HomeMy WebLinkAbout309 & 311 N Main St - URM ReportUn-Reinforced Masonry (U RM
REPORT)
FOR
309 & 311 N Main St
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309 N M6 r.n St
-,? i Lot
BlocL'o
Osocr Odd Fellovrs Ha11
"",...,.11!GH RlsKv'I"'ti"" ' r 1OO
BMITTEDA l tar.ati 4 :'eoa iKind o, BuildiD8
Lc7lt D.r! October, L.JZJ
Buildits P.rE it No
Ptuabing Pcrmit No
Guvrlu.tioD 5
Wi.i.a Coott..torElcctlic Pctmit |lo.
Fi:tur6 ContlrcrotFir!ur. e.!mit No
C:rcuit.Outlctr
I ons
#.--1..-11;;-.1t,, i:.'..Saooju.'- $::o- ot
$zoo.oti200 .0(
or ieckett r s tsea.SbQr
e1Ll-2oa4h2-2A ?E!PegIv
+!1?i'o' J-2o-2)
-ALte=#r;1;lo Jan. 51,1930 st
+t".,=+ lc t,a. iY-51 --.e9a'izjaaz ;Jlrif a c- l'1ac5
atloas
eel c anopy-
1rs
ai'Ia::e 11 ectrj.c I
iierch 14,1e31 #L746s a:::3;;"E:;.;13:: !: saie =*nil5oo.
lO!1. N.i,ialn -#::S\97 Apr.2a,llJJ Inst' steeL si3lr'7ay $i5C'
,r ;iOZ+g --'..: ; . -'r , i95O -1-f tera:lons ;15O'
))') i. -ei!! rzCaa: iTc;'il ,l-lJ5 ALtei"::':::s 3'-:o
| #29125 Nov.1/,t9+5 9 ad.d.out1 ets,8 f1x. for" ' B. Eoffuan by MacFarlane El-ectrlc Co.
| *1722 ilov.9,1?48 6 aotors, 3 hp by )iacFariane E:'ectrlc
##i-flcL,rB4 !B -rEeooG * *'o" o ffi ors ( 3Wi.l?5?2 ittrv 29,1932 Reloof for'Ord'er of
{i4217;rt';:2i,i1*i'tr?,i:i'?}}!:E.B:i:'.;'ll#?'i$ii#f;,s+ijbi W 3t;t946 Reroor ror !'0''l'P' bv
I
fla I n -st
I
I a,1-"'-'- -=-"'-
Bur. L1c. 5-22-O Rortrrrslt-I{er Chlna C8fo(.I-I-3N Et{o)
Bus. Llc. 9-..G69 Rest.-Ner Chlna Cafe(I.F2-3N-ENC)
PLbg,.'#24602 Tt3-?O V/H Av Russell P1bg.
Bus.- Lic. L1--L-?1 restaurant Win King Restaurant (l-F2-IIIN Enc)
Elect.vA9526 IO-g-95 service meter
Plbg. 19304 2l2l91 fLxt' clo 7
BIdg. 68038 7/25/91 Sldewalk re-construction $81'665
Bus c/0 11-6-91 La Azteca Furnjture (82, III-N-sPK)(#100)
3J.ec. L2-).9-91. Rel.esed-Fuse Up
El.ec. 3-3-92 Re-rel.eased rneEer at. 3O9 N. !,tain ( B-2 )
prN
I
I
Itt
:-t-.*--_
1gtl 'bt MacFarL265 Dec.3O e ct. s tane ( 3 o9t)
f?54O J1uI!e 261195? 1 flx.for otld Fe1lore Ea1l by RuiJe€U
'#4uzu Lz-3L-63 38 flxturer bv Jardo E1ect. (:osl)
Bu's. Llc. 9-13-63 Barber shop-Pradore(t-tz-3 Ex. lio)
BL6,g.'$l42Ol 2-9-67 SIgn on Blitg.for odd. Fellows by WalkerSlg"I Co. ,$20C- (S.H.Enc.Permlt #D-6?-?)- CCir)
Ercct.'#Lz4t4 2-9-5? slgn by warker slgn Co. (3olt)
Elect. '#L5524 6-1L68 4 outs, 6 rlx by ganta Ana Elcot.
B1dg.'#19784 12-3-68_Convert store to mlsslca ceBter by
zoddfellows - $3,500 - (109) -vorl.- L-29-?o
BIdg.r#18980 2-L'7 -A3 tenE). cover bf glazed area.
B-PC 5439 2-18-83 M-78 7 3
E ?/C 2702 7-13-83 Pd $344.75 M-9401
H PlC 2830 7-13-83 Pd $12s.s0 M-9401
P P/C 2865-P 8-1-83 Pd $127.00 M-9612
B-P/c 6153 5-25-94 M-l2gg6 site pLan review
*W - TZ5r5 g -7'27'a1 --hist-ortcat-&-sei'tlri'e-rehaFhjrth-Fis']etG-tr)
-BIdq--FZ5JSg--7=27=E4--ged Expired 8- 18-86
Address 309 No, Main Street I
Unit#
-l
Remarks
i4eeh-'€oi?PrcaseD-:* g- e- €eo4.j:ag-l -danPe!'"- f€:a.- --
Expired 8- L8-86
C M- 24087
-i1te.-la-r-t civle$
esti:i.an otecLioir
historicaL & seismic ren;-:
.1e1. l.:sr]( -t:iJJ.)csea )ol.a
DaleFPermtl +
.a-3J44---1124€ts---.
'F=17=nZ---t'1f, <q'--'
9-19-867300
'--;i -;7
-1-20-87ac.1o)
/
a-)A-21./ qlic
4-?c,a\71 346tt/
5-l t',-37
-3c:,-i:494 U!2t3229
,]
3-25-873988i
F DalePermil #
6-26-87,,.1t712
'-23-87{,'I 997
8-14-87t/14605
8-20-87r'7861
9-14-875 506
9- t 6-875843
9-22-87v5078
l0-12-872978
'! 0- 30-8715678r'I 5900 I I -30-87
12-11-872793
12=30-8745054
I - 12-88281I
z-B-88
1
ActivitY Remarks
.t,r a you
El ec
Mech com res 16, vent fan 4 fan coi 1 ,d m er
E-P c r429875
rec sw'l 'lx , serv me ,swEl ec
Ptb fi
El ec fire si s stem l9
F-P/c M01 026 trust
Bldg.install spri-nklers underground
F-P/C 1296 trus t
1d .i. lst fl corr 540 s f
Addross ?nq N I Unit t
--
Rgmaats
'l ec
tsid fire sprinklers
30 day temp. elec.
El.ec.Rel.eased-3O daY EemP -
o.K. for occu t
B1d sta
Dat6Pennrt ,
2-2s-88t7322 _
3-9 - 8808905
4-07 - 88M-0306L
4-20-8841096
6- 20-88M-039 35
8-l l.-88
0c- l 5-88l/196,39
7
9-1.5-88
09-21-8850666
-Jl?l9s-----7r4?-----FP H-+
e
see SEe. 15
c
45626
Actrvity R6marks
Mech.t
Mlsc.0da t
E1ec.aP
a emen
Elec.l0 rec, 10 swl, 20 flxts,APP .
Ye ch.5 air hndl (BaseEent "A & B")
Bus C/0 uranoo Accessori es & Records B2 III.N
Lobby enc)
Bldg.Sidewalk re-construcEion $81 ,666
Bus C 0 llovedades f 1or l'laYo (B2 III-N) VOIDED
DateFPermrt f,
6 / 12190L4577
7-25-90 (l10 rec, l0 swi, 20 fixts,slLO/90
M13449
26L20t/
8l t0 /90t/26L21
to /L6 19015045
6- 11-91
68038
t0/7 /92
7 l2s l9L
Addrs6s 309 North Main Streel
ActMty R6marks
Bus C/Bullet Process Servers (82, III-N SPK)
E I?lFPormil ,
GEEAIIIII
TIIIIIIII
II
r@I
I
r
II
unit#
--100----J
Addr€3s U1[x 108
Aclivity Romarks
Bus C/0 Im renta Mul ti co'lor 6Z III-N enc off
Pormit,Dat6F
6 -30-92IIIIIIIIIIIt
II
I III
I
II
309 North tt'la i n Street
I
Addrqss 309 North l'la'in St reet Unit I 150
Acth,ity Remarks
Bld non-bearin partltion s
E-P/C -lFlI641 cancel 8- 10-90
P-P IC exp. 5 /91
Elee .re 4 2
EEItrFPermil il
4-6-8954165
2lt3/90
-z/-"zlee-.69lr----
1-?-OnL\42---.
8 /10 /902 5118
II
@
II
IIII
50104
--- I
Address 309 No. lbin Street Unat #
Activily Rgmarks
Bus or Dance Studio A-2.I III I HR
Bus C/0 Eor Dance Scudio (A-2.I III thr.)
Released-Fuse Up
Bus C o Clean Scene - Void' canceled
DateFP6rmil #
10-I8-88
I I -4-88
7 -19-89
7-27-90
11-3-93
IIII
rI
I-I
I250
l-r-E
Add.ess 309 No. Main street Unitt
ActMty
Bus C/0 Hal Butts & As soc.82, III-N ENC off i c:
IdIIE FlomaAsF
r 2-9-88
72-t7 -91
@rIIIIIIII
II
I
I
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ll
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II
,
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)io:'tb Maln St -
..-'_,.-
r.eru"o 5l-1
6I-ot
o Blocl 10
"rn of ir^ 4-^P9_2!.4--Orner F. E. ll11 e s Tracr D
s 150.CoEtr!ctor
Krad ot Butllirq Stor"e a r-el ao ; 'aD:^..h.i
Euildilr PcrEit No.Drt6 .::ri-l 21, 1919
Perurit No.
Vduattou 3 Cirr
Electric Pcroil
occ.#EBTflITTED
Flrrur.' Cootractor
t)r t let.Cirauits Fixrureg
A;ilo Ju.ne il. ,i92c -ddie cirs-.:rv'I:rt. .41-teratl
c;-=oni &
,.:: --;- *- -+*.r.-store 'v1nd.or{s 1125.
*soo 'L95i2 -\uA -L4,t9JI! Ar teratlons
zgotz g-iz-lt5 9 L{otors J E'?'2 ile ater s b;r Grln e s
#v\7 tutT !7,aeb6 #":*."ii.jitl"::1"3:;llio:'
?a-t ..t16oo
#21e1 uat.I1 ,1947 1 flx. by Paclflc Plnb' co' $250'
I
I
a
-t.- . .,r11- ''- --':'"v
Locrtioa 1 N. llaln St-Blocl
Pennant Cafe
5 2000
Kiad of Buildiog f,
'1 I I7?D
--^^:ral. !C)L. r!//
Building
Ptuobins
Car
El.€tric P.mit No'Wi'irs CoDtrtctor
Fixiu!. Contr.crorFirtur.
CircuittOurl.t.
tr'il j&tdr ort.L5,199 0- Re on Lt 0'ria]-ker, oxrnr.6 aotore(ta/4aP
#2328 Dec.l ,L95o 89 outg;80f1:;12.clrcult
?Eotors)2 rangesi-5bp,Z-lbP,l-?*bp, I-zhp )6
for l,Ia1ker & Sa &Ler bY Gllbert &
Porver Serrylce; 2 toasters.
#819 Jan. 5,L95Li 6 rtx' for Coff ee ca'tdy bv J'Fug6el'1 $1200
"t\'";l,r Juli'13,1953 Neon slsn for coffee Cad'dl brrGel"i;ll
#1455 cprl'L 2L,1955 I flx'for Coffee Cadd'y by J'RusBeIl $50'iJ:iao :-:S-(}+ stgn ?:':.:3 :i13'ior' lcf :ee 3ad'v Cafe bv
*son i!3s!tt'sr-j,i, ni'8"r:".t" bv !::e v'ct'z co'
1<<j'1 !-?l-64 'f /- b; Russell ?lbg..
:r..fi.. 3-fu-Ar :aje"e ria-Co i iee )zcdy (I-i2-V)
Bus. 'Ic. L-28-66 Reataurant-Coffec cadQf(I-B3-v Ex' Nc)
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Crank Brothers Roofing
Irvine, CA
Re: 309 N Main Street, Santa Ana, CA
To whom it may concern.
Carlisle Sure-Weld 60 Mil TPO mechanically fastened roofing system is eligible for a 20 yr total
system warranty when instilled over llayer ofan existing built up roofwith a 15/32 or thicker
ply.wood deck.
lf you have any questions please feel free to contact me at I l0-710-3896.
Thank you,
Jeremy Roberts
Socal Sales Representative
Carlisle Syntec
Cool Roof Rating Counc il Page I ol I
Rated Products Directory: Search Results ( ne\n search I
(last updalod 3 Dec 201, 02 14 CST )
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http://www.coolroofs.org/products/results.php?printv iew= l&maxList=25&pageStart= I &c... l2/8/2011
www.icc-es.orq | (800) 423-6587 | (562) 699-0543 A Subsidiary of the lnternational Code Councilo)
8lttilf]uAlt,N Most Widely Accepted and Trusted
ICC-ES Evaluation Report
ICC.ES/UL
Dual Report
ESR-1463*
Reissued August 1, 2012
This repoft is subject to renewal October 1 , 2014.Click on lhe lqo to accoss UL Cedification
DIVISION: 07 00 00-THERMAL AND MOISTURE
PROTECTION
Section: 07 53 23-Ethylene-Propylene-Diene-Monomer
Roofing
Section: 07 54 '19-Polyvinyl-Chloride Roofing
Section: 07 54 23-Thermoplastic-Polyolsfin Roofing
REPORT HOLDER
EVALUATION SUBJECT:
CARLISLE EPDM, PVC ANO TPO SINGLE-PLY ROOFING
MEMBRANES
ADOITIONAL LISTEES:
VERSICO
POST OFFTCE BOX 1289
CARLISLE, PA 17013
(800) 992-7663
MULE.HIDE PROOUCTS COMPANY, INC.
I195 PRINCE HALL ORIVE
BELOIT, WISCONSIN 5351,I
(800) 786-1,r92
WEATHERBOND
POST OFFTCE BOX 251
PLAINFIELD, PENNSYLVANIA I7O8I
(866) 471-5r25
KELLY COMPANY/2001 INC.
325 THOMASTON AVENUE
WATERBURY, CONNECTICUT 06702
(203) 575-9220
1.0 EVALUATION SCOPE
Compliance with the followlng codes:
. 2OOg tnternationat Buitding Code@ llBC)
. 2OOg lnlernational Residenria/ Code@ (tRC)
r Other Codes (see Section 8.0)
Proportie3 evaluated:
t Weather resistance
I Roof covering fire classification
r Wind uplift resistance
r lmpact resistance
2.0 usEs
Carlisle ethylene propylene diene monomer (EPDM).
polyvinyl chloride (PVC) and thermoplastic polyolefin
(TPO) singlq.ply rooflng membranes are used as roof
mverings in adhered and mechanically fastened
membrane rooling systems.
3.0 DESCRIPTION
3.1 General:
The EPDM, PVC and TPO Membrane Roofing Systems
described in this report mnsist of single-ply roofing
membranes, insulation where used. barrier board or slip
sheet where used, flashing, mechanical fasteners and
adhesives that are installed on a combustible or
noncombustible deck. See Table 1 for Carlisle product
trade names and corresponding product names for
Mule-Hide Products Company, lnc., WeatherElond, Versico
and Kelly Company/2001 lnc., the additional listees.
3.2 EPDM Membranes:
3.2.1 Suro-Seal: Sure-Seal is a black. nonreinforced
EPDM membrane, 45 mils thick [0.045 inch (1.14 mm)].
3.2.2 Sure-Seal FR: Sure-Seal FR is a black,
nonreinforced EPDM membrane with fire retardants.
Available thicknesses range from 45 mils (0.045 inch
[1.'14 mm]) to 90 mils (0.090 inch [2.29 mm]).
3.2.3 Sura-White: Sure-White is a white, nonreinforced
EPDM membrane. lt is available in thicknesses of 60 mils
[0.060 inch (1.52 mm)] and 90 mils [0.090 inch (2.29 mm)].
3.2.4 Sure-Tough: Sure-Tough is a black, reinforced
membrane consisting of a polyester reinforcement
encapsulated between two EPDM membrane plies. lt is
available in thicknesses ranging from 45 mils [0.045 inch
(1.14 mm)l to 75 mils [0.075 inch ('1.90 mm)].
3.2.5 Sure-Tough FR: Sure-Tough FR is a black,
reinforced membrane consisting of a polyester
reinforcement encapsulated between two EPDM
membrane plies with fire retardants. Available thicknesses
are 45 mils [0.045 inch (1.14 mm)] and 60 mils 10.060 inch
(1.52 mm)1.
3.2.6 Sure-Soal Flsec€BACK: Sure.Seal FIeeceBACK is
a 4smil to 90-mil [0.045 inch to 0.090 inch (1 .14 mm to
2.29 mm)l non-reinforced EPDM bonded to a s.s-ounce-
'Rovised Soptember 2013
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CARLISLE SYNTEC
PO BOX 7000
CARLISLE, PENNSYLVANIA 17013
(7 171 24s-7000
www.carlisle-sYntec.com
per-square-yard (0.18 kg/m'?) polyester fleece. Available
product thicknesses range from 100 mils [0.'100 inch
(2.55 mm)l to 145 mils [0.145 inch (3.68 mm)].
3.2.7 Sur€-White FleeceBACK: Sur+white Fleec€8ACK
as a 45-, 60- or 90-mil [0.045, 0.060 or 0.090 inch (1.14,
1.52 ot 2.29 mm)l nonreinforced white EPDM bonded to a
5.5-ounce-per-square-yard (0.18 kg/m2) polyester fleece.
Available product thicknesses are 100, 115 and 145 mils
[0.100, 0.1 15 or 0.145 inch (2.54, 2.92 or 3.68 mm)].
3.2.8 Sure-Seal AFX: Sure-Seal AFx is a 45-mil
[0.045 inch (1.14 mm) or 60-mil [0.060 inch (1.52 mm)]
non-reinforced EPDM bonded to a 7.5-ounce-per-square-
yard (0.25 kg/m2) polyester fleece. Available thicknesses
are 90 mils [0.090 inch (2.29 mm)] and 105 mils
[0.'105 inch (2.67 mm)].
3.3 PVC Membranes:
3.3.'l Suro-Flsx and Sure-Flex KEE: Sure-Flex and
Sure-Flex KEE are membranes consisting of a polyester
reinforcement encapsulated between two plies of
PVC. The membrane is available in white, gray, tan and
custom colo.s. Available thicknesses range from 50 mils
[0.050 inch (1.27 mm)] to 80 mils [0.080 inch (2.03 mm)].
3.3.2 Sure-Flex FRS; Sure-Flex FRS membrane
consists of a liberglass reinforcement encapsulated
between two plies of PVC. The membrane is available in
white, gray and custom colors. Available thicknesses range
from 50 mils [0.050 inch (1.27 mm) to 80 mils [0.080 inch
(2.03 mm)1.
3.3.3 Sure-Flex FleeceBACK: Sure-Flex FleeceBACK
is the Sure-Flex membrane. described in Sections 3.3.1
and 3.3.2, with a laminated 5.s-ounce-per-square-yard
(0.18 kg/m'?) polyester fleece backing. Available
thicknesses range from 105 mils [0.105 inch (2.67 mm)] to
135 mils (0.135 inch (3.43 mm)].
3.4 TPO Membranes:
3.4.'l Sure-Wsld: Sure-Weld membrane consists of a
polyester reinforcement encapsulated between two plies of
TPO. The membrane is available in white, gray, tan and
custom colors. Available thicknesses range from 45 mils
[0.045 inch (1.14 mm)] to 80 mils [0.080 inch (2.03 mm)].
3.4.2 Sure-Weld HS: Sure-Weld HS is the Sure-weld
membrane formulated with an additional flame retardant
for fire resistance at higher slopes. The membrane is
avaiiable in white, gray, tan and custom colors. Available
thicknesses are 45 mils (0.045 inch [1.'14 mm]) and 60 mils
(0.060 inch [1.52 mm]).
3.4.3 SAT-TPO: SAT-TPO is a self-adhered version of
the Sure-Weld HS membrane with adhesrve
3.4.4 Surs-Weld FleecoBACK: Sure-Weld FleeceBACK
is the Sure-weld HS membrane, 45 mils [0.045 inch
(1.14 mm)],60 mils [0.60 inch (1.52 mm)] and 80 mils
[0.60 rnch (2.03 mm)] thick,.wth a lamrnated s.s-ounce-
per-squareyard (0.18 kg/m') polyester fleece backing
Available thicknesses are 100 mils I0.100 inch (2.54 mm)1,
'115 mils [0.115 inch (2.92 mm)] and 135 mils [0.135 inch
(3.43 mm)1.
3.4.5 Sure-Weld AFX: Sur+Weld AFX is the SureWeld
HS membrane with a laminated l Gounce-per-square-
yard (0.34 kg/m2) polyester fleece backing. Available
thicknesses range from '120 mils [0.120 inch (3.05 mm)] to
155 mils [0.155 inch (3.94 mm)].
3.4.6 Spectro-Weld: Spectro-Weld is the Sure-Weld
membrane. described in Section 3.4.1. formulated with a
brighter white color. Available thicknesses are 60 mils
[0.060 inch (1.52 mm)] and 80 mils [0.080 inch (2.03 mm)].
3.4.7 Spoctre,Weld FleecaBACK: Spectro-Weld
FleeceBACK is the Speciro-weld membrane with a
laminated 5.5-ounce-per-square-yard (0.18 kg/m2)
polyester fleece backing. lt is 1'15 mils I0.'1'15 inch
(2.92 mm)l thick.
3.5 lnsulation:
See Tables 2 through 4 for insulations for use with specific
roofing systems. Foam plastic insulalion, where used, must
have a flame.spread index of not more than 75 when
tested at the maximum thickness intended for use in
accordance with ASTM E84.
3.6 Barrier Board:
Barrier board, where used, must be either minamumr/4-inch-thick (6.4 mm) G-P Gypsum Corporation
"DensDeck," mrnrmum /a-inch-thick (6.4 mm) Owens
Corning "Strataguard", minrmum. '/4rnchlhick (6.4 mm)
USG "Securock," or mrnrmum '/2rnch-thick (12.7 mm)
gypsum board. Barrier board must be UL-listed for roofing
applications or UL-classified gypsum board.
3.7 Slip Sheot:
The slip sheet, where used, must include Carlisle "FR
Base Sheet '1S or 2S,' Elk "Versashield Underlayment,"
Elk "Versashield FB-1S or FB-2S, or Atlas FR 10 or
FR 50,"
3.8 Flashing:
Flashing must be provided in accordance with IBC Section
1503.2 or IRC Section R903.2, as applacable. Where
flashing is of metal, the metal must be corrosion-resistant,
minimum No. 26 gage [0.019 inch (0.483 mm)] galvanized
steel.
3.9 Fastenors:
Fasteners, used to mechanically attach insulation and
membranes to the roof deck, must be corrosion-resistant,
and must be Carlisle fasteners, plates or fastening bars,
unless otherwise noted in this report. Refer to Table 4 for
spacing o, fasteners.
3.9.1 HP Fastoner: This is an epoxy-coated steel screw
used in combination with Carlisle's fastenang plates or bars
to mechaniczlly attach roofing insulation and membranes
to steel or wood substrate. Fastener length must be
selected to penetrate through the steel deck a minimum of
'la rnch (19 1 mm), and into the \.!ood deck a minimum of
1 inch (25.4 mm).
3.9.2 lnsulFast lnsulation Fastener: This is an epoxy-
coated steel screw used in combination with Carlisle's
insulation plates to mechanically attach rooflng insulation
to steel or wood substrates. Fastener length must be
selected to penetrate through the steel deck a mrnimum ofr/4 inch (19.'1 mm), or into the wood deck a mrnimum of
1 inch (25.4 mm).
3.9.3 HP Purlin Fastoner: This is an epoxy-coated steel
screw used in combination with Carlisle's fastening plates
or bars to mechanically attach roofing insulation and
membranes to structural steel members. Fastener length
must be selected to penetrate through the sleel member a
minimum of '/a inch (19 I mm.)
3.9.4 HD 14-10 Fastener: This is a heavy-duty, epoxy-
coated steel screw used in combination with Cadisle's
fastening plates or bars to mechanically attach roofing
insulation and membranes to concrete roof deck. Fastener
length must be selected to penetrate into the concrete
deck a minimum of 1 inch (25.4 mm).
3.9.5 CD-10 Fastener: The CD-10 is an epory-coated.
hammer-driven, nonthreaded fastener speciflcally
ESR-1463 I Most t/Videly Accepted and Trusted Page 2 ot l0
designed to be used with insulation and seam fastening
plates to secure membrane and insulation to structural
concrete. Fastener length must be selected to penetrate
into the concrete deck a minimum of 1 inch (25.4 mm).
3.9.6 Lite-Deck Fastener: The Lite-Deck Fastener is
used in conjunction with a specially designed 3-inch
(76.2 mm) Lite-Deck Metal Plate for insulation attachment
to gypsum, cementitious wood liber (Teclum IESR-11121),
and lightweight concrete decks. Fastener length must be
selected to penetrate into the deck a minimum of 2 inches
(50.8 mm).
3.9.7 GypTec Fasten€r: The GypTec Fastener is a
glass-filled nylon auger lastener designed for securing
mechanically attached membranes and insulation to
gypsum and cementitious wood fiber (Tectum
tnsulatton or substrate. lt has a coverage ,rate of
approximately 60 square feet per gallon (1 5 m'lL). The
adhesive is supplied in tgallon ('18.9 L) containers and
has a shelf life oI one year
3.10.2 Aqua Base 120: Aqua Base 120 is a high-strength.
water-based contact adhesive used to adhere EPDM. TPO
and PVC membranes to the insulation or substrate. lt has
a coverage rate ol approxrmately 120 square feet per
gallon (3 m'lL) The adhesrve is supplied in 5{allon
('18.9 L) containers and has a shelf life of one year.
3.10.3 Sure-Flex Low-VOC PVC Bonding Adhesives:
Sure-Flex Low VOC PVC Bonding Adhesives is high-
strength, solvent-based contact adhesives used to adhere
PVC membranes to an insulation or substrate. They have
a coverage rate of approximately 60 square feet per gallon
(1.5 m'lL). The adhesive is supplied in s{allon (189 L)
containers with a shelf life of one year
3.10.4 Sure-Weld Bondlng Adhosive: Sure-Weld
Bonding Adhesive is a high-strength, solvent-based
contact adhesive used to adhere TPO membranes to
an rnsulatron or substrate. lt has a coverage rate of
approximately 60 square feet per gallon (1.5 m'il). The
adhesive is supplied in s-gallon (18.9 L) containers with a
shelf life of one year.
3.10.5 Low vOC Bonding Adheslvo: Low VOC Bonding
Adhesive is a high-strength, solvent-based contact
adhesive used to adhere EPDM and TPO membranes to
an rnsulalron or substrate. lt has a coverage rate of
approximately 60 square feet per gallon (1.5 m'l L). The
adhesive is supplied in s-gallon ('18.9 L) containers with a
shell life of one year.
3.10.6 HydroBond PVC Watar.Basod Adhesive:
HydroBond PVC WaterBased Adhesive is a water-based.
wet lay-in, one-sided adhesive to be used to adhere Sure-
Flex PVC and PVC FleeceBACK membranes to an
insulation or substrate. lt has a coverage rate of
1OO square feet per gallon (2.5 rn2tL). The adhesive is
supplied in s-gallon 918.9 L) containers with a shelf life of
one year.
3.10.7 Low VOC Bonding Adhesive 1168: Low VOC
Bonding Adhesive '1168 is high-strength. solvent-based
contact adhesive used to adhere EPDM and TPO
membranes to an insulatron or substrale. lt has a coverage
rate of approxrmately 60 square feet per gallon ( 1.58 m'lL).
The adhesive is supplied in s-gallon (18.9 L) containers
with a shelf life of one year.
3.10.8 Solvont-Free EPDM Bonding Adhesive: Solven!
Free EPDM Bonding Adhesive is a high-strength, polymer-
based adhesive. This adhesive can be used to adhere all
Sure-Seal or Sure.White EPDM membranes as a one-
sided, wet lay-in adhesive lt has. a coverage rale of
100 square feet per gallon 12.5 m'lL). The adhesive is
supplied in s-gallon (18.9 L) containers with a shelf life of
six months
3.10.9 Cold Appliod Adhesive: Cold Applied Adhesive is
a solvent-free, asphalt-modified polyether adhesive. This
adhesive can be used with all Sure.Seal or Sure-Weld AFX
membranes as a one-sided, wet lay-in adhesive. lt has a
coverage rate of 67 square feet per gallon (1.6 m2ll1. The
adhesive is supplied in s-gallon ('18.9 L) containers with a
shelf life of one year.
3.10.10 FAST Adhesives: FAST 100, FAST 1001V,
FAST Adhesive Dual Cartridge, FAST Adhesive Box Sets,
Flexible FAST and FAST Bag-in-a-Box Adhesives are two-
component polyurethane adhesives used to adhere
FleeceBACK membranes and insulations to various
ESR.11 12
decks. Fastener length must be selected to penetrate into
the deck a minimum of 1.5 inches (38.1 mm).
3.9.8 HP Polymer S€am Plate: This is a 2-inch-diameter
(50 mm) polymer plate designed to be used with HP and
HD '14'10 fasteners to mechanically attach roofing
membranes to the roof deck.
3.9.9 Sure-Tite Fastener and ST Fastoning Bar: This is
a heavy-duty, epoxy-coated steel screw and bar used to
secure reinforced EPDM membranes to steel or wood
deck. The bar is '1 -inch-wide-by-o.040-inch-thick-by-
1o-fooFlong (25.4 mm by 1.'1 mm by 3.1 m) galvalume-
coated steel with prepunched holes 6 inches (150 mm)
on center.
3,9.10 HP-X Fastener: This is an epoxy-coated carbon
steel screw used in combination with the Piranha
Fastening Plate to mechanically attach TPO membranes to
steel or wood substrate. Fastener length must be selected
to penetrate th.ough the steel deck a minrmum of'/a 'nch(19.1 mm), and into the wood deck a minimum of 1 inch
(25.4 mm).
3.9.11 Plranha Faslening Plate: This is a 23ls-inch-
diameter galvalume-coated steel plate designed to be used
with HP-X fasteners to mechanically attach PVC and TPO
membranes to the roof deck.
3.9.12 HP-XTRA Fastener: This is an epoxy-coated
carbon steel screw used in combination with the Piranha
XTRA Fastening Plate to mechanically attach PVC and
TPO membranes to steel or wood substrate. Fastener
lenglh musl be selected to penetrate through the steel
deck a minrmum of '/a rnch ('19 1 mm) and rnto the wood
deck a minimum of '1 inch (25.4 mm).
3.9.13 Piranha XTRA Fastenlng Plate: This is a
23ls-inch4iameter galvalume.coated steel plate designed
to be used with HP-XTRA fasteners to mechanically attach
PVC and TPO membranes to the roof deck.
3.9.14 PVC Oval Barbod Plate: This is a 11/2-inch-by-
23la-inch (35 mm by 69.85 mm) Oval Barbed Plate
design€d to be used with HP-X Fasteners to mechanically
attach PVC membranes to the roof deck.
3.9.15 OllG lnc. RhinoBond Plate: The RhinoBond Plate
is a linch-diameter (76.2 mm), o.o2&inchlhick (0.7 mm)
galvalumecoated steel plate, coated with a prop.ietary
adhesive and used with the HP-X fastener to mechanically
attach PVC and TPO membranes to the roof deck. The
adhesive bonds the plate to the underside of the
membrane.
3.10 Adhosivos:
3.10.1 90-8-30A Bonding Adhesive: 90-8-30A Eonding
Adhesive is a high-strength, solvenFbased contact
adhesive used to adhere EPDM membranes to the
ESR-1463 I Most l/videly Acc€pted and Trusted Page 3 of 10
substrates. The adhesives have a coverage
^
rate of
approximately 100 square feet per gallon (2.5 m'iL). The
adhesives are supplied in 1s-gallon (56.7 L) and so{allon
(189 L) drums, box sets. and cartridge tubes and cylinders,
and have a shelf life of one year.
3.10.11 OlyBond 500 Adh€siver OlyBond 500 Spot Shot
and OlyBond 500 BA are two-component polyurethane
adhesives used to adhere insulations to various
substrates. The adhesrves have a coverage
"
rale of
approximately 100 square feet per gallon (2.5 m'lL). The
adhesives are supplied in cartridge tubes and box sets,
and have a shelf life of one year.
3.'l l lmpact Resistanco:
The EPDM, PVC, and TPO rooflng membranes described
in this report meet requirements for impact resistance in
IBC Section 1504.7, based on testing in accordance with
FM 4470.
4.0 INSTALLATION
4.1 Gonoral:
Installation of the EPDM, PVC, and TPO roofing
membranes described in this report must comply with the
applicable code, the manufacturer's published installation
instructions and this report. The manufacturer's published
installation instructions must be available at all times on
the jobsite during lnstallation.
The substrate to which the membrane is to be applied
must be clean, dry, and fr€e of frost, loose fasteners, and
other protrusions or contaminates that will interfere with the
adhesion or atlachment of the membrane or that will
puncture the membrane. All materials must be protected
against contact with incompatible materials. Where
gypsum board is used as barrier board in the roofing
assembly, weather protection must be provided to prevent
damage to the gypsum board prior to application of the
roofing membrane.
The slope of the roof on which the single.ply membranes
are installed must not be more than the maximum slope
indlcated for the particular assembly as listed in Tables 2
and 3.
Penetrations and terminations of the roof covering must
be flashed and made weather tight in accordance with the
requirements of the membrane manufacturer and the
applicable code.
4.2 Firo Classification:
4.2.1 New Constructlon: The adhered and mechanically
fastened EPDM. PVC. and TPO single-ply membrane
roofing systems, when installed in accordance with this
report. are Class A, B or C roof covering systems in
accordance with ASTM E108 or UL 790, as noted in
Tables 2 and 3.
4.2.2 Rerooting: The existing deck must be inspected to
verify that the structure to be reroofed is structurally sound
and adequate to support and secure the roofing
membrane. Prior to installation of new roof clverings,
inspeclion by and written approval from the code official
having jurisdiction must be required.
Class A, B or C roof covering systems may be installed
over existing classified roof covering systems under the
following conditions without additional roof classification
tests. provided the resulting classitication is the lower of
the new or existing rooflng classification:
r New uninsulated systems installed only over existing
uninsulated assemblies.
I New insulated systems installed over existrng
uninsulated systems only.
4.3 Wind R€sistance:
4.3.1 New Construction: The allowable wind uplift
pressures for the EPDM, PVC, and TPO rooflng
membranes as parts of rool assemblies are noted in
Tables 4 and 5.
Metal edge securement for roofing systems must be
designed in accordance with ANSUSPRI ES-1, complying
with IBC Section 1504.5. The edge securement for
mechanically attached membranes was tested ln
accordance with ANSVSPRI ES-1 Test RE-1, using
Carlisle SecurEdge 300 [0.050-inch (1.27 mm) 3003
aluminuml and Carlisle SecurEdge 3000 [0.040-inch
(1.02 mm) 3003 aluminuml fascia systems. The maximum
allowable load for Carlisle SecurEdge 300 is 234 plf
(348 kg/m). The maximum allowable load for Carlisle
SecurEdge 3000 is 200 p[ (298 kg/m).
4.3.2 Roroofing: Mechanically anchored systems may
be accepted based on the adequacy of anchors
penetrating through existing roof coverings into structural
substrates. Since the composition and/or condition of any
particular existing underlying material may vary widely,
reroofing with adhered systems is outside the scope of this
report.
5.0 coNorTtoNs oF usE
The single-ply EPDM, PVC, and TPO roofing membranes
described in this report comply with, or a.e suitable
alternatives to what is specified in, those codes listed in
Section 1.0 of this report. subject to the following
conditions:
5.1 lnstallation must comply with the applicable code, the
manufacturer's published installation inst.uctions and
this report. The instructions within this report must
govern iI there are any conflicts between the
manufacturer's installation instructions and this report.
5.2 The adhered and mechanically fastened single-ply
membrane roofing systems must be installed by
professional roofing contraclors who are trained and
approved by the manufacturer.
5.3 Foam plastic insulation must be separated from the
interio. of the building by an approved thermal barrier
in accordance with IBC Section 2603.4.1.5 or IRC
Section R314.4, as applicable.
5.4 Foam plastic insulation, where used. must bear the
label of an approved agency indicating that the foam
plastic has a flame-spread index of not more than 75
when tested at the maximum thickness intended for
use in accordance with ASTM E84, subject to the
approval of the code official.
5.5 Design wind uplift pressure on any roof area,
including edge and corner zones, must not exceed
the allowable wind uplift pressure for the system
installed in that particular area. Refer to allowable
wind uplift pressures for systems as listed in Table 4.
5.6 The allowable wind uplift pressures listed in Table 4
are for the roof covering system only. The deck and
framing to which the system is attached must be
designed for the applicable components and cladding
wind loads in accordance with the applicable code.
5.7 When application is over existing roofs,
documentation of the wind-uplift resistance of the
composite roof construclion must be submitted to the
code oflicial for approval at the time of permit
application.
ESR-1463 I Most lMdely Accepted and Trusted Page 4 of l0
ESR-1463 I Most Vyidely Accepted and Trusted Page 5 of l0
5.8 The roofing membranes are manufactured at Carlisle,
Pennsylvania; Greenville, lllinoist Tooele, Utah; and
Senatobia, Mississippi, under a quality control
program with inspections by UL LLC (AA-668).
5.9 For buildings under the lBC, above.d€ck thermal
insulation board must comply with the applicable
standards listed in Table 1508.2 of the lBC.
6.0 EVIDENCE SUBMITTED
Data in accordance with ICC-ES Acceptance Criteria
Ior Membrane Roof Covering Systems (AC75), dated
July 2010.
7,0 IDENTIFICATION
Each roll of the roofing membrane must bear a label noting
the product name, the manufacturer's name (Carlisle
SynTec) or the name of the additional listee, the
manufacturer's address or plant mde, the ICC-ES
evaluation report number (ESR-I463), and the name or
label of the inspection agency (UL LLC).
8.0 OTHER COOES
ln addition to the codes referenced in Section 1.0, the
products in this report were evaluated for compliance with
the requirements ol the following codes:
r BOCA@ Natbral Bu,7d,rg Codel1999 (BNBC)
r 1999 Standard Buldng Codeo (SBC)
. 1997 Uniform Buildrng CodeB (UBC)
For compliance under the above codes, see Sections 2
through 7 of this report, except revise the following
sections to read as follows:
3.8 Flashing:
Flashing must be provided in accordance with SBC
Section 1503.2, BNBC Section'1508.'1 and UBC Section
'1509, as applicable. Where flashing is of metal, the metal
must be corrosion-resistant, minimum No.26 gage
[0.019 inch (0.483 mm)] galvanized steel.
3.ll lmpact Resistanc,e:
The EPDM, PVC, and TPO roofing membranes
described in this report meet requirements for impact
resistance in BNBC Section 1505.4.2, and SBC Section
1504.6, based on testing in accordance with FM 4470.
4.3.'l New Construction: The allowable wind uplift
pressures for the EPDM, PVC, and TPO roofing
membranes as parts of roof assemblies are noted in
Tables 4 and 5.
5.0 coNDrTtoNs oF usE
The single-ply EPDM, PVC, and TPO roofing
membranes described in this report comply with, or are
suitable altematives to what is specified in, those codes
listed in Section 8.0 of this report, subject to the following
conditions:
See Sections 5.1 through 5.8, except revise Section
5.3 to read as follows:
5.3 Foam plastic insulation must be separated from the
interior of the building by an approved thermal barrier in
accordance with BNBC Section 2603.4.1.5, SBC Section
2603.5.1.5. and UBC Sections 2602.4 and 2602.5.3, as
applicable.
()ption I
c
Ilan*rrn ir Rootug Syu.tr
.r b Err. .l fl,c ErF{t!
S.. [1- Dtt.sr(y of Mcr{ Cfi6.d fa Cr.d.
&d ! L Rotios lfrr.n.lr !d sf\Err Dlttro.)
60P6
c us
tloh-c fa R,oottS Syrtco.
r. b Ecrl Frr Ego.rrt
: Drcray of hod.n Crrt6d lc ( nrdr
L Re&t ll.r.r!.lr al sy*ar Drcctcy
firlr11
FIGURE 1-INSPECTION AGENCY LABEL
Option I
ESR-'lil63 I Mosl ted and Trusted P e6of'10
TABLE 1--PROOUCT NAMES
CARLISLE PROOUCT
NAM E
MULE.HIOE PROOUCT
NAME
WEATHERBONO PROOUCT
NAME
VERSICO PRODUCT NAME KELLY CO./
2001 tNc.
PRODUCT NAME
Sure-Seal Mule'Hd€ Standard EPOM WealhorBond RBR EPDM Non-
reinforced M€mbrane
Versigard Non-rernforced
EPDM Membran6
Sure'Sea FR Mule-Hrde FR EPDM WealherBond RBR FR EPDM
Non-rcrnforc€d M6mbrane
VersiGard FR Nonrainforced
EPDM
C-EPOM.C
VerslFleece EPDM Membrane PREMIUM
Sure-Seal AFX V6rsiFleece AC EPDM
Sure-Tou9h Reinforced Mule'H de Standard
Re nforced EPOM
WeatherBond RBR Standard
Rernforced EPDM Membrane
V6rsrgard Rernlorced
EPDM Membrane
PREMIUM, C.EPOM.C,
STANDARD. C-EPOM,CR
Sure'Tough FR
R6rnforced
Mule-Hide FR Reinforced
EPOM
WeatherBond RBR FR
Reinforced EPOM Membrane
VelsiqardFR Reinforced C-EPDM-CR Type 1
Sure-Wh(e Mulo-Hid6 White{n-Bleck
EPOM
WoathorBond RBR Whit6 EPDM
Membrane
V€rsigard l.lonrsinforced EPOM PREMIUM, EPDM RF.
Sure-While
FleeceBACK
Mule'Hide TPO-c WeatherElond PRO TPO Versiweld R€inlorcod TPO R€rnforc€d TPO / White
TPO
Sur6'weld HS Mule-Hide TPO-C (FR)Versweld ES
SAT.TPO Mule-Hrde SA-TPO WeatherEond PRO PAS TPO Versiweld OA TPO
Sure Weld FleeceBACK Mulo-Hid6 TPO-c Fl6ece
Back
VersrFle6ce TPO M€mbrane
Mule-Hide TPO-C Floece
Back Plus
VersrFleece AC TPO
Speclro-Weld
Speclro-weld
FleeceBack
Sure-Flex Mul6'Hide PVC Membrane Wealher€lond PRO PVC VersiFlor Reinforced PVC
Membrane
Sure'Flex KEE VersrFler-E PVC Mambrana
Sure-Fiex FRS Mule-Hde FRS PVC VersiFlex FRS Roinforc€d PVC
M€mbrane
VersiFleece PVC Membrane
90-8-304 Bonding Mule-Hid€ Bonding Adh€srve WsatherBond RBR LC-50
Bonding Adh€sive
G200SA Yellow Substrate
Solvenl.Free EPDM
Bonding Adh€siv€
Solv€nt-Free EPDM Bonding
Adhesiv€
Solv6nt-Free EPDM Bonding
Adh€siw
Aqua Bas€ 120 Bonding
Adh6si!€
Mule-Hid6 WBBA-2000
Eondinq Adhesiv6
Aqua Bas€ 120 Eonding Aqua Bas€ 120 Bondrng
Sure-Weld Bondrng Mule-Hide TPO-c Eonding WeatherBond PRO TPO
Bondinq Adh€sive
Versiwsld Bonding Adheslve
Low VOC Bonding Mule-Hid€ Low VOC Bonding
Adh€siv€LOW VOC Bonding Adhosive LOW VOC Bonding Adhesrve
Low VOC Bonding
Adh€siv6 1168
Low VOC Bonding Adh6siv6
1 168
Low VOC gonding Adh6siv€
1 168
Sure-Fl6x Low VOC
PVC Bonding Adhesive
Mule-Hide Low VOC PVC
Bondrnq Adhesrv€
Weatho€ond Low VOC PVC
Eondrng Adhesive
VersiFlo( Low VOC PVC
Bonding Adh6sive
HydroBond PVC Water
Based Adhesiv€
HydroBond PVC Waler-Bas€d
Adh6sive
Hydro8ond PVC Wat€r-Bas€d
Adhesiv€
Cold Applaed Adhesve Cold Appli6d Adhesrve
FAST 100 Adhesrve Mule-Hrd€ SP-100 Adhosrve FAST 100 Adhesiv€
FAST 100 LV Adhesive Mul€-Hid6 SP-100-LT FAST 100 LV Adhesivo
OlyBond 500 Adhesive OlyBond 500 Adhesrve OlyBond 500 Adhesrve
PREMIUM C.EPDM.C
STANDARD
Sure-Seal Fle€ceBACK
Sure-Flex FleeceBack
2001 lnc. Eonding Adhesrve
ESR.i463 I Mosl Widely Accepted and Trusted Page 7 of 10
TABLE 2_FIRE CLASSIFICATION ASSEMBLIES-ADHERED ROOFING SYSTEMS.5
For Sl: 1 inch = 25 4 mm.
'All foam plastic insulatjon must b€ UL-classif€d foamed plastic for roofing systems. and must b€ limited to the maximum thiclness in
accordance with Sectron 5.4 of this rgport or the maximum thidnoss in accordanco with this table, whichever is less.
'See Soction 3.10 br adhesiv€ application rate.rUL Classifiod EPS may b€ installed below min 1-inch{hick Carlisle or Hunter Panels polyisocyanurate insulations (max slope 1 :12) or b€low
min. '/r-inctl-thick Carlislo Securshield HO or Hunter Panols H-Shield HD (max slop€ 2:12) on noncombustible decj(s.
'Carlisle Securshi6ld HD or Hunter Pan€ls H-Shield HD may replacs fiberboard and may bo used as a coverboard over any rnsula(on Wh€n
thes€ turo boards aro usod direcuy b€low the Sure-Wold membrane, tho slope is limited to max. '/r'12
\y'y'hon these systoms ar€ used fo. reroofing or recovering, installation must bg in accordance with Sections 4 2.2 and 5 7 of this roport, and
IBC Sectjon 1510, IRC Sodion R907. BNBC Section 1512, SBC Seclion 1510 or UBC Appendix to Chapter 15, as applicEble
SYSTEM
NO.
ROOF
CLASS
BARRIER BOARO
OR SLIP SHEET
INSULATION,MEMBRANE/MAX. ROOF SLOPE
1 Noncombustible
Any of the followng insulations,
f -inch min to Ginci max.
thiclness Cadisle "Securshield
Polyiso', 'Polyiso HP-H", Hunter
Panels "H-Shield'or
"H-Shield-CG"
Sure-weld, Spectro-Weld - i/.:12
Sure-S6al, Sure-Tough. Su.6-White, Sure-
S6al FleeceBACK, Sure-Weld HS, SAT-TPO
Sure-Weld FleeceBACK, Spoclro-wold
Fle€ceBACK - '/? 12
Sure-White FloocrBACK, Surc-Flex. Sure.
Flex FRS - 3/.:12
2 Noncombustible
'/r-inch-thick fi berboard','/?-inch-
thict fib€rboard'or barrier board
(see Section 3.6) over s-inch
max lnsulfoam EPSr, '/rrnch-
thick fiberboard or banior board
(s€e S€ctjon 3.6) over Systsm
No. 1 insulations
3
Noncombustible or
Combustible - min.
'5l3,-inch-thick
plywood or min.
'/,..incn-flick OS8.
Earrier board
(s€e Secton 3.6)
Sure-white Fleec€BACK-r/.: 1 2
Suro-Whito, Sure-Soal FleecoEACK - 1rl,:12
Sure-Tough, Suro-Weld, Spectro-Weld, Sure.
weld Fleoc€BACK, Specuo-weld
Fleec€BACK - 3:12
Sure-Weld HS. SAT-TPO - 4:12
Sure-Seal FR, Sure-Flex, Sure-Fl€x FRS -
unlimited slope
4
Combustible - min
'1r?-inctr-tfricr
, plywood or rnin.
'i,f,'nch-thick OSB
Barrier board
(s€6 Sec{on 3.6) or
Slip sh6et: 2 layers
(see Section 3.7)
Any of the tollowing insulations,
1-inch min.
to 6-inch max. thickness:
Cadisle "S€curshield Polyiso",
Polyiso HP-H",
Hunter Panels "H-Shield" or
"H-Shield-CG"
Sure-weld, Sp€ctro-w€ld -'l.: 1 2
Suro-Seal, Sure-Tough, Sure-White, Sure-
Seal FleeceBACK, Suro-Weld HS, SAT-TPO,
Sure.weld FleectBACK, Spectro-Weld
FleeceBACK - '/r:'12
Sure.white Floec€BACK, Sure-Flex, Sure-
Flex FRS -rl.:12
c
Combustible - min.
