . 00 112 . 80 112 . 80 . 00 ❑ I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance d the work for w1ids this permit aced.My workers'compensainsurancewrierion insurance wrier policy number are: Carrier REVENUE DIVISION TOTALS--> COLLECTED : 112 . 80 OVER/SHORT: . 00 Pricy Number BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This seders need not be completed y the pima is for one hundred dollars MOO)or leas.) 112 . 25 . 55 ❑ I certify Mat in the performance of the work to which thin permit is issued,I.hall not employ any Penal n any manner so as to become subject totha workers'compensation lewsof Catania,and ree than t should subject to the waded' ****************-*****K***************************it***********If-***************** compensation provisions of Section 3700 of'he Labor Code,I shall 1 h dv with those INDIVIDUAL F E E BREAKDOWN 1\ Dale: tZ2 L/-tr Applicant: if G ;$1..•' WamMg:Failure to secure workwi conpenastlon coverage is unlawM,and shall sb/ectr to cdmnetpenalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil linea up ro one hundred thousand dollars($104000),M addltlon to the coat o/rompamages as provided ler In Section 3706 of the Labor Code,Interest,and allomey'•fees. SFR 5500 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 5, 500 , 00 • CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that(here S a constnWion lending agency for the END OF FEES performance of the work for which the permit is issued(Section 3097,Ci,.C). LENDER'S NAME: q LENDER'S ADDRESS: I certify that I have this application and state that the above information S corned.I agree to comply with all ally and counyadinancae and state laws to building construction and hereby eunhor representatives of the oily to enter upon the above-mentioned property for Inspect c o,r O' 0100217522-00217523 TOT 112.80 \1 "A ) DATE: 10/21/95 TIKE: 10:09 /' P Name 1� �" Signature of Owner/Agent/ PLcantiConlredor Date/O."'Z/--z (5151-46.WP) White-Building A Sat :Green-File Canary-Appicem:Pink-Revenue: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 I . 2. Soil Pipe-Uridrgrnd, 53. Steel Reinforcement i Q Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. ' 55. Electrical Bonding 1 • 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, 0 Undrgrnd, 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap _ I - 63. Heater & Vent-Final 13. Roof Drains - 64. Plumbing System - Final I 14. Rough Plumbing ' 65. Electrical-Final • ;, 15. Rough Electrical-Conduit 66. Solar System-Final . 1 16. Rough Electric Wiring67. Fencing & Access Approval 17. Rough Wiring Sign - - 68. APPROVED FOR PLASTERING 18, Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ev- 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. Undergrhd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing /OZtii I - - 74.-Overhead Hydro 26. .T-Bar Ceiling (Structural) & Monocoat - • 75. Dry Chemical - 27. Frame and Flashing76. Dry Standpipe . 28. Lathing & Siding 77, FIXED SYSTEM FINAL C.`, 29. Insulation 78. FIRE PREY. FINAL - 30. Drywall Nailing - -HEALTH DEPT:REQUIREMENT 31. Plaster Brown Coat ' . ,- ., 79. FINAL INSPECT-ION - _ 32. Electrical Power Meter-Final 4 ' ' 80-. FOOD CERTIFICATE ISSUED E. , _ 33. Final EItric . ' Notes: _ P 34. Final Heating& Air Conditioning •p(./1/ego- COD .y(/\ 35. Final Gas Pipe-Test - U 36. Hood or Canopy S - - • 37. Final Factory Fireplace -- 38. Final Plumbing - 39. Water Service-Final C: 40. Gas Ser4e-Final - - -, . - . 41, Solar Domestic-Final ' • .. - 42. Backflow Preventer - - 43. Backflow Irrigation - - - - • 44. Landscape Irrigation System - rt - - 45, Sound Attenuation - 46. Handicap Regulations • / fi' 47. FINAL STRUCTURE & BUILDING /e4©4 48. FINAL PLANNING .'-,. ///7771 49. Electric Release to Edison • .. 50. Gas Release to Souther)California Gas Co - ' 51. CERTIFICATE OF CIO€UPANCY 4 - - - jNo. te I, ; • n372 J6 E 1 EC .IVED COSTA MESA BUILDING-SAFETY DEPARTMENT picot3 C I1 9 . FINNANAN CE DEPT. P. O. BOX 917 COSTA MESA. CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT fes/ BUILDING BUILD I NO �//& S4J�nry$.. rhe. y f� ADDRESS O� /F170 COSTA MESA. CALIFORNIA For Office Use Only /,J // L/p _ // I RECEIPT NO. P1RATTS72 OWNER .(LIT- /�"r�yJ/I�y_ ��VV(( �/ MAIL 3 l / REC81V�p pY I DpT6IVED^, D f I� D�� ADDRESS /�,93/]� G _ G in GSC/—^ '} {/Oq G/_/ IX N/'/ lEG CITY (i // / NE Oai ADD EISS 0 /c ' 4--K---PC-1,1-44 ��' ARCHITECT TEL. OR ENGINEER Ir.__ COSTA MESA. CALIFORNIA/ ADDRESS - FIRE (///���`///111,` (�//, ZOPR �E GROUP-JR/7 CONTRACTOR / «+' APPROVED BY DATE ADDRESS Sainte. ZONING ZONE NO.OF USE OF NEW S tt- 77.L.� CITY ,R �1 (y R�2_I PLANE Z BUI ILLDING 4/4-zr LIC.NO. i/1 �l C' /�/t) NO. \ DESCRIPTION ‘ 77s, 71 v 6, 7 SIZE // q(� I NO. OF BLOTE.D OF LOT Y NOW ON LOT �'- A.P.NO. USE OF YARDS EVES EXISTING BLDG. APPROVED ALLOWED SETBACK LINE FROM �• (CENTER LINE ST.) �� CENTER OF STREET `J / REAR YARD FRONT -.4-(CENTER FT. IN. SIDE YARD I LEFT I RIGHT R.SIDE / 3 f FT. IN. DESCRIPTION OF WORK L.SIDE 3FT. N. NEW I)CJI ALTERATION I V ADDITION I REAR /y 1 FT. IN. REPAIR I II MOVING I V DEMOLISH I BYPROVED ,-JeJ DATE �// 6, BUILDING NO. OF �I G,. L6 / SIZE rS/7-t 51 ROOMS CO STORIES / EXTERIOR WALL I ROOF ,. /// COVERING - COVERING VC//. USE OF BUILDING AND WORK TO BE PER ORMED .i"4i tecit & ggth-la ._/37Sa/— 96.-/ O/ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONBTRUG?}ON.� n� VALUATION G SIGNATURE OF �44A //f`y PERMIT FEE $ el �// PERMI7TEP 11 ///7/2 J 7 — $ L/jJ PLAN CHECK $ �G-'1 `w 4 AUTHORIZED TOTAL FEE $ 72 — O 4