'5lr-inch{hick
. plywood or min.
'i,.rncJ|-thicr OSB
Any of the following insulations,
2jnch min to Ginch max.
thiclness: Carlisle'Pollso HP-
H" or Hunter Panels "H-Shield"
Sure.Weld, Spectro-weld, Sure-weld HS
SAT-TPO, Sure-Flex, Sure-Flex FRS -
unlimited slope
6 Combustible
Single layer of minimum 3 0" or
doLrbl€ layer of minimum 1.5"
Carlislo "Sec.urshield Polyiso" or
Hunter Pan€ls
"H-Shield-CG"
EPDM, PVC, and TPO Membranes -'l?:'12
7 I Combustible
Sin9l6 layer of minimum '1.9"
Cadislo "S€curshield Polyiso" or
Huntor Panels
"H-Shi€ld{G"
EPDM, PVC. and TPO Membranes -'lri12
DECK
Sure-White FloeceBACK-3/.i 1 2
Sur6-Seal, SurBTough - 1:12
Sure.White, Sure-Seal FleeceBACK, Sure
W6ld, Sp€clro-Weld, Sureweld HS, SAT-
TPO. Suro-weld FleeceBACK, Speclro-W€ld
Fle€ceBACK, Sure-Flex, Suro-Fl€x FRS -
111,:12
ESR-1463 I Most Widely Accepted and Trusled Page 8 of '10
TABLE 3_FIRE CLASSIFICATION ASSEMBLIES-MECHANICALLY FASTENED ROOFING SYSTEMS.
For Sl: 1 inch = 25 4 mm.
'All foam plastic insulation must be ULtlassifed foamed plastic for roofing systgms, and must be limited to ths maximum thickness in
ac&rdancr with S€ction 5.4 of this report or the maximum thicknoss in accordance with this table, whichever is less.
'zUL Classified EPS may b€ installod below min. l-inch-thick Carlisle or Hunt6r Panols polyisocyanurat€ ansulations (max slopel:12) or b€low
min. I/,-anch-thick Carlisle Securshiold HO or Hunter Panols H-Shield HO (max slope 2i12) on noncombustible docls.3oarlisle S€curshield HD or Huntor Pan6ls H-Shield HD may replace fiberboard and may be used as a coverboard over any insulation. When
thes€ t\ o boards are used directly below th€ Sure-weld mombrane, the slope is limited to r/rr'12.
'wh6n th€s€ systoms ar6 used for rercofng or rocovering, installation must be in accordancs with Soctions 4 2 2 and 5.7 of this report, and
l8C S€ction 1510. IRC S€dion R907, BNBC S€clion 1512, SBC Section 1510 or UBC Appendix to Chaptor 15. as applicabl€.
SYSTEM
NO.
ROOF
CLASS
OEC K BARRIER BOARO
OR SLIP SHEET
INSULATlONI MEMBRANE/MAX. ROOF
SLOPE
1 Noncombustible
Sure-Tough, Sure-Weld,
Speclro-Wsld, Sure-Flox, Suro-
Flox FRS -!/r.12
Sure-Wold HS - f i,i12
Sure-Tough FR - 2r'12
Noncombustible
,,-inch-thick fi b€rboardr, r/r-inch-thick
fiborboard'or barrior board (see Soclion 3.6)
ovor s-inch max Insulfoam EPS'?, 'r-inch{hick
frberboa.d or banier board {s€e Soclion 3 6)
ovgl System No. 1 insulations
Sure-Tough, Sure.Weld HS,
Sure-Flex. Sure-Flex FRS - 1:12
Sure-Weld, Spectro-Weld -
't'lr:12
Sure-Tough FR - 3'/?:12
3 Noncombustible To sinch max: lnsulfoam SP
Sure-W€ld, Spectro-Weld, Suro-
W6ld HS. Sure-Flex, Sure-Flex
FRS - l,:12
4
Noncombustible or
Combustible - min.
'1rr-inct-tnlct
plywood or min.
'/,-inch{hicl OSB.
Barrier board
(see Section 3.6)
Sure-Tough, Sure-w6ld,
Sp€c1ro-w6ld - 3:12
Suro-Tough FR - 3!/?:12
Sure-Weld HS, Sur6-Flex, Sure-
Flex FRS - unlimited
Combustiblo - min
'1rr-inch-thicl
. plywood or min.
'/,f,inch-thict OSB
Banier board
(see Section 3.6)
or Slip shoet: 2
layers, (soe Section
3.7)
Sure-Tough, Sure'Weld,
Spectro-Weld, Sur€-Flex, Sure-
Flex FRS - '/r:12
Sure-weld HS, 1'l,:'t2
Sure-Tough FR - 2:12
6
Combustible - min
'1rr-incl-tlict
- plywood or min
'/,f,inch-lhicl OSB
Slip sheet, 2 layers
(s6e Section 3.7)
7 B
Combustible - min
'1r,-incl-tllct
- plywood or min
'/6-inch-thicl OSB
Slip sheet, 'l layer
(see S€ction 3.7)
Sure-Tough, Sure-Tough FR,
Sure-Weld, Spectro-Weld,
Sure-Weld HS. Sure-Flex, Sure-
Flex FRS - 1'lr:12
c
Combustible - min
'1rr-inch-thict
- plywood or min
'/'.-inch-lhick OSB
Sure.Wold, Spectro-Weld,
Sure-Weld HS, Suro-Flex, Sure.
Fl6x FRS - unlimited
I Combustible
Singl€ layer of minimum &inch or double layer
of minimum 1.sinch Carlisl€
"Seclrshield Polyiso" or
Hunter Panels "H-Shield{G'
10 Combustible
Singlo layer of minimum 1.9inch Carlisle
'Securshield Polfso" or Hunlor Panels -H-
Shield-Cc'or single layer ofan inv€rted G3
cap shoet.
EPDM, PVC, and TPO
[,,lembranes - '/r:12
Any of the following insulatrons, 1-inch min. lo
6-inch max. thickness: Cadisle "Securshield
Polyiso' or "Polyrso HP-H', Hunler Pan6ls 'H-
Shiold" or "H-Shield-CG"
2
5
Any of the following insulatjons. 1-inch min.
to 6-inch max. thickness: Carlisle
'Securshield Polyiso' or "Polyiso HP-H',
Hunter Panels
"H-Shield' or "l-l-Shield-CG"
Sure-Tough - 1:12
Sure-Tough FR, Sure Weld,
Sp€ctro-Wold, Sure-Wold HS,
Sure-Flex. Sure-Flox FRS -
1'1,:12
8
Any of tho following insulalions, 2-inch min
to 6-inch max thickness: Carlisle
"SecurShield Polyiso" or "Polyiso
HP-H'. Hunter Panels -H-Shield" or H-Shield
EPDM, PVC, and TPO
Memb.anes -'lr:12
B
ESR-1463 I Most Wdely Accepted and Trusled Pa 9 of '10
TABLE4-WlND RESISTANCE-MECHANICALLY FASTENED ASSEMBLIES'r
SYSTEM
NO,
MAXIMUM
ALLOWAALE
WIND UPLIFT
(p3f)
DECK3 INSULATION 5 MEMBRAN€MEMARANE
FASTENING
MAXIMUM
FASTET{ER
SPACING
(inch€3)
MAXIMUM
FASTENER
ROW
SPACING.
1 .15 Noncombustble
Foam plastjc insulataon' 2
lr-inch-trrick tlb€6oardo or
banier board
(S6e Sec1.3.6)
HP-X Fastenor &
M€tal Fastenrng Bar 12
2 75 M€tal Fastenrng Bar 6 6 tl6 inches
3 52 Noncombustrble HP Fastener &
Polymer Seam Plate 6 I ft 6 inches
45 Noncombuslible Same as Syslem No. I Sure-Tough Sure-Tite Fastener &
ST Fastoning Bar 12 I ll 6 rnches
5 30 Noncombuslible Same as Syslem No. 1
Sure-Tough
(75 mrr)
HP Fasl6ner &
Polymer Seam Plale 12 I fl 6 rnches
6 60 Same as Syslem No 1
Sure-Tough
(75 mrl)
HP Fastener &
Polymor S6am Plate 6 I fl6 rnches
7 45 Noncombuslible Sure-Weld or
Spectro-Weld
HP-X or HP-Xtra
Fasl€ners with Piranha
or Piranha Xtra Plales
12 7 ft 6 rnches
8 45 Noncombuslible Same as Syslem No 1
Sur6-W6ld or
Spectro-Weld
HP-Xtra Fasteners with
Piranha Xtra Plates 12 9ll6 rnches
I 60 Noncombuslrble Same as Syslem No. 'l Sure-Weld or
Speclro-weld
HP-X or HP-Xtra
Fasteflers with
Piranha or Pi€nha Xtra
Ptat6s
I tt 6 inches
10 67 Noncombuslible Sure-W€ld or
Spectro-weld
HP-X or HP-Xtra
Faslen6rs wth Prranha
or Piranha Xtra Plales
6 7ll6 rnches
11 30 Noncombuslrble Same as Syslom No. 1
Sure-Weld or
Sp€ctro'W6ld
HP-X or HP-Xtra
Fasbners with Piranha
or Piranha Xtra Plales
11 ft 6 rnches
12 60 Noncombustble SameasSyslemM'l Sur€-Weld or
Spectro'Weld
HP-X or HP-Xtra
Fastoners wdh Piranha
or Piranha Xka Piates
6 11 ft 6 rnches
13 53 Noncombuslrble Same as Syslem No. 1 Sure-F ex HP-X Fasteners with
Piranha Plales 6
14 83 Same as Syslem No. 1 Sure-Flex HP-X Fasleners with
Piranha Plates 6 2lt 1 1 rnches
15 30 Same as Syslem No 1 Sure-F ex
HP-X or HP-Xtra
Fastenars wiih Piranha
or Plranha Xtra Plates
18 6lt 4 rnch€s
16 45 Noncombustrbl€Same as Syslem No 1 Sure'Fiex
HP-X or HP-Xtra
Faston€rs wilh Piranha
or Piranha Xtra Plales
12 6 tl 4 inches
17 53 Noncombustible Same as Syslem No 1 Sure'Flex HP-X Faslen6rs wth
Prranha Plates 12 2 ft 11 inches
18 45 Same as Syslem No. 1 Sure-W€ld HP-X Fasten6rs with
OMG RhinoBond Plalos 1 per 5.3 ft'z
19 60 Same as Syslem M 1 1 pat 4lf
For Sl: 1 inch = 25.4 mm; 1i=0.305m; 1 psf = 47 8a Pa.
rFoam plastic insulation must b6 any of the following (1-inch min to 6-inch max. thickness):Carlisle'Socurshreld Polyrso',"Polyrso HP-H'Hunler Panels
'H-Shreld'or Hunt6r Panels 'H-Shield- CG".
'?Allfoam plastic insulation must be UL-classified foamed plastic lor roofing systsms, and musl b6limit€d to th6 maximum thicknoss rn accordance wilh
Section 5.4 of lhis roporl or the maximuln thickness in accordance with this tiable, whichever is l€ss.rsleel deck must be minimuln No. 22 gag€ galvanized st6el [base-metial lhickness O.O3O inch (0.76 mm)]. Concr€to musl have a minrmum compressrv€
str6ngth (f:) of 2500 psi. See S€ction 5.6 of lhrs report.
'For sxisting metal roofing, lhe ass6mbli€s listed musl b€ inslialled by last€ning through ths roofing and rnto struclural momb€rs (purlins, angl6 iron. b€ams,
6tc.)capable of rosisting all €xpectod toads. The maximum aliowabl€ wind uplift (fi6ld) pr6ssures ar6 shown in Column 25ULClassifiedEPSmatbeinstialledbelowmin.f-inch-thickCarlisleorHunterPan€lspolyisocyanurat6rnsulations(maxslopel:12)orbelowminr/-incn-
thick Carlisle Securshiold HD or Huntor Panols H-Shield HD (max slope 2:12)on noncombustible d6cks.6Carlisle Securshield HD or Hunter Panels H-Shr€ld HD may replaco fib€rboard and may b€ used as a covgrboard ov€r any insulalion. Wh€n lhese two
boards are us6d diractly below th€ Sur€-Weld membrane. th€ slop€ rs hmrtod lo r/r'12
' Wh6n th€s€ systems are used for rerooUng or rocovering, installation musl b€ in accordance wilh Sections 4 2.2 anc, 5.7 of lhis r6port. and IBC Section
1510. IRC Section R907. BNBC Section 1512, SBC S€ction 1510 or UBC Appondix to Chapter 15, as applicabl€.!Faslener row spaces shown ar6lor field of roofonly. S€e S6ction 4.3lor recognized fascia systems for mochanically tasten€d roof ass€mbli€s. The
maxrmum allowablo load lor Carlisl€ S6curEdg6 300 is 234 plf (348 kg,im). The madmum allowablo load for Cadrsle S€curEdgo 3000 is 200 p[
(298 kg/m). Oistance b€lweon the edg€ of lh6 rool and th6 firsl row of fast€ners must be delermrned accordingly.
Sur6-Tough
Noncombustrble Same as Syslem No. 1 Sur€-Tou9h
Same as System No. 1 Sure-Tough
Same as Syslem No 1
6
Same as Syslam No. 1
12
6 fl4 rnches
Noncombuslrble
HP.X Fasleners with
OMG RhinoEond Plates
For Sl: 1 inch = 25 4 mmi 1fr=0.305m; 1 psf = 47.88 Pa
'All foam plastic insulation must b6 UL-classifed foamed plastic for roofing systems, and must b€ limit€d to th€ maximum thictness in
accordanc€ with S€c1ion 5.4 of this roport or th6 maximum thickn€ss in accordance with this table, which€ver is loss.
'?Stoel dock must be minimum No. 22 gage galvanized steel lbas€-metal thic.lo€ss O.O3O inch (O 76 mm)l Conqeto must have a minimum
compressive slrength (f-") of 2500 psi. S6e S€ction 5.6 of this report.
3UL Classif ed EPS may be instalted below min. 'l -inch-thic* Carlisle or Hunter Panols polyisocyanuEte insulations (max slope 1 :12) o. below
min i/,-inch-thick Cadisle Socurshield HO or Huntor Panels H-Shiold HD (max slope 2:12) on noncombustiblo decks.lcarlislg Securshield HD or Hunter Panels H-shield HD may roplac€ fiberboard and may bo used as a covsrboard over any insulation. when
lhes€ t\,o boards a.e us€d direclly below th€ Sure-Weld m€mbran€, the slope is limitsd to r/rr12.
"When application is ove. oxrsting roofs. dooJmontation of the wind-uplift resistance of ths composite rcof conslniction must b6 submittod to
the code officjal for approval at the time of permit application For rer@fing or recovering, installation must be in ac@rdanc€ with IBC Section
1510, IRC S€ction R907. ENBC Section 1512, SBC Ssction 1510 or UBC App€ndix to Chapter'15, as applicable
SYSTEM
NO.
ALLOWABLE
WINO UPLIFT
(FlELo) (pso
DECK.INSULATION / MIN. THICKNESS,J INSULATION
FASTENING
RATE
MEMBRANE
TYPE
1 45 Combustible or
Noncombustible
'/, inctr liberboard', '1. inch OSB, or bani6r board
(S6e Section 3 6)1 per 2t'z EPOM. PVC and TPO
Membran€s
2 45 Combustible or
Noncombustible
Carlisle 'Polyiso HP-H" or "Securshield Polyiso';
Hunter Panels 'H-Shield" or "H-Shield{G" / 1 4 inch
with '/r-inch Securock coverboard (optional)
1 pet 3 2I(
45 Combustible or
Noncombustible
Carlisl€'Polyiso HP-H" or'Securshield Polfso'i
Hunter Panels "H-Shield" or "H-Shi6ld{G" i 2.0 incn
with 5/rinch Securock coverboad (optional)
1per4fl'?EPDM, PVC and TPO
Membranos
,1 68 Comb(lstible or
Noncombustible
Carlisle 'Polyaso HP-H" or "Securshield Polyrso';
Hunter Panels "H-Shield" or "H-Shiold-CG" / 1 0 inch FAST Adhesive
75
Cadisle "Polyiso HP-H" or"Securshield Polyiso':
Hunter Panels "H-Shi6ld" or "H-Shiold-CG" / 2.0 inch
with '/rinch Socurock coveftoard (optional)
1per16ft'?EPDM, PVC and TPO
Membranos
6 '120 Combustible or
Noncombustible 1per1fr'?
TPO Membranes:
EPDM membGnes (with
noncombustible decl
onlY)
7 12A Combustible or
Noncombustible
Carlisle 'Polyiso HP-H" or "Securshield Polyiso";
Hunter Panels 'H-Shield' or "H-Shield-CG" / 2.0 inch
with r/r-inch Seclrock c.verboard (optjonal)
1per1ft'z EPDM and TPO
Membranes
8 135 Combustibl€ or
Noncombustible
Carlisle "Polyiso HP-H" or'Securshaeld Polyiso"i
Hunter Panels 'H-Shi6ld'or "H-Shi6ld-CG" / 2.0 inch
with '/r-inch Socurock coverboard (optional)
1per1fl'?FleeceBACK Membranes
I 143 Combustible or
Noncombustible '/, inch DensDeck Prime 1per1ft'?FleeceBACK Membranes
ESR-1163 I Most Widely Accepted and Trusted Pago10oi10
TABLE FwlND RESISTANCE-AOHERED ASSEMBLIES!
EPot!4. PVC and TPO
Memb€nes
3
FleeceBACK Membranes
5 Combustible or
Noncombustible
Carlisle'Polyso HP-h' or "Securshield Polyiso";
Hunter Panels "H-Shiold" or "H-Shi6ld-CG" i 2.0 inch
Roof Deck & Substrate Criteria
TPO Membrane Accoptablg Roof
Dock/Substrato PVC Membrano
Adhered Mechanically
Fastened NEW CONSTRUCTION Mechanically
Fastened Adhered
lnsulalion lnsulalron
Steel (min 22 gaugexl)(2)
Wood Plsnk (U4" min.), or
Fibrous Cemenl
lnsulation lnsulation
Direct Applicataon lnsulalron Structural Concrete (min. 3000
psi ) or Gypsurn lnsulation Oirect Application
Direcl
Application(5)
Direct
Applicalion(5)
Pl),wood (min. 15/32" lhick) or
Oriented Strand Eoard (min
7i 16" lhick)
Drrect
Application(5)
Direct
Application{51
Direct Application
(5X10)
Direct
Aoolicalion(5)Lightr/eight lnsulating Concrete lnsulalion Oirecl
ADplicalion(5X10)
Adhered Mechanrcaliy
Fastened RETROFIT / NO TEAR.OFF Mechanically
Faslened
Direct Applicatioh
(s) (11)
Direct Application
(e) (11)
Existing Smooth Surface BUR
(3)(8) or Mineral Surface Cap
Sheet
lnsulalion lnsulation
lnsuialion lnsulatron Gravel Surfaced 8UR (3)(4) or
Coal Tar Pitch (3)(4)(12)lnsulalron lnsulatron
Direct Application
(7X9)
Direct Application
(7X9)Modifed Bilumen (11)lnsulalion lnsulalion
lnsulalion Exisling Srngle-Ply (1 1)
Direct
Appllcation
(6)
lnsulation
Complele Tear-ofi
Required
Complete Tear-ofl
Required Sprayed-in-place Urethane
Complete
Tear-ofi
Required
Complete Tear-0fi
Required
Adhered irechanically
Fastened RETROFIT / TEAR.OFF Mechanically
Faslened
lnsulalron lnsulation Exisling roof malerial removed
(reqardless of deck tvDe)lnsulalion lnsulalion
On retrofit - recover proiects, cut and remove wet Insulatron, as identified by the specifier, and fill all voids with
new insulation of type specified so it is relatively flush (+/- 1/4") with the existing surface
Thermoplastics 1 1/201 1 39
<< Table ofContents
Adhe.ed
Direct Application
(6)
Adhered
Notos:
(1) Local codes must be consulted regarding thermal barrie. requirements
(2) Mechanically Fastened Systems cannot be specified on steel decks less lhan 22 gauge or lor cor,ugated sleel
decks, regardless of gauge Refer to lhe Metal Retrofl Roofing System Specificalion, published separately, for
inslallation oplions.
(3) Loose gravel musl be removed to avoid enlrapment of moislure.
(4) Exisling coal lar could drip back into the building, especially \ttlen new insulalion does nol provide suffrcient
thermal value to prevent lhe suafac! of the coal tar f,om soflening.
(5) Maximum Warranty Duralion of 15 Years.
(6) An approved underlayment is required over existing ballasled (ballast removed) single-ply systems and PVC
roofng systems of any type.
(7) Direct application permitled over smooth surfaced modified bilumen. To reduce the probabilaty of cold \,\€lds,
membrane shall be posilioned with length of sheets parallel to modified bilumen field seams. Al end laps or other
localions where splices intersect modifed bilumen field seams, 6" wide Sure-Weld or Sure-Flex Flashing must be heal
\ /'elded over intersections.
(8) Existang Type lll or lV smooth asphalt BUR Only.
(9) Possible slaining/discoloralion oflhe membrane may resull when inslalling this system directly over existing
smooth surfaced BUR or modified bitumen. lf aeslhetics are critical, an approved insulation should be specifed
benealh lhe membran€
('10) New approved cellular lightv/eight insulating concrele must have a minimum compressive strength of 200 psi.
Except wtlen the light.\reight concrele i9 poured over slolled sleel decks. pressure relief vents musl be installed every
2,000 square feel. Direcl application is not p€rmitted where lightr,veighl conqele is poured over an existing roofng
material. Equilibrium moislure conlent afrer hydratiorvcunng shall nol exceed 12%
(11) Maximum wa.,anty available 20 YR with 55 MPH peak gust wind speed coverage. Carlisle may be contacled for
other wananty oplions.
(12) lf insulation is specified lo be secured to an exisling coal lar pitch roof wilh Carlisle FAST Adhesive or hol asphalt,
minimum 1'lhick Polyisocyanurate is the required minimum thickness when white membrane is specifed.
Sure-Weldrlr (TPO) Mechanically-Fastened or RhinoBond Roofing Systems
Underwriters Laboratories Approvals
!lembrane 'I') pe:.0{5" or.060" Sure-Weld Standard Reinforced Membrane (White, Gray or Tan)
.0{5" or.060" Sure-Weld HS Reinforced Nlembrane (White, Gray or Tan)
.080" Sure-Weld EXTRA Reinforced llembrane (White, Gray or Tan)
.060" or .080" S cctro-Weld Reinforced Nlembrane White
\llr\imunl Slopr
-l hickncsr Sure-wcld. sure-
\\eld EXTRA or
SDectro-wcld
Sure.Weld
HS
Dcck'l)pc Insulation (l)
Crrlisle Pollisocyrnurrte HP-H / ldsulform I
or VIll (5)l"/ Any
Carlislc Pol\ isoct anuratc lll'-ll. SccurShicld Any
I /2." tAny
I l'rCrrlisle SecurShicld III) or SccurShicld IID
I)lus/l'ol) isocvanuralc
Crrlislc SccurShiold lll) or SccurShicld III)
l)luVlnsulliran lor VIII (51
lnsulfoam SI' (5 )Any I /2"I i7"
Cerlisle llP Rcco\cr-1 tloard
Carlislc I IP Rccolcry Roard/l'ol\ isoc\anurclc
Csrlisle IIP Rcco\cr) Boardlnsullbam I or Vlll
(5)
lt2" - 3'
l/2" Nlin./An) 112"
Min.iAn]t-t t2"
Non-Combu.dblc
rItd Combutdble
(For combuslible
decks. gypsum board
musl be installed
beneath the
insulations listed)
(2XlX4)
OSB APA ralcd
OS8,A.l'A ratedrPolyisoc) anumte
OSB AI'A rated/lnsulfoam I or Vlll
7 ]l6"
7,/l6" Slin./Any
7/l6" Min./Any
t-t/2
l/{" (2)({)
l/4"/Any (4)
l/,1"/Any {:l)
2-1i2" EXTRA Linlimilcd+*
1.9" Min. / I la],cr ti 2"
C. irl. PolI., isocl-an urate Securshield or
SecurShield HD Composite over I layer FR Base
Sheet I S
Carlisle SccurShiold tlt) or I lD Plus / Poh iso l/l" Min./ 2.5 " Min
l/2" Min. / 1.4" Min./ I
layer
Carlisle Securshield HD or HD Plus / Polviso /
I laver FR Base Sheel lS
Carlisle Secudhicld HD or llD Plus /
lnsullbam I or Vlll
l t-l/2"
I/1"t-t t2"Carlisle SecurShicld fll) l:l'S Composilc
l " t\tin t-v2"Carlisle SecurShicld CD / lnsulloam I or VIll l" Min. / 3.5" Min I t2"
t/2-l-l/2'Carlisle Polyisoc!anuratc Sccurshield ({) or
Securshield HD Compositc
Polyisocyanurate listed above over 2 layets ol'
Carllile FR Basc Sheet lS Any/2 lal ers lt-I t|"
Two layers ol Base Sheet I t2"I t2"
Comhustihlc (6)
Two laycrs Carlisle F'R llasc Shecl lS
N,/A
2-t12- EXTRA
t,nlinlitcdl,ight\r€i8ht
Insulating Concrete Direct Applicolion
UL Cbss "A'
r - 3/.l" pcr fool slopc for sccurshield on non-combustiblc decks only
" - llla,rintum slope ,br Sccurock is 3'per lbol
Noteg
(l)when mullrple insulatron Iayers are lsted (r € . tlP Recovery Board./Polyrso.yanuraE). the rnsulation hsted firsr (HP Recovery Board) rs direcrly under $e
Securock can b€ used rn thls apphcanon. however. the mrnrmum th,ckness .equrred rs l/2"
On R.Eofi/No Tear-off projecls. wh.re thc exbtmg roofrr Clas! A rated. g]?sum board maf, b. ehmmaled Exrstrn8Chss BorC rated roofs wrllrequlr.
use ofgypsum board to achreve a Class A ralrnS. othcrwrs€. the ncw roofing system wrll retarn exEting UL ratrng
lnsulalrcn Jornts (bonom layer) are 10 be tlaggcrcd a mrnrmum of6 from Jo,nts ln wood dcck
Assembly nor permrttcd on combustrble decks. cven wrth g]?sum board undemeath
Combusrble de.k ranngs can b€ uscd on non-combuslrble decks
l:{rl.l
t-u2"
Dens-Dcck
Dens-Deck or SecurocUPolyisocyanurate
Dens-Deck or SecurocUlnsullbam I or Vlll
t-U2"
l/2" NIin. /:1" NIin.
.1.5 " Min.
Ctrlisle SecurShicld Cl)
l'Min.
600 I 6.] SW Codes
\Ifr IccEVALUATI
--P srnvtcr
Reissued July 2O14
This repod is subject to renawal Oclober 2016.
t)lvlslot{: 07 m fl}-THERXAL AilD XOISTURE
PROIECTIOI{
Secdoo: 07 53 234thylano-Proprbn+Dieno{ondner
Rooling
S€cton: 07 5a tHdyylnyl4hloride Rootlng
Socdon: 07 t{ 23-Th.fliopl.tdc+otyolofi n Rootlng
REPORT HOLDER:
CARUSLE SYNTEC
POST OFFTCE 80X 7(m
CAruSLE, PE IrSYLVANIA 17013
FlnAr7@O
www.carlisle-sYntec.com
EVALUATION SUEJECT:
CARUSLE EPDX, PVC AND TPO SINGLE.PLY ROOFING
XETBRA ES
AODITIONAL LISTEES:
KELLY COIPANY'AXI INC.
325 THOIASTOI{ AVET{UE
IVATERAURY, COI{NECNCUT 06702
(zB) s7rozm
IULE+IIDE PROOUCTS CO PANY, INC..It96 PRINCE HALL DRIVE
BELO|T, WSCOT{SIN St5i I
(4,0) 78$r/r92
\/ERS|CO
POST OFFTCE BOX 1289
CARLI!}LE, PA I7OI3
(u!0) 9o2-7G63
WEATHERBO}iD
POST OFFTCE BOX 25r
PLAINFIELI), PENNSYLVANIA I TOAI
(866)47r{125
r.O EVALUATION SCOPE
CdnplLnce wtlfi lrr. follorlrE cod€.:
. 2012 aN 2OOg lntemelmat Building Cdo' lBCl
. 2012 aftd 20,us. lntsmstr.ona, Resdenll,s, Coda' (lRC)
r Other Codes (see Sed,on 8.0)
Propartha .valuaH:
r \Ar€ather resislanca
t Roof covaring llre dassificatbn
r wind udifr rcsistance
r lmpact resistance
20 usEs
Csdisle ethylerE propyleoe diene monomer (EPDM),
potyviny' cr oride (PVC) and tharmoplastic polyolofin
(IPO) singEply rmfing membranes are used as loof
co\rerings in adhered and mccfiaoicsfly hstened
membrane roofi rE systems.
3.0 rr€scRmoir
3.'l Generrl:
The EPDM. PVC and TPO Membrane Roofing Systems
d€scrib€d in this report consist of single-ply roofing
membranes. insulatiofl wtEre used, banier board or Slip
she€l where us€d. f,ashing, mechanic€l hsteners and
adhesives that are installed on a combustible or
rpncombustiHe d€ck. S€o Table 1 br Carlisle plodud
trade names and corrBponding prodtrct names for Mule-
Hide Produds Company. lnc.. Woath€{Bood, Ve6ico and
Kolly Companyzool lnc.. tll€ edditional listees.
3.2 EPO €mbr.n€r:
3.Zl Surrse.l; Sure-S€al i8 a blad(, nonloinbrcad
EPDM membran€, il,5 mils thict [0.045 inch (1 14 mm)].
3.2.2 Surlso.l FR: Sur+Seal FR is a black,
nonreinfo{ced EPOM memb,rane with fir€ r€tardants.
Available thickn*ses rarEe from 45 mils (0 O45 inch
11 14 mml) to 90 mils (o.mo irxfi [2.29 mml).
3.2.3 SurBltttta: Sure-Vviite is a tyhite, nonreiniorced
EPDM membrane. I is available io lhicknesscs ol 60 mils
[0.060 indr (1.52 mm)] and 90 mils [0.0SO inch (2.29 mm)1.
3.2-,1 Sur!-Tough: Sure.Tough i9 8 bleck. reinbrced
mombiane consisting of a polyester reinforcsment
encapsulated b€tveen tyro EPOM membrr|e dies. lt is
available in lhicknesses ranglng lrom 45 mils [0.045 inch
(1.14 mmllto 75 mils [0.075 incfi (1.9O mm)].
3.2.5 SUE-Tough FR: SursTough FR is a black,
ranforcad membrane coGisting of a polyester
reinbrcarnont oncapsuHod ba{t.,€€n two EPOM
membrane piios with fire ret rdants. Availabl€ thickness€s
arB 45 mils [0.0/t5 inci (1.14 mm)l and 60 mils [0.060 inch
(1.52 mm)l.
'Revb.d Augult 20'l a
KC-fs E$dnw R.p,1s od @t to b. wt,,rd 6 ftp,ttrnaa 8tl.ue! u d,ty otl-. annb..t nt +..tldD eaed,,or @ t*, to b .ald
q d a*dd.t o{tl- *rat dtE Rp.l d d w,tumlu tt v. Ihn tr a tot*y hy ICC F-l"ed'd S.mn, uf. apt* o. tdda
b arlr6,a d otbt @tEr 'a tht ,.F,.1. @ 3 to d, P1tut @/d bt lt EPd
C.Dyllcli O iola
I@
P{a't ol tO
Most widety Ac(epted and Trusted
ICC-ES Evaluation Report ESR-l463*
www,icc-es.oro | (800) a2355S7 | (562) 699{513 A Subsidiary of the lntemational Code Council@
3.ZO Surc-9€.| Flo€c.BACk Sure-Seal Fle€ceBACK is
a 4tmrl to gGmil [0.045 inch to 0.090 incfi (1.14 mm to
2.29 mm)l noFreinfrcrced EPDM bonded to a s.to|lnca-
per-squ:rre-yard (0.18 kg/m') polyeste{ floecs Avarlaue
produd hic*nessos rangE fom 1m mrb [0.100 incrl
(2.55 mm)l to 145 mrls [0.145 rnch (3.68 mm)I.
3.2.7 Surt-tluhit! FL.cgB CK: Sure-Vviits FleeceBACK
is a 45., @. or gcmil [0.045, 0.060 or 0.090 inch (1.14,
'1.52 o( 2.29 mm)l nonreinb.ced white EPDM bond€d to a
5.5-ouncs.per-sqGG.yard (0.18 kg/m2) polyester fi€eca.
Availaue p(oduct thicknesses are 100, 115 and 145 mils
[0.100, 0.115 or 0.145 inch (2.54, 2 92 or 3.68 mm)l.
3.2.8 Sure.sG.l AFX: Sur+Seal AFX is a 4$mil
10.045 inch (1 14 mm) or 60.mil 10.060 incJl (1.52 mm)l
non{einforced EPDM bonded to a T.Sounce-per-square
yard (O 25 kgr'm'2) polyester ffeccs Available thidnesses
are 90 mils 10.090 incfi (2.29 mm)l and 105 mils
[0.105 inch (2.67 mm)1.
3.3 t'lrc Lmbrln .:
3.3.1 Sur}fl.r rnd Su]}flex KEE: Sur+Flex and
Sure-Flex KEE are mambranes consisting of a polye6ter
roinforcement encapsulated betrr3en tso plies of PVC
The membrane is eveilable in s,hit6, gray, tan aM astom
colors. Available thicknesses range from 50 mils
[0.050 irrfi ('1.27 mm)l to 80 mils [0.0@ inch (2.03 mm)].
3.3.2 Surrflcx FRS: Sur6-Fl6x FRS membran€ consists
of a fiberglass rernfoacement en€psulatad betrleen two
pli6 of FVC The membrane is available in wh(e. gray and
orstom colors Available lhicknasses raoge from 50 mils
[0.050 inch (1 27 mm) to 80 mils [0.080 incrr (2.03 mm)].
3.3.3 SurB+lor FloccoBACK: Sure-Flex FIeceBACK is
the Sure-Flgx membrane. described in Seciions 3 3.1 and332. wfi- a lamrnated 5 5-ounce.pcr-sqlare.yard
(0.18 kg/m') polyoster fieece ba€kirE Available
thickness€s range fro.n 105 mils [0.105 inch (2.67 mm)l
to 135 mils [0.135 inch (3.43 mm)].
3.4 TPO I€rlrbranoar
3.il.l SUl!-Wcld: Sure.weld membratre consists ot a
polyester reinfo.comert eflcapsulated bet'lreen ts.o plies of
TPO. The mombrane is available in white. gray, tan and
oEtom colors. Available thickrEsses range fiom .4.5 mils
[0.(x5 inch (1 14 mm)] to 80 mils I0 08O indr (2.03 mm)].
3.{2 Sutt-Weld HS: Sure-Weld HS is the Sureweld
membftxre fomulated with an additbnal iame retardant
br fir€ r€sisianco at h(rEr slopes. TIle membrane is
available in sfine, gray, tan and custo.n colo.s Availabb
thk*nesses arc 45 mils (0.045 inch [r t4 mm]) and 60 mils
(o.GO incfi [1.52 mml).
3.,1.3 SAI-TPO: SAT-TPO is a s€lf-adher€d veGion ot
the Sure-Weld HS membcane w h adhesive.
3.,1.a Su]!-WoldFl.cceBACK: SuFWold FlooccBACK
is the Suro-Weld HS membrane, 45 mils [0 O45 inch
(1.14 mm)I,60 mils [0.80 inch (1.52 mm)l and 80 mils
[0 60 inch (2.03 mm)l thrc],.with a laminated 5 s-ounca-
pef-square.yard (0.18 kg/m') polyestef ieece backng.
Availsue thir(nesE6 are 100 mils [0.1m inctr (2.54 mm)I,
115 miE [0 115 indr (2.92 mm)l and 135 mils [0.135 inch
(3.4:l mm)I.
3.,1.5 Sulr-Weld AFX: Sure-Weld AFX is the Sureweid
HS mgmbrane with a lSrrinat€d 10-ounc6-per-square
yard (0.34 kg/m1 polycstcr ieece backing Available
thbkn€sses.ange ftom 120 mils [0.120 inch (3.05 mm)l to
155 mils [0.155 inch (3 94 mm)].
3.4.6 Spoclro-Weld: Sp€(ro-Weld is the Sure-Weld
membrane. dBcribed in Sadbn 3.4.1, bmulated with a
brighter white color. Availauo thicknesses are 60 mils
10.060 ind' (r 52 mm)l and 80 mils [0.080 inci (2.03 mm]l
3.a.7 Spsctro-Wold Floec.EACK: Spectro-Weld
FleeceBACK is the Spectpweld membrane with a
laminated 5.tounc$Oer-squar+yard (0.18 kgmt)
polyester ieece backing lt is 1'15 mils I0.115 inch
(2.92 mm)l thick.
3.5 lruulsdon:
S€e Tables 2 through 4 tor insulatrons fuf use wth specific
rooling syslems Foam plaslic insulation, wtEra usad, must
have a Ilame-spread iftbx of not more than 75 ttfien
tested at O€ maximum thickness intended tor use in
accordanca with ASTM E84.
3.8 Br.rtsr Bo.rd:
Bamer board, where used, must b€ dther minimum1/..inc[thid( (6 4 mm) G-P Gypsum Corporation
'DensDed(.' minimum '/{-inchtlic* (6.4 mm) O',rcns
Coming 'sfataguard, mrnimum r/.rrrlFtrrck (6.4 mm)
USG 'securock,' or minimum '/dnclFthict (12.7 mm)
gypsum board. Earrier board must be UL-listed for roofing
4plicatiorls or Ul-classified 9yp6um board.
3.7 Slip Shs.t:
Ths slip sh€€t, r her€ used, must indude Canisie 'FR
Base She€t 15 or 2S,' GAF 'Versashield Fire-Resistant
Roof Deck Protedio.r (ESR-2053),' Elk Versashaold
F&lS or F8-2S, or Adas FR 10 or FR 50.'
3.8 Fl.lhlng:
Flashing must be provided in acco.dance lvith IBC Seclion
'1503.2 or IRC Sedio.r RS3.2. as apdicable. V\,tere
flashiog is of metal, the metal must be corrosiorFresistant,
minrmum No. 26 gEgB [0.019 inch (0.4t13 mm]l galvanized
st€el.
3.9 Fa.t .|0.t:
Fasteners, used to mechanically attaci insulation and
membranes to the roof deck, must be corrosion-re6istant,
and musl be Carlisb fasteners, plates or fasitening bars,
unloss otherwise noted in this reporl. Refer to Table 4 icr
spacirE of bsteners.
3.9.1 HP Faatenor: This is an epory-coated steel screw
us€d in co.nbinaton with Carlisle's fustening plates or bars
to rnecrEnically atffir roofing insulation and membranes
to steel o( naood substrats Fastene. lengtlt must be
sGlected to penetrate throljgh the steel decl a minimum of
'/. irrch (19 1 mm). and rnto the u.ood deck a minrmum of
1 itdr (25.4 mm).
3.9.2 lrBulFaat lnauLtion F..tanar: This is an epoxy-
coated steei ssew used in combinatiori witl1 Carlisle's
insulation plales to mechanically attacfi r@fing insulation
to steel or wood substrates Fastener length must be
gelected to penetrate through the steel deck a minimum off. inch (19.1 mm), or rnto th€ y,ood ded( a minimum of
1 inch (25.4 mm)
3.9,3 HP Purlln F.3t n r: This is an eporyoaed ste€l
screw used in comtinstbn with Carlisb's fastening plates
or bars to mecjEnically attach roofirE insulation and
membrarEs to stnrdural steel rnembers. Faslener length
must be seleded to peneuate though trlo sleel membe. a
minmum of '/. inch (19 1 mm )
3.9.4 HD t/..lo Fat-rcl: This is a heavyduty, 6pory-
coated steel screw used in combination wlth CarlBle's
fastening plates or bars to medranically attach roofing
ESR-143 I Mosl Wdely A@pted aN Truged P.gp 2 of l0
ESR.r63 | Mos, Wi&ly Acepted and Tru*ed 3oflO
3.10 Adh6lv6:
3.t0.t 9O+3OA Bonding Adh6lvc: 9G&3OA Bonding
Adhesive is a higtFstreng'lh, solvent-based contact
adhesive used to adher€ EPDM membranes to th€
insulation or substrate. lt has a coverage.rate ot
apprcxrmately m square f€€t per gallofl (1.5 m'lL) The
adhesive is supplied in tgallon (18.9 L) containers and
has a shslf lile of one y€ar
3.10.2 Aqu. B.t3 l20: Aqua Base 120 is a higlFstrength,
wate.-based csrtad adhesive us€d to adh€ro EPDM, TPO
and PVC membianes to the insulatioo or substrate. lt has
a coverage rale of approxirnately 120 square Eet per
gallo.r (3 m'lt). The adhesv€ is supplEd in tgallon
(18.9 L) contain€rs and has a slrdf lifr of one year.
3.10.3 Sure-Flor Low-\roc ryC Bondlng Adhe.hlo3:
Sur+Fler Low VOC ryC BondirE Adhesives is high-
strength, solvent-based coflbct adhesircs used to adhere
Fy'C membran$ to an insulatioar or sJbstrate They have
a covecrge rale of approximately 60 square H per gallon
(1.5 m'lt). The adhesive is suppliod in tgallon (18.9 L)
containers with a shelf lifr of one year.
3.10.{ SUI+WeH &rdlng Adho3iw: Sur+Weld
Bonding Adhesive is a higtFstrength. solvent-based
contacl adhesive used to adhere TPO membranes lo
an insulation or substrate. lt has a coveragg. rate of
approximalely @ square bet per gallon (1 5 m1L). The
adhesive is supdbl in 996llon (18.9 L) conlainers tnth a
slElf liie of one year.
3.10.5 L VOC Bondng Adrctv.: Lo^, VOC Bonding
Adt€sive is a high-drength, solver[-based contacl
adhesive used lo adhere EPDM and TPO membranes to
an rnsulalron or substrate. lt has a coverage rate of
approximately 60 square bet por gallon (1 5 m'l L) Tt€
adh€sive is supplied in s.g6llon (18.9 L) containers with a
shetf life of one year.
3.10.6 tlydro€ond PVC lY.br€.lcd AdlE ivc:
l-tydroBond PVC Wbler-Based Adhesive is a water-bas€d,
vret lay-in. onc.sid€d adhesNg to be us€d to adhere Sure-
Flex PvC and PVC Fl€eceBACK membranes to an
insulation or substrate lt has a clveiage rate of
1OO square bet ps. gallon (2.5 m'1lL). The adhesive is
supplied in $gallon (918.9 L) containers lvith a shelt life of
orle year.
3.10.7 Low VOC Bondlng Adhe.ivc 1168: Low VOC
Bonding Adhesive 1168 is hilEskength, sotvent-based
contacl adhesive used to adhere EPDM and TPO
membranes to an insulalion oa sub€trate. lt has a @verage
rate of approximatety 60 squarc feet per gallon (1.58 m'lL)
The adhesive is supdied in s{Ellon (18.9 L) containers
with a shetf lib of one year.
3.10.8 So&pnt+rte EPOI Bondlng Adh6lyo: Solven!
Free EPDM Bonding Adl€sive is a high-sfeng h, polymer-
based adhesive ThE adhesive can ba used to adhare all
Sure.Seal oI Surayvhit€ EPOM mombranes as a one.
stded, \r€t lay-in adhegve. lt has- a coverage rate of
1m square f6et per gallm (25 m'll) The adhosNe ls
supplie,J in tgallon (18.9 L) crytainers with e sh6lf life of
six monlhs
3.10.9 Cold Appllcd Adtt6iv.: Cold Atplied Adhosiv€ is
a solvent-fr€e, asphalt{odified polyeth€r adhe6ive. This
adl€ive can be used with all Sure-Seal or Sure.Wold AFX
membrales as a onesided, rEt layin adhesive. lt has a
coverage rate or 67 square teet peigallon (1 6 m'?lt;. ttre
adrgsive b supplied in tgallon (18.9 L) containers u/ith a
shelf lile of one year.
insulation and membranes to concrete rmf deck. Fastener
length must be selecled to peneffie into the concrete
deck a minamum ot 1 indr (25 4 mm).
3.9.5 CD-10 F.ltenen The CO-10 is an epoxy-coated,
hamm€.driven, no.threaded hstener speofically
designed to be used with insulation and seam fastefling
platos to s€cure membrana and insulation to strudural
corrcrete. Fastener length must be sBleded to penetrate
anto the concrete dd( a minimum of 1 inctt (25 4 mm).
3.9.6 Lltaocct F. anen Tho L[e-Deck Fastener is
used in conjundion with a speoally &signed
'inchO6.2 mm) Lne-Dock Metal Plate br insulation attacfment
to gypsum, cementitous u,ood fiber Cfedum tESR-1112D,
and lightr€ight qrcrete dects. FasterEr length must be
s€l€ded to penetrate into ttE d€ck a minimum of 2 incies
(5O.8 mm).
3.9.7 GypTac Fart fl.r: The GypTec Fastener is a
glass-filled nylon awer fastercr designed icr seoJring
mecrEnically attacied rnembranes and insulalion to
gypsum arld cernentitious trood fib€r O€dum IESR- 1 1 12D
d€cks. Fasiler]er length must be selected to per€tete into
the d€ck a minimum of '1.5 indles (38.1 mm)
3.9.8 HP Polymor S€am Plata: This is a 2-incttaiameter
(5O mm) polymer date designed to be us€d with HP and
HD 14-10 hsteners to mechsnicslly atlach rooing
membranes to the roof deck.
3.9.9 Sur!-Tlt F. sn r and ST F.alenlng 8.n This is
a heavy-duty, epoxy-coated steel scrry and bar used to
ssoJre reinforced EPDM membrarEs to steel or u,ood
dock. The bar is .l-anctFwideby{.O4GinclFhr:k-by-
lGfoot-loog (25.4 mm by 1.1 mm by 3.1 m) galvalume-
costed steel wth p.epunchod holes 6 incfies (150 mm)
on center
3.9.10 HP.X Frabnor This is an epoxy-coated carbon
steel sclqrv used in combrnalion rvith the Piranha
Fastening Plata to mechanically attach TPO membranes to
s{eel or $,!od sub6t'ate. Fastener length must be sglecled
to ponehate th.orJgh trle sle€l ded( a minimum of "/. inctr
(19.1 mm), and into th€ v,ood deck a mirimum of 'l incrl
(25.4 mm).
3.9.11 Plranha F.ttanlng Pl.to: This is a 23l6-incfi-
diameter galvalume€ated steel plate designed to be used
with HP-X Fasleners to mechanically attach PVC and TPO
membranes to th€ roof deck.
3.9.12 HP.XIRA F.sten n This is an eporyoated
carbon st6el screw used in combination witi the Piranhe
XTRA Fastening Plate to mechanically attacrt PVC aM
TPO membranes to steel or uiood subgtrate. Fastensr
length must be sdeqBd to perEffie througfi the steel
dec* a minimum ot'/. rnch (19 1 mm) afld into the rrood
deck a minamum of 1 inch (25 rl mm)
3.9.13 Plrrnh. XTRA F.lttnlng Pirtt: This is a
2lrinchdiameter galvalum+coated steel plste designed
to be used vrith HP-XTRA fasteners to mechanically attach
PVC aod TPO ,nembranes to ore roof deck.
3.9.1a ryC Ov.l Brrb.d PLte: This is a lr/rrnch-by-
23l.-incn (35 mm by 6985 mm) Oval Barbed Hae
design€d to be used with HP-X Fastaners to m€chanirly
attach ryC membrarEs to the roof deck.
3.9.t5 Orc lnc. RhlmEord Pl.t : The RhinoBood Plate
as a 3in#bmder (78.2 mm), o.O2tlindFthict (0.7 mm)
galvafiJme-coated steel plale, coated with a p.op.iela.y
adhesive and used with the HP-X fastener to mecrEnically
attach PVC and TPO membranes to the rool dec( The
adh€sive bonds the plate to lhe underside of the
membrane.
3.10.10 FAST Adlr.iv6: FAST 10O. FAST 1001V.
FAST Adhesive Ousl Cartndgo, FAST Adhcsive 8ox Sets,
Flexiue FAST arid FAST Bagjn-+Box Afiesives are tr,c
component polyurstEne adtEsives us€d to adhere
Fle€caBACK membran€6 and insulatms b varixJs
subGfat€s The adhegrres have a covgage - r8te of
apprcximatsly 100 square f€€t per g€llon (2.5 m'll) The
adh€sives a,e suppli€d in ltgalloo (56.7 L) ard so{allon
(189 L) drums, box sets. and cafiidge tub€s and cylinders,
and hav6 a shelf lib of me year
3.lo.l l OtyBood 5oO Adlre.lve: OlyBond 500 Spot Shol
and OlyBond 500 BA are tuD-component polyurethane
adhesives used to adhefe insulations to various
suBfates The adhesiv€s havg a coverage - rate ol
approxrmately 10O squere het per gallon (2.5 m'A). The
adhesives ere supdied in cattridge tubes and box s€G,
and have a shef lifu of onc ysar.
3.tl knpact Raalfinco:
The EPOM, PVC, and TPO roofing mernbranes described
in this repod meel roquarements fur impact resistanc€ in
IBC Secion 1504.7, based on testing in accordance wilh
FM 4470.
4.0 INSTALLATIOT{
4.1 Ganoral:
lnstallation of the EPDM. PVC, and TPO roofing
membranes described in this Bport must comply with the
applicable code, the manulaclurels published installation
rnstnEtions and this repod. The manutaclure/s published
installation insfudions must be available at all times on
the iobsite during installation.
The substate lo \rtrich the membrane is to be appli€d
must b€ clean, dry, and fte€ of frost, looss fastene(s, and
other protusions or contaminates trEt wll anterfere vnth th6
adhesion or attachment ot tf|e membrane or that will
punclure the membrane. All mat€rials must be protect€d
against contact lvith incompatible materials. \Mere
gypGum board is us€d as barie( board in the rooli.E
assembly, rieather proledioo must be p.ovided to preyent
damage to tle gypsum boad prior to applicatim of ttE
roofing mernb|ran€.
The slop€ of the rmf on whicJl the single-dy membcanes
are installed must not b€ more than the maximum slope
indicated ior the partoJlar assemuy as listed in Tabl€s 2
and 3.
Per€tratioos and terminations ot the roof co\rering must
be flashed and mad6 \i,eather t(lht in acEordance with the
requirenrents ot the membraoe manuhdure( and the
applicable code.
a.2 FiI! Cl.r.ltlc.don:
4.2.1 New Coortsuctlon: The adhered and mechanislly
lasten€d EPOM. PVC, and TPO single-ply membrane
roofing systems, when inslalled in accordance with this
rBport are Class A" B or C rool covering systems in
accodanca with ASTM E108 or UL 790. as noted in
Tauas 2 and 3.
4.22 Rarooang: The existing fu( must be insFEcled to
writy thst the stucture to be rermfud is stsudurally sound
and adequate to support and s€cure the roofng
membrane. Prior to installatiofl of nfl, root coveringa,
insp€c1ion by and Mittsn approval from the codE official
having jwisdilio.r must b€ roquired.
Class A, B or C rmf covering systerns may be instdl€d
over existirE classili€d roof cov€ring systams urder the
bllorirlg qlditions littput additonal roof dassifcation
tesls, provided th€ resultng classification rs lhe lov,er of
the new or existing roofing das8ification:
r New uninsulated systems installed only ove. oxisting
uninsulated assemdies.
t New insulded systems iosialled over existing
uninsulAed syslems ooly.
a.3 Wlnd Rai3trnco:
4.3.1 ltaory Co]l.tsuctlon: Ths allourable wind uplift
pressures for the EPDM, PVC, and TPO roofing
membranes as parts of roof assemuies ara mted in
Tablss 4 and 5.
Metal sdg8 securemenl systems musl be listei in
accodance with ANSUSPRI E$l and designed and
installed icr wind loads in accordance with IBC Seclion
1504 5 and IBC Chapter 16. A9 an altemate to listed metal
edg€ secr.rement systems br mechanically attached
membranes, Carjisle SeqrrEdge 30O [0.05Ginch
l1 27 mm) 3003 aluminum) and Cadisle SsorrEdg€ 3000
IO.04O-incfi ('1.02 mm) 3003 aluminuml fascia systams may
be used. The maximum alloilabl€ load br Carlisle
Sear€dge 30O is 234 ptf (3/A kg/m) and th6 maximum
alloivable load for Carlisle SeqrGdge 3000 is 2m plf
(298 kg/m) bassd on testing in accordance with ANSI/SPRI
ES-l Test RE- l
,1.3.2 Rerootlng: M€chanically ancho{sd systerns may be
accepted based ofl ttle adequacy of anchors penetrating
through existing roof covorings into struclural substratas.
Since the compositioo and/or corditioo of any padcula.
existing underlying matenal may vary widely, reroollng with
adhered systems is outside tha scop€ ot this report.
5.0 CONDlTrrNSt OF USE
The single-ply EPOM, PVC, and TPO roofing mernbranes
desgibed in this repo.t comply with, or are suitable
attematives to ntlat is specified in, those codes listed in
Sedion 1.0 ol this reporl, sut{ect to the following
conditions:
5.1 lnslallation must comply rrth the applicable code, the
manubdure/s puHished installati,on instrudioos aod
this report. Tt€ insbuctbos within lhis report must
gov6m if tfEre are any conllicts betu€en the
manuiactureds installAion instrudb(ls d this repo(
5.2 The adtEred and mechanically fastened single-ply
membrane roofing systems must be installed by
paobssional roofirE conredors who are trarned and
approvEd by the manufadurer.
5.3 Foam plastic insulalion must be saparated from thei erxv of the building by an approved thermal banier
in accordance wtth IBC S€dion 26(x}.4.1.5 or IRC
Sedion R316 4, as applir:aue.
5.a Foam plastic insulation. wfiere used, must bear the
label of an approved agency indicating that the foam
dastic has a ffame-spread index ot not more than 75
when t€sted at the maximum thickness intended for
use in accordaoce with ASTM E84 or UL 723. subJect
to the approval of the code oftrcial.
5.5 Oesign wind udn pressure on any rmf area,
induding edge and @meI zorEs, must not ex@ed
the allo.rable wind uplifr pre3sure br the system
installed in that parlicular area. Reler to allowable
wind uplifl p(essures for systems as listed in TaUe 4
5,6 The allowable wind uplit D.essures listed in Table 4
are tor tr|e roo, covering sytern only. Thc decl and
framing to whicr! the system is attadl€d must b€
d€signed b( the applicablo comporEnts and cladding
wind loads in accodance y,!th the spplicable code.
ESR-lil5:t I Mosl W&ty A@pted and Trusled Pago a ot l0
ESR-I463 I Most Wdely Ac@pted and Trusted Psgs 5 of 10
5.7 v\r?ren applicstion is over existng roofs,
documentatioo ot [te windudifr resistance of the
composrte roof construction must be subnitted to the
code offcial tur approval 8t the time of petmit
application
5-O The roofing membranes are manuhdured at Carlisle,
Pennsylvaoia, Greenville, lllinois, Tocle, Lnah; and
Sonatobia, Massissippi, under a quality control
p.ogram with inspeclions by ICC-ES.
5.9 For buildirEs under the lBC, abovldect fiermal
insuhilo board musl co.nply with the applicaue
stardards listed in IBC Table 1508.2 or IRC Table
R906.2, as applicaue.
6.0 EVIOENCE SUBXITTED
Data in accordance wrth ICC-ES Acceptance Criteria
lor Memb.ane Roof Covering Systems (4C75), dated
July 2010 (edito.ially revised April 20'14)
7.0 tDENnFtCATlOlt
Each roll of the roofing membf,ane must bear a label noting
the product name, ttE manufadurer's name (Cartisle
SynTec) or tie name of the additional listee, tie
m.roufaduE/s address o. dalt code and tle ICC-ES
evaluation Eport number (ESR-1464I).
8.0 oTHER COOES
ln addition to the codes rebrend in Seclion 10. the
produds in this reporl '.,ere evaluated br compliance with
the requircments of the bllownq codes:
. EOCA' i,/al,oral Bu,ldirg Codel1ggg (BNBC)
. 1999 Slandard Eu ding Cdec (SBC)
. 1*7 Unilom Buiktng Coden (UBC)
For comdiance under the above codes. see kioos 2
through 7 o, this report o(cept revise ttte follotir€
ssdions to read as tcllov/s:
3-8 Fl'3hing:
Flashirq must b€ provided in accordance with SBC
Sedion 1503.2, BNBC S€c1ion 1508.1 8nd UBC Saclion
1509, as applicaue VW€rs iashing is ot metal, the metal
must be cqrosion-re6istant, minimum No. 26 gago
[0.0'19 inch (0 rA3 mm)] galvanized steel.
3.1I lmp.ct Rotlrt nco:
The EPOM, PVC, and TPO roofing membran6 described
in this repo{t meet reqliremerts for impact resistance in
BNBC Sectton 1505.4.2, and SBC Section 1504.6, based
on testir€ io eco.dance tlith FM 4470.
a.3.1 iLw Co.t3tructon: The allo,table wind uplifr
pressurss br ttp EPOM, PVC, and TPO roofing
membfttnes as parts ot roof ass€mblias ars notod in
Tables 4 and 5.
5.0 coNDtTtot(s oF t sE
fhe singleply EPOM. Fr'C. artr TPO roofing m€mb.anes
descnbed in this report comdy with, oI arc suitable
altematives to whal is specified in, those codes listed in
Section 8.0 ot this report, sutject lo the frCloring
conditions:
See S€clirls 5.1 through 5 8. except revise Seclion 5.3
to read as iClols:
5.3 Foam dsstic insulatiofl must b€ sepa€led from the
interior of the building by an approved thermal banier in
ac@rdance with BNBC Soction 2603.4.1.5. SBC Section
2603.5.1.5. and UBC Sedioos 2&2.4 dnd 2602.5.3, as
applicable.
ESR-1,15:I I Most wr&ty ncepted and Trusled Pege 6 ot l0
TABLE I..+ROOUCT I'AIES
CARLISLE
PROOT'CT NAXE
XELLY COJ
2001 rNc.
PROqICT TAflE
XIT.E+ID€ PRqXJCT
iIAIE VERSICO PROOUCT NAXE WEATHEREOI,D PROOUCT
]{AXE
t/'L€fierBorn RBR EPoa{ tao.r-
a€inlbrced irefibi_aneSdre-S€al PREMIUM, C.EPDiAC
STAI{OARD Mule-Hide Slrndard EPDiI VersiJord ilon-rctnb.cad EPDM
i/embr.rE
c-EPOi+C Mule-Hide FR EPDI,Versiced FR Nodrinlb.Eed
EPDM
vtJaath€rBond RBR FR EPoM
NdllEinf5.rld irc.nbrrESur6-SealFR
Sure-S6d fbec6BAcx PREMIUM VersrFleece EPDM irt€mbrarE
s|rrFseel AFx VcGiFI@ AC EPOI,
PRErl[UM, C,EPOi+C,
STA'{DAFO, CEPOITI€R
lfulo-Hiie Stardard
Re{nfo.tEd EPol,l
VeG{iard Rernb.aad
EPI)II llent ane
tl66tlo.aqd RaR sEndard
Rsnto ced EPD lrembrneSur€-Td,gfi Renib.ted
UJerth€rAord RaR FR
Rcinffi EPDiI i,lei$ranaC-EPOI+CR Type 1
Ulo-Hire FR R6lnbced
EPott Vo(*FrdFR R6tniorc€d9r6-forgh FR
Weaf€raora RAR Wnrte
EPO M€mb-r'€
PREATIUM, EPDI' RF .lrub-Hde l.ihrieonAbck
EPDT,
Versg6.d ilqrEdb.rld EPOlr.l
SurcWhrte
FbGAACK
V.rsivdd Rinlb.t d TPO
tlsnbaatE
lrhaffimOTPORelnfo.c€d TPO / l^lhde TPO Mule-Hde IPO-C
Vers*€ld ESSure-l.,teld HS itule.Hde TPO'C (FR)
Vers.b?ld OA TPO IYqfBrBond PRO PAS TPC)SAT, TPO
i,tule-Hl(,e TPO{ Fleece
Bact(Vers|Fleece TPO l,lembraneFbeaAcK
Mule-Hir€ Tma FI6...
B.d Hl!VergFle€ce AC TPO l,ffi.arl€
Speclro-\.veb
Fl@Bad
Mule-HKb fl/C MembrarE Ver9Fl6r R€anforced PVC \l/eareBood PRo Pl/CSure-Fler
grlFler KEE
Sule-Fler FRS itule.H'd6 FRS F/C VcstFLr FRS Ranb.Ead PVC
l5ntrarE
VerslFl@ PvC irembrarleS.r'r.Flex FlGeceAack
2001 lnc BdElng Adh6rve Mul6-Hide 8o.'ding AdhesJ',/e G2mSA Yeloi Subslrde tffio.td RBR LC-60
Bonding AdtEiive
9G+3OA Eo.dirE
Solv!(lt-FrE EmM
BondirE Adh€siro
Sd\,€ol-Free EPOM Bo.tding Solrent-Frea EPOaI Bordir€
Mule'Hir€ rn BaA-200O
Bordn! Adhcan6
Aqua Base 120 gondmg Aqua &as€ l2O 8o.drB&ue Bese !20
EondjrE AdtEsiv€
Mul+Hd6 TPO-C Aoodrno Y',l6afEr8ood PRO IPO
Bondn€ Adheg\e
Sureurleld Bondino
lrde-Hire Lff \,oC Ao.inrE LOW VOC Adldir4 AdIEA€LOW VOC Bsldlrlo Adh€si.e
Lo, \0C 8ofirrE
Adh€sl,,e 1168
Loi \OC Ao.ding AdtEi!!
1168
l-o* \@C EdldnO AdBi,..
1168
Mulrtnde Lor VOC F/C
BondirE Adheaiv€
VeGiFl€x Lo, VOC FVC
Bonding Adtr6iYe
lrHE Bdrd Lo* VOC Fr'C
Eordin€ Adheivo
Surc-Fbx Loi VOC
Fr'C Ao.xfirE Adhcai,re
HydoAdE ryC r bt.r-
Basad AatEsi\,€
Hydro8ord ryC Wd..-&!.d
Adlle$€
tiydrcSond P\r'C vU s-Bes€d
Adtt6i\ie
Cold Apdred Adh6i\,sCold Applr€d ldIENa
MdeHiie SP.100 Adhesivc FAST 100 AdlEsrveFAST 100 AdlE3,ve
FAST 1@ LV Adh6sive ltuk-ltir. SP-1(DLT FAST 100 LV Adl6i\r€
Otygald 5OO AdlEslve OlySond 5(n AdEslveOlySo.a 500 AdtEsttre
-
ituls-thd€ se-TFo
VereFler-E PVC ll€rnbrane
VerEY,ltd 8sl(ttno Adtr6^e
Ld \OC Ss|d.og
SYSTEI
t{o.
ROOFctllis OECK BARRIER BOARD
OR SLIP SHEEI rxsurrrorr IEIBR I{E,/TA-X- ROOF SLOPE
I Noncombuslible
Any of tlE fotlowim irBulatirns,
1-indr mh. to 6indl max.
thictll€s: Cadisl€ 'Seqrrst eld
Polyi6o'. 'Polyiso HP-H', Huhter
Panob 'H-Shbld' or
'r{-shbrd-cG'
Sure-\ bld, Sp€drcwbld - '/.:12
SUiBS€al. Sur+.Toogh, Surg-v\rhitg, SU,g-
Seal Fle€ceBACK. S'Jre.\ Ield HS. SAT-TPO,
Su.s.t leld FleeceBACK, Speclro\ lbld
Fb€ceaAcK - r/" 12
Sure-\rctile FleoceMCK. Sre+ht, S(rG
Flcx FRS - !L:12
2 NmcomhJ3tible
'6nar-r** toertoard. l,-nrar-
o 1fberboa.d or bg.ne. board
($e Se.to.r 3.6) owr s{ndr
,na.x lnsullosm EPS!, r/2{nct}
tricl fib6ftoad or ba.rier boaad
(seo S6'lifi 3-6) ol/sr Syllom
No. 'l irBulatioos
Surr-Wttte FleoceBACK-l.: I 2
Sureseal. Su.6-TouOh - '1r12
Surevlttit6. slrlsed Fbec.BACK, SUIe
\^.lald, Spe<irc\rJ*, Srr!-frH HS, SAT-
TPO. Sor}.t bU FLeccAACK. Sp.crrc\Atld
FIcoccBACK, Sur.-Fbt. $rG.Fler FRS -
1't.:12
3
Noncofirbuslibl6 or
Cornbustible ' min.
'1"-incfi-micr
plyiood o, min.
'/,.indFthi* OSB.
Banbr boa.d
(see Section 3.6)
Su,s-white FleeceBACK-!/.: 1 2
SuE-\ttritc. Suresaal FleccoBACK - 1 ,r: 1 2
SurE-Tough. Su.B\4bk , Spe(trclnbH, Sure-
\rrbld Fhec.BACK, Speciret bld
FleeceBACK - 3:t2
Surc-$reld HS. SAT-TPO - 4:12
Surs-Soal FR, Sure.Fbr, SuGFbr FRS -
unlmliad s@
1
Conb6tiblc - min.
'lojn rFtrict
. ply.ood or mn.
'/,;ndrlhick OSB.
Bearbr boaad
(s€e Sec{iql 3.6) o,
Slrp sltcd 2 lale6
(see Secmn 3 7)
ArV ol lhc toll.intm i.Buladoor,
1-i'ldr min.
1o Oinch nEr. llid(ns!-!:
Cartsl,e'S.qrshbld Poayiso',
Polyieo HP-H',
Huntgr Peneb 'H-Shblf or
at-shatd{G'
Sur€-l bld. Spc{to-t^tr - r/.:12
Surssoal. SurE-Tough, Srro-vlhae, Sure
S€.1 FleecoBACK, Sure-\rlbld HS, SAT-TPO,
Sulet veld FleecaBACK, Specfo-Wdd
FbeceaACK -'ir t2
Sure-lrthite FLeceBACK. S(rE-Flex. Sure.
Flor FRS -!/.:12
c
Co.nb6tible - min
'1*ncfr.trrio<
plyY,ood or mn.
'/,.inctltnct OSB
Ary of the tollowi.E insulations.
2-inch man.lo sindr r|ar.
tlrcl(ne$: Cadisb ?olyso HP-
H" o. Hrrter Panels 'H-Shald'
Sure-\r,/eld, SFctro-li\t ld. Sure-\rvsb HS,
SAT-IPO. S(r6Fler, Su.6Fhr FRS -
unlirrit€d sloF
6 Cornhatbfe
Siingle laF ol. nrl(,n 3.f o.
dolrblo hF ol mfim'n 'l.5'
Ca,lsle 'SeoJ.St eld Polrso' o.
Ht, ar Panels
'HSha'rd€G'
EPOM, PVC, am TPO Mervrbrenea -'1.,t2
7 B Combuslrble
Singlo la),€r of mlrin m 1 0'
C.rtsle 'Soorstdcld PoMso' or
Ht,{tr Paocl!
'l.r-shrrd{c'
EPDM, PVC, and TPO Msnb-an6 -i/,:12
ESR.ta63 I uost wi&ty accepted and Trusled Page 7 of t0
TABLE 2--+IRE CLASSIFICATIOX ASSEIELIE9-AOHERED ROOFIXG SYSTEIS,,
For Sl: I inch ' 25 a dvn.
!All foam plastc inlulatio.r must bs Ul'das3i6ed toamed plaslic br rooftng gyslemg, 8nd [usl bo limlted to lhe msximum thicties in
acco.dance rttn Sodioo 5.4 d trro GOorr or Oc masndi lhid(neas n acraftlance with lhi! tabb, wfriche\rer i! ls3s.
lsoe Sedio.l 3 lO b..dhe3ir€ apdrcdioo rste
!L ClarJi€d EPS m8y ba irBt llod below min. 1-ln6-thld Cadbb o.l-ll,tt r PerEb Msocyaltr.b kBlali,lr (dlar 3lope 1:12) o. belo,v
rh. '/:indFf** Cartgle S€qrsi€ld HD q Hunt€r ParEb H-.SlieU HO (rnsr sloge 2:12, oo no.rcorfibusdbb decb-
'Carble S€orstia6 HD o. Hun!6( ParEls H-Shiob HO may rspldca fiberboerd ard rnay be uled es a covgrboard ov€r Eny lr6d€Uo.r. falhon
thc.€ ltro boards BrE llsad dt.laly balory UE SUlE-\rrH mefiar-E, tE 3lopc b li rild to rnex. 1, 12lvlrEn ttEsc aFbms elE us€d to. rerDoffrE or rEcovarirE, installstih [rusl ba in acao.drice with ScaJdB ,1.2.2 a,rd 5.7 ol t{s Gpod, snd
IBC S.cton '1510. IRC S.ction R907. BNBC S..flon 15'12. SBC S..ton 1510 or UBC App.ndix to Chapt r 15. a! apdicablc.
SYSTEI
xo.
ROOF
CLASS oEcr BARR'ER BOARD
OR SLIP SHEET
IEIBRATE'IA]X. ROOF
SLOPE
1 Noncombustble
tuly of fi6 tdbrriaE insulatidB. l-inch man. to
6indr msr. tlhidn6s: Csrlide 'S€curshield
Polyiso'or 'Polylso HP-H', Hunter Paneb 'H-
Shield' o. N-Shioldcc'
SurETough. Sure-Vl/bld,
Spedrcl.J6ld, Sure-Flex, SuIe
Fler FRS ' !/,.12
Su.!-wbld HS - lrlr:12
SrnFTor{h FR - 2:12
NmcorhbustUe
'/r-,nch-u*A fberboad'.'/.inc]Lthick
fibedosrd' o. banier board (!€e Seclron 3.6)
over tinch mar lnsulbam EPS'?, !/.incfFtrcl
fbertoard o. baricr boa.d (see S€dioo 3.8)
owr SFlem No. I irEutatiorE
Sure-Tor€h, Str6uleld HS.
Surefler, slrEFbx FRS - 1112
S{rE-Vrbld, Sr€drcliveu -
1't,,12
Sure-Tor€h FR - 3r/.:12
3 Noa\comhrstUe To tinch rnar lnsulioam SP
s(rs.YH, Specro-rr'/eld, Sute
l J€5 HS. Sure-Flex, Sur+.Fhx
FRS - !,:12
Noarcora0ltiblo or
Co.nbugibe - min.
'1;n fi-tt'ick
, plyrvood o. min.
'/i,nch-thrct OSB.
Su,s.Toogh, Sur+ureld,
Spectrcwbld - 3112
Sue-To'.Eh FR - 3'/z 12
SurGUIeld HS, $ne-Fler, Sure.
Fl€I FRS - unlimted
5
Combuetibb - min.
'l;rdr-t$d(
- pifiood o. min.
'/dncfi-thrd( OSB.
Banier boa.d
(s€e Sedixr 3.6)
o( Slip stEet: 2
la}lrs,
(s.e Secfio.| 3.7)
Any of UE hk*ing irBulatirrs. l-inch fiin.
to (Hnch nrax ttidrlesr: Ca,lbb
ts qrshadd Poi/iso" o.'Polyi6o HP-|l.,
Hlnta. Panels
'H-Shidf or +l-Shield{G'
SreTough, stre-! bU.
Spcctro-vlb6. Srr+Flex, SrxB
Fbx FRS - ,, 12
Sult l€ld HS, trr:i2
SurETo..rgh FR - 2r12
6
Cornbuslibb - min.
'tl!-imrFtrid(
ptflood oa min.
'/,.inctFtlxcf OSB
Slip sheet, 2 hFrs
(see Section 3 7)
&[BTough - 1:12
Surs-Toqgh FR, Sure \r'reld,
Spoclro-weld. SlJIe-t reld HS,
Sue-Flox, Sure-Flox FRS -
1'tzt12
7
Co.nbuslib| - tnil.
'l,.jnc lhict
plt/wood or min
'/,ri.r.rr{h'ck OSB
Slip sheel, 'l leyer
(see Section 3.7)
8
Co.nbudibb - riln.
'l;ncrr-nic*
paa.,ood or min.
'/G-rnarr.thict OSB.
S(,ElnHd, Spe.trcYv.ld,
grre.Y{eld HS. Su!-Flex, S!re-
Flex FRS - ur ir(ed
9
SrEb layer of minmum 3rrrch o. dorrble layer
ol mhmum 1.+incn Cerliste
'Soarrshhld Poiy'so' or
Htf er Panels 'H-shbld-Cc'
EPOM, PVC, end TPO
Memb(an€6 - '/2:12
r0 a Combust,ble
SirEle layor of.ririmum I g-inch Carlble
"Seorshidd Polyiao' or Hullt€l Pand3
'H-ShieU€G' d singb leyor of an inwrted
G3 cap lIE t.
EPOM, PVC. and IPO
MembaarEs -'l2:12
ESR-ra63 | Most Widely Accsptod 8N Trus7ed Page 8 ot l0
TAALE S-+IRE CLASSINCAN(,. ASSEXAUE9-{ECHAI{ICALLY FASTE]IED ROOFIT{G SYSTETS.
Fo. Sl: 1 inch = 25.,4 mm.
'All toam plsstic in3riation must be Uldassified foa.rEd plastic for aoofog eyttams, and m(6t ba lid$ted to tia marimum ItickrEls in
acaon arDca vrith Scclion 5.4 of this reporl oa OB maxinum t ickna3! in accordaatca wilh t!t! ttblc. ntichavar b l6E.
iJL Ctassiticd EPS may be iNtalled below min. l-inctFthick Carlisls or Huntor ParEls polyi3ocyodrste ansulalixB (max slop€ 'l:12) or belor./
mm. '/,{nctrthcr Ca.isre Seoish'eld HO or Hur er Panels H-Shr€ld HD (.nar llope 2:12) m noncomb6tiu€ ded(s.
tdl6le Seo.rst*rld HO o. Huntor Panelg H Shldd HD may r€dsc€ ibertoard erd mey bo used eg a cowrboad over any irEulafql. \MEn
heaa tvo boa^ts sr€ us€d dlreaJy balo{ tl€ SurB-t rgld r|embrano, tlE 3lo0e is llmit€d to r/.:12.
lr!t!6o th6!a systorE are u!€d for rlrooing or r€covarirE, inllallatbo riust b€ in accordance with Sectnns ,4.2.2 end 5.7 of tNs repoal. and
IBC Sectirn l5'10. IRC Sedlrr R907. BNBC Sedidr 1512, SaC S.dbo 1510 o. USC App.rdir to Chapte. 15, .3 appllcablo.
txsuL noxr
Samer board
(!ee Sirction 3.6)
B
Surs-Torrgh, Slro-Tough FR,
SurB\rveld, Spe.trarfleld,
S.relrteld HS, StrqFbr. SulB.
Flet FRS - 1rizr12
c
Any of tlE hbring irBuhirs.2-.i Eh.ran.
lo €linah mer. ttid(rEss: Ca.li e
'S.oJrslield Polyiso' or 'Polyiso
HP-H', Hur er Pa.Eb lishreld'
or Hshbld CG'
TASLE 4---$I'D RESISTA]'CE-{ECXATICALLY FASTETED ASSEXBUES..,
SYSTET
xo.
IAENX
ALLOIVAAIE
fiI{O TFLIFT
(p.r)
DECKT [ts{rl^Ttoa{ 'TEIARANE TETBR NE
FISTET,ING
raItrt.lla
F STENER
sPlcttrc
(hch6)
H XTUX
F STEiIER
ROW
sPACrtlcr
I 45
Forn pltrE |tuLtdl']
'/-hdrhtcr fribrt' d
(Sa Sd 3 o)
Sure-fough 12 6 ft 6 ndles
2 Sanp es Systorn t{o 1 s'rc-ToJgh HP-X Fast rE I
i/bbl FdlenirE 86r 6 6 It 6 ndles
3 SUr!-To(,!h HP Fastds &
PdyrE Searh Plate 6 I fr 6 'rdles
45 NonaoanDustbb Sam€ 6 Systom ib I Sur6-Tdlgh Sure-Tite F83ETET &
ST Fdefi.E &.12 I ft 6 mcfles
5 30 NoncqnbJstible Sure-To(/gh
(75 mil)
HP FasterEr I
Polym€r S6fi Plalo 12 9 n 6 'n<ieg
6 60 l.lon@nbust Ue Same a3 Syslem tao 1
S{.rE-Tqlgh
(75 niD
HP Fad.rE A
Polyrnar Sarn Hate 5 I t 6 'ncies
7 45 Noncoanbusodg Safio as Syst€.n 15 1
Surel/Veld o.
Specfo-'rlcld
HP'X or HP-Xba
Faslen€rs with Piranhe
or Branha Xm HaEs
12 7 t 6 indles
8 45 SanE as SFte.n t{o 1
HP-XFa FasEErs wth
Aranha XEa PlaE3 12
9 60 Sarne as System 15 1
Surel reld oa
sp€cro-lr/\bld
HP-X o. HP-Xfa
Fa$ena! wrth
Piranha o. Pr'irra XtsE
Pl€bs
6 9 n 6 in$es
10 67 Serl6 as Sysl,cm No 1
Sure-l bld o.
Spdo-t lold
HP'X or HP-Xt-a
Fasl€ners with PirarfE
or Pi€nhe Xtra Pletes
6 7 n 6 indles
t1 30 Sarn6 as SFtem f{o. 1
Sure-\ /cld s
Specto-t jeld
HP-X o. HP-Xfa
Faslenqs with PiranlE
or Prrd*€ XU'a Pleteg
12 11 n 6 indies
12 50 SanE es Syslern lto. I Spectro-uield
HP-X or HP-X'.
Fasieias wi[] Pi.enha
d Pirxlha Xm Pm
6 l1 i 6 rnches
13 53 NorEnbostbb Sarrleas System No 1
HP-X Faster|orB with
Arerlhe Plates 6 6 i 4 rncfEs
'14 83 ,.o.Enh66bb SerYE as SFtern lto 1
l"lP-X Fa{ao€.s wrtfi
Pi6nha PlaEa 6 2 n l1
'nches
15 30 Sarne as System No 1
HP'X o. HP-Xra
Faslcoers wllh Piranha
o. Ararae Xlra Phtos
16
16 45 Nort.!.nurst blc Same6 Slstrnn tlo 1
HP-X o. HP-Xfc
Fasienss wilh PiEiha
or Prr.rse Xt-a Ealls
12 6 i 4 rnches
't7 53 t{orEnUrstblc Sarne as SFtem ilo 1
HP-X Fasten€rs wlth 12 2ll ,1 anch€s
18 15 Serne 6 SFt€rn tao. 1 HP'X FaderE(s rith
Ol,lG RhtnoAod Platls I pe.5.3 lf
19 60 Sarne as SFte.n tlo 1 HP-X Fadertrs wrth
OllG RhrDaqa PtrB
Fo. Sl: 1 inch = 25.4 mm; 1t=0.305m; 1 psl = 47.88 Pa.
rFoam deslic i,lslrlelbn mrst b. any ot trle bloring (1nr(h min lo Girxtt rnar t dness) CsdE€'S€orshcld byiso','fuyl3o HP-tr Hunte. Par|etg
'Hshi€ld' d H(nbr P.n h'l.t.stiC+ CG
']Al bam plestc insuleton mud b6 ULdais/n€d brned dada b. r@f n9 lystgis, and m(d ba lim od b trr flLDomrm thi*.na3! n irccddarro wrfl
Sdo.l 5 /i ot thls rloon or m ma.BIIxJm thEirE33 in eccqdanca with lrtB iaua, wtich6vrr is Ess.tsl6l clcd( mu3t b. mnimum tlo 22 qe{p gelEnEcd drci [bs!.'nEtd $!cl(na!s 0 030 irdr (0 76 nrn)l Cm.reia nEg ha€ a minlmun cornp.Bsv€
$!.ndt (f'.) ol 2500 p.r 56 Sc.tqr 5 6 o{ ttb rlpo.t
'Fd oridiig lrEl rEolhg. tE a$dnbte llsd l'r.l3r ba htllod by f8girE 0ru.rgn fE monno -d intc !fir6./r, irsrbo.! (p(,lirrts. sBb ron, be6nB,
€ic. ) c@b ot rcilthg al e4.cEd ld TIE rE!flr,n alior# rd ufrfQ (ne|d) pr!a!(,6 ar6 rhorll in Cdunn 2.
tL CL3ifd EPS msy bc irddlod b6by nin. nd hi* Cslbb o. Hunbr Pr,lt pdyiaocydrraE irllrdirE (ma( slopcl:12)d bdo* rin '/.irdr-
U!td( Cd6fa Sexshdd HD o( Hrnter Pancb H-Sh€ld HD (nEx slopo 2112) on ndlqrau60ua ds.
" Carl6le Set'stliald HO or Hunt . PsnaLr H-Strbld HD rEy lepla fib€rboord .rEl firr, tE us€d es s €Dl,rbord ois elry inn htixl. ltrtl€n tEs. tso
Doa.d! a,r uld didy ldff tr Sor+t bld rn€rnb.an , trrc Jop. i3lknt d to rL:t2
' Wtren trre rysterns ao u!.d b. raoofim o. r@v6.irE, irlltEllalrm mlt bc rn ffidsrca with S€dbos 4.2 2 rtd 5 7 ol tr!! Ggo.! and IBC S.dbn
1510, IRC Sdim R9O7, BI{AC S€coon 1512, SaC S€clcn 1510 d t BC Appsldix to Clraplef r5, ar applic.bl!.
t Faltenor.ow lpG lho*rr el! lbr fcld d r@t aily S€. Sadixr 4.3 hr r6corni2d bsos lystanE br rEctlrracdly te3lrEd r@f 8lddrio' Tho
,hatlmtrn atloyabl€ 106.l b. CadiJG Socu€dge 3@ B 231 df (348 kqr'm) The lltatirllJm elolret . bad br C.rliJo S€crrl€dg. 3Om ic 2OO plf
(298 kgfr). k r b€ti,cn dlo e4a oa fE r@l -d ,E irll rl,, ot hd€nqB flrd b dab.mnred aoadttrE y
ESR.I{il I Mosl W&ly Acepted and Tru ed Page I ot t0
HP-X Fanencr &
lretal F6teriiq Bar
75
52 Samc es SFlern tao. 1
Sam6 as Syslcm lto I
I i 6 r'afies
SurrFlex
ESR-l'l6:i I Mo.sl W&ly Acaptd and Trust€d Pego ,0 of t0
TABLE 5-U'IiIO RESISTAXCE_ADHERED ASSE ALTES.
For Sl: I indr.25..a mm: Ii=0.305m; 'l03 =47.88Pa
lAll fuam plastc insulaton must be ULdassifi€d foanEd plaslh fo( roofing 3Ftcrns. and musl bc limiH to tlE maxirnLn thictnass in
-accodanca wth Secton 5.a ot thig regoal or lhe m€xrmtltn tiickness in eccordanco with this tablc, whictEvor is l-.is
'Steol d6d mult be minimum tlo 22 Caglo gatvanEed rteel lba36rnetal Uid(n6s 0.030 indr (0.78 finr. Concret€ musl hrv€ e . nrmlm
compr66sile 3renglh (f J o{ 25m plr. S€€ Scclion 5.6 ot b}lb lE9o.l.
lJL Classiltod EPS may b€ inslall€d bd6y [in. f -inctFhact CartigL or Hunter ParEb polybocyarurate irEulatio,E (max slooe l:12) or bebx
n n. '/rrndFthick Canis|e Seorrshbld HD o. Hurner Panels H-Sii€ld HO (mu Btop6 2:12) m norEombustuo (bcks_
'Carlisle Seorshhld HO oa Hunler Panelr H-Shi6ld HD may r€place fberboard and mey bo u!€at aa s coverboaEl ovor arry inautrEtioo. Wheo
tlr€3€ lm boerd3 ar! u3€d di.ec[y below tlE Sur€-lrftld m6n$rerE. the JoIE b liniled lo 1/r:12.
l itEn apdicatbo is ovar cxistirE roof!, docrrncntatih of lhc uirdr.plifl lEshtance of the co.npGite roof con3blcton must be sttrmtled lo
fie code oflcial br approval 6t the UrE of penrit application For reroofno or rscoverjng, inslallation must bo in acco.dsnce dlh tBC Seclion
1510, IRC Sedixl R907, BNBC S€clion 1512. SaC Sedion 15i0 or UBC Apperdix to Ch.pter 15. aB apptcabte.
SYSTEI
xo.
ALLOWAELE
IYIXO UPUFT
(FlELo) (F0
DECK,trsuLAno[ / rtx. THtcxilEssrr
lltsuulnon
FASTEI'IXG
RATE
IEIBRAI'E
TYPE
1 45 Comb6tible o{
NoncombGtible
'1, inctr tsertoard, r1!, inch OS8, o. b.ri€. bo.rd
(See Secf,on 3.6)1.Fr2l.EPOM. PvC end TPo
M6mbaanos
2 45 Combustrble or
Nqrco.r$rEtble
Ca.liJe 'Polyiso HP-H' o. 'Seolrshield Polyiso';
Hunler Panels 'H,Shield' o{ "H-ShieldCG' / 1.4 anctl
wifr r/zirrh Securod( covcrboed (oplifflal)
EPDM. PVC and TPO
Membaanes
3 Co.nbustibb or
Norlconb(r3tbb
Carlisle 'Potyto HP-H' or 'Securshield Polyiso';
Hotor ParEls 'H-Slield' or 'H-Shb*r4G' i 2.0 irctr
witr 3/.-irEh Sect,od( co'/erboard (optio.lsD
lperalf EPDM. Pl/C end TPO
MembaarE!
68 Co.nbuslibb o.
Nmcon$ustibb
Cariisle'PotyBo HP-H' o.'Seorrshield Polyiso'i
HLnler Pa.El3 'H-Slrbld' or 'H-ShiektCG' / 1 0 inch FAST Adhesr'/e FleeceBACK Membrenes
5 75 Combustble or
Nonconbustibb
Cadide 'Polyiso HP+i' or 'Seorrslield Potyiso':
H(fite. Panels 'H-ShieH' or 'H-Shield-CG' / 2 0 inch
with l?indr Sec{ro* cow.bosrd (ogtionat)
1 per 1.8 lf EPDM. PVC and TPO
Memb(anes
6 120 Combugtible or
Noicon$ustible
Cgnisfe ?olyiso HP+l' or 'Securshreld Polyiso';
Hmt€r Pan€ls'H-Slrbd' or'H-Shield{G' / 2 0 inch t per 1 fi']
TPO M€mbrarEs:
EPOM rnemb-arEs
(with noncombGtble
ded( diy)
7 128 Contustibb or
NdlcorIbusUble
CarlBle ?olyiso HP,H' or'SeoJrshetd Pofyilo';
Hunter Panels 'Hshield'o. 'H-ShbU-CG'/ 2.0 inch
wif! t/ri.rci S€qrod( coverboaad (optionaD
EPoM and TPO
ilembrarEi
8 135 Csnbuslibb or
Nmcomb$tbb
C.rlirb'Polyi9o HP-H' or lseqrrshald Poayi3o';
H(,rter Pands 'H Shield' o. 'HShidd-CG' / 2.0 mch
\Nifi r/;rrch Secuaocl co\,/e{toard (optbnal)
1perllf FbecaaAcK Membranes
I Combustble or
Noncontbustible '/, indr D€rBOeck Prmo 1 per I llr FleeceBACK Membranes
I W 3.2(
1 pe|I t'
143
9.1 il.14a'tr1
lit YOfl
MielrtA. Putilo
MAYOR PRO TEM
Vin€it F. S.nnbnio
COU}TCILTTEMBERS
Angalica AlYrazoL
P Dwir Bcn.vir6.
Mir.h ih,lirE
Roitan Rayna
S.lTln j.lo CITY OF SANTA ANA
PTANNING & BUILDING AGENCY
20 Clvlc C.nter Plaza
P.O. 8ox I9E8 . Sanu Ana, Crlifomt. 92702
www.senta-ana.org/pba
NOTICE TO PROPERTY OWNER
Oear Property O^,ner
An application tor a building permit has been submined in your name listing yourself as the burlder of the property
improvemenls specified at 01 tu.
We are proviling you with an Owner-Builder Acknowledoment and lnformation Verilication Form to make you aware of
your responsibilities and possibl€ risk you may incur by having this permit issued in your names as the Owner-Builder.
We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and retumed
this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property
owner, obtain the prior approval ol the permitting authority.
OWNER'S ACKNOWLEOGI'ENT AND VERIFIC ATION OF INFORMATON
DIRECTIONS: Road ancl lntdcl erch 3,atomcnt b6low to slgnlly you undorstand ot wrtly thls lnlomtdon.r ,l
,Ilt)'t , undersEnd a frequent practice of unlicensed persons is to have the prop€rty owner obtain an 'Owner-Builder'
t uldfig permit that enoneously implies thal the property owner is providing his or her own labor and material personally. l,
as an Owner-Builder, may be held liable and subject to sericus linancial risk tor any injuries sustained by an unticensed
person and hiS or her employees \rfiile working on my property. My homeowneis insurancs may not provido coverage br
those injuries. I am wiltfully acling as an Owner-Builder and am av/are of tho limits ot my insurance coverage for injuries to
vorkers on my property.
240 ,understand building permits are not roqurred to be signed by property owners untess they are responsibte for
tnd c{nstludion and are not hiring a licensed Contractor b assume this responsibility.
....4\ ,understand as an 'Ownor-Build€r' I am the responsible party of record on the permit. I understand that I may
iffi TrtrX[T
potential financial risk by hiring a lnrns€d contraclor and having the permit filed in his or her name
4A
-.&.f,a I understand Contractors are required by law to b€ lbensad and bonded in California and to list their license
np;ht!5rs on permits and contracts.
-L* ,undetstand if I employ or otharuiso engage any p€rsons, other than Califomia licensed Contractors, and the
tqFlBFlue of my constructon is at least frve hundred dollars ($500), including labor and matorials, I may be considered an
'e-mploye/ under state and bderal la\fl.
A\ ,understand if I am considered an 'employer' under state and Federal law, I must register with the state andWrll govemment. withhold payroll taxes, provido lvorksrs' comp€nsation disatility insurance, and contribute to
udemployment compensation of each 'employee.' I also understand my failure to abide by th6se laws may subject me to
s€rious financial risk.
NIf tundersbnd under Califomia contractors' State License Law, an owner-Buitder who builds singte-lamityr{$n]tial sructures cannot legally build them wilh the intenl to offer them tor sale, unless a/l work is F€iormeo 6y
lic€ns€d subcontractors and ths number of structures does not exceed four within any calendar years, or all of the work is
periormed undar contract with a licensed general building Contractor.
SAITIA AM CITY Co(JNCIL
ara*r.d6 MaflrE raart-/n rl}d ft e-.f.E O8-i.dra.-rki @
CITY IIA'{AGER
Oavid Cavazoa
CITY ATTORNEY
Soiia R. Carvalho
CLERK Of THE COUNCIL
lLria O. Hut r
idn- tb.r S.l l,-ovYtrts vt daEEdEa Sl&rfllo
M, , ,undersland as.an Of,ner-Builder if I sell the prop€rry for shich this permit is issued, I may be hetd tiabte for any
Fnlncial or personal injuries sustained by any subsequent owner(s) that result from any latent consiruction def€cts in thj
riorkmanshrp or materials.A,I
-ffi| I ulge.rsta( I may obtain more information regarding my obligations as an 'employet. from the lntemal Revenueggt{re, th_e Unrted Statas Small Business Administration, the California oepartment of Benifrt payments, and the
Cali6mra Division of lndustrial Accidents. I also undeGtand I may contact t'he Callomia Contraciors' Staie Li:ense goard
(9SLB)st 1-80G321-CSLB (2752) or wsw.cslb.ca.oov for more information about ticensed contractors.(\tl
.rYVO..l an.aware,ot and consent to an Owner-Builder building p€rmit applied for in my name, and understand that I am
Qq plrty legalty and financially responsible ror pmposed construction activity at the folowing
address:
l lagree that, as the party legally and financially responsible for thas propos€d construction activity, I wilt abide by
laws and requirements thal govem Owner-Builders as well as employers.
agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the
n I have provided on this form
Licensed contractors are regulated by la$/s designed to protect the public. lf you contract wilh someone who do€s nol
have a license, tho Contractors' State License Board may be unable to assislyou with any tinancial loss you may sustain
as a-result of a complaint. Your only remedy against unlic€ns€d Contractors may be in civil court. ll is also important foryou to understand that it an unlic€nsed Contractor or employee of that individual or firm is injur€d whil€ working on your
property, you may be held liable for damages. lf you obtain a p€rmit as Owner-Builder and wish to hire Contaclors, you will
be responsible for verifying whether or not those Contractors are prop€dy licensed and the status of their workers'
compensation insurence coverage.
B6fo?e a building pormit can be bsuod, this form murl bc complctcd and signod by tho pro perty owner and
raturnod to the agency rosponalble tor l3sulng lhs pemlt. /Vote:A coov ol tho prooettv owner's ddver's license.
or's
Signature of Property
Print name of Owner
Owner Date q I oltr
+4.*f,,d1 Ch-tY C.s-r
AUTHORIZATION OF AGENT TO ACT ON PROPERW OWNER'S BEHALF
Excluding the Notica to Property Oflner, the execution ofwhich I undeBtaod i6 my porsonal respon8ibility. I heroby adhorize theiollowing per3on(!) to acl a8 my agont(s) to apply for, sign, and fil8lhe doclm€nta necessary toobtsin a; o*ner-iluitder permit for myprojecl.
Scop€ of Conslruciion Projed (or Oeecription of Work)tc l*/t))oj /t/ na,t c4
Proj€ct Location or Add.ess a fi/ tnq,t (k"zt
Address ot Authorized Agent )<2 at 4,//4n l.4 9't ?L'
Phone Numbor of Authorized Agsnl
I decl8re under penalty of perjury that
informslion and cerlify its acc!.acy
I am tha properly o. ner for the address listed above and I parsonally llllad out the above
Property Oflne/s Signature t-Dale
Print N6me of Owne.:€.\-r- (
Nole: A copy ol th. ovnafs dttvcr's liconso, fo,m no&,rization, or otha. varifrcation Dccqbblo to the ,gancy is rcqui.ed tobo pt€€€nLd when lhe po,1,,ll is itsusd ao vorify the p,!,petty ownar,s slg,r',.tuto.
SAITA ANA CITY COI,NCIL
xlaraa &c.
Fr&bE 6 \rs-rtrr.ffm Effi...fffr r E-inm ffi't&r..r6 FrR.{r...r}n ft ll@-s
q fr'f'r
Name o, Au'thorizod Ag.n, l r,r lor/o
callFoRilA ALL-PURPO8E ACK OWLEDG EllT CtVtL CODES 1189
A notary public or other officer completing this certificate verifies only the identity o, the individual who signed the
document to which this cerlificate is attac-tted, and not the truthtulness, accuracy, or validity of that document.
State ot California
Be.r,r..cl fnu 'County otSan
on q l0' 15 before mel o 0 zs.kz ota Aui
Date
personally appeared f.\ip. A
Here lnseft Name and Title ot the Officat
&{nz* r
Name(s) of Signe(s)
who proved to me on the basis ot satislactory evidence to be the person(s) whose name(s) iyare
subscribed to the wilhin instrumenl and acknowl€dged to me that h;Emney execul6it-he's--ame in
his,fterltheir authorized capacity(ies), and that by his/her/their siqnati?&)on the instrument lhe oerson(s),
-or-the entity upon be'EF6l-w-hirch tiigJgrsg(di-acted, ex66[i6-i[6Gstrument.
I certity under PENALry OF PERJURY under the laws
ot the State oI Calilomia that the foregoing paragraph
is true and correcl.
WITNESS my hand and otficial seal.
ntr 0. 6012 Ltz
Corrblcl , zoltglll
tblry tu5lc - CJilqnll
3m Lrntrltno Count,
0, rr.l cXSignaturel.<r-
Signature of Notary
Cffri.k 25. 201E
Place Notdry Sedl Above
OPT'ONAL
Though this section is optioMl, completing this inlometion can deter altention ol tha documanl or
lraudulent realtachment ol this lom lo an uninlended document.
Q f--q.ro.t'
Capac y(i$) Claimod by Signor(s)
Signer's Name:
Corporate Officer - Title(s):Corporate Otlicer - Tide(s):
Partner -lndividual
Trustee
Other:
l'Umited I General
i--l Attomey in Fact
, r Guardian or Conservator
Partner - Limited Generallndividual Attorney in Fact
Trustee Guardian or Conservator
Other:
Signer ls Representing:
@2014 National Notary Association . www.NationalNotary.org . 1-800-US NOTARY (1-800-87F6827) hem 1t5907
)
)
Signer's Name:
Signer ls Flepresenting:
RE: Crank Brothers Roofing - Revised Change Order #l
From: Laura Dominguez <ldominguez@laconservancy.org>
To: Leobardo Maffey <maffeygentreasl@aol.com,
Subiect RE: Crank Brothers Roofing - Revised Change Ord€r #1
Date: Tue, Aug 18,2015 12.11 pm
Page I of3
Hi Pastor Maffey,
I apologize, as I misspoke during our conversation yesterday. Since 309 N. Main Street is no longer a local
landmark, we do not need to coordinate our response with the planning department and the historic
preservation staff. You should be fine to submit your plans for approval, but you can show them this email if
you need proof of our review.
Best,
Laura
Laura Dominguez
Preservation Coordinator
Los Angeles Conservancy
523 West Sixth Street, Suite 826
Los Angeles, CA 90014
(213\ 4304211
Membership starts at just i40
Fromi Leobardo Maffey Imailto:maffeyoentreasl@aol.com]
Sent: Tuesday, August 18, 2015 11:54 AM
To: Laura Dominguez
Subject: Re: Crank Brothers Rmfing - Revised Change Order #1
Thank you very much. Please notifu the City of Santa Ana of your consent regarding the installation
ofthe new roof. Thanksl L. Maffey
Sent from my iPhone
On Aug 18, 201 5, at I I :28 AM, Laura Dominguez <ldominsuez@lacon wrote
Hello Pastor Maffey,
Thank you so much for sending this to us! Since the work does not impact the fagade or any of
the character-defining features of the building, we do not have any concerns and can sign off.
Please let me know if I can be of further assistance
Best wishes,
https://mail.aol.com/webmail-std/en-us/PrinlMessage 9n6t2015
laconservancv.orq
E-News - Facebook - Twitter - lnstaoram
RE: Crank Brothers Roofing - Revised Change Order #l Page 2 of 3
Laura
Laura Dominguez
Preaervation Coordinator
Los Angeles Conservancy
523 West Sixth Street, Suite 826
Los Angeles, CA 90014
(213) 4304211
laconseTVancy orq
E-News - Facebook - Twitter - lnstaoram
From: Leobardo Maffey Imailto:maffeyoentreasl@aol.com]
Sent: Monday, August 17, 2015 2:41 PM
Toi Laura Dominguez
Subiect Fwd: Crank BrotheB Roofing - Revised Change Order #1
Ms. Laura Dominguez, good afternoon!
Psr our phone convoEation, attached is the roofing contract for 309 N. Main Street, Santa
Ana, CA 92701.
Please review and approve as aoon as possiblo.
Wo need to install the new roof before the raining season begins.
Thank you!
Pastor Maffcy
---Original Messege---
From: Jacki Nielsen <inielsen@crankbrolhersroofino.com>
To: Maffeygentreasl <Maffevoentreasl @aol com>
Cc: efonseca <efonseca@crankbrothersroofinq com>i tsnyder <tsnvder@cbciconstruction.com>
Sent: Wed, Jun 24,2015 2:17 pm
Subject: Crank Brothers Roofing - Revised Change Order #1
Good Afternoon Pastor,
Attached is our revised change order for the re-roof at 309 North Main Street in Santa Ana
Please sign and return for our files
w?tu*.,
CBCI Construction. lnc.
Crank Brothers Roofing, lnc.
https:/imail.aol.com/webmail-std,/en-us/PrintMessage 9lt6l20t5
Hemborship 6taits at just S40
Jo n the Conservancv todav
RE: Cmnk Brothers Roofing - Revised Change Order # I Page 3 of 3
10015 Muidands Blvd., Ste. E
lrvine, CA 926'18
949 542.7265 - Office
949.305.4653 - Fax
inielsen@cbciconstruction.com
CBCI_Logo_2in_09-30
-09 (Small)
cidiimage006.ipg@0
1D081C3.28C28AC0
This email has been checked for viruses by Avast antivirus
software.
www.avast.com
wRD000.
https://mail.aol.comiwebmail-std/en-us/PrintMessage 9fi6t2015
Recorded aE RequesE of
City of Santa Ana
l,/hen recorded, return to:
CiEy of Santa Ana
Building SafetY DeParEment
P. 0. Box 1988, M19
Santa Ana, Cal-iforria 92702
BB-404323
-9 39Att At[ 16 '88
4- a.+9,.-./L,.W,
EXEMPT RECORDING REQUESTED PER GOV IT CODE 6103
EERTIFICATE OF COMPLIANCE
rticle XI of Chapter 8 of the
eduction in Exlsting Buildings".
Re@no€o rN oFFtctAL RECOfiDS
OF ORANGE COUNTY, CALIFORNIA
EXE IilPT
1
I(OTICE OF COMPLIANCE WITH REQUIREMENTS OF THE CITY OF SANTA ANA SEISMIC SAFETY ORDINANCE
NoEice is hereby given Ehat the certain building or buildings on the proPerty located at
309-tt Horttr Main -st'reet , santa Ana' california'
described belov, has been foun dto ;"rpi] aE Ehe present time withand more par Elcular 1Y
rhe Class II (High Ris k) standards, as established bY A
Santa Ana Municipal Code, entitled "Earlhquake Hazard R
LEGAL DESCRIPTION OF PROPERTY:
The south forty feet of Lot 6, and the north 20 feet of Lot 3 ln Block 10 of the
Town of Santa Ana as shown on map in Map Book 2, Page 51 of Los Angeles County, CA
Record Owner:Robert C. Theel
This document is being recorded to notify all interested
conditions. For furEher information, contact the Buildin
City of Santa Ana at (714) 647-5814.
Jo
Bu
Ci
T.
1ng
of S
fety De
nta Anil
STATE OF CALIFORNIA )
COUNTY OF ORANGE )
Ot thisgQ4fl_day of
said counly and sEate,
Director of Building S
foregoing instrumenE a
WITNESS my hand and official seall
oEary Public in and for the
County of Orange
State of Ca 1i. f orni.a
parri es of the above described
ety Departmenr of qlre
Di r
Par
SS
, B ff-, bef ore me, a notary public , in and f or
rsona ly a p pea red Joseph T, Mazzeo
afeEy Department of Ehe City of Santa Ana, vho execuEe d rhe
nd acknowledged to me that he executed same.
/
BARBARA HENNERMAN
iIOTARY PUBIIC . CALIFONN|^
ONANGE COUNIY
M, C.ni 6rPl a€ 25. rt!9
OFFICIAL SEAI
Recorded at Request of
city of Santa Ana
when recorded, return to:
city of santa Ana
Planning & Building AgencY
P.O. Box 1988 M-19
Santa Ana, CA 927 02
EXEI'{PT RECORDTNG REQUESTED PER GOVIT CODE 5103
RELEASE
NOTICE OF SUBSTANDARD BUILDING
NOTfCE OF COMPLIAI.ICE WITtt REQUIREX.{E}ITS OF THE CITY OF SANTA A}ilA SEIST'LIC SAFEf,Y ORDINANCE
Notice is hereby given the certain building
Iocated at 309-31 s-
that
Ma in stree
or buildings on
santa Ana
the property
, california,
and more particularly described below, has been
time with the Class III (Mediurn Risk) standards,
found to cornply at the Presentas established by Article XI of
Chapter I of the Santa Ana tlunicipal Code,
in Existing Buildingsr'.
ent it l ed "Earthguake Hazard Reduction
LEGAL DESCRIPTION OF PROPERTY :
The south forty feet of Lot 6, and the north 20 feet of lot 3 in Block 10 of the
Town of Santa Ana as shown on a nap in ltap Book 2, Page 51 of Los Angeles County,
California
ASSESSORS PARCEL # 009-031-1O
This document is being recorded
described condition. For further
Agency, Inspections Division, of
interested parties of the above
contact the Planning and Buildingto notify all
informati.on,the city of santa Ana at (7L4) 647-5826.
J es N. Lindilding
ann ing
gren,l'lanag
Safety Division
& Building Agency
wITNEss ny hand and official seal:t r.r,*,^Vn -ynr/,,fr2*
Notary Public in and for the
County of Orangestate of California
STATE OF CALIFORNIA ) city of santa Ana
on tni,s ?ttay of yY1,a-)# , Lsq/, before ne, a notary pubric, in and for said
county ana slate, peiEonEf fy appeared Janes N. Lindqren , Inspections
Serviles Manager foi tne Planning & Building Agency of the City of Santa Ana, who
executed the ioregoing instrument and acknorrledged to me that he executed sane.
6€[03
r995
MCM.
25,
)I
To Hervey Lunt C omnunity Developnent--TFIET of-
- Development Processi ,w Date@
F rom Joseph Mazzeo
309 & 3I1 North Main Street (Odd Fellows Buildine)
And a Proposed 10i Access/Egress Easement 0n This Property To The East
The proposed Odd Fellovs remodel incorporates a new exterior stairway. The
Building Code does not perllrit an exterior sLair to be located in an area
r",here fire protection of openings is required (Section 3305-n, UBC). In
the case of this building, fire protection of openings is required at 20'
from a propertv 1ine, So in this case, a 20' yard is required from the stair
to the property line,
At some point in the design of thls project a decision r,ras made (witho'ut the
approval of this department) to install an open stair in the rear and to
secure an easement to provide a yard to eliminate the required fire Protec-tion. However, such a solution is not acceptable to this departnent for the
fol loving reasons:
1. The proposed easement is not of sufficient
2. An easement can be terminated at any time
enforcing
r,,idth.
by the parties involved.
nor keeping track of this3
4
5
There is no effective nethod of
or any other private easement.
It puts the city in fhe position of restricting construction on
adjacent property for the benefj.t of another property holder.
The Bullding Code requires that a
as the buildin8.
yard be situated on the same 1ot
There are two alternatives left for the stairs; either enclose
them inside the existinS bullding. Either of these solutions,
properly, vould be acceptable.
them or relocate
if detailed
If you have any further questions, contact me or Bob Tyler in this department.
u
Joseph Mazzeo
JM: ih
(
Subjen:
o O
thirtieth
street
architects
INC.
October 4, 1984
I
(J
z
:c,t
$-.ot,
lrr. Rlck ctE\rez
AEsistart Transgnr tatlon ElqirEer
EparurErt, of Transpor tation
20 Civic Gnter Plaza
Santa ArE, Cal lfornia 9270I
re: Oddfellqrs Building, 309 & 311 North l,hin, Santa ArE
Ear Rlck,
Please ffud endosed a site plan strcving the prog:oed are of encrodn€nt fora new fire exit at the Oddf el1orrs Building. There are trro existlng
fire-escapes currently encroching at the al1ey, and the rdlabiL itation wilL&lete one.
If you rEed adri Liqnl information, pl€e f ee.l f ree to @rtad' me, or see the
dranings at the Bnl lding EparurEnt (p.C. t6153).
Sinerely,
N'&5r----C.
c. wilson, AIA
: lilr. Robert ltpe}
architecture
2821 newport blvd
h istorical rehabi litation
newport beach, california 92663
planning
(714)67&2643
ul\
-c
$
u)
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o o
,lrtll'\.W,Fllfil4l.,
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proJect:0D
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sheet
WMET|J thirtieth
street
architects
lnc.
2821 nstpon bttd
trlilbrnir 926d1
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(/
Arut
TIIN,WN?F
4\tifh{lv\t A
N
aAW' I
, ?y''.all
l^1,
\I
\
?
Dellslde Corporatlon
I 7780 Fnch Surte 265
lMne Californi.927l4
\714) 414.1133
o o //Lh ,
Ld/l/r
July 9r 1987
Mr. Joseph l4azzeo
Director of Buildingcity of Santa Ana
206 W. 4th Street
Santa Anar california
Ref e:cence: oddf e11o!,rs
and safety
927 0t
Bui Idi ng
1. That all walls and ceilings, L/2 inch plaster
over L/4 inch wood lath, may remain as
originally consEruct,ed in aII areas; and
That existing doorsr door jambs and windows may
remain or be reused provided that an automatic
fire sprinkler head be inst.alled over each door
int.o spaces immediately adjacent to public
Iobbies, foyers, reception roomsr exit
corridors and stairvays.
As previously noted on the plansr the entire building
will be equipped rrith a fully automaEic fire sprinkler
eystem and the building is a national registered
historical property.
Thank you for your cooperation.
Sincerelyr
DELLSIDE CORPORATION
Dear Mr. Ylazzeo 2
309 N. Main st reet
of the following
of the approvedthe above referenced
Date
2
.ffil1aq7Margaret F. Kudel1
chief operating officer
MK/ rr
APP OVED AND ACCEPTED BY:/a74 farVdr/tta;L/r6
-8
we respect.fully request approval
clarif ications and modif icationsbuilding - restora!ion plans forbuilding:
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To:Date Q-ro -t{
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Subiect
\lo.aan^* 9-lo*y6 t^ J-t-
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D?gM
Recorded aE Request of
Citv of Santa Ana- aa
When recorded, return to:
r0Rt!tt)
EXEI./IPT
-9 39At Attr 15'88
City of Santa Ana
Building SafetY DePartment
P. 0. Box 1988, M19
Santa Ana, California 92702
EXEMPT RECORDING R EQUESTED PER GOV'T CODE 6103
CERTI FICATE OF COMPLIANCE
I(OTICE OF COMPLIANCE WITH REQUIRE}'IENTS OF THE CITY OF SANTA ANA SEISMIC SAFETY ORDINANCE
LEGAL DESCRIPTION OF PROPERTY:
The south forty feet of Lot 6, and the north 20 feet of Lot 3 in Block 10 of the
Town of Santa Ana as shovn on map in Map Book 2, Page 5I of Los Angeles County, CA
Robert C. Theel
NoticeisherebygiventhatthecertainbuildingorbuildingsontheproPertylocatedat
-comPlY
ar the Present time with
.i.1. ci."r'if (High Risk) srandards, as esEablished by Arr.icle XI of_Chapter 8 of the
Santa Ana Muni.cipal C"d" ,
-;;;i;i;a ' "iar tnquatu Hazari Reduction in Existing Buildings"'
c0?Yr r. i,iial
FErrcaoeo rx orncnL hEconoo
OF OFANOE COUIiITY. CALIFOFNIA
4- a.*-,a(ffi
This document is being recorded to notify all
conditions. For further infornation' contact
City of Santa Ana at (714) 647-5814.
parties of the above describedinterested
che Buildin ety .DepartmenE of tJhe
STATE OF CALIFORNIA )
COUNTY OF ORANGE )
On thj.s,l4aL day of
said county and state,
Director of Building S
foregoing instrument a
HITNESS my hand and official seal:
T.zz
1ng fetl' De
Dir
par
of S nta Ana
Public in and for the
Jo
Bu
Ci
, B?r_,before me, a notary Public, in and for
rsonally app eared Jose h T. Mazzeo
afety Department of Ehe 1Ey o f Santa Ana, who executed t he
nd acknovledged to me thaE he executed same.
otary
County of Orange
State of California
oI
AREARA HTN!iERtIAN
NOTTAFY PIJEIIC . CAlrrOnNu
OTiANGE C(XJNT}rr Coi trr-r
^u9 25. t9E9
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OFFICIAL
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UNITED STATES POSTAL SEBVICE
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SETIDER IITSTBUCTIOXS
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4 t, yo! want 6alrv6r) restrclai !o Ihe addr6ssoe or lo an aulnonrad aganl ol lha dddressee lndorsl
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iESTtICtEO DEIIVEnY on ll1€ lronr or lhe anlcl€
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t a
AtL-AMtRtCA CI f 1982-83
:oClVlC CtNT[R PLAZA. p O BOx 198s
SANTA ANA, CAL IIORNIA 92702
FINAL NOTICE AND ORDERRe: Orange County
and commonly
August 7, 1984
Assessor I s
known as
Parcel Number 009-031-10
309 North Maln St r'eet
Robert C. Thee1, Gen Partner
Odd Eellows BIdg. Pa r tnershi p
309 North Main St ree r
Santa Ana, Ca. 92707
THIS NOTICE is beinp spnr ro you pursuant to santa Ana Hunicipal code (sAMC) section8-2004(e) and Sectiin 701(c) ;f ti,," u"ii".r-cli" ror the .cuatlieni-Ji i"ng"rou" Buildingsr
YOUR ARE HEREBY NOTIFTED that tlre above-described structure has been deemed ro consliru.ea dangerous building due Lo non-compliance wiLh Arricre xr (.orri"iini'it s""tion" g-2ooo.to 8-2007) of chapter 8 of the smlc'eniiiiea-;;";;;;;;"";");;;";:;;:filn in Existins
3:tlli"3:;;""1::1.,. xr or chapter a-"i-in"-srffi i.s conmonly kno;-;;-;;" city,s seiimic
A review of our records reveals that you obtained building permits to conduct fu11 . seismic
de, Section
offi cial
nd void 1f
ys from the
repair of your buildin 8 on July 27, 1 981.The 1979 Uniform Buildin gCo303(d) enritled Expira tion slates that, "Every pe rnit issued by the buildunder the provi sion of this code shall expire by limitation and become nu
an8
the building or work aut.hori zed by such permit is 11 a
date of such pernit, or if t he bui 1d in
not commenced vithin 180 da
abandoned a
or work author ized b such rmit is sus ended orE any time a fter the work 1S Commenc ed for a eriod of 180Jour records i nd ica tes that cons t.r
p a S.A review of
has beensuspended in excess of lg0 days,
uction uork unde r your seismic repair permi t
YOu ARE THEREI'ORE ADVISED rhar pursuant. ro section 701(c) of the uniform code for rheAbate,cnt of Dangerous buildings, " i.py-"t-"i,ich is attached herero as Exhibit ,,A,, andillcorporated by reference, thaa if the'iequired sej.smic repair or demolitionis notcommenced L',ithin thirrv (30) days or tne issuance of this Finar Notice and order thebuilding witt be po"t"d "" ; "D;;s;;";;'B;ii;i;8,, "tr;'i;,;;;;;".'J"."-1r"" required. Beadvised Lhar commencement of "o.r."pri=r"ni-i.-i'ii" Norice must u" ,..iii"o by rhe permirand rnspection services.Department. i"-".n"iri" an inspection please call g34-4g92betveen rhe hours of 8:00 io 8:30 ".r:-.;-;;;0'to 4:30 p.m.rt is suggested that you notify each of your tenants of the contents of this Notice sothar they can take aDpropriate action beiore ine Oeaafine.
This Notice and Order is not appealable.
-a
6
6.
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6.
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Yours trul v%,l*_
Phil Freeland, Execu!ive
Community Development &
PF: sm
Altachment
Director
Housing Agency
a?
l!,1AYoR
D.niel E. Crirer
VICT MAYOR
P. lee lohnlon
COUNCILMTMBTRS
John A.olra
l\ rllon B. Ha
R. \{. Iurembourter
Parri(ia A. M(Curgan
Dan Young
CITY OF SANTA ANA
CITY MANACIR
Robert C Bobb
CIT\ ATI OR\t\
tdward I Coopcr
cttRI ot THt cot r\ctt
Jrnrr c C Cut
o o
MAYOR
R. W Lurembourger
\1Ct IIAYOR
Oanrel [. Cflser
COUNCILMTMBERS
,ohn Acosta
Cordon 8ncIen
P Lee ,ohnson
Patncra A. McCurtan
Dan Yount CITY OF SANTA ANA
AtL-AM[R|CA CtTY 1982-81
CIIY MANACTR
Robe C Sobb
CITY ATTORNTY
ld$ard,. Cooper
CttRX OT THE COUNCIL
lan..e C Cu)'
20 ctvtc ctNTER PLAZA. P.O. BOX 1988
SANTA ANA, CAIIIORNIA 92702
Subject: Buildlng located at 3o7 A)Marr.->
Santa Ana, Ca l ifornia
I, the undersigned, request that the Development Processing Division
issue a permit for fu1l seismic repair for the above identified
building.
I acknowledge my understanding that lhe issuance of this permit is
predicated upon the submittal and subsequent approval of the items
checked below:
F Shear test data as required by Section 8-2006 of the Seismic
Safely 0rdinance.
D Written approval from the DepartmenL of Public Services for
any and all work in the public right of u,ay.
tr Special Fire and Life Safety requirements for projects when
there is City particlpation (see attached).
Pro r U'batlAuq larrtsshiP,d4
Print Name tu?"f c The,/
D^," \' lu l/,4 A1. n 8+
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aAPPLICATION FOR
-AUILDING PERMIT
(TYPEWRITE OR PRINT IN INK)
o CITY OF SANTA ANA
2O CIVIC CENTER PLAZA
DAT 834-4186)L ,L
" ^"""" 3o1"'i,[or+A S1reet11 6+3
re)+lLloo oo 03 l-/o
ulqin #.
AnoSart New Addn Ite
h...by .tlirm ti.l I .h .i.mpl lrom ltr. contr.ctot'. lk.n- l.w lor th. lurE 9F a"LDtxa
] S..rio" 70444 l, .t o*"., or ti" p'op.'tY, o' mv .FproY..r w,th
^69.! .r th.i, ror! codp.n3!lio^, will do th. work, .nd th. .lrudur. lt hoi
-'.:dcd ci cllcieC 1cr t.1.
lRes Comm lndust Other
10_
Sect'on 70448 l, .t ow^.r ol e a /(9rsm,
5 O ?_l -a €6o ua
7
C? TID]E
i.c,.!, 3firrr, iliet I am t'..ord utd.r lhe provr.,c.u.! ChlFle'9, D,!'t'on
.l or th. Bu.in.t. .n.l P.ol.slo6t Cod., .nd mY lrc.nE r. in turt lor+lnd ,.. Ll\ *. L l (9a'E- _'rdt-ro-c^t (gCr!G- CilY Li6n!.4-;-ttL,t
..,d *"rs 6-_8+
b 3
tdtv(4
,nt 0?3 !:L)_!l:Z G
WORKERS COMPENSATION DECLARATION
-
*|2--
r t> 4l-
).t!
-
ADDlic.nt
c.rt,ly th.t in th. p.rtor6.hcG ol lh.
3h.ll nor.hploy any
v!ork.r's Comp.nr.tion-)2 7:3 $oo,i
234
' OT ICE iO APFLICAN IYou lhould bacorr. .ubi . Wo.r.r'2. Camnrn..r'on prori.ionr ol
*roit $.rr tt d..d.J .tuold,
- CONSTRIrcTION LENOER (+o bS.l sh.r.by .flirft th,t th..! ir . conrtruclion l.nding 4..cY tor rh. p6rlor
:ac. or !h?.4o.! ro, whi.h ,!ii3 p..hrr ir i.r,,:n tS.. :rO97, Crw C l
L.hd.. r AdC.-
APPLICA{T5 DECLARATION
..rllry rtr.t I h.'. E.d tha @plic.tion .^d rt i. th.i lh! lbo6 iotorm.tion
r cor.ct. I .o.- h.ordin.6c6 .n.l .1.t. l.wr .rl.tirE
lho.i.a ..p,.r.ntrtivct ot thb .iry
y io. .nrp.cr'on purpor.r
S
lo
€-rct'a-! 6ldwl rrl
Conv. Repair Move Demo
/// "s-
q
I)-z/"^V-.o,.,/.-r'6-
/ /./ie,s,727-f
.).-./ - ,/ r''6lss
APPLICANT FILL ITI AREA BELOW AND ON REVERSE SIDE
IO CHE CK
1
f,.t.
-
Cont..ctor
o@J
z.
eoA
r h.rlby .tti.m thrt I irv. . c.nllicrt. ol conrnr to rall inrur.. or ! cc.rlf
,c.r. dl work..'. Como.6r.tioh ln.urrnc.. C..ril.', copy i. til.d wlth th.
:rrt build iog jntp.ction c,.ptrlm.nr,
I
.,.*tr
TO: APPLICANT FOR PLAN CHECK
FROMI PLANNING AND DEVELoPMB.IT SERVICES
PRorEcr ADDRESS , 3Dq N. tl/a-{rt 5f
Lor la*V Block /o Tr^".
Oeq -OZ/-/Z)
oe1E,S>S-t/
LEGAL DESCRIPTION:
ASSESSOR PARCEL #r
y' 500sq.fr. and/or $20,000+
Variance
Conditional Use Permit
-Minor Exception-7site Plan ileview
-Tract
l,lapParcel ll,apResidential Relocation
Mis c.
9ectlon 33-47
{
lt
#
#
+
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I
PUBLIC WORKS -SUBDIVISION
'. OK to issue Building Permit.
Improvements req'd prior to Utilities Release?
APPROIED
YES
Da te
JaW
FIRE DEPARTI'{ENT
_OK to issue Building Permits
. OK to lssue Building Permtt.
MISCELLANEOUS
Landscape plan req'd prior to Buildlng Permlt.
Recorded Parcel/TracE Map reqid prior to Butlding Permlt.
Legal Descrlption req'd prtor to Bulld1ng Permit.
Misc.
APPLICANT I
EP o
l1-16-83
L REL Prcparcd by tbc CIty of/aDta lln2 Ptannlng
& Dcvclopocat ScrY-s Dcpertmcat
I
CLEARANCES REOLIIRED PRIOR TO ZONING APPROVAL OF A BUILDING PERYIT
Drainage Assessme4E Fee
- l6X to lssue BuildiirP Pelrnir.\
Improvements req'd prior to Utilities Release?
.DEPT. OF TRANSPORTAT
POLICE DEPARTMENT
Mru
YES X XO
tlzt/Y4--/ No
Recorded at request o
City of Santa Ana
Idhen recorded, return to
City of Santa Ana
Planning & Developmen t
20 Civic Center Plaza
Santa Ana, Ca. 92701
L 8ri-21q567 ('
Services
Hl9
XE MPI
cl4
3F3Ji:?,i"",i^iig,:3^?,..%T?,i
-3Ig PM MAY 23,84
<>{'6 >/J.-..1-,gtdl"
NOTICE IS HEREBY GIVEN'3lI llorth llain Streat
EXEMPT RECORDING REQUEST PER GOV'T CODE 6103
NOT]CE OF SUBSTANDARD BUILDING
CITY OF SANTA ANA'S SEISMIC SAFETY ORDINANCE
lhat the cerrain bullding or buildings located at:
, Santa Ana,California, descr j. bed g9 fn1 'l 1r.'c.0ut ort eet oe ot an he llorth 20 Feet
0 f the Town of Santa
CA
na as s own on ma n a oo ao e
Santa Ana,
TRLISTETS OF
County of Orin
SAIITA AIIA, LOD
e, Stat e of California,
E i ?r[ ]f^F the record owner or ovners beingI
G
has been found, by inspection and revieu, to contai-n oasonry wa11s of a design andwithin the scope of the Cityrs Seismic
subject t.o the provisions of Article XI
type of unreinforced construction that fatlsSafety Ordlnance. As such, this building isof Chapter 8 of the Santa Ana Municipal Code.
0n February 19, 1980, the city council of the city of Santa Ana adopted ordlnancelio. NS-1518. This ordinance, entitled "Earrhquake Hazard Reduction i.n Exisri.ngBuildi'ngs" added Article xI , consi.sring of Seitions g-2000 ro &2007, to chaptEr gof the sant.a Ana Municipal code. on September B, 1991, the city council adoptedordinance No. NS-l598, uhich amended Arricle xI of chapter g of the Munlcipai codeby arnending sections 8-2002, 8-2004, 8-2005 and 8-2006, and by adding section g-2004.5lhereto. on March 14, 1983, the city council adopted ordinance No. is-1673, rrnicnamended Arricle XI of chapter 8 of the Municipal code by amending Sections g-2003,
8-2006 and 8-2007, and by adding secrions 8-2b03.r, 8-2b03.5, .nI 8-zooa.r rhereto.Hereafter ln thj.s Notice, 0rdinance No. NS-I51g, as anended by ordj.nances Nos. NS-151gand NS-1673 r^'i11 be referred to as the city's .seismic safety Ordinance".
The onner is required to have a structural analysis made of the bullding by a ]icensedstructurar engineer, civil engj.neer or architect. This structural anallsis is to besubmitted to the DePartment of Planning & Development Services for revi;v within tvohundred and seventy (27C) days fron and after thi date of aervj.ce of the Director'silritial Notice. If the building is found to be deficient under the standards -.stab-lished by the ordinance, plans and carcu-r-ations necessary for corrective L,ork are tobe submitted together lrith the structural analysis. The omer shall cause the buildingto be structurally altered so as to conform to the sLandards of the ordinance or causeit to be demolished. Permits required to acconptish-tr,. n"i"s".iy'"ir J!tu."l altera-tions shaIl be obtained no.t latei than one (r) iear tron and after the date of serviceof the Directorrs initial Notice.
The required alterations must conunence withj.n one hundred eighty (1g0) days from andafter the date the permit is issued, The building nust be corrected to neet the
minimum requirements of the 0rdinance not later than three (3) years from and after
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I
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-2-
the date of service of the Director's initial Notice. If the owner or olher person
in charge and control of rhe subject buildlng fails to coBply h,ith the order within
any of ihe time periods as prescribed by the ordinance, the Director of Planning and
Development Services is required to order the entj-re building vacated and to rernain
vacated until all required analysis and structural alterati.ons have been completed.
The Seismic Safety Ordinance contains provisions for appeal and extensions of tj-me
for compl iance .
@)
Ph11 Freeland, Direc to r
Planning & Development Services
City of Santa Ana
STATE OF CALIFORNIA
COUNTY OF ORANGE
)
)SS
0n rhis-21sr day of May I O o/.r !,_9L'
appeared
before me, a notary public in and for
.said county and state, personally Phil Freela nd
Director of Planning and Developnen! Services of the City of Santa Ana, vho
executed the foregoing instrument and acknor.,led8ed to me that he executed same.
LTTTNESS my hand and official seal:
ary
nty
P 1i 1n an d
0range
OFFICIAI SEAL
JOSEPII T. MAZZEO
I'OTARY PI' R LIC. CAII'ORNIA
PPTNCTP^r Or lCa rN
ORANG€ COUNTY
1
I
I
.!
tate o California
o o
4
MY C0MMISSIo tXPrRts APRIt 19. 1985
o o
NIAYOR
R \4'. LuiembourSer
\1Ct rllAYOR
Danrel t Cnser
COUNCIwlTMBTRS
,ohn Acosta
Cordon Encken
P Lee Johnson
Patncra A. A4(CuiSan
D.n YounSApr i 1
CITY OF SANTA ANA
ALL.AMTRICA CITY 1982'8]
CITY t\tAriActR
Robe( C Eobb
CITY ATTORNTY
td\ ard ,. Cooper
CLTRX OF IHT COLINCIL
lanrce C Cuy
20, t984 20 clvlc cENTtR PLAZA. P.O BOX 1988
SANlA ANA, CALITORNIA 92702
Mr. R
odd Fc/o R
309 N
Santa
obert C. Theel, Gen. Part.ner
e1lows Bldp. Partnershio
!., I treve loDmenr. Main St iee tAna, Ca. 92701
Dear Mr. Theel:
Subject: Building Located at 311 North Main Street , Santa Ana
Described as 0range County Assessor's Parcel No.009-031-10
0n Sep tember 26. 1983 the owner of record vas sent a letter which re-
classi.fied the buildj.ng referenced above from Ciass II (HLgh Risk ) to Class III
(Medium Risk) pursuant to the City's Seismic Safety Ordinance (Section 8-2000
throuSh 8-2007 S.A,M.C. )
This letter ls to i.nform you that under the provisions of the ordinance the olrner
is requj-red to provide a structural analysis prepared by a licensed structural
engj.neer, civil engineer or architect. This structural analysis, toS,ether uith
plans and calculations necessary for corrective work, is to be submitted to the
City's Departrnenl of Planning and Developnent Services for review by Ap ril 24,
1984. Permits required to accomplish the necessary structural alterations must
be obrained by July 29, 1984. The required alterati.ons nust conmence within one
hundred eighty (180) days from the date Ehe pernit is issued, and the building
must be correct€d to meet the minimum requirements of the ordinance not laEer
than July 29, t986. As you should be avare, this is lhe same information pro-
vided you in the original Notice and order sent to you on July 29, 1983.
The consequences of failing to comply wj.th any of the dates of the ordinance are
that you will be required to vacate lhe bullding and leave lt vacant until such
time that you have completed the seismic rehabilitation work or you may be required
to demolish the structure. In addltion, you may be subject to crininal or clvil
aclion taken by the City Attorney. In order to avoid these consequences, I
recomrnend that you take imoedlate action to submit the structural analysis, plans,
and obtain permits as required by the Ordinance.
This letter is beinS sent to you as a courtesy so that you will be aware of up-
coming City actions and of vhat is required of you to comPly L,ith the Seismic
Safety Ordinance.
If you have any questions about these requirenents, please call Steve Crawford
in thls office at 834-4992.
Very truly yours,
@/%,,ed-
Phil Freeland , Director
Planning and Development Services
o
THIS NOTICE iS INFOR!]ATIOIiAL ONLY AND
i5 NOT lliTEliDED T0 IiYIPLY inii THE
OIJNER OF YOUR PARTICULAF tsUlLOING
HAs OR HAs NOT INITIATED PRCPER ACT]ON
AS REQUIRED BY SAID 0R0Ir\iNCE'
TE\ANT I\O'T ]CE
PF: ih o
I mic 311 N. Main
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a 8ElOEft Cottpl€le iten8 1, 2, 3. ad ii.
Add your addrgrs in the "RETURN TO" spG
o't t€rrot8{r.
(ooi.sULT FOATIASTER FOi FEE9
r. Th. followiB t 'rvic. i! Gqucacd (ch€ct on ).
El Sbow to whoo ma di. dcliv.Ed ..................
E Shor, io whorD, drtc, .nd .dd.c!. of dclivcry
a. E n estn tctto oeu9eR Y
lTh. Enr6.d d.ll|.,, 1.. h cho't d ia tdditb,t to
th. ..rtn ..c.ipt 1...\
IOTAL
--j
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--J
Robert C. Theel'Odd Fellows
309 N, Main
sanra Ana 92701
!, ANTrcLE ADORESSEO Tq
.. TYPI OF EITYTC€:
Q nrorsru:o fl nrsun:oficEnrr:o fl coo
E gneg rer-
AiTlct€ ialrlEEi
P455 506 6L2
(Alw!y. obtaln slgnature ol rdd]lssa or agrnt)
I h.v. rcccivcd rh. anicle dcscribcd rbovc
a. AOoiESSEEI AOOQISS lort, [..lr.en)
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309 N. Main Si.
s. A.92701
I
gp.cl.l O.llv.ry F-
R-irlct .l O.llv.ry F-
BGu.n Bacalpt Sho*lne
!o whom .nd Orl. t .llvr.d
R.lu,n Rcc6'pl Showrng towhom
O.r.. lrn Addrrs ot O.lN..y
IforalPr!r<-
l) ri55 506 61-2
('s'i,'L snri . l)ll N. i'lril)
ls.c R.1'crr.)M19
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Potrmrt o.3rrr
I r',.'.'..
L
o o
l.}CITY OF SANTA ANA
ALt-A\ltRlcA clT\ 1981-81
CITY ITA\ACTR
Roben c Bobb
CITY ATTOR\IY
td*ard I Coopet
cLtRI or THt couNclt
Janr(e C. 6uy
, Santa Ana
4tt-r'\1AYOR
R. w. Lurembou8er
VICT A,IAYOR
Oaniel t. Cnset
COUNCITMTMBTRS
lohn A(osra
Cordon 8n(ken
P. Lee lohnson
Patncra A. M(CuiSan
Dan YoongApril 20, 1984
Mr. Robert C. Theel . Gen. Partner
Odd Fellovs 81d3. PartnershiP
c/o RCT Development
309 N. l'lain Street
Sanra Ana, Ca. 92701
Dear Mr. Theel:
Subject: Building Located a
Described as Orang
t 311 North Main Street
e County Asse ssor's Parce1 No.009 031 10
0n SeP tenber 26, 1983 , the owner of record r.r as sent
classified the bu i 1d-ln8 re
(Medium Risk) pursuant to
ferenced above from Ciass II
the City's Seismi,c SafetY Or
a letter vhich re-
(High Risk) to Class IlI
dinance (Section 8-20O0
through 8-2007 S. A '1"1. C. )
This letter is to inform
j.s required to Provide a
enS,ineer, civil engineer
you that under the P rovisions of the Ordinance Lhe owner
structural analysis P repared by a licensed structural
or architect. This s tructural analYsis, togethel' wit h
plans and calculations necessary for corrective uork, is to be submltted to lhe
Citl''s Departnent of Planning and Development Services for review by April 24'
1984. Pernits requJ-red to accomP lish the necessary structural alterations must
be obtained by Ju1 29 1984. The req uired alterations oust connence uithin one
hundred ei8hty 80) days from the dat e Lhe permit is issued, and the building1
nust be corrected to neet Ehe mininum req uirerDents of the ordinance not later
than July 29, 1986.As you should be aware,this is the same information Pro-
vided you in the or iginal Notice and Order s ent to you on July 29, 1983.
Very truly yours,
The consequences of fail-ing to comply L'ith any of the dates of the 0rdinance are
that you vi11 be required io vacate th" b'iloing and leave it vacant until such
;;;; lh;a you n"u" completed the seismic rehabilitation rrork or you may be required
to denolish the structure. In additionr you may be subject to crininal or cj'vj'l
,ltion tuk"n by the City Attorney. In ord"r to avoid these consequences' I
recormend Ehat you take imoediate action to submit the siructural analysis, plans,
and obtain permits as required by Lhe Ordinance'
This letter 1s being sent to you as a courtesy so that you I'iI1 be aware of up-
;;;;r;-ai;y aitto's-and of uhat ts required of you Eo cooply uirh rhe seisnic -
Safety Ordinance.
If you have any questions about these requirements, please call Steve Crawford
in this office at 834-4992.
fr^! frril"lPhil Freeland. Director
Planning and Development Servj'ces
oPF: ih o
20 crvrc cENltR PLAZA . P.o. Box r988
SANTA ANA, CATITORNIA 927O2
\
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r1
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I
Itur. Llc. 5-22-a) R€rterrant-Ner Chlna Csfe(J-I-3N ENC)
Bus. Lic. 9-t{6) Rest.-Ncr Chlna Cafe(I.F2-3N-ENC)
Ptbg,,',1124602 3-L3-70 fl/H by Rueecll P1bg.
Bus. Lic. LL-f-77 restaurant Win King RestauranE (l-F2-IIIN Enc)
I
I
I
I
I
(
.'.
\lAYOR
R W [urembourSer
vrct \lAYoR
Danrel I Cnie!
couNcttMt!18tRs
Cordon Bnchen
P Lee lohnson
Pa&r(ra A. lvl(CurSan
Dan Youn8
Al t-A\ltRlcA ctTY 1C8t.8 l
CITY OF SANTA ANA
CIT \ \1A\ACTR
CITY ATTOR\tY
td$ard I. Cooper
cLtRr ot THt coLl\crt
lan(e C C{r'r
20 Clvlc Ct\TtR PLAZA. P O BOX 198a
5A\TA A\A CAIIIOR\IA 9]702
September 26, 1983
Mr, Robert C. Theel, Gen. Partner
Odd Fel lows Building Partnership
c/o RCT Devel.opment
3O9 N. Main Street
Santa Ana. Ca. 92?0I
Dear Mr. Theel:
I an replying to your lequesL for reclassification of the Gd Fello$rs
Bui.lding Iocated at 309-311. N. Main Street under the provj-sions of The
Earthquake Hazard Reduction Ordinance (Article XI, Chapter 8, Santa Ana
Municipal Code ) .
Based on the fact that the buildi.ng is now vacant and except for your
tenporary constructron offrce remainj,ng vacant, I have determined that
the correct classification for the bui.ldi.ng is Class III - Medium Risk.
This reclassificati.on is made on the conditron that the building remai.n
unoccupj-ed until the work required by the Seisnic Safety Ordinance is
completed.
You wiII receive a Legal notj,ce within a
to Class III. Please call cary Craig at
if you have any questi.ons.
few days concerning the change
834-4981 between I a.m. - 5 p.m
Phil FreeLand, Di reclor
Planning & Develolnnent Services
a
PPlca I
o
).-li|11,.!'
Cdlv,,tut-
1 )s{1DotcbHour
To_
HILE RE OUf
I
CALLEO TO SEE YO
WAN'S TO sEE YOI,
-)YT D
TELEP BOXEO PLEASE C AL!
W ILL CALL AGAI
REr uFNEo YorJF c^LL I j
p,nx llrrL
l- i b( /7 0r,
9tl rtJ MI4 N)
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3 I tUa"- 9
641-D
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I
DEPARTMENT OF BUIU
CITY OF SANTA AM
20 Ctvlc Center Pll
Infornation for Builders Regarding Procedures.
(1) Before deeignlng or preparing plans for st]
. Ana, we recommend and urge that you make ti(a) Revlew your proposed development w
land uee, yard areas, parking requ(b) Revlew your proposed improvements
determine permit fees and other regutters, sldewalks, paving, street
way approaches, locations for new
8ewer8, atrects and alleys.(c) Department of Buildlng safety and
flre-resistlve and occupancy probl
appl lcanE. Bulldlug Permlt Appllc(d) Flre Prevention Bureau, (Fourth Fl
matlon concernlng approprlate f lre(e) County Health Department (P.0. Box
xrl l1 revlew sanitatlon requlrement
reatauranta, grocery, meat, bakery
pools for other than alngle famlly
(2) Procedure to Obtaln Buildtng Permits:(Bu
atructi.on, additlons, alteratlons, repalre
roofe, flreplaces, changlng of doors, wtnd(a) Complete app llcation form and draw
:@-y"ffiuL(ateK
61, Aa, t
(uv
o
ioL |Ue /.1/- Tlla-- It
tu,@rnruc- Auqtra- GAdz'a)..rlt,>
I
Pir/
RCT DEVELOPMENT
309 N. t4ain Street, Ste 200
Santa Ana, CA 92701
(7r4) 547-r4oo
September 16, .I983
Mr. Phi I Freel and, Dj rector
Pl anni ng & Devel opment Servi ces
City of Santa Ana, CA 927 02
20 Civic Center Plaza
Santa Ana , CP, 92702
RE: 0range County's Assessor's Parcel Number 398-50,l-,l4
Dear Mr. Free.land:
I am the owner' of the property located at 309 N. Main Street, ie. the 0ctd
Fellcws Bui lding. This buildinE has been vacant for over one year. Building
permits are ready to be issued for the structural and architectural rehab-
ilitation of the building. The only use presently in the building is a
temporary construct'ion & develcpment office for the rehabilitation of this
same building. I am the only person that uses this office other than sub-
contractors who are biddinq to do work here.
I respectful ly reouest that the classification of the building
from high risk to medjum risk as per the definitions as stated
ordinance NS - I 598.
be changed
in your
Thank yorr.
r lvv ou rs
Theel , G eral Pa rtner
Fel I ows Bui I Ci no
o o
ber
0cd Pa rtne rs h i p
@a'ur ''
PLaat
RES. N0. 82-121
ISSUANCE OF BONDS -
ROBERT THEELAOOPTED .3
trlOT ION was made
seconded bY Acos
fol l owi ng resolu
bv Luxembourger 'ti, to adoPt the
tion:
RESoLUTI0N N0. 82-r21.-.^^[ffi3kYlI3] 9[,'l!,3i1[,'3i-!iip:-.oF-rHr clrY oF sANTA ANA
il,i:Ui-l'iipip-:m'
u+ti'3itr1i'HIllx'iil',lEIt?+ill^-
AYES: Acosta, Bricken, Grjset' Luxembourger' t4arkel '
McGui gan, Serrat o
NOES: None
ABSENT: None
cA 82.r
t'1/'
authorize the Hayor to conrnun_
or an_appt icar ion to the.u.S. Departrnent J';frlff :;:r;:r:l'ffi:iffi..,for 35 addirional certif.icates ,;;e; ih; ;s..iion d i;;r;;;";r;;;;;;::-,Payrnent Program. "
lM, Acosta, Bricken, Griset, Luxembourger, McGuigan, SerratoNOES: Marke I
__-----ueu uJ ^LU5IT;---t O
ABSENT: None
PROPOSITION 13
!{ATER RESOURCES, STAT. IIiIT.
COMMUNICATE OPP OSITION
Cal ifornia League of Cities
propos i, the City of Santa An
a r o ces St at ut or Initiat
cA 137
MOTIO
secon
to th
N
de
e
was made by B
d by Acosta,
C ornrni ttee 0pption 13 and La's oppositio
ri cken,to forward
osing
u the
n to
i ve.
e
F
E
a,2tIIttIIItito
E
tsJ!
o
T
a SCIDCn: Go.n9lste itoms 1, 2. 3. and il.
Ar! tour 8dd€!s in tlE "B€TURN TO" rprca
0a awela€.
(corirrLr F6rI SEn Foi FEES)
r. Ttc followiu lcrvic. i. .Equ.ncd (chc.l oE).
E shoq, to whoo rrd drtc dclivrrcd ........-...........
E Shoc, to shoo, drt . lnd id&r'. of dclivery..
r. E RESTI,ICTED DELIVEN.Y(Tk rr,,rrcd d,..r Ic b ch,lta.d tn.&,b, tott fr.ed,trtipttt -l
TOTAI L
--J
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a. aiflcLl looiEss€o rc ,odd Fellor sz'B1ilb Ltd Partc/o Robert C Theel
31878 Camino Capistrano i
. rrtf, oFtalltcll udtr \-ct
Q rcortato ! ralroftEirrE D cooErrrsr rl
P455 506 655
(Al'!ta obtrln dgmrura ol .ddruaa.. o. {ant)
./
I hive thc rnic lc
D Authorizcd rgcnt
a.A}E
i9E3
l-.ovEtlqrul.5,. uta Er.rE To o6.rvEe gEC USe
t
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Fq;>Z 6r ,t)- C '.{..1 caaCEdE.-l OAO
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CEloFFt!
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Fooo.6t!F
Fo
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lr.lFzl
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rt C TheeLoRo
31878 Camino Capistra
'ano 9ter. Juan Capistr
Sp.cl.l D.llv..y F-
R-trlcr.d o.llvrv F-
nnurn n.c.lpr Showln0
lo who.n .nd Oat. Dallvar.d
i.rum n c.pr Sllo i'leto*iom,
On1 fid A<rd.- ol D.llY-y
3TOTAL P6t' rd F-
Portnxit or O.t.
P 455 506 655
FECEIPT FOi CEEflFIEO AiL
tlo lLSUnAlCE CoVmAff PRoVIDGo- .
XOT rcf, IIIERIATIOIIAI. AIL
llta R *r)
a!
6 1
i
IL
d
Eo
r CITY \IA\ACTR
CITY ATTORNEY
tdward l- Cooper
CttRx Ot THt COTJNC[.
lanrce C. Cu,/CITY OF SANTA ANA
20 Clvlc CtNTtR PIAZA. P O 8OX 1988
SANTA ANA, CAI.IIOR\IA 92702
August 23, 1983
Odd Fellorrs Bulldlng Ltd.
c,/o Robert C. TheeL
31878 Canlno Caplstrano,
San Juan Caplstrano, CA
Partnershlp
Ste. 278
9267 5
Gentlemen 3
The accompanying Final Notice and Order is the last Noticeyou wilI receive before your building is pos!,ed with warning
iigl: indicating that it is a dangerous building. Thebuilding cannoE. be occupied beyond the date indicated in theFinal Notice and Order
The only exception to the Order would be for contractorseffecting repairs, under permit, to bring the st.ructure intocompliance with the Seismic Ordinance.
I think it is very important that you undersEand that youhave two options left at thi.s time:
1.- You can submit plans for the seismic work, obtain permits,and complete the required reliabilitation of your struclure.
2. You can obtain permits and demolish the structure.
I hope you will elect to take the first option. We will doeveryt.hing we can to help you with the expeditious processingof your plans and issuance of the necessaiy permits.
Again, let me stress that the building cannot be occupiedbeyond the deadline in the accompanying Notice and Orier.strongly urge you to advise your tenanis of the foregoing
Yours tru1y,
I
facts.
PhiI Freeland, Director
Planning & Deyelopment Services
PF: rl
At tac hmen t
MAYOR
Cordon Bnclen
vtct tr/{YoR
R. W. turembourter
couNclt- MtllBtR
lohn Acorta
D.nrelt. Crirer
,. o8den ,\,rerlel
Patncra A. r'kCu'tan
Alfred C S€rrato
MAYOR '
Gordon Sncken
VICT MAYOR
R w LuxembourSer
COlJNCll, MtMBtR
,ohn Acort.
Danrel I Crset
I Otden Martel
Pitflcra A. /!kCurfan
Alfred C seffato
ctIY \tr\ACtR
Cl-r r-.' AfToRNtY
tdwrrd, CooOer
CLIRX OF IHE CO( \CIt
lanr(e C Cuv
August 23, I983
CITY OF SANTA ANA
20 CIVIC Ct\ItR PI,AZA. P O 8Ox lc88
SANTA A\A CALITOR\IA9.]:O]
FINAL NOTICE AND ORDER
RE Orange County Assessor's ParceI tlumber 398-50I-14
and commonly known as 311 North l,!ain, Santa Ana
Odd FeIlows Building Ltd. Partnership
c,/o Robert C. Theel
3I878 Camino Capistrano, Ste. 278
San Juan Capistrano, CA 92675
Gentlemen:
THIS NOTICE is being sent to you pursuant to Santa Ana Municipal
Code (SA.MC) Section 8-2004(e) and Section 701(c) of the Uniform
Code for the Abatement of Dangerous Buildings.
YOU ARE HEREBY NOTIFIED that the above-described structure has
been deemed to constitute a dangerous building due to non-
compliance with Article xI (consisting of Sections 8-2000 to 8-2007) of Chapter I of the SAMC entitled "Earthquake HazardReduction in Existing Buildinqs. " Article XI of Chapter 8 ofthe SAJ"IC is commonly known as the City's Seismic Safety Ordinance.
Pursuant to SAI\IC Section 8-2004 (b) , the deadline for compliancewith the provisions of the Cityrs Seismic Safety Ordinance is
september 23, L983 . Compliance means either completing the
necessary alterations to bring the building into conformancewith the Ordinance, or demolishing the structure.
YOU ARE THEREPORE FURTHER ADVISED that pursuant to Section70I(c) of the Uniform Code for the Abatement of Dangerous Buildings,a copy of which is attached hereto as Exhibit incorporatedherein by reference, that if, by September 23, L983, requiredrepair or demolition work has not been commenced, the City of
Santa Ana intends to enforce its Seismic Safety Ordinance in
accordance with any or all of the provisions. of Section 701(c).
It is suggested that you notify each of your tenants of thecontents of this Notice so that they can take appropriate actionbefore the deadline,
This Notice and Order is not appealabJ.e.
Yours truly,
@)! T,u,L,*-Phil Freeland, Director
Planning & Development Se rv ice s
I
P 4ss 506 EsS
aEcErP? FOn c€FTtFtED nA\.
-l{o tr{suMrcE CotEBaGt pnourrn_ \ror ror rrrurfipur. iett-
CITY OF SANTA ANA
20 CNIC Ctl\IIR PTAZA . P O. 8Ox 198!
SANTA A}IA CAuf ORNTA 92702
(5.. R.*r'd)
c/o Robert C Theel
5faYt'.qd ZtP Cod.cam].no Cap i s tra o
ano 9
a
6
August 23, 1983
Odd FeIlows Bulldlng Ltd.
c,/o Robert c. Theel
31878 Camlno Captstrano,
San Juan Caplstrano, CA
GentleEen r
Ste. 278
9267 5
Partnershlp
the structure into
that you
tt.re acconpanylng Pinal NoEice and. Order i!you will receive before your building is {stsDq ln{Fcating that it is a dangerous brlbulldlng cannots be occupied beyond the da!Final Notfce and Order.E
IT
The only exception to the Order would beeffecting repairs, under permit, to bring
compll.ance with the Seismic Ordinance.
f think Lt is very lmportanE that you understandhave two options left at this time:
1. You can submit plans for the selsmic work, obtain permits,and complete the required reliabilitation of your struclure.
2. You can obtaln permiEs and demolish the structure.
I hope you will elect to take the first opEion. We will doeverything we can to help you with the expedit.ious processingof your plans and issuance of the necessary permits.
Again, let me stress that the building cannot be occupiedbeyond the deadline ln the accompanyLng Notiee and Order.strongly urge you to advise your tenants of the foregoing
Yours truly,
I
facts.
Phll Freeland, Director
Planning & Development Services
PE:rI
At tacfunen t
ot
tar.Juan Capist
Spclal O.l lva.y F-
R-tlct'd O.ilv-y F-
,t gho*lrE
Rac.'pr showlng
tln., .rj A.b.... o,
TOTAL PB{..r{ F-a
rr^YOl-
Cordon &i<t€n
vlct.vAYol
R. W. tu.rnbo{4r
couNclt MtJ\lStl
loh.l Aaos(.
O.n'cl E. Gi!!t
,. O8d.n l"t.*cl
PurE. A I'tcutfr
Alfred C. sefiato
63t!@h,4--
M./rYOl
Codq| &i(t6t
VICT,VAYOR
R. !v. Lurcrnbourta.
COLTllcIT MTMBTR
lohn A(ona
Orn'd t. Crir.r
, O8dei r\t rlel
P.tno. A l"t<Curt n
Alired C. Se,rrto
CITY \UNACTR
CITY ATTORNTY
tdw.rd I Coope.
cttRx ot rHt coL\c[.
l.nr(e C CuyCITY OF SANTA ANA
20 CIVIC CtNTtR PIAZA. P O BOx l9AA
SANTA A\A CATIf OR\IA€2:O]
August 23, 1983
PINAL NOTICE AND ORDER
R.E Orange County Assessor's Parcel llumber 398-50I-I4
and commonly known as 311 North Main, Santa Ana
Odd Fel.Iowg Bullding Ltd. Partnership
c,/o Robert C- lteef
31878 Camino eap;strano, Ste. 278
San Juan Caplbtimio, CA 92675
centlemen : ' -:1""-"
THIS NOTICB lJtafng sent to you pursuant to Santa Ana Municipal
Code ( SAI.IC ) SectLon S-2004 (e) and Section 701(c) of the Uniform
Code for the Abatement of Dangerous Buildings.
YOU ARE HEREBY NOTIFIED that the above-desclibed structure has
been deemed to constitute a dangerous building due to non-
compliance !.rith Article XI (consisting of Sections 8-2000 to 8-
2007) of Chapter 8 of the SAMC entitled "Earthquake Hazard
Reduction in Existing Buildings. " Article XI of Chapter 8 ofthe SA-i4C is commonly known as the City's Seismic Safety Ordinance.
Pursuant to SAI'IC Section 8-2004(b), the deadline for compliancewith the provisions of the Cityrs Seismic Safety ordinance is
Septernber 23, 1983 . Compliance means either completing thenecessary alterations to bring the building into conformancewith the Ordinance, or demolishing the structure.
YOU ARE THEREFORE FURTHER ADVISED that pursuant to Section70I(c) of the Uniform Code for the Abatement of Dangerous Buil.dings,a copy of which is attached hereto as Exhibit incorporatedherein by reference, that if, by September 21 , 1983, requiredrepair or demolition work has not been commenced, the City of
Santa Ana intends to enforce its Seismic Safety Ordinance in
accordance with any or all of the provisions of Section 70I (c) .
It is suggested that you notify each of your tenants of thecontents of this Notice so that they can take appropriate actionbefore the deadl ine.
This Notice and Order is not appealable.
Yours truly,
@)Tru,L,*-Phil Preeland, DirectorPlanning & De'.'e I oprnen ! Services
aO
MAYOR
Cordon Enckeo
vtct rvr^YoR
R. W. tuxernbour8er
COUNCIL MTMBTR
lohn Acosta
Danrel t Cns€t
, Otden lrerkel
Patriaia A.l!t(Curtan
CI]Y MANACTR
CI]Y ATTOR\TY
tdward,. Coopet
cttRx or THt couNcrt
lanrce C. CuyCITY OF SANTA ANA
20 CIVIC CtNTtR PLAZA. P O 8Ox 1984
SANTA ANA, CATIfORNIA 9270]
JuIy 8, 1983
odd Fellows Building Limited Partnership
c,/o Robert C. Theel
31878 Camino capistrano, Suite 278
San Juan Capistrano, CA 92675
SUBJECT:REQUIRED SEISMIC REHABILITATTON POR THE BUILDINGS
AT 3lI North Main Street, Santa Ana
The purpose of this letter is to again inform you of therequirements of the City of Santa Ana's Seismic Safety
Ordinance (Article xI, Chapter 8, Santa Ana Municipal Code) .
As of the date of this letter, you have failed to complywith the Ordinance's reguirements in that the work requiredto seismically rehabilitate the structure has not beenstarted.
I wish to inform you that according to the Ordinance, you
have until September 23, 1983 to complete the seismicrehabilitation work. In accordance with the Seismic Safety
Ordinance, you will be shortly receiving a formal Notice and
Order from me to obtain permits to rehabilitate or demolishthe structure. This Notice and Order will be issued pur-
suant to Section 302, paragraph 13 of the Uniform Code forthe Abatement of Dangerous Buildings, and the building willbe posted as a dangerous structure on September 23, 1983.
The consequences of failing to comply srith the Ordinance arethat. you wiII be required to vacate the building and leaveit vacant until such time that you have completed the
seismic rehabilitation work or you wiII be required to
demolish the structure. In addition, you may be subject tocriminal or civil action taken by the City Attorney. Inorder to avoid these consequences, I recomnend that you take
immediate action to begin the seismic work required to makeyour building a safe structure. Or, if that is not feasible,obtain permits to demolish the building.
ao
TO: Or^rners of Unreinforced Masonry Buildings:
This tetter is being sent to you as a courtesy so that you-
will be aware of up.o*itg Cit! actions.and what is required
io. v"" to comP1y witn tne Seismic ordinance'
If vou have any questions about these requirement" : ^P}t"::.iri-i".-rriiil it 834 499r, or Garv crais at 834 498r' For
vour information, a brief cirronology of findings and notices
Loncerning this building is enclosed'
firl7/"1.'l-
Phit Freeland, Director
Planning & DeveloPment Services
PF:rI
Enc.
o
-2-
o
JuIy 8, 1983
Odd Fellows Building Limited Partnership
c,/o Robert c. Theel
31878 Camino CaPistrano, Suite 278
san Juan caPistrano, cA 92575
To: owners of Unreinforced Masonry Buildings
Seismic Safety Ordinance Added To MuniciPal Code
Determination of Ri sk
Notice Sent To The Legal @ner
on February 19, 1980, the City Council of the City of Santa
Ana adoptei Ordinance No. NS15I8. This Ordinance, entitled
"Earthq-uake Hazard Reduction in Existing BuiIdings", addetl
Articla xI, consisting of Sections 8-2000 to 8-2007, to
chapter I of the Santi Ana Municipal code' on SePtember. S,
198i, the City council adopted ordinance No. Ns-I598, which
amended Article xI of chapter 8 of the Municipal Code by
amending Sections 8-2002, 8-2004, 8-2005 and 8-2005, and by
adding 5ection 2004.5 thereto. On March 14, 1983, the City
council adopted ordinance No. NS-1573, which amended Article
xI of ChapLLr 8 of the MuniciPal Code by amending Sections
8-2003, 8:2005 and 8-2007, and by adding Sections 8-2003'1,
8-2003.5 and 8-2004.1 thereto.
rn August 1980, a field engineering survey and review -.conduited by the City determined that the subject building
is of a design and type of unreinforced masonry . construc tion ,
containing v/;11s with less than the required reinforcement,
which falls within the scope of the Seismic Safety ordinance'
That survey also determined that the building is Class II-
high risk structure Pursuant to the ordinance.
According to the City's records, an initial Notice
to the building's legal owner of record, Trustees
Ana Lodge #236, IooF, on SePtembet 23, L980.
r.raS Sent
of Santa
oo
Regardingthebuildinglocatedat3llNorthMain,anddescribed
as-Orange County Assessor's ParceI Number 398-50I-I4
A Notice \das also recorded in the Office of the County
Recorder. Notice was given in those documents that the
building is constructed of a design and tyPe of unreinforced
masonry - construction which falls trithin the scoPe of the
ordina-nce. The Notice also stated that the owner is re-
q"ii"a to provide a structural analysis from a licensed
dtructural-or civil engineer or an architect within 270 days
"i tt" date of Notice. A Permit to correct the deficiencies
in the building was to be obtained not later than one year
from the date of Notice. The required alterations were to
be begun within 180 days of issuance of the permit and the
buildlng corrected to meet the minimum standards of the
ordinanie lrithin three years of service of the initial
Notice. The structural alterations must be comPleted by
September 23, 1983.
Present Status
As of thewith the
Ord i nance
date of this letter, you have failed to comply
foltowing requirements of the Seismic Safety
(check marki indicate areas of non-compliance) :
()
(x)
(x)
(x)
Submit Structural AnaIYsis
Obtain necessary Permits
corunence construction under said permits
complete necessary seismic rehabilitation work
@r!%-/u,t-
PF: rl
-2-
Oa
Phil Freeland, Director
Planning & DeveloPment Services
Address:
NP# :
Owner :
,// N. Ma ril Classificati I'lediwn, t,ow .
o7- ott/ ' /o
/2o4o2- c /7t€-Ez-
l?c.7- rual)Z/L( @t7-
9/D7g C.,4,u tu,o c,M/s'r*vo td/78 ry
J71r11 iw *1t1 Ca4a1sl4fuO ' 'A- J2b7r (r,<) (r, - /7ot /* ,tt .
Detenrdnation- lhreinforced Masonry: w(4qzt l?do r
Determination- Occtpant Load: *2a+ t' t .
Initial order to c,I^rner: tdtdaqz 29, /?8o
Certified nail/return receipt: ocrDtwz 2t /?Eo
Notice recorded: Peo'ett tJzL ?' tf ao
Azc4 t/-<--,-4tet
legal descri ption: ,/,c to,.z/ #4 6z* V f/c t a4 H.- tu rv/
F "f ,,41 e ^-..*- fu.42o */- -t/,- ft,",- lF -,1,.,.2 n,-
r'h a_^? -<.u )t+V /3.-A
, a-aXr-*^--
2_/.V,,--r7 "7q
Letter advisijlg nid-point for structural analysis:Z L//, /r, /
Received
Structural alalysis:4 / l, /16/f-b; ^tt r - 2?'t t
Perndt date:)4c-,.^ /zt /f8/
Conrnence Alterations :
Corplete Alterations:).vl zl, /2t3
.
Notes :Lrf*t r"-lr*fr4t- z?-tl
/t-,> -9f
lu&l L.-.-.X ,*.eftu-l P'
6t...t1r.,^-- eA4L .4^ /.t, 4.-- c*--o
.r/- c.1^^--6NJ -' l,r-*
"""*n f,"""4 *-7 l4c-v..t./\'-- +
?o
7r/^--.^?
/-'1,-r*.-
Due
\{AYOI
Cordon Bt'<tan
VlCT MAYORt w Lurcn'bourtd
touxctt au'tgtt
lohn A(o!l.
O.nrel t Cntai
I Ord6' \r.rlel
Patricra A. \i<CurBm
A[red C. Serr.ro CITY OF SANTA ANA
CITY IlANACIR
CITY
^
NORNTY
tdwetd I Coopcr
cttRx ot THt cotJNcll'
l.nt(e C. CuY
:0 Cl\ lC Ct\rtl PTAZA ' P O 9OI I'r88
ia\tA li^. cALltoR\lA q2'01
Novenber 10, l98l
Robert C. Thee I
RCT Deve I oPmentjiezS Camino Capistrano, Suite J278
San Juan Capistrano, CA 9267 5
Oear Mr. Theel:
Subject: 3ll North Main - Plan Check #4734
The ouroose of this letter is to serve as a reminder of the requirements
of tire Se'i sr,ri c Safety 0rdinance'
Pursuant
requi red
records s
totherequirementsoftheordinanceabuildingpermitforthe
rehabilitation is to be.utii"ia-ui November.l2' l98I' Our
i,o*-ir,.t. preliminary report has been submitted'
In order to iss
and plan check
pl ease contact
ue
fe
th
the perm'i t we must have the complete remedial 'plans
".'it'ioon-ut possible. If you have any questions
is office at (714) 834-4185'
erely ,
ra
Admi ni s
Di visio
tive Ass tant
no f OeveloPment Servi ces
GC: ef
)a
Si
Date Hour
To
M
ot
W L RE OUT
Phone
Message
Telephoned -Beturned Call Left Package
Please Call t-lWasln Please See Me
Will Call Again Will Roturn lmportant
III
rIrI
Signed
Arco FoBM NO. 55,{}56
'a
(
Utt*,t
o,&&+M'ss
(
Nu',\l.lill Ll\
c(/L,lI ,/'4( --'-(lw
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IMPOFITANT MESiSAGcfi-
FOFl
OATE TIME 'l z zSiY,:
M
PHONE l.e \lo
TELEPHONED . PLEASE CALL
WILL CALL AGAIN
WANTS TO SEE YOU RUSH
SPECIAL ATTENTION
SIGNED
rm (p rosr,aeoee
\t -
OF
CAME TO SEE YOU il
tl
FETURNED YOUR CALT
MESSAGE
MAYOR
Cordon 8n(ken
VICT MAYOR
R. W. tuxernboutSg
touNCtt t''rtxgrn
lohn Acort
Oan'el t. Cnret
,. OBden Mrrtel
Parrar. A. !i<CurSan
Allrpd C S?rrato CITY OF SANTA ANA
CITY TTANACTR
CITY ATTORNTY
tdw.rd I. Coop.r
cLtRx of THt couNclL
JanrceC. Cuy
]O Clvlc Ct\TtR PTAZA ' P O 8Ox 1988
SANIA ANA, CALIIORNIA 92702
November I0, l98l
Robert C. Theel
RCT Devel opment
31878 Camino Capistrano, Suite #278
San Juan Capistrano, CA 9267 5
Dear Mr. Theel:
Subject: 3ll North Main - Plan Check #4734
The purpose of this letter is to serve as a reminder of the requirements
of the Seismic SafetY 0rdinance.
Pursuant to the requirements of the ordinance a building perfiit for the
r;c;i;il i.n.oiritdtlon is to be obtained bv November l2, l98l' Our
reiords show that a preliminary report has been submitted'
In order to issue the permit we must have the complete remedial.plans
ino-piin it'ect iees as soon as-possible. --lf yo, have any questions
pleaie contact this office at (714) 834-4185-
erely,
ra
Admi n i s tive Ass tant
0i visi ono f Devel opment Serv i ces
GC:ef
RCT DEVELOPMENT
August 3, 1981
Mr. Wopschil l
City of Santa Ana
Department of Bui 1di ng and
Safety
20 Civi c Center Plaza
P. 0. Box ,]988
Santa Ana, CA. 92702 '*s$eo
Dear 1.1r. l,lopschal l :
Please know that we have cornpleted prel iminary drawings for th
and architectural rehabilitation of the Odd Fellows Bu'i ld'ino I
3lI i'lorth Main Street.
e s t ructu ra I
ocated at
A Structural Analysis of the buildjng has been completed by l,lheeler and Gray
and structural testing and laboratory analysis of the ex'isting structure is
in process under the direction of I'1r. Brittain Poteet of Wheeler and Gray.
I apoiigize for not keeping the Bui'l ding Department informed of my rehabili-
tation progress and for any inconvenience I have caused you regarding the
Odd Fel lows Building.
I'ir. James l,lilson of Th'i rtieth Street Architects
fonrarCing a copy of plans to your office uithi ,Nnt ewport Beach, tti'l I be
he next r'ieek.
Thank you.
---Si ncere 1y fS'
U.J
Robert C. Thee I
k
J
tr
B
C
p
lli I son, Thirtieth St. Architects
Kel 1ey
Poteet
Young
)e
RCT: nr
31878 Camino Capistrano, Suite 278
San Juan Capistrano, California 92675
A - 714 661-1705
LEGAL NOTICE
&F ff8/To: Persons in apparent charge or control
of unrei nforced masonry buildings
Da te
Aw- /4.^+
Fo- Knol ,EL
Regarding the building located at
0ringe County Assessor's Parcel N
lorz NttN s7--o and descri bed as:
0n February 19, 1980, the City Council of the City.of Sant
it,it oroinir.e, enti[led "Earihquake Hazard Reduction ln E
xl, consisting of Sections 8-2000 to 8-2007' to ChaPter 8
a Ana adopted 0rdinance No. NS-1518.
xi sti ng Buildings", added Article
of the Santa Ana MuniciPal Code.
umber
SEISMIC ORDINAN CE ADDED TO MUNICIPAL CODE
D ETERI'IINATION OF RISK CLASSIFICATION
SEISMIC ORDINANCE REQ U I REMENTS
A field engineering survey and review conducted by the City indicates that the subiect build-'ing ii-oi i deiign"ana ti'p,e of-unreinforced constiuction, containing walls with less than the
,"qui..a reinforiement, ihicn falls within the scope of Ordinance NS-1518. Pursuant to the
o.linuni",-1'e-subject'bui'lding has been designated by the City to fall within the Class II
(high rjsk) categorY.
Pui suant to ordinance No. NS-1518, the owner of the subject building has the responsibility
to Uiing the bui lding into conformance with the ordinance.
under the orovisions of this ordinance, the owner is required to provide a structural analysis
6r-i'fi.i.l.i'i["rlir.ut engin"e., civil engineer,_or architect. This.structural ana'lysi.s
I',n.ir'il'iriil;;;-;; irre-citv;5 Department-of Building Safetv for.revlew within two hundred
."r"^tv-tiiol iiys r.o, ine Jit" thb city has sent a wiltten notification,_or-order., to.both
in,,"u,]irjii,ilr-oin.. ina-io inv person *-ho is in apparent charge or control of the building.
Ac,'rdingtotheCity'srecords,awrittenorderhaspreviouslybeensenttothebuilding.s;; ;. io*.r.r, the-Cityit-..iords do not indicate that you, as a person who may be in ap-
;; ni .ni.g"-o. control"oi the subject building, has been sent a copy of the required notjce
or rrder. itrat is now the purpose of this notice.
If the build.ing is found to be deficient under the standards established by the ordinance'
piuni-una calcilations nu..ttu.y for-corrective work are to be submi tted- togethe r with the.
lirr.trrul analysis. Th;-;;;;r"shill cause the building to be structurally altered:9-i: l:;;^i;; io ttre itandards of the ordinance or cause it to be demolished. Permlts requrre6 to
accomplish the necessary ii.rlir.ui jiterations -ihatI be obtained not Iater than one (1) year
from lhe date of service of the notice to the owner'
The reouired alterations must cormence withjn one hundred eighty (180) days from the-date the
#;iil;';;r;;;: -in" oriiotng must be corrected to meet the minimum requirements of the
[.Oinun.. not later tn.n-ih""."(jl y.u.t from the date of service of thls notice' If the
owner or other person i; ;il;il.';; tontrot of the subiect.building.falls to complv with the
.i:ii.i^ rvitni^-any-oi u,"'tirie'ieriooi-piei."iuea by thi ordinance,-the-citv's Director of
[riiaiiis-iui"[i'ii."qrir"J-t5 o.a"i the entire uiritalng vacated until al'l required analvses
and structural alterat.ioni-hiie-ueen completed.
-in aaaition, in cases of non-compliance with
the ordinance, the cityii oi""it". of Builaing Safety is ptovided with other remedies bv the
ordinance so as to assure compliance.
RIGHT OF APPEAL
s initial order (jncluding his determjnation of class-
be aooealed bv the ourner or any person in apparent
no ii'sucn apireal is filed within one hundred eightv
.rr-iniiiir-hbii." o. order on such owner and person in
ing.
The Ci ty's
'i f ication o
charoe or c
(180) days
apparent ch
I re c 0r o
Di rector of Bu
f the subject
ontrol of the
after servi ce
arge or contro
I a ety
i 1di ng Safety'
bui'lding) may
bui l d ing so lo
of the Di rectoI of the build
I.le are enclosing a copy of 0rdjnance No: ry::l?I
questions, pleaie contact this office at (/14)
8 for your information. If you should have any
834-4186.
u
)I
To: 0wners and persons in apparent charge
or control of unreinforced masonry buildings Date Jul v 21.1981
Trustees of Santa Ana
Lodge #236 I00F
3I1 North Main
Santa Ana , Cal ifornia 92701
Earthquake Hazard Reduction - time ex tens i on
l4a in , SantaSubject property address 311 North Ana, Ca.
Based on the recormendation of the Seismic Safety Conmittee, which was created several
months ago by the Santa Ana City Council for the purpose of reviewing 0rdinance No.
NS-1518 entitled "Earthquake Hazard Reduction in Existing Buildings," the City Manager
of the City of Santa Ana, on July 13, 1981, granted a sixty (60) day extension of t'ime
'in order for the owners and persons in apparent charge or control of buildings which
fall within the Class II ("Hjgh Risk") category, to submit the required structural
analysis to the City of Santa Ana.
As a result, the due date for the structural analysis
building at the above address has been extended untiI
and plans, if necessary, for the
September 13, 1981 If such
analysis and plans are not submi.tted by this date, the City's Director of Buildinq
Safety has the authority to order the entire building vacated until all required analyses
and structural alterations have been completed'
l,Je are
shoul d
encl os ing a copy of
have any questions,
Ordinance No. NS-1518 for your use and information. if you
please contact this office at (714) 834-4186.
r)
I rec tor o U'I s a e v
)a
,ro
sAtvT1\\ OR
l.'t nrr'. I \\.r'{l \
Vl( t \1\\()R
(,orrJrlr t [ir.. ",,( ()L \( lt\1, \
[).rrrr li (,r.,'
R \\ ltrr,,'nrl, ' : -I ( )qrl, r, \1,r,.,
'\lt rt.rl ( \t'r r.rt,
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\
CITY OF SANTA ANA
l{r ct\r( ct\T ,l Pt{z{. P() 8(r\ l98r
l{\t-\ l\{ c Alll ( )R\lA 9]_1,-
Departnent of
February
8ui I di ng Safety
24, 1981
International 0rder of Odd Fellows
Trustees of Lodge #236
309!, North I'lai n Street
Santa Ana, Cal i fornia 92701
Gentl emen:
Subject property address: 311 North Majn Street
Date of requi red action:June 22, 1981
gn September 23' 1980, legal notification was given to the owner of the subjectproperty which requjres a response by the above date (date of required action)in respect to the Santa Ana Earthquake Hazard Reduction Ordinance, NS 1518.
The ord'i nance requires that the building owner provjde a structural analysjs
w'i thin 270 days of the notjfication.
THE ORDINANCE REQUIRES
PLANS ARE FILED BY THE
THAT THE BUILDING BE VACATED UNLESS
DATE OF REQUIRED ACTION.
SUCH A REPORT AND
The ordjnance also provides for appeal from
of the date of notification. The ordinance
quired action within specified time periods
the initia'l order within 180 days
further^ provides for additional re-
based upon the date of notification.
Copies of the ordinance were sent to thenotifjcation. If additional copies are
the Department of Building Safety. Forthis office by telephone (714) 834-4186
Very truly yours,
or{ner of record along with the legal
required, they may be purchased from
further information, you may contact
between the hours of I and 5 p.m.
GG:ds
oI
-,,fl,r!:,&
Di rector
EXEMPT
c12
Recorded at request ofClty of Santa Ana
Ilhen recorded, return to:
BK
RECO
B9Bpo 1513
N OFFICIAL RECOROS
51481
RDED I
OF ORANCE COUNTY, CALIFORNIA
-2?! P.M. DECl1',80
UEA 88filctl' C.unU Reco(e/
SPACE ABOVE THIS LII{E FOR RECORDER'S USE
TIOTICE OF REqUIRED BUILDING ALTERATIONS
Notlce ls hereby glven that the certain bulldlng or bulldlngs on the property located at
311 North Main Street
has beenof unrel
found, by
nforced co
lnspectl
nstructlo
Ordlnance amends the Santa Ana llunlclpal Code bsectlons 8-2000 through 8-2007 .lncluslve, to Chreductlon ln ex l stl ng bulldlngs,
The requl red al teraafter the date the
mlnlmum requ'lrement
date of servlce of
the subject bul'ldin
prescrlbed by the 0entlre bul ldl ng vac
al teratlons have be
extenslon of time f
LEGAL DESCRIPTION OF PROPERTY:
The south forty feet of Lot 6, and the north twentthe town of Santa Ana as shown on a map in Map Boo
County, California.
and more partlcularly descrlbed be'low,ntaln mrsonry yalls of a deslgn and t_vDethe scope of 0rdlnance tls-1516. Thlsy addlng Artlcle XI, conslstlng of new
apter 8, provldlng for earthquake hazard
cn rnd revle , to co
n that falls wlthln
The owner- ls required to.have a structural analysls made of the bulldlng by a Ilcensedstructural .englneer, clvll englneer, or archltelt. Thls structura.l anaiysis is to be
;Illltqed to the Deparfirent.of Bulldlng Safety for revlew wlthln two hun-dred seventy(270) days from and after the date of th'ls notlce. If the bulldlng ls found to bedeflclent under the standards establlshed by the 0rdlnanie,-ptans ind-calcula6onsnecessary for correctlve work are to be sub;itted together wittr tne structural anitysts,The owner sha'll cause the bulldlng to be structurall! altered jo as io ionfonn to t-hestandards of the 0rdlnance or cauie lt to be demolls-hed. Pennlts requlred to accompllshthe necessary structural alteratlons shall be obtained not later grari one-(i) F;i i;o;and after the date of serv.tce of thls noilce.
t
p
st
Ir
a
e
o
lons must cormence wlthln one hundred elghty (l8O) days from andemlt ls lssued. The bulldlng must be corrLcied to mlet theof the 0rdlnance not later than three (3) years from and after theh'ls notlce. If the owner or other persdn'.1-n charge and control of
.fal ls to comply with the order wlthln any of the-tjme periods as
dJnance, the Dlrector of BuJldlnq Safety ls requlred to'order theted and remaln vacated until all requlred analyses and structuraln completed. Thls 0rdinance establishes provlilon for appeal andr compl lance.
yf
k2
eet of Lot 3 in Block 10 of, Page 51 of Los Angeles
Record owne r:Trustees of Santa Ana, Lodqe #236 I00F
Thls document ls the offlclal buslness of the Clty of Santa Ana and ls entltled to freerecordlng-under Sectlon 5103 of the Government Coile. Thls document ls belng recorded-ionotlfy.all lnterested partles of the above descrlbed condltion. itie uriiaiig rn, il-subJect to proceedlngs under Artlcle XI of Chapter 8 of the Santa Ana 1lunlcl[al tode.For further.'lnformatlon, contact the Department of Bulldlng Safety of the Clty of SantaAna at (714) 834-4186.
t-
ec
ry nan
e
tor u ng a etyo
Ci ty of Santa Ana
ss
0n thls I? dav of
cou n ty aiil-TlFe, periona Iof Santa Ana who executed
Same .
t<-before me, a notary pubtlc ln and for saldy appea nt, Dlrector of Bulldlng Safety of the Cltythe foregolng I nstru ment and acknowledged to me that he executed
te &-o ,
GaTdEra
I{ITNESS my hand and offlclal seal:
OFFICIAL SEAL
ROY Al. tNGAI t.s
NOIARY PJSLiC' CALIFORNIA
ORA'{GE COUTITY
ll, comm. lx9lt ! JU 2a f982
a
County 0rang
State of Cal'l fornl a
o c 0r e
a
Clty of Santa Ana
Department of Bulldlng Safety
20 Clvlc Center Pl aza-
Santa Ana, Callfornla 92702
STATE OF CALIFORNIA
COUNTY OF ORANGE
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-(coNsulr FosTU.rsTER Fon FriEE)
1 XrEll AO -aaD tO,Truatees of Santa Ana
Lodge /1236 100F
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a
o LEGAL NOTICE o
Legal o*ner Trustees of Santa Ana, Lodge #236 I00F Date September 23, 1980
Address 309L North Main St. Santa Ana' CA 9270f
Regardlng the bullding locrted at 311 North Main Street lnd descrlbed as:
Orange County Assessor's Parcel Number 009-031-10
Inspect'lon and rev{er lndlcltes thlt the subject bul'ldln9 ls of a deslgn rnd type of un-
relnforced construct'lon, contalnlng ra'l ls wlth less than the requlred relnforcement, that
he scope of Ordlnance NS-1518. Thls 0rdinance amends the Santa Ana |lunlcipal
Artlcie XI. conslst'lng of netr sect'lons 8-2000 through 8-?007 lnclusive, to
vldlng for !arthqurke hazard reductlon in exlstlng bul1dhgs.
Under tte provlslons of thls 0rdinance, the owner ls requlred to provide r structural
ysls by-a llcensed structural engtneer, clvll englneer, or archltect. Thls structural
lnalysls sha'l'l be submltted to the Departrnent of Bullding Safety for revler xlth'ln two
hundred seventy (270) days from the date of this notice.
falls wl thl
Code by add
Chapter;8,
date the permlt 1s lssued.
ments of the 0rdlnance not
notlce. If the owner or otfalls to conply wlth the or
the D'lrector of Bulldlng Sa!'l'l requl red ana'lyses and s
p1 lance rith thls order has
The bul l dl ng musl!ter than three
her person 'ln cha
der wlthln any of the perio
fety ls requlred to order t
tructura'l a'l terations have
not been accompl ished wlth
escrlbed by the
enti re bul'ldlng vaclt
en compl eted. llheneve
nl nety (90) days afte
nt
lng
Pro
If the bul'ldlng ls found to be deflclent under the standlrds estab'l 'lshed by the Ordlnance,
p'lrns lnd calculrtlons necessary for correctlve work are to be submltted together wlth
the structurr'l analys'ls. The orner sha'll cause the bulldlng to be structurally altered
so as to conform to the standards of the ordlnance or cause 'lt to be derno'l ished. Penn'l ts
requlred to accmrp'l lsh the necessary structural alteratlons shal'l be obtained not 'later
than one (l) year from the date of serv'lce of thls notice.
Thc rcqulrcd !lteratlons must comence wlthln one hundred elghty (180) days from the
e corrected meet the nlnlmum requ i re-
dl nance,
u nt'l 'l
cor -
the
been
ector
Ana
ana'l -
tb
(3)
r9e
om
ro'l
as
years
and co
fr
nt
ds
he
be
ln
to
the
of
pr
date of serv I ce
the subject bui
0'ld
0r
ed
r
r
e
f this
i ng
dtte the bulldlng has been ordered vacated, or such .ddltiona'l tlme as may hrv
granted by the Board (see sectlon 8-200a (e) of the enc'losed 0rdlnance), the D
nay order deno1 ltlon of such bullding ln accordance wlth Chapter 17 of the San
llunl c'l pal Code.
'lr
ta
The orner or person 1n apparent charge or control of th
ln'ltla'l order and detennlnatlon w1th1n one hundred eigh
th'ls order, pursuant to the procedure estab'l'lshed by Ch
Code. Any such appeal sha'l I be declded by the hearlng
days after the date rhen the appea'l ls fl'led.
e bu'lldlng may appeal the Director's
ty (180) days of the service of
apter 3 of the Santa Ana l{uniciPal
oiflcer no 'later than sixty (60)
ector of Bu'lldlng Safety shal'l flle vlth the 0fflce
tltlng that the subJect bulld'lng ls rlthln the
Artlcle XI of Chapter 8, "Earthqurke Hazard
certlficate sha]l a'lso state that the owner has
lly analyze the buildlng and to structurllly
ante xlth Artlc]e Xt ls not exhiblted. )
r
s
e
t
I
Concurrently xlth thls notlce, the Dl
of the County Recorder a certlflcate
scope of the Santa Ana ltlunlclpal Code
Reductlon ln Erlstlng Bulldlngs.' Th
been notlfled lnd ordered to structur
3trcngthen or dcro'l lsh lt rhere compl
If thc but'ldlng ls clther deinollshed
or 13 fbund to be structurally caprb
thc 0rdinancc, the Dlrcctor of Bulldccrtlflcrtc tcrmlnatlng the status o
th! S!nt! Anr llunlclpr'l Cocte, Artlcl
, found not to be rlthln the scope of the 0rd'lnance'
le of res'lstlng mlnlmum selsmlc forces requlred by.
lng Safety sha'l'l flle rlth thc County Recorder' af ihe subJect bu'lldlng !s belng rlShln the scope of
c Il of Chrpter 8.
Ihenever the correct'lons requtred by thls order have been compl eted, the Dlrector shalI
fllc r ccrtlflcrt! rlth thr County hecorder thrt !ll requlrcd correct'lons have been made.
Ic rre cnclos'lng r copy of thc Ordlnrnce for your use. If you should hrve any questlons,
plcasc contact thls offlce !t (714) 834-4186.
Dlrcctor of Bulldlng Srfctyt
,
t
5) CL.ASSrFrcATroil
Essentlal
oo7- o7 -/o-BUILDING STRUCTURAL DATA SHEff edl um
FOR
SEISTIIC SAFTTTSTIOY - SAMA AM
Low
l)Eulldlng lddress
2)0ccupant Load:Lo7/o
FLOOR
O>z ret/.ot/t/t
AREA OCCUPAIiCY 0CCUPAI{T LOAD (Table 33-A)
*
*
?
3) Struc tura'l :
f
I I
I
I
I
;
I
I
I
I
i
I
t_--
:
:
I
I
I
I
I
I
I
t
I
,llz
I
I
t(/1
{
is
,\
b
I
i
I
t.
00
?
>/
54q /o{o o 2fiMr7
I t
BAS 5Y EIfi ?
, STORIES TOTAL AREA suu,'{ARY occuPArfr LOAI ?il I
l) Structural Analysl s:
)O
+
;
I
i
t
I
i
I
I
I
i
I
I
I
I
iE
High,oq- o
Bullcttng a
3t-10
i)dr"ts ?//(Esseotta!.Medlun, toe)
l)
,\
3)
Ll*r N CLASSIFICATION :,kA 16doOLega i, desc r 1P tlon 2t
Respon slble Person
Oune-r
AdC res ,1^ r@ F Address
ql SenJ".6',^Cofx o/
Telep hone ( )
RedeveloP Een! Area
9- zr- Eo Certlflcatton trl'th County Recorder /2 3/-ro5)
6)
7t
8)
9,
r0)
Hotlflcatloo let ter seot (date) Attach coPY
Srructural Analysls xe-41)tltL Rece lved
PerElt lssued
Comeoca Alteratlons
Coroplet6 Alterat lons
Due
W^r|1 D4G + tB
73. e 1
Certlficatlon of eoupltance ulth Couoty Recorder (date) attache d copy
\^ E5C-fZa --r '1-G, oJ Er" 6\^)dVL :
Wrryr C- rr+eEL'
Q-c-f wta&llP'ft-
j\O1 O <A'^ I Aro C't?rs1ir?jAJo ' Su rf€ 21 t>
i^^r1r,* c A? \ u'trzart'to '24 q 26-r 5:
Tr-t : ?t4 66t t1c.5 ''4**:-7*-'/
bav\o4, (MM SsY-( z$ '
l;..-)
;I
I
al
'T:-Iephone ( )
4) zcnlng...--.-.-..:-rlre zone--
I
C ITY OF
SPECIAL INSPECTION REPORT
OAT E
t\z 3
A OORE SS
OWNEF
A A,J
Er-ow ?n,"rt.r, o JCONTR,f*l-n
Fo< =eert\Yr.-ea- urlNseprreau.\b -4 sos4
PURPOSE OF INSPEC TION
FEMARKS A ACTION REQU I RED
t/
/f/ 7 D vERgAL
E URITTEN
! LETTER
PERSON NOTIFI EO
INSPEC TORDATE TO qOMPLY
SUI LDING
PER T
4
,idttASSESSOR'S PA RC EL NO IALK
NEw E aooN E eurre E corv E nepetp E MovE E oEMo E
NATU CIE OF WOII K
.FOPOSEO UsE OF IH|li BUILOING
nes E coner E rrous El orxee E
Lr- zFEstoEN.trAL oEvEL FEE $
TOTAL PERMIT FEES $
1-27-s',
%
USE
\
$
\
N
\
\
\^t
\\,
h
N
N!
3
N
E\
o
h
$I
h
N
s'
\\
\
b
No
\
Y\
v\
\
l-
ri
\
$st/
hN
itt
$
A
\
a\
Fg
5:\
Fi
osNsvaq
N
\$
\
\
t
N
\
b
$\t
N
$
{\
,*"
\
N
$i'
M
1/ v/nu BUILDING
PERMIT NO.45526t
(
NEw Cl ^oox O ^.tea d cor.,,, O iEp^ri D MovE O oEMo O
+u*rtr kPAOPOSED U6E OF IHIS BUILOII{G
iEB tr .6MM El rmos n orHFF tl
2 ('c,EEtPhR
$1 */< z -tc k*-l/zt
$
rorer praurr rers 3 -
FESIOENrl^I DEVEL fEE S g-27-8 )"r/t
TOTAL S I ,
4
\{ ..r
\*\!r:
\\
N.{\\:$\{t\
$$\\s
r.o.\{
."\ ->i:
lo0 i)1..\r q
a33ESSOR',S PAFCTL t{O :BLr<
rlaw E aDox D rr.rre E corv E n:rern E rrovr E orxo E
X ATU F' OF WORl<
rrorioaaD uaa oF rHta aurLottaG
iat E coMr.E r Dug EorxcrE
tJS E
$
Faz
cH cc r<Ftr 3
I
.roI.^L EE|MTT FEE5 3
lTurao -a7o)
iataolttattal- E avar- tta a
cot{lT ToraL 3
BUILDII{G
PERMIT I{O.
4 ExP \flED
B - \8-Eq
'f
u!ro ')c.:\\
YJ'
G
3
v)
?
F
u_
(^
\S
s.
\(
{
'I
$
\
{
^1'.(d
N
\\
ia\
I
e[
t
1o1.3ll , 30t - 3oi r.t, Main 5T
!(
AssEssoF's PAFCEL No
rEw tr ooN O errerE cow fl FEp^rF O MovE D oEMo O
PiOltO6EO U8E OF THlll BUlLolr.lO
aes E couu b rr{orrs D orH€F D
s
a
S J/
l^rorer prnurr rees $t,.D-, H.t)n:SrOer,rrer- Oever- ree ll
TOTAL S
EUtLOtNG
PERMIT NO,
,I4
eri,<u /et 7o il otse
E-/-?a
BUILDING 1
PEFMIY I{O.
,9,oo ^ooF Eis
AasEssoP's ra RcEL tro iBLK
iiIiLrFc oF woFK
xrw E aoox E eutteC coNv E rE"^rR El uovr E oruo El
f-orotao ugC oF ratrs !utl-otNc
F.i El coMM d rNoui E orHEF Cl
F'Z
$
FZE 3
IOIAL FEFTMri FEES 3(ru o -.7o)
FE toatalrar- Eaval 7r! a , t->>i3 3S
IOTA L 3
4 t/
t,
!
\
I
s
\
v
\dI
?
\"
\,\
=$t
,55EsSOR S PA RC EL rao iaLx
naw D aoDrr O er-ree E conv E a:pere El r,rovr E oruo El
s
)
cHlcxFaE i
( FUnD rt-ati)
rcfral- aEMrr l.tEB elruND -a7ol
FC'IDE YIIAL E''i,CL ?GI $/-7-8v -L'
a
BUILDING
PERMIT NO.1 )a,tls
i.. E coi,M E rNous E orHEi O1-_
\
rora L 34
\
q
-.1
b.
tetN
\$
\
$
t
l\)
(
/or; n *
,31-/o
J07 '7/o I
xEwO
^ooN tr ^.te.6\,coNv E FEP^rF E MovE D oEMo O
PITOPOEEO U3E OF
'HIS
EUILOING
n:s c couuA rxous E orHEh E
(Ft44-24a..><-$
Zald-//rz.t.dca //)),$
rorrr eeaurr rees g 7"/ ,,
o nesroenrrt oever- ree S
TOTA|- $*,1^/a72,2oo?to i.P,v
3gg,,iq"JQS054
4 ,7?.4/) - v)-f??Ys'(
^rsEssoF s t^ Fc rL No LOr ilLX
s--. y- t '7 a
ncw E ^oDi. D er.rrr E coxv E nrr^r" E xovr El otlao E
NATU RE OF rxoFll<
PFOPTOaIO U3l OF tXra !UtLOll{G
.Es E coriM E'rroua E orHar E
$
FEE
CHECX
FEE $
l\,t-k 1st-37 ,(s
( FUNO !t -a l
to.tar- EFr.rt FEE3 3 IlruND -a7o)
FBrDrnrraL oEvEL EE $
ToraL S
,8
AUILDING
PERMIT NO.t6r(
y9
4
(.-ffi x wra"rJ BUILOING
PERTIIT NO.o do 6-
4
A5SE5SOR'S 'ARCEL NO :TLK
xrw E eoor E rur:e E cor.rv E *reerr E iaovr E orxo El
X ATU i' OF WORX
rioloaaD uaa oa rHrS aurLotr'.G
ncs El co..r E rxous D orxrr E
USE
s
CH'CKFCa 3
liuND rr-a l
Tqtal rttr,tfr Ttaa alrut{o -a7o)
iaarDartlal- otvaL itt 3
roTA L 3
B - \-< --6t
BUILOING
PERMIT NO 50666
4
II
t i.\a
NEw D
^ooN
P'ATTEF tr coNV ! FEPAIR. MoVE tr oEMo tr
9P9-2L-,
FFOPOSEO USE OF
I 7.Y $
s
,rorer pravrr re:s $
t?tnesroenrret oevet rtt 3 /6-1r-€6
TOTAL $rl I
,rr irLr irr^rr
tal
APPLICATION AND
ELECTRICAL PERMIT
(TYPEWRITE OR PRINT iN INK)
o o
APPLICANT FILL IN AREA BELOW
E-o
=c,
o
*a
r
h-s
l$
k
X."^^*"'utE nesroenrrat E tnousrrrat NO EACH TOTAL
F... Hot.l., fol.l., Api, Sq Fr 03
O.r. o, C.rporl. Sq rl o?
50
50
ESS
STATE/Z]P
ID
H
t-t. t^4.4-( hl7 c:4
\34ttz/.q1a-
S.,ACITY
50
20 00
€ach
500Approv€d F6clory wned Unrr
LrBl:
500
10.00
.50
Firc Srgnanng Syltom. Minrmum lo6
oiJllot, lmok€ o. hoat 60060r
5.m
1.00
Lighhc slanderds wilh on6 lamp
Each Add'l linu,a on 8am€ slandrd
Ow'r.-Aldar D.cHo.l
I i..!tr rlt@ tn6r t .m .xdpr lro.n lh. Cor..lo.'. Lc.u t.w ,o. dr toior.g ...r. ls..
7O3t 5. 8urn .! ..'d PoLBtFs Cod.' A^y cily q .o!.ry which Equr.s . p€rhrl io connruct,
.h.r, improv€, d.molsh, or..p.,anvstluclur€, pno.ro n.E.u..c.,.l!o r.quEs rh6.pplE nlld
!u.h !.mrr lo fib . ,gEd n r.l1Er rh.r h.
's
I'c.,r!.d Fr,!r6r ro rh. pronrio3 ol OE Can&-
ro.'.1,c..! t * lch.Drd 9 lcdnnBrrrio *th S..iio.1 70OO) ol OivLnM 3 o{ the &d..s.nd
Prof.&on! Cod.) or rh.r h. r! or.mI lh.or.om sd thr b.e.lor nB .lbg.d.rmptrd! A,!y eo|l-
ro. ol S.ct on 7031 .5 by ..y rldir lo. . Cdryrn $acr! m .pCl(sr o . csl o.n lly ol rcr
mo.. rhe th. nundod doLrs ( l SOOI'
D S-oo.' roql l, s oru ol tlr o.oo.ny. o. ov lmproy-s win w'gG !. rhdr lor€ co.n-
p..!rli6.. will .lo rh. wo.t, .nd rh! ltuc.ruG B not t.t6.&d d otlrlld io. sL
E s*ton ro.44e r. !. ownd ot rh. prope,ry, .m.rcru.'wt co.n&mc wrh r.6xd coc.
rracrE r $ codrtual rhr p.ot .r
D.b Orars|o.r-
Marnl6nanc6 Pe.mll (annual)50 00
15 00
35 00
75.00
1500Signs and high pot.nrial 9a3 rub€ hghring
swmmhg poob, lounl&ne. 3pa3
15.00
Swichbord, moor contrcl ccnlar or aubpen.lr
t 15.00
3.00 \6pzTamporery conllrucrio. melo, aorvlca polc
Each dirlrlbution polc
Contr.cto. Ut6 Only
l-eroNe
-
14<-t-Asz
ADDNESS7-2//1
C.w,{out <5
2.. ya<-tL Sr(
C IYLt-6pas14
Lmpora,y conarrucllon lighling
500 lalnp! or 1633
Ovfi 5()O l.mpa
200
4.CtO
Tihs clock or photo .loctic coll 300
POW€F APPAFATUS| G.n.r.!orl. morors,
trellslormol3, r€ctili.r6, industrial h.rling,
coorinC, or bating equipmonl and othst
rpparalur as lollow!:
Up ro.nd including 1 HP, Kw, XvA
Ov6r 1 and noi ovor 10 l.iP, KW, KVA
Ov., 10 and nol ovcr 50 HP, XW, KVA
Ovo.50 end nol ov6, 10O HP, (W, KVA
Ova! 10O and nol ova. 500 HP, Kw. Kva
Ove, 500 HP, KU/. KvA
2.00
500
r0 00
20 00
30.00
40 00
frrort .t Cdrlo-radoo Daclr.arro.r
IrErby.lrrm,Er r h.6r6rol. .olc@s^r loeni^sr.. drc.d'l@r6ol llb.r.r'!c6pd
*&;4- ora*,,",n, C\- B-,A-, rv.y'-
f,odc. To ASDb.rt
n. .tur m.rnlg lh6 C.rfi€.r. oI Erdprih, yoq lho{ld !.co.i[ eJbi€cr ro rh6 \ lo.k.r'r Comp.n
..lrd pdidoru ol lh. Llbd Cod., you mun lonhnh comp, wrh !4h p.d.M! o. th3 o.m'r
ddl b. .h6.d ,!l,!Ld
Subrotal /s-
Pon.tiy Fac (whon eppticabla)
v,olal,on Fso (h,nmum t3500)
B.n Ch.ck F.c (minimum i15.00)
10 00
TOTAL PERIIT FEE (m,nrmum 935.00)
CrCradoar
lhi! rdlnrr !h.ll .l,(6 by lmrt!non ohd b6om. null fid vod rl th. wk.urhd[.d by rh6 o.rn'r 6
rct c@nBrc.d arhi. l8O d.y3 tr@ lho d!t. ol trE p.nrn d ,ort .uttutld br thir o.rmir 's&!o..d.d d.b.nd6.d.r..v nm6 .llo.0E wl 6 cmc.d lor. penod oi 180 d.vs Ale
!am[ !h.ll b. obrs'.ad trGr b.ld. luch wst on b. remmm.d
arC.-t'a Oacb..doi
I @dt th.r I h.6 l'rd rh! .oolE6!o.r .nd 3r.16 rh6r tf, .boE in,orm.r'on k .qrel. I .9r.. to
comrlY *rn .I clry o.didrc.r lnd t$r. hwr cLt rC ro bd'LinC c@tlrEmn. f,d hr.by lurto
n . l.p...6nD!\niot ri.. ciry ro..r* uCon Ol aboFmco0o.rd ,oFrry lo. ru,!.ton 0!lD0!.6.
OATE 9 -)-a - P1 PEBXIT TO,
PEFMIT TSSUEO 8Y lS'9 IVEfiIFIEDSY ISq )
6IJrLONG
VALIOAIION iOFFICE USE ONLYI(accouNr l 413r
Distribution: 1. lnspoctor Copy 2.FileCopy 3. FinanceCopy 4. Applacant Copy
CITY OF SANTA ANA
206 W. 4rh Sr.
647-5800 ,h,^-
Buaways, apocial laceway!. undor lloor ducr.
trollcy or plugrn bu8way! ea. 10O'
Up to 40O amp., p€, mder
Ova, 400 .mpl, p.. mrlpr
Ovar 1200 amp!. p€r malcr
35.00
Raccror No- PC No-
le (1
I h.r.by ,i'm rh.r I !6 I'c.nrd on&, 6€ C.ovrerss ol Ch.pr.r 9, DMrlo. 3 ol rh. Bue..$ md
Pror..lonr cod., md my lic..r. E rn lull iorc. rnrt .tlocr
,*F".t:!a_ ,n* P 12 q,l*5!r1
o"" L-z* e",_,"", O- b -l-,* -A
I c.nily ttlr n th6 oonorma.c. ol the wort lor whlch rhB o..m a! 'su.d, I Cr.ll .or omplov .ny
p..soo in liy merer 5 .! ro b.cori€ .uq.d o dr wrtr'! cornp..xton L.*! ol c.lildn .
#3 ^**,. ^,",,,",LEl^-{
,.t*,.o.rNSPEcro* *."t,
Ramarls
Bonding
/r<-
Uncl'g'ound
Rough lnspecnoh
Lr{, ctor AgpbvC
{sl0n tur.lD c
I
I
.l-
zzfu)
-+
I
.l.te1
I
APPLICATION AND
ELECTRICAL PERMIT
ITYPFWRIIF OR PRINT IN INK)
o Q;n:::rlrtAli^
834-4186
APPI-ICANT FIIL IN AREA BELOW
(,c
Izo
ooa
I
l
I
EACHD nes'oenl'ar O rnOusll,ar fic"..","'",
8.., xot.l., uot.l., apt. sq Fr 03
02
50
50 )6eta /4na ci$'^'"qL7ol
a@_Ud
qrt
Btss tt44ii s+
A\\\
50
Each 1 2000 so*
l1 500 ao*App.oved Faclory Wtrsd lJnrl
500
Buiway3. special rac€waya, undo, lloor ducl
rrottoy or pluc-in bir.wayr 6a l0o'
E 10.00
.50 ll- . 0tFir€ Signaling Sytlam Mrnimum le€
ourl€i, smok6 0r hsal 36n50r
500
r00
Lrghting Slandard6 wrlh One Lamp
Each Add'l nnuro o.l Eama sEnda.d
Orl,4rfd..Mi
I h...Oy rtlm 0Et I m 6r@pl i.m lh6 Co.u&lor'! licss L& td UE roll i.!r..$n156
7031.6, &lrlt!.rd Proleirr co(b any ory or cahry wh.h 6q{r.3. p.rm{ ro c4tral,
ab..rmprov!,abfrolilh.o a9.tr.ny.tucrur.,pndlortsii{afts,.ltoBqu.tlh..pplic.nltd
t,ch !.rfrr ro la . rgi.d ri.r.rmnr th.r h. r lr.nid po,@nr lo tE p.ovrtod ol n€ co.lt&_
ra. ! L'c..!. l.* lch.Ba 0 (coolltr'^C wiln S..l'on 70OO) ol OMlm 3 ol Or B!3l\B Md
P.d.&o.! Co<br o. rhrr h.6 o!@rt rhr.tm..d th. b.Il td ttr.lb!.d erdprb. Ary rloL'
r'oi o, Sr.tro. 7031 .5 bry 6y .odd^r ld ! parmil $b|..l! lh€ !ppl6.nl lo a .lsl p.n lrv ol nol
trlol. ih.n t@ hun&.d .rorrtlr I t500,
fl s*o- zOrea l, .5 wr.. ol tho p'ol..ry, ol my .mploy6! nrh *.!.t .! ts, .ob co...
D.nsio., u[ do rh. wk, md lh. nrucruE ir nor 6r.nd.d n ofi.6d lo $h
[ ** r*., r..!m, or rh6r*L. ro crlr\dr!. qDr.r
wy'?gb.\o,-,sn,_
50 00Marnrenenc€ P€mii hnnua0
q 1500
35 00
7500
B5*Up ro 400 amps, p€r harar
Ovs aoo smpl. pcr mcler
Ov€r 1200 Bmpi, par m.lst
Signs and h'gh pobnlial 9a3 lub6 lighling r500
Swmming pools, lountain8, Bpas 35 00
L r500 l{-t€o'
S\rllchboad, molor conltol conlor or rubranoli
E ch olA'O At-_-
I 5
3
00
00 D
..<.?
I
Tsmporary consrrucnon metlr 3€Nlc6 polo
€ach dEtriDuton oot.
I h.6!y alii.m d[r I 16 lic.ru.d und.t rh. grovido! ol ch.pld 9. orvi.ioi 3 ol ltu 8ua..o .rd
b.r-h!Cod., rldtiy lEai t '. id iorc...r.l.tt cr.
Li:.irNo.- CLln--crrYtEfi!-
O.i.- Cdr'xrs lsrg.l--
Contr.cior Ut. Only
aoosass
CITY
Tsmporery con3ltudron l€hling
5O0 bmp! or 16$
Ovff 5m rampr
2 00
00
Tim. cloct or phoro eloclnc coll -1 3.00 bo-*
I
2.00
500
10 00
20 00
30'o0
40.00
lo -'
FOWEA aPPABATUS: Gsnsralol!. molo,B,
uan6lorm66, r€cil|€r, induslrEl hoalrng,
coot(ing. or baking oquipmanl and olh€r
apparatu! ea lolloi!.
Up to and including 1 HP, Kw, Kva
Ovor ! and nol ovo, 10 HP, Kw, KvA
Ovor l0 and nol 0,61 50 HP, Kw. KvA
Ovrr 50 rnd nol ov€r 100 HP. KW. KVA
Ovs, 1OO and nol ov6r 5OO HP. KW. (vA
Ov6r 500 HP. KW. XVA
lvoaL-a Co.rTrtaadoll Dadaradoi
lh.ratv rlttm rh.r Ih.s.citulE ro ot conla.r ro$llr3ur., o.c6rr E.r6 olWolt.r'!Comp.nrre hee. Cdtlad c!9y tr l&d *lh tE Clry butldrno n.p-ton rbp.nl1Et
O.b E$,tLvdili.d 8y iSE l-
, .trd mlkrng rhl' C.rttior. ol Ex.mplon. vou lhould b.c@. $br.<l lo lhs \ rod.t'3 Cnp..-
sro.,@to. ol (h. Lrt . co.b, yo4r mu lo.lhwirncdndy *rh lch Ftut63d |trs p.ml
rh.ll b. d€emd r.vord
Frenalty F.€ twh6n apolrcabl.)
vrolarion Fo€ {m'n'muh t35 0O)
er< l5Plen Chocr F6s lm,n,mum 315.00)
"
.Jtl,'J521oz-tn t-1.)
r000
5rOTAL PEiIIT FEE {o ^ oum S35 00)
IDAIE*/z,r tn(
hpHor
ll!! p.rrir aral arp.a by limtatd aod 6*ch.ull..d vod,l nE *ort .ulhon td b, thr! Frmil I
hor .o.tldurld srhin 1@ d.Y3 no,n the d.ts o, th'r g.m.l d il wut !urnq..d bry lhi.9.m( .3
.!r..<hd or.bu<ror!.d tl.r!y nft .lrt fi. *ort 6 co.nir.c.d tq. p.nod oa l8O d.Yr Alw
!..D{ i.r b. O!l.i6d ni b.lo.. !!.n *O.t Crn b. '.Co.nru.6d
^.a/aAirrc..,ora!..r,sq
hal rh. abow 'nlsmsrD. r. cor..cr l.!roo ro
rF! ro bu d'n! c6nrwrd, d'd h...bv &rtc
:flN"ffit-
ApDliclnf r D.cl.r.rlon
I c.rtlv thrt I hav. r.ad thra ao![cano. ed abr. n
cornoly sth d c'$ ddnft.! .id 361. rrws r.Ul
u. .arras.nl.tw3 ol thB cnv ro..ror up6 lh6 abo
PEnMrl rssuEo aY (sl! }_VERIFTCDBYlS'9 )- 4
- tt-.et
=F
65150Cb 331;E-sAIR ltl 5
!ALIOAIlor{ IOTf EE USE ONIY)
rACCOUNlalr-413'
E
Distributionr 1 lnspsctor CoDy 2 File Copy 3 Financ€ Copv 4. Applicanl Copy
P-,5
iil
b
lo
F
F
NO,
Grr. or C.rpon. Sq Fl
PEFXIT TO,
Eiq(REF
EUILDIIG
?fuSt11rul
I
l
.
,..t1*,.o1 rNSPEcro* rr"ot,
Remarks
Air Condrtione6
Alarm Syslem
Annuncialor System
Eooding
Bus Ducl
Construct|on Pole S€rvice
Faclory Wrred Unit
Floor DLrct
Lighr Fixtures
Llghl Standards
Motors and G€n6rators
Molor ControlCentor
Signs
Spas, Pools, Fountsin
Sub-Panels
Temporsry Lrghling
Temf,or!ry Service
Transtormers
Underground
Rough lnspoction
Finallnsp@lron
Noles
Daro ln$actor Approrrd
lSignrtur.l
APPLICATION AND
ELECTRICAL PERMIT
(TYPEWRITF O8 PRINT IN INK)
o ! .,r"orroNrAANA
20 CIVIC CENTER PLAZA
834-4186
(D
C
2a
Io,
?s
rf
E Ses,oent,a E rnorsr',a tr c"..o",",to EACs rOTAL
03
JOB A
IN
s
o2O.r. of C.rtori. sq Fro
50
50fufr,€CITY SIATE/ZIP
50
Each
App.ova(, Facto.y WrGd t .r
Ual
500
8!araya, ipacitl racawayt. undar ttoor 6uct,
lrollay or 9lug-in Durrayr aa l0O'
r0.00
.50
500
100
L'gnling sllndalds rnh ona lrlnp
€ach addl trrur. on aam. aEnda.d
7031 5,8u3i..sr^d Prol.s'o^s Cod. A.y oty or counvwn(h
ali.', firr.@, d.ooll.h. d ..O., ..y !rErur., prs lo '$ ,$d
rlch D..mlr ro nr.. .{Ed !r.r.m..r rh.r h€ '! rc.nsd
. !.mr &q.ci3 lrr. .oorc.nr r. . cMl r{hy oi nor
'*m, ol rh. proo.ry, o'6Y.mploy..sw h*.e6.3 rh. eL.06.
I ..d rM *u.ruB 'r ml 'nr.nd.d d o,.6d td er.
o4a8 r. .! o*E, ol rh. Foc..rY. .6.rcrll!|ry c@r&l',E sh r'..fi.d .o..!
I td.!y .tlrn rh.r I .m .r.m9r lrm rh.Cdtreid's L'..n$ lrwl lh. t6ll*'
C s""u- roaa
Owil.r8dld.. D.d.r.rim
;.qu.tih..opr,c..rtol
r ro rh. orMad! ot rh. Co.tac
7000r ol Ov's 3 ot lh. 8!!@t!.ndlo. r LEax Lrw lcn pw 9 l.@nErtng slh
P.ol.&r6. Cod.l d rhat h. .a.r.mor iha b.!lllor rha alL!.d.r6prs A.y v'oL
uo.l d S.crro. 7O3r 5 br rny
nlo .lh.n i@ hund6d dollui l
M.,nbn.nca P.nnn {a.nu.l)50.00
Conrr.cror U.. Or y
STAIE,ZIP
.*
Up lo aoo rm9., ir.. m.i.r
o\/.r am am9a. pa. lnatar
Ov.r l2m rnp3. p., m.l,
tbftl.K
75 00
S€n6 .nd h'gh pol.nt.r 9.s tub! llghrrng 15 00
S*mmrng pooL, lountarns, apar 3500
gritcllDoard. iiolo. co.rlrol crtar o. !ub.!a.aL
Etch
r500
Tam@aary conatruclion nralar lawrca pola
Each di.tribulion 9olc
r500
3.00
I h.rby .ftm tllr I .m rl...xd un L, trr rrtu.d3 ol Ch.pr., 9, D.ro. 3 o, lrr Eo.l!.ls .ndP.ol.ldl! Co4. ..ld my 1..^r. |t n lulr ldc. .nd .ll*l
e
200
a00
Tampo.ary conrtructlo^ lightino
5o0 tampa or tar.O., 5O0 l.mp!
T'm. cloct o, phoro aLclic call
POWER aPP aAIUS: G.nc.don. molo.t
tranalormar!, rlcirll.r., rnduanial h.ating,
cootmo. or ba*ng cqu'pm. .nd olhc.
p9aratu. .a lollorr:
Up to and hchrdmg I HP, Kw. Kva
Ov.r r r.d nol o\rcr l0 HP. l<W. KVA
Ov.l l0 rnd nol o!., 50 HP, XW, XVA
Ovar 50 rnd not ora, lm kP, Xll/. Xv
Od lm .nd hot o,.. 5O0 HP. xw. Kva
Ov.r 500 XP. XW. xvA
fr.r-. coiT.aMr o.ca.ado.t
I txr.by .fltrm hr I h.v. . c.arll..r. o, co.-nr ro ..lr'nre... o. . c.nr'{i. ol wo.r.. r Corn9.+
paiadr . ary han@ E ar ro bacorft aubnar ro rrr wo.tar'. cdnp.nsnon L.wr ol c.hld.{
tf.ifo. b AcCctrl:
lt. .tr, ,n l,!C nr. C.nfE r. ol Er.mprM. vd $@rd o.c@ luq.cr to trr l\brrd'. Comp.n.
!.r'on ,ovron. ol rll. l. bor cod.. yo! hln lo.lnsrn corhDly nri tlJ.h o.@ro.r. d rri.t o.m'r
,r.r b. &.rn d r.vor.d
gtoi rnrur.6 C.i,l.d coO, '! I'hd w{t rh. C!ry bu'ldr.e'nrC.ct'oa d.p.n6.nr
I crrtty rhar n dE g.rioma.Ea ol tr w!.r td lh6 o.frrr B 64d. r st[rr Dr m!]or..Y
O.a- Acarc&lls! I
::":"W8
Panarly F.€ l.h.n applc.blc)
vrclrlon Fac (h.n'huh 435 0O)
Plan Chacr fc€ lmrnrhuh !l50ol
,PC ,d
.,/ TOTAL ?lilll FCI ln'nrmum:3500)?
E4a.do.l
Thtt p.6'r ,trll.rpd. by lm'llrM..d bco@ noll lnd @d rl rh. woit allho.[ad by rht r..n'l I
rol c@@rc.d srtun l8o d.yr 116 rh. drl' ol rtu p.mn d d wat auindl,rd by rn.t Fm't ,3
!.o.nrhd or rb.^.ldxd .r ,y rm. .lr.r th. *d[ 'r c@n..c.d lor . g.iod ol 180 d.vr A mw
Dam dtalr b. oDr.rmd n.3r b.lo. Mh rdt o t ,Eo.rm.ic.d
AIilorit'. Da.L.do.t
I cinnt nr.l I E6 ard rh'. .p9k to.r ..ld (ar. rn r lri aao. 6lo.inaro. € cqGr I .9.a. lo
.mrlr wdtt .ll c'iy dd'urc65 .nd !ral. L*s Llrrn9 'rd60 conilrucl'o., r.d h.,.br ruiho.,,W 3c'ryb..r..upon rrbo.
lD-?-?<olrE irtT io.
PEnMII TSSUtD BY lS'! I
BUILDING
VER FIEO BY IS'O I
\alo^lroN roFfcE usa oNLYr
laccouNlrr-4r3)
Dstibuionr 'l lnspeclor Copy 2.FleCopy 3 Frnanc€ Copy 4. Applicant CopY
h
APPLICANT FILI IN AREA BELOW
i.r. llol.l.. Iol.l., Apl. So Fl
20 00
500
Ftr. Sagnalrng Syrl.m Mhilnum l.€
Oullei. imo*o o. h.al a6ntor
300
2.OO
5.00
r 0.00
20.00
30.00
ao.00
Subroral
tJ lc
-^ryBiiD /*ort^.
.r0*,"o1 lNSPEcro,n *r"to,
Remarls
Alarm System
Annunclator Sv6tam
Bus D(lcr
Factory Wired Un(
Flooa Duct
SiOns
Sfa!. Pools. Founta.n
Temporory Servrce
Translormcrs
Undqground
Rough lnsp€ctlon
FrnallnspsctDn
lnapactor Approvd
lSlfmtur.lDal!
'o/,/s X,-zl
,^,/./,072
t-
, -4..-d
"aLl^
'"^\"bgn/ HUil tttF/fl Fesld€nrnr El tnousr,rat /...,",^,NO.EACII IOIAL
n.r. Hor.l.. t oi.l., ADi. Sq rr 03
O.r. o, C.rport Sq Fr 02
tO 50 s,
1O 50 ,-2-7 t
Jet-r-ErDL
0 r rdlMATLTNCAOOBtSS
CITY
lo 50 {.-
2000
Aoo.ovod Fadorv wr€d Unr!500
Bulwayr, 39aclal rac6iaya. unde, lloor oucl
rrollay or pluCin brrasayr 6a. l0O'
Fro Signslrng Sysrom. Minihum le.
Oullsl, smok6 or hsal rsnror
10.00
50
ughring sr..nder(ls w h on6 L.mp
€ach Add'l finur. o. s.m. andard
500
100
O r-tdd.. D.ch..dolr
I ls.bY.fim 6.r r.h.r.hpr rrm ,le Cor.dor'! Li6s t.w rd lh.ldlnno D.s (Se
7031.6, But,r.$.nd ftolEa.s Co.b a.y ory d @trry wh.h r.qurG. p.@r ro
.li... in!.o\,., 4mol't'. d r.p.i. ey 3rnlcru., D(o. ro lr3 rum6, ds 6qur.!
.rJch p.mtl ro nL ! rgmd n l.mnr tn.r h. '! la.nrd puM.r ro rh. !.
rd . L'c.n- |tu lch.or.r 9lcqtl@r.o uih Scrdr 70@, ol
ProlNd3 Co<Lr d rh.r h. B.x66et rh.r.lrm ..d th. b.r!
o*a ol rh. Fooodr, .m.rdusry c@v-rr.o stn k..!d c6.
O*mrislo )-
no ol Saro 7o3l 5 !? .ny .,'t &rr lo. , rtm.r apolicrnl lo. cryi p...lly ol mt
p.n$rM. -ll do rh. wdt,..al '! .or .rnd.d d otl...d d !.r.
d 6y emplot.aa wrh wrlar ar thar rob c@C s*ro rosr r. ' o*ne, ot
E s..r- rolee
Malntonsnca Po,mrl lan6ual)50 00
Co.r..cior U.. Ohly
Lrp to 40O amp., p.r m.l,Ofi 40O ampa, pa, matar
o\/.r 1200 .mpc, p.. m.!.r
r 5.00
35 00
75 00
S'gns and hrgh polsnial gas rub€ lrghhng 15 00
CONINACIOB
o
p
TC e TN UT
Swlmmrng pool!. lounlarns. spas 35 00"'" <tl Cr+$ultchboard, motor contlol ctnt or tub-pancb
Erch
15 oO
Ta.nporary conalruclioa malar aaryic. pola
Each di3t.ibulion pol6
25m
5m
r I h.n'Dy .,1.m rh.r I ..n l.nr.d cn&. $. p.o!i'ot o, Ch.Drd 9, Diero 3 or lh. AuiE. .rd
Prol.rb.! Co<,., !.d mr rc.ne '. i^ rull td@ .nd ltter
o",A-a.t_r*,*,.,,",
t2*9r3,-El ow{C or>Tcmporary conltructton tiohtino
5m hmpa or l.a.
OYir 500 |rmp6
2@
400
Tim. clock or photo .l6clrlc call 300
POW€R APPARATUS: G6nrralo.!, motor8.
lrarulo.mcra, rccllllar3, indullrlal haetlng,
cooting, or Datino oquipmad and olhd
apparrluo .t lollowr:
Up lo and includin! I HP, XW, (VA
Ovrr t md nol od lO HP, l(W, KVA
Ovct !0 end nol ov.l 50 HP, KW. XVA
0v'1 50 and nol 0\,6r l(rc HP, (W, l<VA
Ov.r lm and nol ovq 5OO llP. XW. XVA
Over 50O HP, KW. XVA
2.00
5.00
r 0.00
m.00
30.00
40.00
ltltJa Cofifraadon Oaca.adon
I h.,.t .fitm lh.r I h.w r c.nila.r. ol co.r6r ro ilt6a6, q . ofilot. or 9ro.tr'! Cdnp.i!
lc.n y tut n tii p.nonu@ ol i|r wl td .,hah rhlr o.m'r '! i3!!.d. I Jull mr @doy.ny
Fs . .iy ht E 5 a io b.c@ sbFt ro rh. Wbtd r Comp.nsion L.w. ol Crlitorni.
,ao{r.. t Arrac.n:
It. .li. h.&.g n!'t C..nfi:.t ot ErmDtsr. y.(l !h@ld b@.i. &b|*r ro rrr€ ! ,.rt /. Comp.n
srb. p.diao.! o, rn L.!o. co4. yo! mull lonhwln corncry wirh $h pmlilo! d rht p.rrrr
idl b. d-i.d r6t d
(9s
o.i- Accrbllr tso
Sublolar es
Penerv F.. lvh€n appriebbl
Vrolalon F6e (mrnmum t50.m)
Pran ch€ck 65% ol subtoisl (mnlmum 320001
rcNo
10 00
TOrAL PEnryr FE: (r'nrmum 135 00)3s'.'
ErDHo,r
rh. Fftr ihd.rp.. !y |rir.li(r!.,td bc!n. nr.,t vord n ln. wo.t.urhdit d br,i!C.dir b
nd cdrd'..'c.d ltrin l8O d.t. lrorn lh. d.r. o! rhll ,.rm[ or n rort rurlodrd ty fiir o.rhn i!
e4...Ldo..b.irbt d.tr.ryllln .t rrEwti.co.n'l..E dld.p.r'odoll8Od.y! A19
lnlil $.1 !. olrrrd lirn b.dt $ch wdt can b. 6co.nmG.d
Aal9lc-r'. O.cdo.l
I c.rtly thrr I lr.t 6.., ,!! .pprE.!d r.d tl.l rh.r rh. .!06 rntdmlDon ir contd I .!r.. ro
cornrrh with.l cl,,rlo,!@..d.l|r L*r6trno !o tu'ldiry co.r.rrucdr..nd hr.by,rn'c
.i'. ,lrr6.r.rE. ot rhi!.rlv ro.nr., uro.r nr..borlm.nro.td p.oC.ny tor tn+.croo AJDort
PEAIIT XOOAYEL
3il'^ili^"" +t6aL,,& 9)EnrFlCo 8Y lsE
t
P€iMll TSSUED 8Y lS'9 I ,r.L ro
\AUT'AIIOII {OFFICE USE ONLY' ^dda;*Hriff*'"7d 4 s,lL tt I +ail lil zz{
oAPPLICATION AND
ELECTRICAL PERMIT
(TYPEWRITE OR PBINT IN INK){fuu,t+z
CITY OF SANTA ANA
206 W. 4rh Sr.
667 -2738 ff\w
APPLICANT FILL IN AREA BELOW
@g
Izo
00a
t_
(
,\
x
il
Oislribution: l.lnsrEctorCopy 2 Fil€ Copy 3. FinanceCogy 4. Applicant Copa/
500
92
md. thln nE hundr.d dorls^ i t 5OOl
o
RICAL INSPECTION REC DS
ffemarls
6iL Ftvu, t tflnutL &niL
t$ 2;,
Eondang
8us Duct
Srgni
tr
Tsm@rary Serv€e
Und€rground
lntprctor Approvd
lshnrtur!lOat6
y,//-/*4
ol
'lqt'' C.*A
I-r-
L
I7i //
APPLICATION AND
ELECTRICAL PERMIT
ITYPEWRITE OR PNINT IN INK)
o o CITY OF SANTA ANA
200 w. 4rh sr.
647-5800
{
APPIICANT FILL IN AREA BELOW fup
@q
ozo
oo,
.!v
<>
P
6
I
,(
HO EACHE Fesdenr,ar D lndusll,ar X-'-*""'TOTAL
F... Hot.l.. xoi.l., Apt. sq Fr
02O.r. or Crrport. Sq Fl
50
50
),nll(lUffa-crd'ffL:r(
'5y'
rrp65l
la13l
n. lQu.,n-
MAILINGAOOFESS
Ofl"id"
50
Each
2000
app.ovod Faclory wi.Gd unrl
Ust
500
500
l,)10.00
50
to.ook, c<_>
Frc Srgnaling Sysiom. Minimum lee
Oulrel smok€ o, heal sansor
s.00
1.00
Lrgnl,no slandards wiih 060 Lamp
Each Add l finu,e on sam€ Blandard
O*rrarldd..Moi
I t'.!!t .nin tl.r I .ri .I;n r ,rorn ,r Co6r.cIo. s Uc..r.. !.* lo. dr toaow.C ...s 156.
7031.5. Eurin.t..nd Prcl.do^r Cod.: Any ciry o. cdJnry whicn r.qun.. . p.m[ lo con tircl,
.t .. imr.orr, ditEBr, o. 6c.r...ry 3tvcu6. o.ir ro 'r. a.rr.rc., lho llquir.. ,r. .99lrc.ni lo.
sh F.nm io ,b . rarld .l!r!nl.ir or.r L i! t6.!.d puru.r ro rh. pr@Jo.a ot r'I. Co.n &.
lor's Ua.nn L.* (C}llpr g (cmm6ncino wih S.ctid\ 70OOl ol Oivilion 3 ol fi! 8u.in u 0nd
Mdir! C.d.l o. rtrl t'. i!.r.mo rh.6llm md tho b.a ld tlE dl.!€d ox.6Dr... A.y vioE
rbn ol S.ctm ,Oill-5 b' .ny !col€! ,o. . o..hn tjbFcr. dE .cdE d ro 5 co{ ,EEhy o, nor
moro lh.n fiv6 hundrd doll6r3 I t50ol:
E s.cri.loere l, 6 06r ol rh. roFfly, d Dy rtr ro\D.sln w.!8..3 llEr.oa cm.
p..r!.tun, *in do ttr wo.t, .nd rh. ntucuE r. mr i.r6n.hd d oti.od lor t lo
E s--r roreg l, !. oNlrr ot ir!. rrp3rr. rm.l.ru'l.ry c6u-rr.rc srh r.o$d cG
r&rqi 6 c4lrrmr nx Fd.cl.
0.l.- Orna lSrC r-
5000Mainionance P6imil {annual)
r500
35 00
75.00
r5 00S'gns a^d h'gh pot.ntral 96s tuba lighlng
swimmrng pools, lounlaina, 3pa3
15.00
SwilchboJd, moto. control c6lar or tuE9an.lr
Each
Trmporary conrlruction mcler 36^/ic6 pole
E3ch dblribullon polc
osd u.&. rh. Fovies ol Ch.prd 9. Ovi&on 3 ol tll Bu&...r .nd
Contr.ctor Ur! O.ly
t+ttlrlze
c
)
\
C-
*p;\r%w'\lw
Bv l.@s,!,. iuu,or@.ndotlet
200
4.00
Tomporary con8iruclion lighling
5O0 lempa or l.3a
Ovor 5OO laftpG
POWER APPABATUS: Ganoralor., moloG,
tran3lo.m€6, roc1illcrl, lndurlrial hcalino,
cooking, or bahin9 cquipmanl and oth.r
apparrlus a. lollolrl:
Up to.nd lnctuding I HP. K\f, KvA
Ovor 1 end nol ov6r 10 HP. Kr/V, KVA
Ove, 10 .nd nol ov.l 50 HP, (W. XV
Ov6,50 and nol ov.r 100 HP, KW, XVA
Ov6r 100 .nd nol ovor 500 HP, KW. KVA
Ove, 500 HP. l(W KvA
200
5.00
10 clo
20 00
30.00
40.00
t rod..n Coltr9.n..l}oo h.r.don
I tr..Or atnm,fl Ih.va.d.r E taolco.E r ro rlt{e.e, d. conrt ria or \^/ot6f! Cfrp.n
coDv { thd wrh lh. C'w buldhe rnro..r@ d.p.nrn.nr
I @nih th.r n rh. pondhr@ ol rha worr lor whr.h tnl! 9.mir ri B5,.d, I !h.lr .or omdoy a.y
p..sn m lny m.nn.. s !! to beoh6 euer ro rh. wodd's Compon!.non L.w. ol Crlilornia
taodca ft Aeelc. l
r,, .frd D!kn! thb C.nith.r6 ot Er.mpton. you .hould !.com6 ,utjocr ro rh€ Wbrtor'3 Co.np.n
xoo.r ororao.l ol rh. l. bo. CorL, yoo mun td(hsth .mpry wirh r-h p.qi36t d thB D.mll
$.1 b. d..in d l.votld
il6d By lst I
01.- ,9cl'c.fl lsi9.l-
l(.5o
Ponatry Fo6 lwh6n appicabt6)
Violarion Fo. {minimum t35 OO)
Pran Ch.cl Fc. {mlnhum 015.00)
PC
TOTAL PEBIIT FEI (hrnidum 335 00)35
kPHon
Th6 O.rnl!.h.1.rC.6 by *dllrloa lnd bcdE drll..d vod,l rtf, wdl.urhdi2.d by rtE Fmir ir
mr csnil..r.d wrrn l8O d.y. Iro.n lh. d.r. ot it orthr o. il wo.t .ultlqU.d b1 d'ir !.d'it 6
o.p.nd.d d rb..rro.Ed d 6nv m. alr.. rh€ wort i! co6m.^6d lor o !.nod ol 180 dry.. A w
p.rmn i.[ b. obr.iNd l,n !610.. iu.h wo.t c,r b. Gco.rml.i..d
Ap0lcrlt'. D.aLrado.r
I crrily rru I hd 6.d rh'! toCl€ao@ !.d alrr. litl ltf, .boe '6ro.nurq 13 cqBl I .!r.6 to
cd.ply *rh .[ ctry drtMnc6 ..d nrr. h*r r.l.t rC lo bu'ldinC cmsruc&n, .lt tE.6l .lrtto
ri..c8.i..t t6aolrn6c ylo.nGrupo.th6$o\n-m6nrion d,oo.nyro.ine.€rbnpurDo!.r.
o.,.1-L30:F o,on n,.^".,
. o- It-fu-fl PEFIIT I'O.I
PEFMIT ISSUIO BY lSlcnAUILDING
VEFIFIEO BY t90 I L
\,.IIOATION IOFFICE USE ONLYI
IACCOUNT tI1.4131
III
t
Distribution: 1. lnspoctor Copy 2. Fil6Copy 3. Financo Copy 4. Applicant Copy Xr/ b=./ 7
?
\L,,a
F;NL rj4
?Fry'&
03
Busways, sp6cial rac€eey! u6de. rroor ouct,
trolley or plug-h bu.ways 6e. 100'
up to 400 amps, p€r malar
Ov., utoo amps, p.r hrl.t
Ova, l20O empa, par mal6r
35.00
r5.00
300
300Tims crock or pholo .lsclflc coll
10.00
?,rr?*,.o1 rNsPEc.o* *..t*,
Ram6rk3
8us Oucl
LbhrStandard!
{
Temgorory Lrghlrng
Tomro,rry Sorvice
Trantlo.mers
Rough ln$,€cnoa
Dato hspaclor Aeo.oval(ggn!tu..)
.Z^c
-#
ii,lr
7/,an
T
APPLICATION AND
ELECTRICAL PERMIT
ITYPEWRITE OB PRINT IN INK)
o o CITY OF SANTA ANA
2()6 W. 4rh St.
647-5800 /bt/*'
APPLICANT FILL IN AREA BELOW
NO,EACH TOTALO Fesdsnt,sr O rnou"r,'"r tscor."r",ar
03B.!. Hot.l., ot.l.. Apt. Sq. Fr
o2O.r. or C.rrortr Sa Fl
50
50
JOBAODffESS
-4.__./a
I ProNEl'lt+
30q n. /h tu)-,
-t3r3 t
(-(
ctfa (1
t ) utx.,r-,t-
50
)6 7do-
approv6o Faclory wrcd Unrt 500
500
Bu€way8, spocial rac6*tys, und6r noo. cluct,
lroll€y or pluo-in busways aa 100'
10.00
.50
Firs Srgnaling Sysl6m. Mrnimum loe
ourl€r. smoko or h6al s€nsor
500
r00
Lighling Slandards wrlh Ona Larhp
Erch Add'l linurc on sah6 slanda.d
Iotili a$d.r O.d-rlb.r
I h..bv.lftrfr 6.1 1.6 sx.mgr l@h th. Cont!.ro. . L€.M lrw ld rn lollowng 6.s tse
7031 .6, 8!rn..! r^d Ptot.$6o. Co&' Ari' c!!y o. .oonv which r6qon.. . p.rmrr ro conllr*r.
.hrr, Irhp.o'6, &molirr, d Bp.t 6y 3r,Erur., p(d ro rrt ir.umc., !l!o llqur.r rh. .pd'c.nr ld
a{r' Fmn lo ti.. qtn d,.rsm rh.r hs l! lic..r.d pu6u.^r ro,E prdro3 ol lh. Co.r!.c-
lo. . Lic..r, Lr* tchapr.r 9 lcornmencrng with S..tlm 70OO) ol Oeld 3 ol ltu 8oi.rt .id
P6l6r!bn! cod.l G th.r h! '!.rempr rh.otro.n od rh. b.t.ld rrE.rb!.d.replo any vroL-
tio. ol S.cto. 7031. E by .ny tpCE!.I lo. r ,.rmil nbirlr rha .pdiclnt ro . cNrr p.Glly ot not
6d. h.n nE huh(trld rtott 'lil5oot'
E S*,ixl zOlll l, !.owi.rol ltr rop.ny, driy dnt oyi.*rn w.c6!s trtr !d!com-
r.nxdon. w l do rh. wort, .nd lh. .r^Erulo E nor inr'rdo.l d oli.6d td sL
E S*ri, rO4S l. .s oqmr oi rhc plooony, !m.xdusv.t con!..r'.{ win h..!a M-
t&lorioca.E lcr ti. pqlcr
O.E- Ow* l$C.l-
Ma,ni€nanca Psmrl (annual)50 00
Up ro aoo amp3, plr m.1.,
Ov6r 400 amps, pcr mrlar
Ovor 1200 amp.. p., ftcr.r
r5.00
3500
75.00
15 00Signs end high @icnri.l gar rub€ li9hring
35.00
swfichboed, nblor conl.ol orrbr or luEpsnelr
€ech
15 00
Torhporary con3lruclion molo. sswico pol.
Each disl.ibulon polo
15.00
3.00
PHONT
AOOBESSt*Lot '1d4-4Lt^-
lsrArE/zrPI I zts-t-
olvs@ 3 or iho BE.ole .nd
nTzq
Coni''cro. Ur. Onty
Tn)*r--,;H;;;;;;ffiPol.$d! cod. .^d hY F..s
,i+l) t/
,na., tu xo"i4rot orollr s.
6 n tur ldE It dr-r
T6mporery corukucllon lrghlrn0
500 lamp8 or l33.
Ovor 500 remp3
2.00
4.00
nm. clock o. phoro alsctric c.ll 300
POWES APPARATUS| G.n6rero6, moroB,
lrinslormor3, roclilllr!, indudn.l h6.tin9,
cooking, or baking oquiprnonl and olhcr
apprrrt$ rr tollowr:
lJp ro and incrudiog 1 HP, Kw, KvA
Ovtr 1 .nd nol ovcr l0 HP, XW. KVA
Ovor i0 and nol o/or 50 HP. KW, KVA
Ov€r 50 and nol over IOO HP, KW, KVA
Oe.r l0O lnd nol ovor 500 HP. KW. KVA
Ovsl 50O HP, KW, KVA
2.@
5.00
10.00
20.00
30.00
40.00
Itorlr,a Coorraaraatton Oadandon
c.tukair ol c6enr ro sd!ne.!, o.. @.rni@l. ol l rbd..'sC@Don
copy l! lir.d wirh tE C'lv \ildiry inlpocr'o d.p.nmonr
I c.ilrt dxr 6 0t p.rto.ru... ol th. sdi ior whrch lhi! p6'hn
's 'e.d, I sh., .or @doy ..y
Fr.o. n sy m.ilrl€( o I ro b.com. 3ubFcr ro rh. wbd.ls cmp..sr6 l*. o, c.lld.tr
Loth. To ADpIcIrr:
ll, rtr.r n t'^C lh6 Crrnor. or Erdnplq, y@ lhdld b.@. sbFcr lo th. t lb.id ! C@p.n
a.to.' o.ovrro.! o, nE L.bo. Cod., yoo mu.r toihwnh compt wllh ech pr@!b.. o. ti! o..frir.i.l b. ddn d ltvot d
I hor.by .flrm rtut I hM.
$ion rnrr.E. Cortl€d
*",,"*4 i'6
o.$ lO',o'l ?
PsnellY F6a (whan aPplicebla)
Molirion F€. (minimum 335.00)
P!.n Chcck F.€ {mhilrluln !1500)
rc
10 00
IOIAL PEnXIT fEE {minrmum 33500):'---
CxDdqr
Ihor.rffi,Elr.lriDbylih'llrr@andb.co.n.null.ndvddrltn wqtroltdiadbytir!..n n
mr.u rrnc.d wnhin 180 d.y!,.m lh. d.r. ot th6 p.mn d l' wt tudur.d br tri. C.mlr k
rr$..d.do..b.ndo d rl lny nm..tr.. nE *st is c66..c.d tor. p.ood ol l8O tLy! An *
p.rmh .ndl b. obr...Ed lirn b.ior. a,ch wort ctr !. ..cdwn .!c.d
AgCc-t'. D.d.|lbrl
I crlt rh.r I h.E E d rh6 ,Dd'c.t'o.r ..d !r.b rll.l t l. rbov. i.lohrto 13 cd&r I i9... 1o
.mdy *6 .i c'ry dd..rE ..d i.r! hr! ..l.rr9 to b(rldrO .d.rrucrrd, rnd hf,.n'r rutla
r|r. nCi!!n!.t'nr ot lhir city ro..r.. upo. rh. .bo66.m'o..d ,r.C.ny to. i.lFcto,r Br@r!.
wn-l-0-Q.Q-t1
^oorEshr
d as6nr rsil
orrt /o.4a. * 1 PEBUIT TO.
1.
PERMTT lSSu€D BY lsir I
AUILUNG 2 6,//',
PEAl/irNo t'"1 dd/ wFlaEoBYrs{.|
/iltVALIDATION (OFFICE USE ONLYI
rAcco{,NT,]1-413)
Distribution: l.lnspoctorCopy 2 FileCopy 3. Finsnco Copy 4. ApplicsntCopy
@c
Ezo
oo,
a
t
S
lo
,,**N.eYq ss{ c,"- ( lo s,ns".* otls*2t
ut I o. aa. !1c-no., r",rl4-d
I
20 00
Swrmm,ng pools. lounla,ns, spas
I
_l
,.t*'"oL lNSPEcro, *r"t,
Remark!
Ahrm System
Bondlng
8us Ducl
i
FloorDucl
Iomgorarv Sgrvic!
Und('ground
Frn6lkrspectjon
D!re lo3poctor ApproYal
lggnlturll
Not06
t
I
i
JOAADOBESS d, l1*;," r.\, l
E ncsldonriar E rndusriat ftcommerciar r{o EACH
8... Hot l., Mot.l., Apt, Sq Fl 03
G.r. or Carporta Sq Fl 02
50
50
Orn r-Buld.. D.dt tlorl
r lr...6v.lr,m t'l.l r.m oEmpr t@ rlE conrra.lol. L'c6n36 Lew lor ris t
70315, &!i 3r fid PrciollbnB Cod. Any crry or cornt v,hrcn
rllor, rmprcv€, d66ol'rh. or Bparsny srucru.a, pr'd ro Jil
's!Da
roqrrot dE aoDl6r ld
.uch 0.16rr lo nb a $md ll.rom.r ln.t lE '.li@-d r lo lh. profiid! ol rh. coflr&
rd'! L'c6n$ L!* rcn pl..9lc@lilfringwrh 700Olo, Oivrs'on 3 ol th6 80nms3.d
kolos.@s Codol d rh€r h6 6 6x.mpr r d rh. b8lE lor 0E .rl6!!d .xefrprrm A.y soL
!o oi S&rs 7O3l 6bv.nv.ppl !arm( $bpcrs rha 69plrc.nl lo r .Ml gonalry ol not
6orc lh.n iw huidrsd dolla.s l3
! s.c@n 7oa4a or rh. p,op.rtv. or 6v .mproyss hrh wag!! as rh. $L com
t, .nd $s $rudur. r! not nred.d d ofhrod lor sab
n 7ozl48 1,.!@E.ot rE p.oporry,.m oxcrosrvsly cont.crrnc urh rc.nr.d cF
Contrlctor Ut Only
fJ. 6.t/--4_4
T5o t eza#aT*tqA.ih\,f^ -*a-/a sI E
>--')D
I hr.ty .tfifr rh.r I rn lic,rd un(l. 0r ,ovdo0o, Ch.pr.. 0, Oivis.r 3 ol lh &trl.t. lld
M.rtin Co(b, ,6 my L6$ tr '^ lul dc. ,!d .lrer5 t a .6.ru5 :#c
-t,+-<1
Wo.l.6 Comp..[tlon D.cl...tloh
rn!u@, or.c.nrrctraoll ibrka ! C6O.h
ng 'nsp.cro. &p.dmnr
I c.nit lh.r h t !€ p..to.mxr. d rh. wo.t td *h.ch tll. p.mr i! Bud. I $5rl not oEplov 6.y
p.6oo ii .ny m..E e .s ro b.co.E eq.cr ro ttE wdt.r'3 comp.n$lon L!*. or c!lit66
O.r.- applE.nrlse.l
taodo. to Apdcrn:
f , .t . mr*'n9 rn'. c.nitElr. oi Ermpnd, yd shodd b-od slbjrrl ro h. l^,orr.r'l Co.nro.
xth. !.dii6. ol ,. bto. C6do. ydr mu$ lorlhwilh co.npt kth luch Drosliont o. tn! p..ml
.hdl b. &.nrd ..rot d
50
Each
2000
Apprcved Factory Wir€d Unn
Lrsl
500
BuBwaya, loacial rtctstya, undtr lloor duct,
lrollcy or plu9-i. busway!.a. 100'
Frr6 Sionalino Syslsm Minimum 166
Oulld. .mok. or haal r€nror
10.00
.50
Lrghling Srandads lfilh Ono Lrmp
Each Add l lnuro on 3amo slanderd
Mainionanco Pomii (an^ual)50 00
up lo 400 ampr, p6r mslat
Over rO0 emp6. par m6!ar
Ov€r 1200 amp8, p6l m.lor
15.00
35.00
75.00
sr9n3 and hrgh potantiel oas lub€ lighling 15 00
Swimming 9oob, lounlains. spaE 35.00
9 nchboad, nrctor control cantar or auhanala
Each
15.00
Tomporary conlrrucrbn m6ror saflico pols
Each dElribulon pol6
15.00
3.00
Tornporary con3lruclion lighling
50O lampr or 1.6!
Ov6l 50O lamp.
Tim6 clock or pholo eloctric c6ll 3.00
POWEB APP BATUS Gcn..aloG. molol!,
ran8lormorl, .eclilir6. Indu rial n6aling,
cooling, or baking aquipmonl and olhar
apparrlw .3 lolloei:
up lo 3nd lncrudlng 1 HP, Kw, Kva
Ovcr ! end nol ovar l0 HP, KW, KvA
Ovd l0 and nor ov.l 50 HP, Kw. Kv
Ovor 50 rnd nol ovlr l0O HP, xw, (vA
Ovlr 100 end nol ov€. 500 HP. KW, XVA
Ovar 500 HP. KW, KvA
200
500
r000
20 00
30 00
40.00
' Erpdoli
Ih.r r..6rr dull.rO.! by lidt ton md b6cdn. tull rnd vod il ln6 wdr 6uthonDd b! th'! p.mn ls
norcomm.nc.dt$t{n 1EO&y! l,om lh. &r. ol lh'sp.mnd n wort.uthdu.d by h'ro.nr 6
n+.hdod d .$ndoi.d rr .ny lrr'. .tr.. rh. wdt b cmmrcld ld . p.rin or IAO d.yi A r*
Fmirlhdl b. oOl.dr.d lr.r b.d. &ch worl cs b...co.nm..E d I
lpelcfi'. O.chndon
I otuiY rtur I h.6 rEd rhl..opllc.ron 6nd 1l!t. ln.! lho.bo6 'nldh.ton,s c@al r.ga d
cdnpt *hn .n olv dd'nlnc6r lno !t!ro Ld 6r!r'n9 lo bu'k .0 c@!tcto, lrd h...bv lqrhc
@rGp6int 16! ol th'. ctry ro 6.r.r upo. rh. lbod-m^Idrd !.oo.rlY ld.loerM prr.Do6!
AoolE .l or Aoenr (Slo I
Lna
Sublotal
Ponrlty F.o ($6n applicrbls)
violaiidn F6o {mrnrmum 135O0)
Plan Ch6ck Fs€ (minrmum 315.00)
PC No-
r000 t.\
TOTAL PEBI @"on f4 I IT
SUILDING 411b1u, *,,ou,,",n PIFMII rSSU€D gY lS€ I
8/t4/gl 9.1?t*1 {13
\AIIOATION IOf FICE IJSE ONTYI fJ).m
APPLICATION AND
ELECTRICAL PERMIT
(TYPEWR]TE OR PR NT IN INKI
o o CITY OF SANTA ANA
206 W. 4rh Sr.
647-5800
APPLICANT FITL IN AREA BELOW
o
Distribulioni 1.lnspoctorCopy 2. FileCopy 3. Finance Copy 4. ApplicsntCopy
@vn
ffi
6Y ls,c
I (S'O
TOTAL
500
500
1.00
200
400
\X I {faoL- rrilqe.
I
I
l-
E!
Ltl
=t-
@c
Ezo
E,
xv,
I
l
lN
lop
L
It
=.0r,"o1rNSPEc.o* *="t,
n6.narl(3
Ar Condnlonars.5
o
trl/?
)a* lzfrql-P
--++-t7 -t7 f
I
Datr)lntsror AFovd
lsignrtlriol ',lp^ a K. /t-?- t7y-,
-
(Wl 2,,/ i4, j4.41/-
L '8', l,t ulr*Lr./
/o - to-{t ,7J .
4't4r J"l f /.^^
/,/E
I
ilun ,u,,- e \
APPLICATION AND
ELECTRICAL PERhJfiT
(TYPEWFITE OR PsINT IN INK)
o O CITY OF SANTA ANA
206 W. 4rh Sr.
047-5800 ffir'
O Besdsnriar E rndusiial #....-""EACH TOTAL
03R.r. Xor.l.. foi.l!, Apt. Sq tr
O.r. o, C.Don. Sq fr a?
40 50 )o:
505</1,50
CITY SIATE ZIP ,*r<utt{Z (* azrt1g
t ):->,
re$-q)1 tT .ilE
JOEAODNFSS v{ t'tt:\
MAILINGADOBESS
23b 50 il5
2000
Approv€d Facbry wi,ed Unrl 500
Aurway6, spocial rac.,./ry6, u.d€. lroor oucr
kollay or plug.in buswaF ea. 100'500
Fi.6 SignEling Sy3lom. Minimum lo.
OlJllsl. Bmoko or haal s€nsor
r000
.50
Ughrn9 sren(,8ds *ith ono L.mp
Each Add'l finuro on tam6 standard
5.00
1.00
5000Maanlonanca P.rmrt lannual)
up lo aoo .mp5, p.. rrl6ler
Ovar 40O ampr, pfl mcla.
Ova. 1200 afipa, par mela.
7 lt@-
35.00
75.00
lo5.
Signs and h'gh poionrral gas rub€ lighring 15.00
35 00Swimmrng pools, lounlarns, Bpas
S fichboed, flElo. conlrol canLr or lub-plnalt
Each a l5 00 1o
T.mporary comtruction mdor lawic6 polc
Each c,iltrlbutlon pol6
r5.00
3.00
Orn--8dd.r D.d-.rlo.r
I trroby .tl'n thll I !m .x.trpr l.oh ih. Contr.cbr'. l-lc n.. L.* to. r'r tollowr! rs!o. lse
7031 5, &i!!6 ..d Prol.s6^r Cod. Ary crry or counry wn.h ..q!r.! .
.lror, 'mp.@, .bool'sh, d ,op5n ..y slru.turo. D.'or lo rrB rlsuanc6, ds
&cn F6 lo nb . r! d n rom^r lh.r L ir I'c.ned oors.nr ro
rd 3 L'@nra Le lcn pw 9lcomMi.!w h S&li@ r0o0l
P@l6s,oBCod.ro, rh6rh. B.x.npr fi.6hm rnd rh6
ro ol se.uo 7031 5 b, .ny .rprrc.nr ls. Fmir e
n.. ol rta p.olorly, .m arclus,wly cot.&m! wlh lrcmsd cd
Ownn lsih ,-
I h.l!h .nm th.r I .m lir!! d uidd rh. proe3lN ol Ch.OLr 9, O's.ion 3 ol lh. Eutn t! .nd
Piol.r!o.'! Codo, lnd ny lict.!. a h tull 10.6 .,!d .li.cl
AOORESS
CITY
*_g?_
lS'g
L -*t
h/
*r'<t l
Cont.lclor U.. Only
ous'd! ol th. Colr--
v'ro.3 ol t& 80!rn !36nd
!h..lL!6d 6ro6!10.r Any uoL.
he .Oplic.nl lo 6 cNil p..!hy ol nol
rur. i! .or 'nllnd.d d oll€r.d ld s.lo
d my oDoioyoJ $th wa!.. a3 rha, rok con
o6neri6, sll do rra wdk. .nd
r.s. rh.. liv. huidrsd dolr.o I 3500,
D 5610 Toaaa l. .! owmr or rh.
E s*,jo.l zosa ,
t€.
Tamporary conltruction llghtlng
50O lamDa o, l€a!
Ovor 5OO lamD6
2.OO
4.00
nma clock o, photo alactric call 300
2.00&
20.00
30.00
40.00
l0
(D
POWEB APPABATUS: Gcnoraloll, molo€,
tln5lormar3. roclllbrs, indualial hoallng,
cookrng, or bakng €quipm.nl and olh.r
apparalur as lollo'ffi:
uP b and incruding 1 HP, xw. xvA
Ovar I and not ov.. l0 HP, xw. Kv
Ovrr l0 rnd nol ovd 50 HP. Kw. XvA
Ov.l 50 .nd nol ov€r 100 HP, XW, XVA
Ovcl 1m and nol ov€r 500 HP. KW, XvA
Ov, 5O0 HP. (W. KYA
rn lh. porldroM or rh. work lor wnEh fi[ !6mt 13 EMd. I .ha{ nol amploy r.y
!...o.! i. ..y h..r.. !o a. lo b.@tu &bl.cr ro fi. !.rod.r'3 Cornoonertr tls ol Cdilo.nt
tlodo.Tolprlcr&
, .,r.i rn*60 rh6 C..rif.rl ol Er.mpt$. yd lhoold boc@. $bt6r lo nE \rJort.r'! Cornp.c
urion Fwoois ol &. L.bo. codo, yo! mld lonhsh .o.npry wiln !!cn c.ov.ion. or thi. ps6'r
/[n b. iL.md r.rot6d
Cdr sd.opy E lihd wlh rh.
Ih.r.bvlnmlhrrIh.E.cerrnt Lorcont.nl
O.r- APplE.nr lsig I
<t)
Subroral !r1,-
Ponart F€6 {whon applicabl6}
Mol.ri{rn Fs. (minlmurn !35.00)
Pian Chcck Eco (minimum al5O0)D
R.coipl No- rc No
r0.00
'mum 135.00)TOTAL IT *t\3)
Erpdon
Thsp..mh!h.ll.rpl6t{hhrialirn.ndb.co..una,rdvddrith.worrauihoir.dbylnrip.mill'
nol Mm.ncod $tfnn 180 diyi ,.orn dr. d.rc o, ,ro p.mn o. n wort &|hon .d by di! p.mn it
rJa...Ld o. 3b.ndo6.d 3r ..y nm. !tLr ,r *o.i rs cqrt@rc.d lo. ! !...d ol 180 dlYs A ,w
o..m.r ,!oll !. obllrmd nGr b.t@ !@h *dt can b. .!c6m*td
Acdcrr/.D.ffi.r
I c.ntly th.t I h.v. l..d rh'. .lplrc.tio. .,rd 5.r. dt r th. .!ov. hldn rioo il cmer. I .!..! ro
co.nply sth .lr oty o.din.^c.i rnd srrl6 bw. ill.tio ro hrird'nC co.rtrrvcr,o.r, .id h.r.by .ulnd
pon lh.6b@-h6.r'o6d O.op.(y ld n$eli@ porpoe!:W::-*t 7l2r-/2 |xo.
PtRMIIISSUEDBYtSiC r
I
I
'1
")x
6utrorNG v1 VEFIFIED 8Y ls.s
VAUOAIION IOfFICT USE CNLYI
tAccouNrtr-413t
II
I I
II'L.
iD'
II II
?^8y,7
Oislribution: l.lnspocto(Copy 2. Filo Copy 3. Financo Copy 4. ApplicantCopy
APPLICANT FIIL IN AREA BETOW
E
EzC'
Bo,
Ii\lo'l*
I
I
la
I
Ilsl+
l>l-
l
I
I
I
I
-l PronE
*-*e! y'
NO.
€ach
,.t*,"o1 rNSP,EcTlo,,..t, t.
S6marks
4.
8us Oucr
Lrnporary Sorv'co
Undsrgrcund
Dat6 h|occlor Ap9.ovC
lglgn!tur.l
</,
a.a)///K \-:.2' , ,.'-"*r/ t'
L
I
A,f ./r,*/ **
.,.
-'/./,'
'-rq/-'
1fu,za ,''rr'/r'(
n Recdonter tr rnd,"trxom'norciar
I
* l;
Ro!. Hotel!, liiotele, Apt. Sq. Ft .03
Gr. or Csport! Sq. Fl..02
) 1.,50 {-Beceptacles
Swnches lo .50 5-
,{). 0)frtn, (sorYa)
"*Sr7^rr.,9 Au- "'o"'^Qn
JOB
t:nntQ-
o
BVe-az 8Zm7.
MAILIN6ADDFESS
Ettco m
a6 50 ,lo -Fixlules
Air Conditioners
Each
20.00
5.00
Affroved Falory Wn€d Unil
List
5.00
Busriays, special rmrNays, uoder froor
duct, tdley or plug-in busways ea. 110' or
lretion ttE.eof
10.m
.50
FirB SEnahnq Syslem. Mmimum ,ee
Outlgt. smok€ or heal sensor
LEhlrE Sla(dards w h One Lamp
Each Add l llxtulE on same slandard
5.00
1.00
O5llald..Daffitt
Inar.!ry.lihn tll.i l.m.lrncr Lon ir c6iir&to/t L'..fiso uw lo. rh. tollo.,ing .!t!o.r ls.c
7o:tl .5. 8uil.!! .nd Prot $o.l! C.d. Ary c y d c@niy which '.quk ! . psmh lo co.tnru.l.
.t.ligo.,.ldiorn.d,rta...y!t!rctu,.,,ro.lorltEs.o.,.bo..airr.trE.Cdic..!rlo.
,rch 9fiU !o fib . rqi.d a.n Ml ,l!t h. I rlc isd pq..q.nl lo ,l. Ordid.n. ol ltt. Conr.c-
rd r Lir.- Llw lcn.rtd 0 lcomm.nci.! wrth S&lio. 70OOl ol OMlro. 3 ol lh. 8u.'mg ..d
M.-dr. C.o&l o. ri.r h. ..r.mB |h.Glr6 d th. b.rs lo. tr .lL!p(,.r.mctst. arv virl}
roi ol s&r! 7031 6 by 66v.oda.nr io.. r6n rbr.l! rh..rd€.nl rc t.M 9.n.lv ol iol
mor. lh.n nv. hund..d dollln I l50Ol:
E s..*.' roaee l, !! o*Er ol nl. ,o!..ty. o. mv mololr.t srh w.0a! .t rh.lt !d. cdr_
,.nxdd, Hlt do rh. wdt. ,id oE lrructuB ll .or nl.nd.a tr otL6d lo. t b
E s*-r roara l, s o*E ol rh. p.a..ry. .m .xctusry cmtr&tig *'th !6r.d coG
rEro.r ro c63rucr m toicr.
D.l.- Ownrls{ r-
50.00Mainbnarce Fermil (arnual)
Service ireters
Up to 400 afips, p€r m€ter
o\rBr ,O0 amps, per m€l€r
O.er 1200 amps, por meiar
Signs and high potenlial gas tube lightirE 15.00
35.00Swimming pools, tountains, spas
Switchbosrd, mdor contrclcant$ or grts
, panols
@1
r5.00
I
5.00
25.00Tsmporary construc{ion moter s€rvice
pols
Eeh dislrbdbo pole
"Slt-v) ftito'
I h.r.dlfldn lnrr I .6 l..ned undd h. or@!M!
aZ6r6*i9tooe. a.a .v r'c.nto 't ,. rurr ro ct .^d 6troc!"'refl#*::#
Contrlcto. U.. Only
1T
"oW.'o^v 3- StAt
,,DN
h.pEr 9, Ovrrn 3 ol rh6 Ble $
Elr:cmtc-
cla-,a
2.@
4.00
Tenporary conslnrc{ion lEhtim
5O0 lanps or less
0!61 500 lamp8
3.@'I'ims doc* or phdo gl€clric call
I 2.@
5.00
10.00
20.00
30.00
40 00
POWER APPARATUS: Genoralors,
rndors, Fans{ormers, roclifiers. hdusthl
h€alinq, cook rE. or bakiE equiprnsn
and other appsralus as follor{s:
Uo to aid indudrm I HP KW. KVA
o\.9r I and nd o;r lO Hq KW. KvA
Owr 10 aM not c €r 50 HB KW, KVA
O/Er 5{) and nd o€r lm He KW KVA
Owr 1 m and not o\€r 500 HR KW KVA
Owr 500 HB Kw, KVA
laro.t-! Compa.rrado.t harado.r
Ihrcby.llnm th.lI h.6 s @rr Ert ol.6snlloeli.n$.., o. ac€nrlrtr.o,\ b?roa3C@p..
sanon lnsuEnca C.nr'od copy i3 lihd w h lh. Cny burldrno l.spoclro^ d.p.nm.nr
O.r. Expi..- \tril.d 8y lsig ,-
o.r.- aDolc.nr rsq r-
I c6rr'ly rhlr,n th6 p..lo.m.nc. ol $. wolk lo, whrch lh,! p.rm,l r. B!.d,lshallnol omploY 8nY
Ir
tlodc.Io Alclcrn:
ll, ,lr.l fttkrn! tnl! C.n'ticsr. ol E!.6prd, roo ltrdld O.com. subpcl lo lho wb.t r'3 Codp.n
std pr@iros ol lh. L!bo. Cod., yo! mu3l lorthwth cofrplY wlh tuch p.ovis3 or lh6 o.mn,ul b. &.f,Ed reor.d
Subtotal Js---
Penalty F?e (when appli':abl€)
Violation F€e (50.00)
(minimum 20.0O)Plan Check 65"/" ol subtotal
Receipl t'lo.Pc#Date
Plan Check (Adjustmsnt)
lssuance Fee 10.00
TOTAL PERMIT FEE ?<-t2PERMIT
t
oare \ -C-Qo
ErDdo.l
Tli! o.mir !h.ll .tFo by lm'uton.nd b.co.n. null6.d @d il th. wo* .ulhdir.d bv thi! p..nn i3
,ror co.nndic.d ,itm 1m d.yr Ldr rh. &r. ol dir !..nr o. ,l wt &ino.r.d br n . o.rm( l'
,rt.6.ddlb.ndomdd.,irlim.tL,llEwt t6comm..E dld.p.trcdoll8OdtYl Alw
p.rmt dull b6 obi.imd li.sr b.ro6 @h wort cin bo r.commmc.d
ADglcrt'. O..Ltdolr
I c..iity tur I h.v! €.d tni..pplic.lid ..d nli' thrl rtt.b@ in,qhllid is cotr.cr. I .0... to
dncy wirh .rl c'ry o.4.ri..r .nd .b!. h*! d.on! lo b!'rdng co.sltuclo, ..d h.6!Y lutlc
rit.6o..sr.rcol rh6.rv to6ra. uoo. rha abo€flnrdEd9.oF ry lo.t.rp.clioo pqtg@a
F>."-L-D-9o ^-*,"r o.
^esn,
rsr.r
PTNMITISSUEDBYIShVEFTfIEOBY tsig t-
nrrorq eztfiilat {13 t
BIJILDING
VALIOATION IOFFICE USE ONLYI
rAccouNr rlr-4t3r
APPLICATION AND
ELECTRICAL PERMIT
{TYPEWRITI OR PFINT IN NK)
O a 1
CITY OF SANTA ANA
206 W 4rh Sr.
ffi7-2736Bassmetur B hu"
APPLICANT FILL IN AREA BELOW
@g
aza
0oa
-D
s
s
N
:
^{\
w
C...
c\
\
G
tn
D
tA
Fr!
Distriburion: 1. lnsp€ctor Copy 2. FileCopy 3. Financo Copv 4. Applicant Copy c5.,613
TOTAL
r5.00
35.00
75.00
(mhlmum 335.m)
a.t
a o
ELECTRICAL INSPECTION RECORDS
Romarks
Air Condrtioners
Alarm System
Annunciato{ System
Bonding
8us Duct
Factory wlred Unit
Floor Duct
Lighr Fixlures
Lrghl Standarcls
Molor ControlCentor
S ons
Spas, Pools, Fountain
Sub-Panels
Tompo16ry LightrnO
Temporsry Servic6
Transformers
Und6rground
Rough lnspectron
Fnal Insp€crion
f,r'??l lnlp.cto. ArD.oval
(Signaturcl
lulq,.€..tt-
/
E
IIII
JOS # rso*YYs-gz
MAILINGADDFESS
crT a
JS$""^n0 Residential tr lnd/slrial NO EACH TOTAL
Ros. Hotola, t otol!, Apt. Sq. Ft.03
Ga,. or Ca,port! Sq. Ft 02
Boceptacles /,)50 A
Switches 50 d
O.rE-&Jaa lracLr.ioil
I n lby drm ,!.t I .m .I.ni Lm rh. Co.t ctt'. Ltc .t l. w ld lh. ,olrowho ,t !o.r (S..
7031 .6, 8.!iE . .nd Prclordofl Cod.r Any ciry or c@nry wnicn tsquitu . p.rfirl lo co.nrucl
.ti... imFM, d.noN!h,dr.p.{.iy.ouctu, droitrisJ,m., d-r.qor.trtE.p9tonrld
rrch p.. .l ro l'5 . acDd n l..n th.l h. l! lic.n-d ,o,unl lo th. o.os.io.. ot lh. c@lr.c
ro.'. Lis!. L.w tch.prd I (co6m.ncm! wilh Srcnon ,000, ol t s.io. 3 ot lh. EoaNL.n!
Prol.no cort lo.rndh.ir.r.60rosrlldn.ndrr!.b.s!to.rh..x4.d.r@prih A^Yvd!'
do. ol S.crron 7031 5 by .ny .Crli...l d . Frnil }Jbl.cit lh. .9!iic!.1 !o t civil p.h6rlY ot nor
mm 6.. fiv. hund.ld donr3 I t SOO|l
E s-r- ro,ul l, !. sd ol th. ploo.rty. o. my .mploya! wnh *.o.! !t rh.tr lol€ .o.n'
p.n!.i.., wn (b Ur wod, .rd rh. 31Mtu.. l. nor .^Dnd.d o. ofl.Ed lo. t l.
E Selon TOaaB l, !i own . ol dE ,rop.,ty. .m.rctu$nly co.mrcma sttl ric.nt , co.i
,rlo.! rocNulEl dr o.orer
o.i.- OwMrsE,-
Fixlures ao 50 /o-
Air ConditionersEdr
m.00
5.00
Bu$vays, special rurlays, undgr foo.
drrd, tdlsy or plug+ hr$tays e8. 110' or
tractioo h€r€(
5.00
File S'gnaling Systern. Minimum te€
Outlel, smoke or h6at sensor
10.00
.50
L'ghlhg Sla0dards with One Lamp
Eacfi Add l lfxluls on sam6 slandard
5.00
100
Maintenanc€ Permil (annual)50.00
Cooir.cror U.. Only
€J&^?Bq J -o Sr.
15.m
35.00
75.00
Signs ard h€h potential gas lube lighling 15 00
SwimmiE @s. b(lrllains, spas 35.00''84;fr
rhs oros.rn3 ol Ch.9rfi 9, O'vr3Do 3ol lh!g!!'n63
Cro og7 q1z
D...&_lolb c6r.o,". isiq.r
Ito.L-r CoarDalado.l Dadtadott
I naraB atlm lh.r I h.6 ! conilElro ol c@$r lo xll]n&,.. d 6 c.n'1.61. ol wqtd t Codra..
srrd l.&r.@ C.nraorl co9y i3 til6d wrrh lh. Cty boidrnc rnla.cnon dGp.nm.nl
O.t E{a!!__\t t d6v rS,C r--
o.r.- Aodt. tsE I
iaotlo. To Algacd:
[, .tE n riic ti! C..rnc.b ot Er.hpioi, vou lhdld b.cod. tutt d lo rh. vr'o.t.al Corno.G
rno.r p.osaon! ol !h. L.bor Co.L, you mun lodnwnh complY sth lch p.@!@. d rhd p.6'l
tul b. d.€nf,d 6vot6d
Swit$board. rnotor conld c6ibr or $'
.^gteh
Esarl
15.00
Ternpo.ary construclbn meter service
H& o,*"n ,o"
25.00
5 .00
Terporary construclion lighting
500 lanp6 or lass
o\/€r 5m hrps
2.00
4.@
Time dock or pholo el€cfic cell 300
Po\I/ER APmRATUST Gener€dors,
rnolors, trsns'iofi€rs, lDclifers, industdal
hedilg, cookirE, or baking €quipment
and olher apparatus as iClor,s:
Uo to and includino 1 HP KW. KVA
o\€r I and nol o;. lO HP, KW KVA
o\/Er 10 end nol o/€r 50 He KW, KVA
O\€r 50 and nd o,€r i00 HP, KW KVA
o\/er 100 and nol ovBr 500 HP, KW KVA
ot,Br 500 HB KW KVA
2.@
5.00
10.00
20.@
30.00
,+0.00
2
Subtolal
ErDf.ddr
lhi! c.nir.h.ll.r*. by limibto. rnd b.cori. null .nd 6d n $. wqt.ulhont.d !y r't. Fmil 'rnor corndli..d wiftn lEo &y. tmrn t\. d.r. ol thit Fn[ or d N/..t .urro.rr..l bY dt !.mn '!al,..rbd q &..do.rd d .ny dm .il! dr im.t it corimnc.d d . p.md ol 180 d.Y. a n.w
o..mit cEu b. obt rn6d nd b.loB sch *o* c.n b. r.commlic.d
acglcr|l'! D.ol-ado.t
I c..r y tur I he n d u6 .!cl€.doo .nd lut d$l lh. .bov. l.lom.ll6 i! 6n Ecl I .9t.. ro
comDly wirh .ll cny dd'^.N.! .nd tur. bw. ..Lt.! lo buld,tg cduttEl,o., ..d ht bY turha
.i,. Eo..snr!1'1/.! ol rhi! civ ro.^r, upo. ri. tbol.-rn nt'dEd p.op..iY lo. intp.clid! potpoa.s
S tolto B
Panalty Fe6 (wh€n applicable)
Violation F€e (s0.00)
Plan Ch€ck 65% ot sJbtolal (minimum 20.00)
R€caipl tlo Pc 1l Date
PIan Check (Adjus,tment)
10.00
TOTAL PERMIT FEE (mhlmum 335.00)3{-
2 61- 18DATEPERMIT
AUILOING 0lo'/vEfirFrEoEYr9c r PEiMll ISSUEDBY(Slg
U L
B/LO/90 {(}}t +15
APPLICATION AND
ELECTRICAL PERMIT
(TYPFWRITT OR PRINT IN INK)
a o CITY OF SANTA ANA
206 W. 4rh sr
ffi7 -2738-/n tr/prc ,h'--
APPLICANT FILL IN AREA BELOW
@g
oz
oo,
l:
N
k
t$
l(
\
l^d
Distribution: 1. lnsp€cror Copy 2. File Copy 3. Finonco Copv 4. Applicant Copv c.s '613
N
o Q /O.
I
Apgo\€d Faclory WiGd Unil
List
Servica Meters
Up to iloo anps, p€r m€t€r
O/Er 4O0 arnp6, psr rneter
Olq 12m srnp6. per rnstsr
lssuance Fee
\ALIOATION IOFFICE USE ONLY)
laccouNrall-/r131
-TPHoNE-
f-zJ: -ssro
I conrly rhar n lh. p..tmlnco ol !h. woit lor whch lir! p€h 16 r!3rsd, I 3h.rl.ol mplol lrt
o6,$n 'n lnv h.nB s.i ro boc@. $n et lo t {rtd'lp'6o.n3.re I.B or q.lld.{
"","9
-LO t6 Apo,iclni,s,e, Xl ). b,9^ " --t X
O o
ELECTRICAL INSPECTION RECORDS
R.marks
Arr Conditioners
Alarm System
Annuncialor Systom
Bonding
Bus Ducl
Construclion Pole Service
Facrory Wired Unit
Floor Oucl
Lighl Fixlures
Lighl Standards
Meter Service
Molor ControlCenrer
Srgns
Spas, Pools, Fountain
Sub'Panels
Temporary Sorvice
Jlansformers
Undsroround
Rough lnspectjon
Finallnspection
Oat€lnlpccto. Aprroval
Itiignrtu.cl
,)-;1
Temporary Lightjng
TOTALP6<x*r-aa
l
! R&ridenlial E lfttustial NO.EACH
R6!. Holsls, irotol8, Apt. Sq. Fl 03
.02Gr. or Cuport8 Sq. Ft.
.50 <- eoReceptaclesio
to .50 60.
\SPlYtO
Lyn
U
IOBAODNESS309 ru (tonor)
"573-3'ttraTh.oco
'n's,ftrc- s,^,'tzuro
/huoz;
Switcies
.1().50 lo"Fixturcs
20.00Air Conditixrs6Edr
Appro\Ed Factory WrBd Unit
Lisl 5.00
Busrtays, sp€cial r@*ays, under ioor
ducl, trclley or plug-in busrays €a. 110'or
frec,ton thelgoi
5.@
10.m
.50
Firo Sgnaling Sys,tem. Minimum fee
otjtlet, srnoke or heal sensor
Lighling Slaodards witrl One Lamp
Eadr Add'l fxtulB on same stenda.d
00
00
5
1
Owtl.-EldarD.cffill
I rrrlby.tlfr ,r.r I in.t.6pl irdD itE Cdtteto.! La.i. t* t nr ldl@l,rg r...on ls.c
,03! 5. 8!.r!... r.d Prcr.!.ors Co.br Arly crly o. coqnq whEn t qrr.r ! p.,Dn lo @.{nDcl.
alr.L imo.o!.. &m.t$, o. r.o.i. .ny lnutur., pno. lo itt '6rr.nc., .l!o r.q!'B! th..pdi6nl io.
rlch p6mii t iL r dgnr.d lt.tom.nr rn r h. i. laorn!.d p{6u.nl lo th. p.o!roa! ol lh. Cont.c_
ld ! L5n- t * lch.or..9 {cdrxrrcfi *ln S-to. 70OOl ol O,vito.r 3 ol ns Bsr.ds &d
,tol...E rco&ldrh.rrra.r.,r!crttErl.miodth.b.tsio.ol..lbg.d.rmdb Alryrol}
&. ol S*d6 7O3l ,6 br iny .prlEmr ld . o.mir 'ldl.cr.
nr. .od6..r lo . cdi p.i.try ol nol
60.. lh.n ,iv! hunddd dohrB I l600r
E S*rldr lO,qe 1,.!orB ol ttE p.!g.rly, o. my.6Cloy..!Bth *!C.ss rh.k sb co6
0.ns6to6, sll do ,r ro.t, md u. n,EtuD '! nor .r..!&d o. olrsrsd td t h.
E S.clin 7C,a48 l, .! n.r ol lh€ prop.tty, .m .rcluliwly conrr.cln! wllh l..n$d co.r_
rdo.3 to coo.fiEr t'l p.oFcr
o.r.- Ow6r (S|9 I
50.00Maintenance Permit (annual)
15.00
35.00
75.00
Servics Melers
Up to ,lO0 arnp6, par metor
O/er 400 amps, per meter
Owr 1200 amps, p€r metar
Signs and hEh @ential gas tubo lightirE 15.00
35.00SwimmirE pods, fountains, spas
15.00Srvit lboard, motor conlrcl cenlor or sub-
pst€ls
,, E8dt
Tempora/y conslruclion mster servic€
E5, 0,"o,** ,o.
25.00
5.00
lh.r I .m lE..$d und.r lh€ prosro6! ol Ch.pi.. 9, Dv'Do 3 ol lh. Eurms
Cont6cto. U.. Only
ctT "r^ry
a (
6c
)-st26TPtc
Co&,.^d mylic6.$ r!
'n
lorlloc. r.d.t,etC,
J-po
2
4
.00
m
Temporary construction lighling
500 lamps or less
O\€r 500 lamps
Iime clock or ph(,lo glgc{ric cell
I 2.@
5.@
10.00
20.00
30.00
40.00
J
PC)\ ER APPARATUS: Generalors.
rnobrs, translooners. rBctifers, h&sldal
ho6lirE, cookirE, or batirE €quiprnent
and othor apparatus as follor^rs:
Up lo and idudirE 1 HP, KW, KVA
o\,€r 1 and nd ovBr 10 HP, KVC, KVA
O,€r 10 arld nc,t o/er 50 HB KW KVA
O/er 50 and nol o\€r 100 He KW KVA
O/er 100 ard not o/er 5fi) HP, KW, KVA
O/e. 5@ HP. KW KVA
Itot r Co.lgaiaadoi o.choo
lh.Gbv!t trm rh.l l h.w..6nfE.r. ol cfi$nr ro $ll-in$r., o.6c.drlrdl. ol work.rt Comp.6
$rro l.sr!E. Conr.d copy ,3 hl.d urh rh. C'ry bu'ldin! rn$..16 rr.o.nrunl
O.t Eprl.- \Mid 8Y (s'q.l-
AmrE6n'ls'g I
as-Subtotal
Penany Fe€ (when applicablo)
Violation Fse (50.00)
(minimum 20.00)Plan Check 65'/" of subtotal
Becsipt I'lo.Pc lt Dale
Plan Check (Adjustmenl)
lssuance Fee 10.00
7\-TOTAL PEBMIT FEE (mlnlmum $35.00)
Er,Ho.r
Ih'.p.r r.n r.r!.6bYI'mrt udmdb.co.Enuiltndvoddrh.Er.uhdrodbrlh'tp.6nB
rcr @m.rc.d wi$h l@ d.y! t.om th. dllt ol lni! p.rm o. wo.t .olhoE6d bv lhl. F66rl r!
e.p..d.d d.b.ndo@d tl6ny tm..fi.l rh. work ilc@m.nc.d d. p.nod ol180 t.v! An w
p.mn dl b. obrlrl.d ,rsr b.lo.. rxh wdt c.n b. 6.dnm.hcod
Argac.nt'. O.cffi.!
I 6nity rn r I h.v6 E.d rhi[ophclton lnd ri.r. thlr tlE ibo!. intom$on is comcl I 69r.. lo
cdnpry witn ar clry od..@! md rl.l. bwa 6Ltnc ro boadi^g conrlructo.r, .nd haabv .ulhc
q. €r.rnl.ri6! ol rh. c.tY ro 0l, up@ rh6.bo\l}rrtnfi5.d to!.tlY lo. i.r9.cro.r 9orpo-!
lrnE * tD 1D l:emrrc. I 26L20
v'rLl^lPEiMtrissuEoaYrs{,
tilB/1O/9O gz4ff a {13
VALIDATION IOFFICE UST ONfY)
(accouN r ,11-413r
APPLICATION AND
ELECTRICAL PERMIT
(TYPEWNITI OR PRINT IN INK)
o o
Baenezur A rTr'"APPLICANT FILL IN AREA BELOW
tDa
Iz
0a,
tuo
*O
b
s
N
t-
t
Distribution: l.lnspeclorCopy 2. Fil6Copy 3. FinanceCopy 4. ApplicsnlCopy c.s '613
ctr" o, so"n lrul
206 W. 4th Sr
67 -2738
fr0Lt-
rurn Pna
l6rtly 6ar n nra Ca.lrlrrc ol rr 6ll ld whan dq{m'l is,&.d, I !h.t
^ol
.6010,.nY
;'Hffi6',tr#p-v'su);l2p'*-
?aorb. To Ae9lc-n:
ll, .ftd fr.ling thb C.nificlL ol Er.Dgrid. you tnouE b..om. sbjrEl to lh. Wort.r'l Comp.n-
flio. ],eibn! o, dl. Lrbo. Cod.. vd tun ldlhsth c6.ndy wilh ,rch ,.@j!bn! o. lhr! p..B'l
.h.lb.ddn dcEr.d
*,9 :! I'b,,*-,.^*.,*, [}3'0.o-4A
3.m
ajtD G
-
PEiMIIto vERlflEO EY ls'r.l-tL
o o
ELECTRICAL INSPECTION RECORDS
Remarks
AirCondrlioners
Alarm System
Annunc€tor Svstem
Eonding
Errs Ducl
Const uction Pole SorMco
Factory Wired Unrr
Floor Duct
Light Fixlures
Lbhr Standards
Motors and Generators
Motor ConlrolCenrer
Signs
Spas, Pools, Fountain
Sub-Panels
Temporary Lighting
T€mporary Servrco
Translormers
Und€roround
Rough lnspection
Finallnspoctjon
Dat€lnspactor App.oval
lSlgnatu.cl
Noles
EACH TOTALfl Ftosidonti6l tt l^.,lr.fiiel Mmno@a)NO.
Re3. Hotols, lrotols, Apt. Sq. Ft
02G!r. or CJportt Sq. Ft.
3o 50 /,.)
-
Rec€ptaclss
50Sv/ilches
JOB AI'ORISS
"ra V' .Wt
Wk-u s 2.
,ar,.*LL-"A*-L- o-,,o,-STATE/ZIP
50Fixtu€s
20.00Ai Condtboors
Eadt
Appro\Ed Fr'lory wited Unit
List 5.00
5.00
10.m
.50
Frc SgnalrE System. Mnrmum lse
Outlet, srnoks or heal sgnsor
Lqhling Slaodards with One Lamp
Each Add'l llxturc on same standard
00
00
5
1
OlrFLdrMo.r
I h-rbr .flrm l,!.r I rn .I.60r ko.n il, Co.rt .ior'! Llcmt l. w d ,t lo{oi,tlo r..s lS..
7o3l 6- 8!9t.. ..d tu s.r!r C!d.: Ary cnv o. cdJnn wh.h r.qdt . p..D( ro .o.rsvct.
lr.r.imo.@.!bnor.h.orr.9.i!.rltl,ctum,Fo.ro'r!l.!o,lc!,d.ooqui.!tn..cat.ll,
r..h ,..,'rn ro lN. . {r!d r.r.mmr h.r h. a. l..n-d purr.nl lo it'. p.ot/ao.t ol $. C..tr,.c'
ro.'s ti5.. L.w lch.rror I lcommeing wilh S.dlm 70001 ol Daelon 3 ol th. 8t/an.$ ..d
Pmt e Cod.lo.lnarh.l3.xmotli6rtlrcm!6drrb.t.lo.th.i!.!.d.I.dr9n6 Anvdd}
do,! ol S.clioi ,031 5 !y .ny .rplirr ld ! Fml rrq.cb ,t .cp{..n! lo . cMl p.idrY ol ml
mo.. rixl ftr. lE,rl,rd dolr..r I ltoor
E S-to., rOree 1,.! oir ol rr\. Foo..ty, o hy r.doy-s vth t !...t nu rob cdn'
!.n .!dr, wlt & nr. wL.,!d tr.tuctx.6 r.r.r.n{d d oti..d lo...l.
E S*u- uoqg l, ar ow'rl ol nt. prcp.iv, rm.&rur'/.t oo.ur.n.g wtlh lic. .dcofr
rr&106 lo cmnn d rhe !.ot cl
50 00Mainlenance Permit (annual)
15.00
35.00
75.00
S€rviB Melers
Up to ,l()0 amps, per metgr
Over 4{rc amps, per m€ler
Over 12m amps, pgr meter
Signs atd tigh pdefltial gas tubo lEhtnE 15.00
35.mSwimming @s, bur ains, spas
15.00Swidrbosrd, motor cootol cor|br or gE
parEls
Eadr
25.m
5.OO
Tefipordry conslruclbn mebr sarvice
pole
Edr ddnb(iixt pde
fr:H L!"e-; )s,!+z-aez,
llE pr@rs. or cMpla, 9. oMron 3 r( lt. 8u!es lnd
urr ro.@ .nd .fl.cr
-?\b_
Conrrlctor U!. Only
AOOBESS
trtwtr
i
+44
/30
| ?37ar
ro"fulEi-ft"*,,*,-,on
Ih.r6bv. m 6!r I.m l..n$d und.r
ProroMra&, .nd hV l,.s.t 6
'n
I
,-"!i!iatg.s"""
2.00
4.00
T€rporary conslruclb.r l(r irg
500 larps or le6s
o1/Br 500 lamp6
3.00Time dock or ph(llo eleclric call
2.00
5.00
't 0.00
20.m
30.00
40.00
POYVER APPARATUS: G€Tle.dof s.
moto.s. lransftrr8rs. tlctifie.s. hdrsfial
heafing, cookiE, or bakrE equiprn€rn
and o(her appardus as ftrlo'ra:
LJp to and includim 1 HP, KW, KVA
Owr 'l and no( o,Er 10 He KW, KVA
o\/sr 10 arld rd o\tI 50 He KW. KVA
ol/sr 50 dld nd o,Br 10o HP KW. KVA
o1/sI 10o and not o/er 500 HP, Kw. KVA
O,Er 500 HP KW, KVA
Wort66 Comp€ns.tion O.clsrstion
!ar,o. h-..@ Cdrd.d c@y .r l$d *'}I nE C'ry tllld.
I cslily rtEr 6 rh. F.lqruic. oi lh. wdk ld whEh lh'3 p.tnn I B!.Bd, I th.l ml .rdoY .iY
F.!.h 6 mv 'lt3!s D.! lo b.cdtt !iib,.cl to ns Wo.td 3 Compo.s.rdi Llwa ol C!r'to.n.
odca Io APracarr:
lt,.tuor m6r'ng lhriCodDsrs ol Erompl,o., v@ shoold btom€ subpcl lo lh€ wo.lsas Coop6n
sr6r !rou3d! ol rh€ LaboCodo, you mcl lo.lhwln comoly w'lh such proerr6!or lhBp€hrl
dBll b. t..md rdot6d
nO 'GOe0on d.grr,ml
*"r*,^ 3lEQ6[,-lslk
Penalty Fee (wh6n applicable)
(50.00)Violalion Fee
(minamum 20.00)
Plan Check (Adjustment)
Pc#Dale
10.00lssuance Fee
4s--TOTAL PERI/IIT FEE (mlnimum S35.00)
PERMIT NO.1963Ioawg - 75-f6
ErDl.ldrr
Thi! rafrlr !h.ll .xDrG by ltmri.ton .nd b.corn. nullrnd void rl tho *o.t .uthoir.d bv tnE p.mn i!
norcomnrE.d withn 180dtys lrofr rh. d.l. ol lh6p.tmil or wolr turhd[.d br lhB p6.hir it
.!!r.id.d o. .b..doisd.t.nv 0m€ dw th. wo.t l| cdnm..c.d ld . p.nod oi IEO d.ys A n t
o.mr rh.n b. ot r!r!.d iirn b.ld. sh Bqt M b. r.cdnlM@d
Apln rnr s O.r.ln,ri()n
1r" lrG( oor"",o, o*,,.,0,L b
rutl/s/r
"'7/> s?4/?f7ur n',o,,,"n., Y&BUILDING
VALIOATION IOFTGE USE ONLY)
raccouNTrlr-4r3r
/PPLICATION AND
ftecrnrcaL PERMIT
(TYPEWBITE OR PRINT IN NK)
a a CITY OF SANTA ANA
206 W 4th sr.
667-2738
APPTICANT FILL IN AREA BELOW
Ur
N.
i-
N(
N
N
1il.
Distribution: l lnspoctor Copy 2. FileCopy 3. Financa CopY 4. Applicanl Copy c.s..6r3
cn\ 0 W
.m
Br${a!6, sp€cial re$.ays. undsr ll@.
dJd, dl€y or plrg-in busways ea. I l0' orhioo the.€ol
Subtotal
Plan Chect 65% ol sublolal
Rec€ipt tlo.
I
oa
ELECTRICAL INSPECTION RECORDS
lnapeto. Aprrovd
lSlgolru..l
K'
Data Ramart3
rs Ducl
onstruction Polo S€rvicr
Spas, Pools, Fountain
Temporary Servrcr
Undorground
nough lnsp€ction
a
cialor Sygiom
arcto.y Wirod Unrl
)or Ducl
lht Fixtures
llots and Generators
lolor ConlrolContor
Sub-Panels
lemporary Lighrang
TranJormers
Final lhsp€ctlon 2f\--!=
.APPUCATION AND .
MECHANICAL PERMIT
(rYPlwRrrE oR PR|NT rN rNK)
o
206 W. 4th Street
6[,7-2738 h-'
APPLICANT FILL IN AREA BELOW
@g
Izo
oa!
'.')Je...\
\
N
\
v
I
EACH FURNACE INCL. DUCTS ANO VENTS
15.00
20.00
25.00
(
JOB AODFESS
crlY 10-
30.00
25.00
25.00
30.00
40.00
10.00
10.00
Orll.-tl{ll. O.Glr.llo.
r rs.oy .tiit! ln.t I rn .xrnpr lrom tlr. Oonlr.clol! t-rcrr.. L., tor th. iorbring r.ro.r (Sd
7(Bl 5. Bura.a! .id P,oLron. Cod.
^.ry
cty o, co!.ry rhich rcquir.. r pimli ro @air!cr.
.ll.r,
'mproy., d.frol6n, q rrDlr .ny .lrucluro. pno. lo rl. 6!s.nc.. .llo ..q!ir6 ih. Fdlc. l
br &cn c..mn |o nl. . &9..d !l,.l.@rn tnd 6. a n cn..d Pirlllfll io llr. Provisb[ ol tn.
Conlr.clorr'r L'car. L.u, lch. .. 9 (comm.cin! *llh S.ction 7@) ol Oivilim 3 oI lh.
Bu.rn .! .nd Proi-.'o.B Cod.) o. th.r h, ir .t.mr{ rrdron .nd rh. b..i. ior th..rr.g6d
.rdrpl'on Any vloL.lion o, S.clo. 7@r 5 by.ny 4pli.r.| lor. pdhrt &bi.cB lhc rppllclnl lo
. civrl p.ndly ol ml mor.lh.n nv. h!nd..d !blr.6 (l@)
o secr'o. Toaaa r, .. o{n.r ol lh. proc.ny, or my .mpbys. w[h w!9.. .. rh.tr loro cofrFn-
rrlon *ill (1, lhc ,o . end llra tlr{rcturo a ml in|.idod or ofi.r.d lor t ]6
E s-r"n ru.s r, s *nd ol rh. prcp.,ty. m 6xcrur(.ty cdr,etm! *nh rrc.n...t
.oot,aclor! lo corlrlrud lha oroiocl
10.00
25.00
15.00
15.00
15.00
15.00
10.00
15.00
coN
CITY
!.dsr rhe prorlslons olcha9rd q oNrson 3ot
(2
o^/-12.-5b- con,,'c,o, (s,s )
Prot6rlo.r3 Cod.. Dd mv rrffi 6
,. **?4_@1"*,
15.00a20.00 10-
15.00
15.00
10.00
15.00
15.00
15.00
/ -r.)//o-
Uo.rrr C..f ir.tb.i D.dr.aba
I h!.by rtlirn lha I h.w I @rtllclra ol corEair to a.ll-h.oru, o. t crtltE t. ot Wbrt.i! Coc
c€nrrron lruurrno cdritl.d copy l! hr.d enh rh. cdy b{'rding rB!.cta.n d.pmm.nt
V6fi.d By (SO I
-
I cenrry lholrnlheOc.lo.6.Eeollh.worklorwhrcnlnrsp6rm rs
o€Bon h r.y |o bGcolno subpcl to th6
ll ater mar'ng lh'3Cdtr,rc.reolEr€mprron. yo! shtuldb6@o.subl-ttoth.Wdk..rComp€c
s!no. pr@oo.s oi rhe L!ao. code ,@ musl lorlh*in comply w.th tuch pror6o.! o. thr3
P.rm'l 3h.llb. d.im6d r6rcred
.24b
CohDo.s on Lris ol
10.00 .,
=D*7(.,
Erkttl.n
lh! pom'r rhlll .Ipn! by lhn.non .]d b.com! null ..d vod rl tho rort .uthoriz.d by thB
9.rmrl h .ol comh.ncod *nhin 160 (l.y! loh th. d.ro ol thl. p.rmi o. d *!.t tuiho.i.d t thitp..hh '! !!rrad.d or.b..don.d d .ny rrtr[ rt, rh. port it cmmn .d ior r p.nod ol 180
d.y! a n6* 9dhir !h.rr b. oor.h.d nd b.rd. $ch *o.l c.. b. r.comn..tc6d
led..,ra. rr.drdoi
I cedry lh.r I hrv6 r6rd th6 trplicrtim rnd d.ts thd lne .bora rlorrl.lro.
@mply wnh all oly ordr..n.6 .nd sl.te larr r€lrtr.g to buildi.g
aulhontad r69ranLr'on olrhla cny lo.nrrutM llE
o"y' /2Q
Up to 100,000 BTU
Owr 100,000 BTU
EACH ABSOBPTION SYSTEM
100.000 BTU lo 1,000,0@ BTU
1,000,001 BTU to 2,000,000 BTU
EACH COMPHESSOR, BOILER, OR HEAT PUMP
Heat Pump Comp€ssor less than 5 HP
5HPlo30HP
31 to 50 HP
EACH AIR HANOLING UNIT OB VAV BO(
Air Handling less than 2.000 CFM
2,000 CFM to 10.000 CFM
O\€r 10.000 CFM
MISCELLANEOUS
Outdoor Dual l%ckag€d Healing or Cooling
Floor Furnace
Heater; Suspended, Whll or Unit
Com'l Dn€r Vents
Decoratiw Fireplace (Wbod or Gas)
Repai( Atl. or Add. to any Heating/Cooling sys
Range Hood with Ducl and Fan Oype l)
Each Vent Fan Conn€cted lo a Ducl
Fan Coil lnslallation
Fire Extinguishing System
Each Evaporaliw C,ooler
lncidontal Gas Piping
File Damper lnstallalion
l-iood wilh Ducl and Fan (type ll)
Sublotal
Penalty Fee (when applicable)
Violation Fee (50.0o)
Plan Chsck 656/0 of sJbtotal (minimum 20.00)
Receipt t'lo.Pc#Dale
Plan Check (Adjustment)
lssuance Fee
TOTAL PERMTT FEE (manimum $35.00)
OATE ')eenur ro. l
0-)FrEO BY (99I
,)BUILOING PERMII ISSUED 8Y (90I 0./)
,/15
USE ONLY)
O6rnburron r lnspecror Copy 2 F,reCopy 3 Frnance Copy . Applic.nt Copy
cs 618
(
lsrarE/ztPl-C_
tr F€Eld€nrld tr ln&sfial (Comrylordd NO.EACH TOTAL
Over 50 HP
?
CITY OF SANTA ANA
,="t*o
ICAL INSPECTION RECORDS
Rcmr.l!
Forced Air Furnace
WallHealer
Floor Furnace
SusDended H€ators
Heat Pump
Plenum and Ducls
Compr€ssor
Bo ler
Outdoor Oual Package Unil
Decorative FiroPlace
8sn9e Hood - Ouct and F6n
Fan and Duct
Apdianc€ Vem Through Rool
Evaporativo Cooler
Repait Alteralron, Ducts
Fan Coil Installatlon
Gas Piping
Fire Damper
Bough lnspoclion
6 zf-
D!te ln.pactor ApC.oY.l
lShnllu'.l
///nn* f)fr u"Jt-r.{wryl
, ''(/rttl/tlk
{.
Notes
Li
Rk ztv PR /lr2t-g
f-
Finallnsp€ction
a
. APPLICATION ANO a
MECHANICAL PERMIT
(TYPEWRITE OR PRINT IN INK)
o CITY OF SANTA ANA
206 W 4lh Slroel
667-2738
lCI-,
APPLICANT FILL IN AREA BELOW
s.
\-
X
\
\
SS A
crft
Orrrl-, O..!.a!ir
I n .by dt6 lnd I e urnpr !,Dn rlr c6rrdo/. lrff. L llo. nE rollowr9 ,.-d! (s.c
Tdtr 5, &ai-r ad Proi.ro.r. cod. Any cry o, co(fry rnrcn r.qu'r- . r-Dh ro con tucl,
drr. nr.ov.. d.6d$, or..prr rry iruclu,l. pno. io n. !.u.nc.. .!o,r'q,rn lL +rilctrl
io. .och p..nx lo filr r r8D.d.rd.rn nl lhl h. n Lc.il..d Fr.lu.nl lo lh. provr.on ol lh.
Conr,&rolt !rc.nx tr* {Ch*t!r I (corrrl.nclng rnrh S.crlon 7q), ot ONllim 3 ol rh.
8utn .. lnd Prol.&oi. Cod6) or xr h. l. .I.np! xr.lrom .nd lh. br! lo. rl1. dl.o.d
.r.fi9rlon An, vbhrioo ol S.dlon ,Bl 5 !y my F9lonl lo, . plrmn !!q.d! lh. ipplE.nl lo
. c'er p.n.rly ol nor mo.. rh.n liv.6u^dr.d (burr l3gD)
E S-t"" rc(e l.rdMoltn proo.riy,dmyrnoby6rnnr{--ri.,.or.c..trp.G
.db.. rll (b fi. m.t. ..d tll .r.l]ci,r. a mr inErd.d d oi...o b. .L
E sa- rorrg r. . osr ol rt5 o.!!..!y. ,n .rdu.r.r, co.tnrr.9 ,ih rrr..r
co.n,Elo.r ro corarud |na DnotEr
I .n h.tirld unrbr rh. ,.o'.ro.r. ol ctrd, t oirtro 3ol
c
5 Nl
cr
I
vsAahc.@ 6 '. lurr ld6 ..d .lt&r olA"- 0-to
u/.222-2- corr'do. tlia )
Uo.rr CortF ab6 O.d.aaton
I hr.by .tttrn rh.r I In!. r corlllrara ol corla.r to nll. h&6, or . crtilirt. ol Wbrt- a Com-p.6rl6. ln.u,mc. C.rrrll.d co9y l. fil.d $rh rh. Ciry b{nding iBpcclion dopdnlnr
I crtry lhd o rh. p..lo.mrr.ol rh.to.t lo.tlrcnlh{ F (..t.4Irlr.[.orrndot.,V
rl dt m.lrn9 ln't Cdl'lE .ol El.6p&o.r, yo!$ard b.corr uU-! iorEwo.t rrcorir..]lton ,o!'uo.. o, lrt L.!or Cr(b. yol, 66r tonhrnn compt rin qxn ]o@uro.r. d rh!
rrhn .hatl lx araa ad Erol.d
anY rr|.^iar - a. lo 66<om rubrct lo l|l.
u../a-14--' 2?- ^rpxc,n recr
t i.
-
Artri.rlt 6lig I
Erpror
-
v.ii6d By (SE )
q/.aqr
Tnr p..mn tn.n .4ir. by I'nnnid .rd b..om ,i,I ..d vord rlt lort &rhaE.d by rni.
,.rdl I mr com6.n6d nrnn rod.yr iron tL dr. ol thb p..mn o. d rorl.utho.E.(l by hr
p..frn . i,rpai!.d o..brxbi.d a.ny rri. rt- lh. ro.t r. cdDnr..rd lo. r p..rod ol rorr.t A ,r.r p..nn ,r.ll !. o6a.,.d ftDr b.lo.. rrcn,o.t c.n !. nEr r|rE d
ftac.ft fXdrtot
I c-ltty rhx r nfta aa m..pt t!.tlrsr.rxt !aa$d tha aloa dldnrrbo b c!..-t I Q,- to
.ompl, 'nn rl ory o.o,r.nc- md rl.r. l.ri r.lir{ io nxx,.tg c{.!rt.tb.. ,., h.rtby
Er.armlaion ol rtxt cny io drd uron rll .boldr..rio.la(t
a99hcr. o. ,96r (s{
I lResidential I llnduslral NO.EACH TOTAL
EACH FURNACE INCL. OUCTS AND VENTS
Up to '!00,000 BTU 15.00
O/er 100.000 BTU 20.00
EACH ABSORPTION SYSTEM
1m,000 BTU to 1,000.000 BTU 25.m
1,000,001 BTU lo 2,0@,000 BTU 30.00
EACH COiIPRESSOR, BOILER, OF I'iEAT PUMP
Heat R rp ComprEssor less than 5 HP 25.m
5HPto30HP 25.00
31 to 50 HP 30.00
olrer 50 HP 40 00
EACH AIR HANOLING UNIT Of, VAV BOX
Ar FlandlirE less ltEn 2.000 CFM {o-!o
2,000 CFM to l0,(m CFM 10 00
o\,€. 10.000 CFM
MISCELLANEOUS
OJtdoor Dual Packagod Healing or Cooling
Floor Fuma@ 15.00
Heater; Suspended, \ /hll or Unit 15.00
Com l Drler V€irts 15.00
O€co.ati\€ Fil€ple (Vt,ood or Gas)15.00
n€pair Alt. or Add. lo dry Hodi{/Codirg sys 10.m
RsrEe Fiood wirl Ouct and Fan fiype 0 15.00
Eah Wnt Fan Cornecled to a Oucl 15.00
Fan Coil lnstallation 20.00
Firc Extinguishing Syslem 15.00
Each E\€porati\€ Cooler 15.00
lncidontal Gas PiparE 10.00
FilB Oanper lnslallation 15.m
15.m
Hood witrl Orrcl and Fan (Iype ll)15.00
Subtotal
P6nalty Fee (when applicable)
Violation Fee (50.00)
Plan Check 557. ol subtotal (minimum 20 00)
Receipt M.Pc*Date
Phfl Cflgck (AdjusiII|€nt)
lsslJance Fee -$40-
TOTAL PERMIT FEE (minimum S35.00)
OATE o-/PERMIT NO
,.14 v€FIFTEO 8Y (S€ )
IAUILOING P€FMII ISSUEO BY ISE )
6?ttz-IJSE ONLY)
IACCOUNr rr t.ala
or.rnbltoo , rn.p.cior cort 2 fn.co9, 3...*"1011
cs.6r6
illa.rn o'Tfr
-_W
4
IElZIP
e
azo
oo,
k"s
l-$l--tL-
l-.,NF-t+Lt\
6s
NFN)l\)
INl\
l>I-s-s
q
1o.o
t r5!o
{) " nc+ Bt
,r.tlo,u,"o
AL INSPECTION RECORDS
fumsr*s
Susp€ndod H€alers
Heat Pump
henum and Ducts
O{rtdoor Dual Paclsgo Unil
I
Bange Hood - Ducl and Fan
Appl'anco Vent Through Rool
Repait Alteratron. Oucts
Gas Prp'ng
RoiJgh lnspectron
Final lnsp€ctioo
\-/u- oz L/t l/) D-- Not-tt SDr>1 4 t-/
Oltc kr.p.cto. A9grovd
lSh[llrtftl
/"t)
C
I
I
W,
Aw
vfll@ n
JOSADOAfSS30a 14
f cL 1-r''t " 'AFI
at oiEss
a-l(
tlArl zrr
(\
-tlw:;ilfrLr/zt v
Contr.cror Ur. Only
tto,ta.! Co.rp..E oi Daffio.r
I iaraDv df.m that I ha6 a c.dilart. ol @5nt !o r.f-ine6, or a c.rnlicat ol Wb.ld ! Co.nC..
..00. ln$EE C.nilld cotr l! nbd wirh h. Cry blidinc inlp.crM d.p.nmnr
x ToAppllc!nt
n, d.. nr.lhe Oil Cr!'ic.r. ol E{op!o,i. voo $old !.co.r rrbFt to
dirn ,ot/irir. ol rr!. ld.. C..b, yo., mr,l to.rruih cdndy wih r,cn p.
i\.. !.(l.Ed r.vot d.
Erplr!tlon
Ihr r.rmt $.11.,06 by lrDr.lo.id b*o.D drl -d hdl, th. wo.t .!rhdr.d W lh6 p.mr I
ml co. anc.d wittm 160 d.y. tror. Or d.r. ol d$ ,orm o. i, wdi .urho.[.d br thb p.o'r i.
l.r..d.d o..b.n.lorxd or.^y nm. l.r rh. wolt 6 commsrc.d lo.. p.riod ol lEO d.y. Amw
!dn[ !h.lt b. obtlin d fi6r b.to.. .!ch wo.t c.n b. EcomnErc.d
Amlo-f a DaoLrrtldt
I crnlt nu! I li.\. ,r.d ,i. .g0lc.no. rd 3iii. rr.r 0r..aow nlo.r rai l' corrld I.ei.. to
cdrlcy witn ,ll city ordmnc.! a.d ar.t br. ,.latng ro boildin! condruclon. .nd h.6bt rurho-;;:,::,ruWrffi;
I
sA TR ltll 261!0Cr 3 1 xS'TRED
?- tt-B(s
VAIIDAIION IOFFICE USE ONLY'
tAccouNTtr!-416t
t
APPLICATION AND O
MECHANICAL PERMIT
(TYPEWRITE OR PRINT lN NKr
o CITY OF SANTA ANA
20 CIVIC CENTER PLAZA
834-4186
APPTICANT FILL IN AREA BELOW
@c
Izo
0Ia
[i
l0
ll
1'<ls
K
Distribution: 1. lnsp€ctor Copy 2. Fil€Copy 3. Fin€ncoCopy 4. Applicsnt Copy
<
-)<\OTY
O R€Jd.nri.t E lndustriel xo. I EAcl{ Tor L
FIXTURES
EACH FURIIACE INCI., OUCTSA OVE IS
up to 10o,0oo BTU
Ovrr 100.0O0 BTU
0 00I500
EACH ABSORPTION SYSTEM
rl
6.00
11.00
l5.m
Ovsr2,OOO,000 8TU
22 sO
37.50
EACH COMPflESSOR, BOILER OF HEAT PUMP :l
, .-i
I 600
lrrm+-I 15m
| 22.*l.r*
6q-
It--
-EACH AIR HANOIING UNIT
t.i
MISCETLANEOUS
450
I lo oo
l7l;;v1P| | r0.0o II rom+-lo.m+-I 10m
I rom
Raprir. Albration or Additron to 6ny Heaino or
Cooling Sys!6m 6.m I
Eonga Hood lncluding tucr end Fen
Each Vonl Farr Connoctod to a Ouct
Fln Coillnaiellrdon
Ory Chemicol Syrl.m
Erch Evoporltiva Coobr
lncidont6l G6! Piping
Fir6 Olmp€l lnstsllrtion
4.00
6.OO
10 00
p,:HI r""|-I 5.00 @
Each Applia^co o. Equip.n€nr R60ulat€d by
th,s Cod€ bur nor specdically listod abov6
-TRl '..ll,*H
Subrot8l
Panehy F€€ lwh€n dpplacablel
wil
Volarion Foe lmrnilhum 325.m)
Plan Ch6ct F66lminimum 315 ml
ert
-
Roc6iplNo._3";@
10 00
TOTAL PEAMIT FEE $20 00)1:
DATE PEAMIT NO.
(Mdda.D.ol-ado.l
I h.rrly.fftrn dEt I rt!.r.riot l.orn tE C nxrot . Litm. L.w ior 0E lo{o dt9 l! !o.! ls.c
7qL6, ia,E ,a Pro,!.rdn Cod.: Arr ory o. .dr.ry *han r.qrr!. . lrntil lo clir'ricr.lr,a!.or..d..rxl6.d,Fi.r.rtlncn,t.Fro.ton .t,.,r..d-Eatr..dr.coac.ntld
rr.rt,.irm io f,.. tgrld aaa. nr!!rirraI'c.nrdE rx.t !o |n. p.nro.r oa,. cont cir'. Llc..E L.l, lc[pr..I lcomn .'ono titn S.cto. 7000,ol t)ividon 3 ol n!. &r $.id
Prof...loo. Cod.l o. t!.r h. l'.t 69r lhlrdrdn .nd th. basr lor rh. .lhg.d .r.mpion. A^y voL
lba of S..t!o 7oill.6 ir y.!oro.d to.. p..irlr rlb,6cl. lh..orao.r ro ! c l,.n ary ol,ror,ir. ,E! t\n hfiltd doe.E l,6ml:
E S*rin rO{r l. $otrr.. ot rr Foa.ny, or ny rnrorr.r stt r.{.!.. nu ior. cdn
,....nm. !N{l do tll wort, d lrr ,.ucM. i. .or inrlnrh.l o. ot ...6 io. r.b
CITY
|l! by dim drar I aln bdl-d ond, nb p.ovddti oa Chap!.0, Oiiialoo 3 o, h. &!fira ad
?ro.r-0..Co(b, f,{.r r.n' !b t i ldt. r!.l.ltcr.
Lillr lilo- C|lx Chy L.lc.ni-
tLt
--cdt-ra.lsE.l-
|c..tt dr lrr,r EtdExrE d,l. rort
c-E! h rlr,if,rrE9. to bsrr rrbF
nnZfit,h ^*",,x,-
,r^,r,rorr,no, tl tSUILOING
h.pacto. App.ovd
lShn t tl B.In .t
o
MECHANICAL INSPECTION RECORDS
o
Fo.c€d Air Fumec€
Wall He6t6r
Floor Furnaco
Susp€ndod H€8tors
Air Handlors
Heol Pump
Plonum snd Duct!
Compr6ssor
Boalor
Outdoo{ Dual Packago Unil
86n!6 Hood - Duct rd Fon
Fan and Oucl
Appli6ncr Vont Through Rool
Evaporativo Cooler
Fon Coil lnstallalion
Gas Piping
Frre Oampor
Rough lnsp€ctioa
Finallhspoclion
Noles
rIIIIIrIIrIIIIIIIIIIIIII
Dscorstiw Fir€Placa
Repsir, Alto.ation, Oucts
j
APPLICATION AND a o CITY OF SANTA ANA
TTIECHANICAL PERMIT
(TYPEWRITE OR PRINT IN INK)
206 W. 4th Slreet
€67-273a 4t<)
't
JO6 ADDFESS3o
0--r-crlY
I h.r.by.tiim ln.r r f,r li€[.d ur(b. tll p.oruo.! ol Cn prr q, ov'.bn 3ol rtaSurin-lrn
Proi...roft Cod., ard my rrc..lr tr m tull lo....nd.ti.cl
,,. -*vQaobqo. L e'a "',,,^-o",. 7'7o1 I / ..^-o-,.,n1?dajx& [ nD..aq+4
o/37 /20
CONT FAQTOn
Sdr6 Cdt ...ab Od..aba
I lr.aly attrm dra I lran a ornrrc{aoloo.!r lo aan-nlura, o. a ...tliLatao, Wo.tala CoG
o.Brt6n lialranca c.rr'nad co9v I tla(r e h rha c'u torldrm rroadron oo.rlhanl
W- t/% vd,i.(, Ev rs.r ,n 4-
o*, 3'1o'8 I ^-.-,,o0,@rattthrnri.p.rtdn nc.orrh.rorrrarhchrh.tr.r r.ur.ct.h.[nd.nproy.",
po,D.r rn..y n'.nn.. - rr ro b..or'. robtrcl ro r. wqt.!.r cornP.6.rbn Lrrr or
liod.. To
^l?Lrt:rt.r!r,n r'.9 rh'r C.d'llc r.olEt..trr'oo. t6!.lto{,td brx.!ti.ctlorrwdr./!cofiFG
.lllon P.o,[ro.!. ol rn Llbor cod.. ,o! msl ionhUrh corDt ,th tuct piolrro.l. or hl.
p.rm'r ihrll b. d6n.d ,.vol.d
arDt'@t {99 )
Er*{..r
ln. p.rnn .h.i .rem !y rmn lq! a,!d tonl. nurl d vod ll rtE 6.t .rrrn6ar, !, ,rtr
P..'r tr rlor co.nMc.d *lnrn ta &y! l on rh..tnr o, inr. !.rtut o. d rort.!fiorE6d Dy tn!
F nl 6 &.r6(t (, o. .b.ft,on d , .ny tm. .i, lh. eorr i. co @rc.d lo. r p..bd ot !06.y. A na. prn! ahall b Olaarlad nrtl balo.a acn ro.t can ba ra@ofiqrcd
lrlac.rrt oad-tlqr
I 6rr|t lh.t I h.v. r-(, rh. rrctc.rio. .nd ra. rh.r rtr..bo!. i.lo.n r|on b co.rd I T...io
co.n l, s$ .ll 6iy d(,lor!.! ..d tl.l. l.-r tadtre b loldng cdr.lud'o.. rrd.hri,!,
rlrhon:ad r.pnF.nr.rDn ol thl. city to .nror uroo th. .bo!/}mnt'on.d p,opr, lo. inrp.dion
on". ?-eo.8 2 ^.,".,. ^o-,,*iB&^ii4r,!0or(4,o
O Res'denr,al E lndusrnau(omm€,c,rl NO.TOTAL
FIXTURES
EACH FURNACE IITCL DUCTS ANO VENTS
up ro 1m,0o0 gTU r5m
Ovor 100.000 ATU 20m
EACH AASORPTIOI{ SYSTEM
1m(m BTU ro 1.0@.0@ BTU
1.00O.m1 BTU to 2.00O.0m BTU
Over 2.0@.m ATU 37 50
EACH COI'PRESSON, BOILEF. ON XEAT PUMP
5HPlo30HP 25m OO-
31 lo 50 HP 30 00
Over 50 HP 40 00
EACH AIR HANDLING UNIT
2.000 CFM lo 10.000 CMF 10m
Over l0 m0 CFM l5 00
MISCELLANEOUS
Outdoor Dual Packaged H€arrng or Coollng 25 00
15m
r5 oo
15 00
Un( Heat€r 15 00
Oecoraiive Frreplace r5 00
Reptr, All or Add lo any Beanng/Coolrn0 Sys l0 00
Range Hood includlng Ouci and Fan r5m
Each Vent Fsn Connecled lo a Duct 15 00
Fan Corl lnsrrllarron
Dry Ch6rnicsl Syslem
Each EvaporaliveCooler
lncrdenral Gas Prprng
Fare Damp€r lnslallation I
E ch ADpl'..c! o. €q!'CiEnr Fqur.r.d bt
15 00
HoOd rNrth Oud and Fan 15@
Penslly F6e (wh€n applicable)
Vrolaton F€o (mrnrmum lSOm)
Plan check 6596 ol subrorel (minrmum ll5 m)
-PCN
10oo
758TOTAL PERMIT FEE (mlnl,lrrm 135.m)
?-.1 .87 pEn rr o. 07861
3cl 8gL^,no.",,. *-BUILOING (,//
PEFMIT ISSUEO BY 1sl9 )
vat-rD^lror{ (oFFrcE usE cNrYl(accouNT ir 1,41a
o.rnbunon , ,.3p.c,or cocy 2 F . copr 3 nmmrgrlg/ggcl{offi{ CI{CX t759. ?5
cs-6r8
APPLICANT FILL IN AREA BELOW
EIzo
oI
I
U
l"
ts
N
t'
It
r
Orlr{rlt, O.d-ab.r
r hr.by lliinn lt.l I .m .t.mpt nod th. coilrElo/r !ic..r.. L.* lor ttx lollr?he 1610.r lse
7llll. t arairaa frd Proi.riori. cod. Ary diy or cor,rt *hidr r.qulr- . p.riil to oo.rrrruct
.ir. 'hproy.. drndah, d ..9.a. rv aiEru... p,io. ro hr i..oac.. .bo .du.- llr Fd'c!,lu .uch p.rmn to nb r rigo.d dn !.nl lhd na i laant d pl,rr(,rn b rr. proi.ir.t., th.
Co.v.doit lidra !r (Ch.pt.r 0 (conrlxndng rtln s.clbn 7@) ol Oivtio. 3 ol lh..a!.6d .rn ProL..qr Coo) o. n$ n ! .tmp! di.rrnon rt lrr. D... ld r .ra!!d
.r.ng'on A.y vbl.ron o! g..r'on ,ar 5 by ,ly .Dclr.rt tfi . p..nn rJbl6l. fi. Tplic.nr lo
. cMl ,.it lly ol iol mo.. thln n$ hundrd 4rlr.n (35O)
El S-t'o" rO..e l, -o5l..oi lh. F!o..ly. d hympbydrnn r.g- s$.r.ort cornp.c
.rrlon. wirl (b rt. x,oa- rnd rh..rructur. 6 mr mr.nd.d or otlr..d lo. d€
E sd- ro{g t. - oii.. o, tr\. toc..ty. It .rclu.w.t co. .rt.c rih l|c n..,
co.L.cld! lo conllrucl tha ,oracl
Da. ClI- rS{ r
-
EACX
H
H "-r.m
6
F]
/(aO-
4a=20m
15.m
lsm
r000
15 00
1e5-
Pt€ium and Ducts
Heat Pumo I
MECHANICAL INSPECTION RECORDS
Cornpaossor
j
t
Rcrnr*a
o o
Apdbico V€nt Through R.rot
B!ng6 Hood - Ducr and Fan
G)rdoo. Dual Packag6 Unit
8apan, Ahoralion, Oucts
Ooco.atrv6 Fir€Pl&€
Fah Coillnst llalion
Fqc€d Alr Furnace
Evaporalive Coolor
Rough lnspoclon
Fnal lnspec$on
Floor Furnacs
Fti and Oucl
Arr Handl€rs
Frr6 oampol
Eorltt
N
FT']l|rt9acto. App.oYd
lslen ltItl
/1fll"loZ
rIIIIIrIrIIIIII
Z
al
l
+
--i
l
-l-l
"'7.-*.t+*
te/21t6
APPLICATION AND O
MECHANICAL PERMIT
(TYPIWRITE OR PRINT IN INK)
o CITY OF SANTA ANA
206 w 4lh Slreel
667-2738
APPLICANT FILL IN AREA BELOW a.dile
(
g
Izo
oo!
e
a
,*
OrG...ldA, O..lrralon
I hr.by .lrtrm lh.r I m .rmpr lrom rh. Co.rrr.clo/. Llc.n r L.* lor l'l. lolb*ln!
,031 5. 8u!rn-. ad Prol6!o.! Cod. A.y city or @unty wh'cn ltqurr.. .
,r... mryov., r,.rnd!h. o. oprr r.ry druciu,!. Drlo. io h! k ulnc., .lro
6nr|cro.. Lrc.o& !i lch+rd I (@,'!ti.@.e rdth
prop.rty, or my mployd *ilh r.CB .! ln6tr $ro comP.n-
- o6d ol rh. prcrdly. h .rclusE.ly contenng wnh hc..r!.d
he
e
l^..
G
t+ zG
E s.ct'on 7cr. r..! own.i
qrtDn, *dt do th. *ort.
t(Dt or Otr.'o6 3 or rll
.od lh. ba! ld lh. dr.g€d
.t@9lon Any vor.l'@ ol Soclo. 7O3r 5 bt lo{ . prh.r rsu-i. rtE .pplE.^l lo
1150o). crrl p..alry ol .ol aora lh.n frv.
lrrocrur6 ls .!or nl.ndod or onerod lor.|16
MAILING AOOFESS
Cr
JOB AODRESS
E so.r"^
Wo.r... C..ttirabrl O.d-a5.r
I hr.by.llrrm lh.l I h.v...tn$..16 ol@,rMl lo $lr-n&,. or. criflcdo ol Wb.ld. Coa.
p.Ml6n rn.ur.nc. c..fth.d @py | fir.d * h rh. clry borong inrp.cr.on (rrper,lur
ll .n.r mrrng rn'. C6r'lrar. ol Er.mpr'6. you thoold b@rE aq.d lo rh. Wdr./. Coorf,$
l.r|on p.ovocr. or rlE lrlor co.r.. yo.r nrd bnr th con9t *ah &cn p.ovBro.r. o. rh.
oorDn $dl b. ah.iad Gror.d
ffi-
I crllty h.a m rh. p..lq'lrc. o, rh. rcr d t p6r6.l ! tt&.d. I .hdr rcl mplo, ..y
c..ron m .ny m..nd e a lo b@n. !u ro $D wdrc7. comr.@rb6 !&! ol
3,T,-al"t,
-. -49fiq
D.t.
-
Appr,canr (99 )
t.oll.. Jo ADCIb-t:
lrdrdo.l
TnB p€rlrln $.[ .!ptr. !y tmnrrloo .nd b.co6. nurr .nd void , th. ro.l aulho.u.d t tnb
c.dr it mr .6m.nc.d erhm 1& dtyr ,rom rh. d.i. oi ltir p.rmn or ll *orl .rrindErd by ln6
,6rm|l 6 l.!Fnd.d o. rb.ndo€d .r ..y rrrl. d- ln. *o.t l! co.nn!.nc.d l(, . ,,..i, ol t&
d.y. a n€* o.rmn ,r.lr b. oo[r,!.d n.1 b.lo.. .!cn ro.t c.n !. r.comaric.d
aarcrl O.dra.,t
r crlrt rh.r I nava .aad th6 aogrEatr@ .rlo rtrt. that tL rbotr r.to.,naton ! co.rad I {.aa to
crn ly srh .ll oiy o.drM6 .^.r .rtb r.rr ,.rr"T to lurrdho c(rrrlrctirrl .ni, h-.!y
rnho.ud 6rr..nltllo6 ol rh[ cny ro .ilr upon llt .bdn-m..!rDn.d p.op..ty rd i.t .d|or'
A9olrcanr or ag.nr ls'! ):"3/q48
E Resrdeorral O lndusrnal NO.EACH TOTAL
FIXTURES
EACH FURNACE INCL, OUCTS AI{O VENTS
tlp to 1m.0m 8TU
Over tm qn gTU
EACH ASSORPTION SYSTE
]m 000 8TU 10 r 000,000BTU 25m
l,mo,ml BTU lo 2,0O0,0m BTU 30 00
Over 2.0m.00O ATU 37 50
EACH COUPRESSOA, BOILER, OR HEAT PUITP
SHPlog)HP
31 lo 50 HP
Over 50 HP
EACH AIR IIANOLING UNIT
,0m
over 10.000 cFM r5 00
MISCELLANEOUS
Outdoor Dual Pactag€d lleatin€ or Coolng 25 00
15m
S6pend6d l€aler 15m
15 00
Unn Hearer t5 00
D€corawe Frreplace 15m
R€pa'r. A[ or Add lo eny Healing/Cooing Sys 10 00
Aange Hood rncludrng Ducl and Fan r5m
Each Vent Fan Connecled to a Duct 2_15m
F6n Corl lnst6llatron ?o 00
Dry Chemrcal Sy3rem 15 oO
Each Evaporatrve Cooler 15 00
lncrdenlal Gas Prprnq r0 cro
Fir€ Damp€r lnslellal|on 15 00
€ach Appl[nc6 or Equrpde.r Feiurir.d by
15 00
Hood wdh Orrci and F8n r5 00
Subroral LlO
Penalty F€e (wh6n applrcEble)
Vrolation Fe€ (minimum 35O.m)
Pl6n cneck 65qt ol suUotal (mrnrmum tD0O)
Recerpt No PC No
r0 o0
TOYAL PERMIT FEE (mhlftrm 33500)7Lo^rE 3 -8s PEAMIT ?{O.
eurr-orilc U I dlQFT
PEnurrro lr r- I vEhrarEo BY (src | -Co-u; oJl-14.-.PERMTT TSSUEO aY (slg )
* 5ot, t s?A/
vauo^TroN (ofFrcE usE oNLY)(accouNl.rl.ara
O,.r,'bol'on I rn3pecror Copy 2 Fi.Copy 3 F'na.!rco!y a AprrE!^l Cqry
cs-6r6
j
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sl de
*o <' ')--l-t l a
P'{ONE ffi
ll
25.@
g)00
aom
2 0m CFM lo 10.0m CMF E
,,,24
ld $ch dDn to fi|. . !{n.d (rtrr.d tnd na a ll.aiaaa
"Sl",lTl -.o +iC- l**s-,t^oo
AOOFESS^7it r 8l,p -12;J.e-
'Prolslru Cod., rrd my lic..E a ln full ,orc. .nd .ri..tr#ff*:=,?mW
J_
oo
MECHANICAL INSPECTION RECORDS
Fl@r Furnaco
Susp€ndod Healers
Air Handlors
Hoot Pump
Plenum and Ducls
Comprsssor
Bo lii
Outdoor Dual Packago Unit
D€corativ€ FrroDldcc
Roog€ Hood - Duct and Fan
Fan and Duct
ApplEncs Venl Throuoh Roof
€\rSpo.atiw Coolo,
Soparr, Alteratron, Ducls
Ga6 Piping
Firo Oampor
Roogh lnspoction
Frsl hspoct,on
O.t.hroaclo. ApC.oval
lSlgncr.l
tls//t&ilildMn
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Wo.t.rt Comp.or.lion D.clir.lloo
FIXTURES
ornnrcrc,al NO. EACH TOTAL
SE WER
GAS PIPING
GAS SERVICE
MISCELLANEOUS
il
4lumal t.nr+_
l5m
I zom
)
4.00
10.00
5.m
4.00
4.00
4.00
3.00
300
4.00
8.00
5.00
3.00
3.00
5.00
r .00
5.00
10m
tb
10 00
(mlnlmum S35.OO)
TOTALPERMITFEE ( m lnlmulri 336.oo)
3 9 PERM|T nO 03859
(-
FxPIRED
E - \t-tG".sATR 1tl{26{00cb 3313!
APPLICATION AND
PLUMBING PERMIT
(IYPEWRIlE OR PIIINT IN INK)
o I a,r"orsoNrAANA
20 CIVIC CENTER PLAZA
834-4186
APPLICANT FILL IN AREA BELOW
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Disrriburion: l.lnspecrorCopy 2 Fil€Copy 3. FrnanceCopv 4. ApplicanlCopy
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10.00
3.00
3.00
30.00
Lo
20
4o
OATE
I t r.bv .itoft in r I .m rfr^Ld !n(r, rh€ proyraoi. ., chlpr.r 9, osl'm 3 ol ln. Eu&..s rnd
Prd...or Cod.. ..d hr tE6!. n n loll ldc. .nd .llel
Erpiraiion
AppIc6nr's D.clararron
-- l-- /'
414-- ''ul
Pcaurr rssuao BY rs. r 2-
VALIDAIION IOFFICT USE ONLYI
lAccouNl ar-4r2r
o o
PLUMBING INSPECTION RECORDS
Oat6 Remarls
I
lnrpcclor App.oval
(Signsru.ol
r
aPpuceloN AND
PLUMBING PERMIT
ITYPEWRiTE OR PRINT IN INK)
CITY OF SANTA ANA
200 w. 4rh sr.
(7 14, a1t-64ta ffiio
APPLICANT FILL IN AREA BELOW
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JOEAOOsESS
STAIE'ZIPo"-6
E tndustrist ts{omrnerctal
ln l0O' + Coon r0 00 /o-
o EACH TOTAL
each plumbing lixture/lrap 400
r0.00Dental Unrt or Medical Gases
E Resdentaal
FIXTUR€S
300
300Ea. Add l l0O'or Fr.ction
Privale Sowago Disg Systom
Ea Add'lConn
30 00
GAS PIPING
500 W
r00
500
20 00
GAS SEBVICE 1 ro 4 Oullels
Repair or Repl6c6 Gas Pipino
Temporary Gas Servics
Ea. Add'lOurler
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r..t ol S.ctd! 7O3l 6 by,ry.oola ,... c!ftr !!Fn Lh.o!ac.nr |o. cnir p..drr ol mrdn h,l liE h,.d.d doL.r laSOOl
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r,acro. ro co.lrnd lt.,.,i.cr
Orn.rBulld.. O.cl.rlllon
o.i.- ori.. t9s
MISCELLANEOUS
Wster Hoater - Eloctric o. 66s 500 ao-
Water Prping Ea 10O'
/g 4.00 /2-
4.00R6in W6rer Pipinolburi€dl Ea. 10O'
water Sollener 400
All. or Repair ol Drainage -Venl Piping 3.00
Lawn Sprinkle,3.00
Hain SWrEm - Per Drain lihsid€,
lnd Waste lntorcopto.800
500
3mEool Drain System - Per Drain
Fapair/All DraioageorVenl
PoolTraps
300
Vacuum &eakers l-5 500
Ov€r 5 r00
Eackflow Devic€ 2'or Less 500
I arn Lard undd nf, p.turst ol Ch.!r., 9, DM3s 3 ol fi. au!d$ .rn
Prol..E!! Co(b. d rr r€6r. I 6 rul re. .,ld .ll..t
I hd.!y rtt.6 rMr I tu€ . cir.ra.r. ol ro.,hr ro xll
I cnnly h.l n rh. o..ldlrlft. ot th. wl ld rnEh
faodc. to AD9aofri:
,. d5 m.l,t! l't C.d'c.r. or Erdipio, ro tr,ld b..dr r,bFr ro dr t\b,tr'a CdrE|
xio,r Po'ltotr ot ir. L.oo. corb, r@ 66r lorhrh cdllorr rir Et o.dto.t o, rrrr o..irl$Cn .rnrn.lnvot.,
Coor.cto. U.. Only
ss
STATE/2IP
PHONE
/43 s'7 /
o",b:2bt1
c.n'l.d c@v ,i ri.d, h rh. c'rY
ri 6s.d, I $ai nol.moloy t.y
o.rron 'n a.v ru.{r '. a lo ba.6a rlDnd |o ltE
tBSa-/
. c.,rna.G or r rort.. , Cdro..-
o.r.- AFr.Dr rs.e I
/34-
7Z
Vrdarion Fee ( InIlnoi a!t.OO,
Plan Ch6ck Fso lminimum 315.0O)
Ov6t 2"Irr,^
Sublolal
1-
Penally Fee Iwhen applcable)
rcNoH€cerpt No
""a 31 42
r.dl rlnalIn i r..d tE !!Ear.t
.eQr..sr.rdroi n rc,l|
0r.boE -dm.iM '..d,Er l.grF ro
TOTAL PCRMIT FEE (m InInU'n .3I.OO,
o^rE b.AU. Ei?
lssuance F€€
V/,tcd,t/-.,SUILDING
Frano0Yrsg r PtnMlI|SSUEDSYlSrq I
v LroaroN roFrcE usEonlYtlaccouNlr r l2r
a
rrlr
I
DisrriburDn I lnspecror Copy 2 Frlecopy 3. Finsnce Copy 4 Applicantcopy
SEWER
400
7
r0 00
PERM]T NO,
o D.
C!rhrbi
Trrr !.rft1$arrll . try rn.tt|6.6d D.co.rr 6ur..d vo|d d rh ro.t .urhon td !r tnir !.rm!t !.orcnnrift.d*rn lEo {r.y! l,@ tti d.r. ol rhlr !.rfit d n wo.r.00lo [.d Df thro..,rt !tlsri(,.d d.h..r.bia .t.ir !.E.i.. rr. dt.. cdwEEtd lo.. ldrod ol l&d.y.
^
i.'
Ertt d h. olEr.d f,n bir. r,.h *sr c, t cdtrErod
ApCo. '. O.affioo
.6rt inh.r.'l,r odd|ra
oric lntpacto, Approval
(Slen.tu,.l
PLUMBING INSPECTION RECORDS
Acmarki
Waler SoNrc€ lGround)
Ga3 S€rvrc€ and U nderg rorrard
Flenlal or Meclcal Gases
Rou0h PlumbrnO
Frn6l Plumbng
-_-..-..-.......
Te6@rary Gas Sorvice
,o oAPPLICATION AND
PLUMBING PERMIT
(TYPEWBITE OR PRINT IN INK)
CITY OF SANTA ANA
206 W. 4lh Slreet
667-2738 d..v{
APPLICANT FILL IN AREA BELOW
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cs-6rr
N. A44t^\
Tr(7
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NG AOOFESS
-3r'-500
I CtO
500
1m 00
Orrr-aL. D.d.tbr
rn r.6y.tnrh rh.r I.m !r.6pr |106ltr cdrr..clo/. L'c.rrl. (a id lt ldrdrp r...on ls-t6r 5. a6'n.- l.d P.oh.!o.r cod. Ary ary or cosnly,hlcn r.qufl. r F.nrl lo corlMl,
rl.r, rmorov.. (bmorllh. or r.c.f .ny drucrur, pnor lo ll. 'r.u.nc.. .ilo r.qun . tn lcplic.nl
lor 3rch D.rn ro tlr r i|9[|d.t l3rl.nl ih.l lr ! xc.na.d FrEu.nl lo lL P,oe.bru ol lh.
Conrr-ro/s trc.n . L!, lch.rrd I (conrr.icng rlrn S-r'o. 7@) ot olv!'oi 3 ol lh.
B6'n.r. .nd ProL.&oii. Coib) o. tlr! h. l. .rmri n r.lrofi .ra tl. bB6 io. lL .ag.d
.r.nprlon any vlor.rro.l 6l s.crbn rBl 5by rny.ttPxcrd l, r p.mrl rlbt cb ln. arphc..l lo
a ovrl p.n Iy o, nol mo..lhrn nv. hlndrad .k'll!.l (3!@l
E S-r,o" rO{e r. ! o*rr. ol rho 9roc.iy. o. mr..nrbr-.r'ih w.g- r.lh.r.oa coinFG
r.r'oii. rn (b ln. m.t. .r(, rh. drlrcrur l. rEa rri..r.d or otlrld lo..&
O 9.r|o. TOaaB l, .r 06, ol th. p.or.rty, . .tclurhrdy co.llrEnng *nh rrc.o..d
co,n[do.r ro corr.lrucl rn. Fol.cl
(-.
Fomm€,ca O.EACH
each plumbrng irlLrrenrap
15 00
ea Add l Conn
E6. Add I l0O or Freclron
305m
E Resrdentral E rndusifial
Oenral U^n or Medrcal Gas€s
lst 10O . Conn
Pnvale Se\Nage Orsp Syslem
5m
500
GAS SERVICE 1 io 4 Ourl€ts
Ea Add l Ouila
Reparr or Roplace Gas Piprnq
Temporary Ges Sorvic€
FIXTUFES
r0m 2-anll/aler Ptprng Ea 16 ?-f3ouorxa,l P/-a*. <-a
PHONE
6gz -ass Rain Waler Piping (buned) Ea lm 800
t2t o O. BAak/-<v 4u.ADORESS
400
All or Ropetr oi Orernage - V6nl PipingsiatE/zrPn66AcrlY
oftG.
Lawn Sprinkler (incl. bEckflow)
10m
600
l0mRlio SFlom - Por Dr.rn (insrd€l
800lnd Wtsto lnte.ceptor
Pool Trap6 5m
I h.r.6y lltrrm rh.r I .n lic.n..d l,xld lh. p.o!i.iB ol Ctr. .. L On.ion 3ol lh.Au.ir'..!.nd
Foi.3c qod., id ,ry r'c.ir. ! '^ tulr ldc. .,rd .d.ct
o",. I o:lV l."--* 9z!:?/"..,
3m
10 00
5m
Roo, Dr3in 9n6rn - P6r O.ain
Rop8ir/All Orain8gs or Venl
V8cuum Erett€rs 1-5
Over 5 1@
Eaclllor Oeiice 2" or Less 500
10movet Z
r..r'r coir. &6 o.dNtr'
I h.oby .rnrm rhlr I hrve . csnrlrc.te ol @nsml lo ellmlure, or r con rc.lo or wo*d . Con
retortts*
I.n md'.g |n.a crntca.olErrtrprqr. yo! $orrld b.cod.llqcliotEwdt /r@mc.rt
!.rEn p.o{.!€n oa ltr Uao. Cod., yoq ml!| io.rbah corDr rlh tuch !.(rib.r o. lh.
p..tul anlll ba &amad rarorad
rn!p.crr@ d.p.n@^r
r c.n8 h.r '. rh. p..ldrum.ot ri€ rort lor r3 !&a(i I tn.ll .Dl mdoy tny
Frto.r n any dx,td s ! to b.co.rr. .u
t70-Subroral
Psn8lty Fe€ (whe6 Epplicable)
Violalion F€e (minrmum 15O.00)il1,&Plan chect 65ci ol sublotal lmmrmum tl5 m)l2,lio
Receipt No
-PCNorOTAL PEB TT fEE (mhhr,|n ta5.0o)
L291 8oIoxz /D _-97 PERTIT I{O,
E r-o.r
Th[ o.rm( th.u .rc'r. !y r'm[to.r .nd b.com null ed ad rl rh. rcrt aurho.':.d by !trl.
FrD( i! nor conmncod withn r &.,.y. l,om th. (Ll. d lhil p.rmil o. it rcrt .utho.i:.d Dy l6np.rnrr6tu.p.n.ado..b.n.br!.dcDyrin.t..th.rorii!cornrLc.diorrF.rbdolla)
d.yr a ,x* p6d( ,r.rr b. obLr^.d nd !.1o.. sh ro.l c.tr b. .conm.rE d
Ata..dlt lrda.rr
I c.n y rh8r I h.w ...d rhB .pplrc.r'o.r .nd .lrl. lhrl tn. .bav! into. lbn it corr.cl I .9r.. lo
€ornpry * h .rr oty odiM.c- ..d !ttr. lrE r.lrlkie io bulrdln9 cdr.luclb., od h.r-y
on" /9r!2:17
DroDa.rY io.'.rapclro.rrrrron:.d oC.-.ot]!o.r o, tnl. ciy b
U ,/krrn)" IPEFMTI ISSU€O 8Y (99 )Ei'l'",9i8. ?96, I *",.,.o "" *,
llLidriibFro-FEdE u*oNrY)taccouNl rr r-ar2)
oBrnborron 1 rnrp.cbr Copy 2 frr. Copy 3 Fh.nc. qocy -a,-Aopl'c.ol gopy -
,-a
r0 00
TOTAL
-la)7.n T',..I I rom I
SEWEN
.ls
30 00
*""**
r SC€LLANEOUS
Weler Healer - Eleclrlc or Gas
I ?7AO r1T?d
tr. liro.td. comr.or'on Lil ol
35?l
o o t
PLUMBING INSPECTION RECORDS
Fafta a
Ground Work {Sorl,
Ground Work {Walor,
Wat6r Sorvrco (Gro!nd)
Ga8 9orvic6 arid Uncl6rground
Lawn Splloklers
Wasts lnlercaplor
. PoolTrapg
Sower
Rool Drarns
Waler Healors
Rontalor ModicalGaseg
Rough Plumbing
Final Plumbing
Temporary Gas Sorvice
Noles
D!ta lnapacto. App,oval
(8lar|.lur.)
illtrtull
77/,TLil
l
%&rw
t -1
l
APPL!CATION AND
PLUJI'BING PERMIT
(TYPEWR]TE OF PRINT IN INK)
o o CITY OF SANTA ANA
206 W. 4th Streel
667-273€6*
APPLICANT FILL IN AREA BELOW
@I
I2o
I0,
I
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x.
{
d.
cs-6,,
Comnr€roal
o 5.00
10 00
Odd Fellows Lodge 972-9004
Santa Ana
I
311 N. llaln
309 N. Maln
cA 92701
Orirault, O.dr&.r
I h.,.b, rrt.n lh.l I .n sr.mE tom lh. Co.rlr.clo. . Lcse Lr' lor lh. torloirne r€..on (S.c
7(Xlr 5 Bu."r.. fld Prol.*oi3 Cod. A.y oty or .dsry rn'cn r.aur6 . p.rnr o cdir*r.
.1r.. mc.orl. &nd.h- or r.p+r .,, !l.ucru,.. ,.ro. ro rr3 r.r!f,rc. d.o ..qQtr6 rh. lcai€l
br .ucn pran lo tL . .'0^.d .Ll.mnl lh.l h. tr hcm&d pu.luul to $aP@r3onr ol lha
C.nrrEro.l IE ir. Lr icnrprn 9 l.onr..c'ng rnh S.do. ,qp) ol Eiv'rE r 3 ol fi.
. c'v'r c. lly ol nor fio.. riun tu. nqndi.a (brrr't tls,
E scr,o" rO{e l, !. ormr o, rlr prc!.ny. or nydploya. wnh r!!16.t rhar.ol. conr..-
xr,o. 9x do itr ,ort. !.d rh. rrcruE.r ,!ol 6l6rr.d o, otir.d to...L
E s*r'on roge I D orn6r or rn. prop6ny. .m .rcrs3to ry conrr..r.,rg *nh rlc i..d
@dr-16lo .oaltuci lh. ,.q-l
o.r. - -- - o*@ts{t
8,,'
5.00
10.00
8.00
4.m
r hd.by.rl,h rhd r.m r'ctir.d iid..n crdrl]on oi or.cla 9. olv'&n 3ol lr.BB6..rn
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5
L
MAYOR
tuliguel A Pulid,o
MAYOR PRO TEM
Sal Tinajero
COUNCILMEMBERS
Angellca Amezcua
P. David Benavldes
Michele Martlnez
Roman Rsyna
Vincenl F. Sarmlento
CITY MANAGER
David Cayazos
CITY ATTORNEY
Sonia R. Carvall,o
CLERK OF THE COUNCIL
Maria 0. Huizar
CIry OF SANTA ANA
PLANNING & BUILDING AGENCY
20 Civic Center Plaza
P.O. Box I988 . Santa Ana, California 92702
www.santa-ana.orglpba
NOTICE TO PROPERW OWNER
Oear Property Owner:
An application for a bullding permit has been submitted in your name listing yourself as the builder of the property
improvements specified at
ot
We are providing you with an er-to make you aware of
your responsiblllties and possible risk you may incur by having this permit issued in your names as the Owner-Builder.
We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned
this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property
owner, obtain the prior approval of the permittlng authorlty.
OWNER'S ACKNOWI=EGME NT AN VERIFICATION OF INFORMATON
S: Read and initial each statement below to slgnlfy you undersland or verify this informaaion.
bu
I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Buildgr'
permit that enoneously implies that the property owner is providing his or her own labor and material personally. l,
as an Owner-Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed
person and his or her employees while working on my property. My homeowne/s insurance may not provide coverage for
those i nluries, I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverag'e for lnjuries to
s on my property.
2. I understand building permits are not required to be signed by property owners unless thoy are responsiblo for
truction and are not hiring a licensed Contractor to assume this responsibility
3. I und€rstand as an "Owner--Builde/ I am the responsible party of record on the permit. I understand that I may
p ct myself from potential Iinancial risk by hiring a liconsed Contractor and having ths permit filed in his or her name
tn of my own
4. I understand Contractors are re quired by law to be licensed and bonded in California and to list their license
nu ers on permits and contracts
5. I understand if I employ or otherwise engage any persons, other than California licensed Cohtractors, and the
total value of m y construction is at least five hundred dollars ($5O0), including labor and materials, I may be considered an
oyei' under state and federal law
6. lunderstand if lam considered an "em ployer' under state and Federal law, I must reglster wlth the state and
fed ral government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to
unemployment compen
sdlious financial risk-il.[ ,/ 7. I understand u
Fsid ent ia I stru ctu re s ca
licensed subcontractors
sation of each'employee." I also understand my failure to abide by these laws may subject me to
nder Californla Contractors' State License Law, an Owner-Builder who builds singte-family
nnot legally build them with the intent to offer them for sale, unless a// work is pedormed by
and the number of structures does not exceed four within any calendar years;- or all of the work is
performed under'conlract wilh a licensed general buildlng Contractor
a ress:
11. I agree that, as the party legally and financially responsible for this proposed construction activity, lwill abide by
icable laws and requirements that govern Owner-Builders as well as employers
12. I agree lo notify the issuer of this form immediately of any additions, deletions, or changes to any of the
rmation I have provided on this form
Llcensed contiactors are regulated by laws designed to protect the public. lf you contract with someone who does nol
have a license, thp Contractors' State License Board may be unable to assist you with any financial loss you may sustain
as a resull of a complaint. Your only remedy againsl unlicensed Contractqrs may be in civil court. lt ls also important for
you to understand that if an unlicensed Contractor or employee of that individual or tirm is injured while working on your
property, you may be held liable for damages. lf you obtain a permit as Owner-Builder and wish to hire Contactors, you will
be responsible for verifying Mrether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, th must bE completed and signed by the property owner and
returned to the agancy responsible for i permit. Nofe.' A coov of the ,rooedy owner's d vet's license.
or verific tion the ,s th ,s
,s the
Signature of Property
Prlnt name of Owner
Owner Datei
2o
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excludlng th€ Notice to Pmperty Owner, the execution ofwhich I understand is my personal responsiblllly, lhereby authorize the
following person(s) to acl as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner-Builder Permit for my
project.
Scope of Construction Project (or Descrlption of Work):
Project Location or Address 3oq L)\dq \O AceeT-3s;lA NrJ+, Cft
Name of Authorized Agent:-SLtureft-qalol
Address of Authorized Agent:
\Lt - 3\Qoz-8g
I declare under penalty of pe.jury that
Information and certify its accuracy.
property owne. for the address llstod above and I personally filled out the above
Property Own6r's Signature:
Priot Nane of owner f€
,^",-I44
Nolo: A copy of lhe ownels drl ense, form notarizallon, or verlfication acceptable lo the agency is roquirod to
be prcsentod when the permil is issued ,o vedfy ahe properly owner'
PLlnkWPsl/Counter Actlvity/Assembly Bills/Notlce to Property Form O3-13-2O14
signature.
SANTA ANA CITY COUNCIL
am
n..
U_
,4_9. I understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any
fir{ancial or personal injuries sustained by any subsequent owne(s) that result from any latent construction defects in lhe
wdhstanshio or malerlals.\,/
4 g. t understand I may obtain more information regarding my obligations as an "employe/' from the lnternal Revenue
Seffvice, the Uniled Slates Small Business Administration, lhe California Department of Benefit Payments, and the
California Division of lndustrial Accidents. I also understand I maycontact the California Contractors' State License Board
(gS\B) at 1 -800-321-CSLB (2752) or www.cslb.ca.oov for more information about licensed contractors.'v'
/l 10.1 am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am
thd party Iegally and financially responsible for proposed construction activity at the following
tl,-t-//
I
Phone Number ofAuthorlzed Agent:
Mquc A. nrldo i 5l TJ"F! i vl.GinF Soni.nlo i r.dde M..rll!! i ^ngdrr
armzox i p o'idg,€tid.s i RorD F.r.rM.yot : U.tt,Prot F.w.d6 : Wlrd I j w6'd 2 i w.r6 3 i W",l o j Wr,oSl9'rrdoro.-r.{..ao : SI!Adg@!ig!:rOrg! i vssm6^loou,,E-.m @ : MrAdh.r6.a.h-"na m : a rmr@6u,xFMm i o8.E\id6ordr.-r.i m : gnSrg@{aL@&!O
CALIFORNIA ALL.PURPOSE AGKTTIOWLEDGMENT clvrl cooE 5ltag
,)f
State of California
)County of ft 4-/
on/o7 before me,n/rU Zlle-
/.-/rru I,/Apersonally appeared a ?,
who proved to me on the basis of satislaclory
ovidonc€ to be tho persorllrr) whose nameJs) isy'r+B
subscribed to the within instrument and acknowlodgodto me that he/she/lhuy exocuted lhe same in
hiynErAreif authorized capaciry)aq, and that by
his/her*heir signature/ls) on {he instrumont lhe
person(g), or the entity upon behalt of which the
persorf!, acted, execuled lhe inslrument.
I cerlify under PENALTY OF PERJURY under ths
laws ol the State of California that lhe loregoing
paragraph is true and correct.
WITNESS my h a official seal
Signatu re
Pr.cc rJot!ry s6.l abova
OPTIONA
fhough lho inlomatlon below is t'!t rcguircd by law,
and could prcvenl l@udulent rofioval aN
il mdy on lho documonl
Descrlption ot Attached ment
Title or Type oI Document:
Document Date:2..--
Signer(s) Other Than Nam€d Above:
Capaclty(les) Claimed by Signer(s)
Signer's Name:Signer's Name
Sign€r ls Represenling: __ _ __ Signer ls Representing:
@ 2012 National Nolary Associalion . NationalNotary o.g . l-8OO-US NO|ABY (1-800476-6827)llent #5907
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4r:rA.r4Arr!&r,aa/l6 rt r9,',lr'tt4A'!!\Erftt'Wrg$ ,-_*-- MARK w MASTERS I: /#'b\ coMM. # 1e2\72e z
E lfr4]ffiIJ *oroa" PUBLTc ' cALtFoRNrAg
i V%, ""..itl.Iiffi lil, ^,' EW
Number ot Pages:
E Coroorat€ Orflcsr - Title(s):
tr lndivldual
tr Panner - E Limited E Gonoral
D Anorney ln Fact
E Trustee
E Guardlan or Conservator
tr olher:
-
fl Corporate Oflicer - Title(s): _
tr tndivk uat
--
CI Partner - O Limited O Genoral
tr Anorney in Fact
tr Trusteo
E Guardian or Conservator
tr Olher: _