HomeMy WebLinkAbout2333 NOTRE DAME RD - Building Permits;� CITY OF COSTA MESA �
B!/ILDIMG DIMIS/ON '
DEVELOPMENT SERVICES DEPARTMENT
' ' PERMIT
(714) 754-5273 • Fax (714) 754-4856
Job Address: 2333 NOTRE DAME RD
Suite No
Vicinity:
Parcel Nunmber: 14146229
Applicant: NOCK,RON
Address: 11612 KNOTT ST
GARDEN GROVE , CA
Owner: HOLM, BRAD A
Address. , 2333 NOTRE DAME RD
COSTA MESA,CA
Contrector: NOCK PLUMBWG
Address: 11612 KNOTT ST
GARDEN GROVE , CA
. ArchlEng: . .
Address:
DISHWASHER.
ISSUE FEE
BackFlow irrigation
Backflow Preventer
Bathtub
Clarifier System
Connect (Ice,Soda,etc)
Dental Units
Dishwasher
Drein, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (1� outlets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oiq
Interceptors (Sand Auto )
AMT
$22.00
$0.00
$0.00
$0.00
$0.00
$o.00
$0.00
$8.75
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
so.00
$0.00
Qn
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
PLUMBING PERMIT
Phone: 714 895-1246
Zip: 92841 �
Phone:
Zip: 92626
Phone: 714 895-1246
Zip: 92841
License:- 707775
Phone:
Zip:
License:
SCOPE OF PERMIT
FEE SUMMARY
AMT
Laundry Tub / Washer $0.00
Landscape Irrigation $0.00
P-Trap $0.00
Pressure Regulator $0.00
Process Piping (per 10 ft) $0.00
Receptors $0.00
Septic Tank ` $0.00
Sewer Cap for Demo $0.00
Sewer Connect $0.00
Sewer Private Line ' $0.00
Shower $0.00
Sink, bar $0.00
Sink, commercial $0.00
Sink, Floor � $0.00
Sink, kitchen $0.00
Sink, service/mop - $0.00
Spa (private) $0.00
Spa (public) . $0.00
QTY
0
0
0
0
0
0
0
0-
0
0
0
0
0
0
0
0
0
0
COMMENTS / SPECIAL CONDITIONS
C,�} G
• PERMIT NUMBEF � a
P99-00055
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 02/02/1999
Issued: 02/03/1999
SumpPump
Swimming Pool
Trap Primer
Urinal
Vacuum Brkr Bkflow(1-0)
Vawum Brkr Bkflow(5+)
Wash Basin
Wash Basin Set '
Waste and Vent System
Water Closet (Toilet)
Water Heater / vent
Water Piping (Inst or Rep.)
Water Re-pipe
Water Service
Water Softener
OTHER
VIOLATION
PLAN CHECK
REINSPECTION
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
so.00
TOTAL CALCULATED FEES: $30.75
QTY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
n
EXPIRATION: This permit shall automatically expire and become void if work is not commenced wi�hin 180 days, or if work is suspanded or abandoned
for a period of 180 days.
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inapectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit.
FOR INSPECTIONS CALL: (774) 7545626
WORKERS' COMPENSATION DECLARATION: � � �
I hereby attirm untler penalty of perjury one oF the tollowing declarations:
❑ I heve and will meintain e certificele of consent to selt-Insure for workers' compensetion, es provided tor by section 3700 of the Labor Cotle, tor Ihe peAortnance of Iha
work for which this permii is issued.
�I have anC will maintain workers' compqnsetion insurance, as required by section 3700 of the Labor Code, for Ihe DeAortnance ot the work for which Ihis pertnit is issued.
My workers' com ensation Insurance cerrier and po�licy Gnum6er are: r� C ��i�/
Carrier: �rJ(�` ��C,�— PolicyNumber. �i�-�e-`1��<� 3 �"�Y'Q7
(This section need not be camp/eretl il the pbrmlt is valuetl a( one hundred dollars (5100) or less.)
❑ I certily Ihat in the perfortnance of th� �york for which ihis pertnii is iuued, I shall not employ any Derson in eny manner so as to becoma subjact to lhe workers'
compensation laws of Celifornia, and �gree Ihflt it I shoultl become subject to the workers' compensation provisions ot Section 3700 ot Iha Labor Cotle, I shall torthwl(h
comO�Y with Ihesa pmvisions. ,
IL c
Applicam Signeture: � Date: � 7 T �
WARNING: FNLURE TO SECURE WO 1 S' CdaPENSATIIXJ COVERAGE IS UNL4WFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
TFIOUSAND OOILAFE ($100,000), IN AODITION TO 7HE WST OF COMPENSATION, DAMAGES AS PROVIDED F-0R IN SECr10N 31060F THE IABOR CODE. IMEREST, AND ATTOFNEV'S FEES.
LICENSED CONTRAGTORS DECLARATION:
I hereby eKrm ihat I am licensed under Dro�sions3� Chaptac9 (commencing with Sectlon 7000) of Division 3 ot the Business an�tl P�of� ons Cotle, entl my license is in tull
force end ettect. Lia k %C� i/% j Class u .S
Contractors Signature: �/�S��z--� Date: "Z— � —S S
CONSTRUCTION LENDING AGENCV:
❑ I hereby attirm ihet �here is a construction lentling agency for the perfortnance of the work for which Nis pertnit is issuatl. (Sac. 3097, Civil Code).
Lenders Name: Lenders Address:
Signature: Oate:
OWNER-BUILDER DECLARA710NS:
I hereby aHirtn thet under penelry of perjury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowinq reason (Sec. 7031.5, Business entl Professions
Code: Any ciry or counry which raquires a p9�it ta construct, alter, improve, demolish, or repair any siructure, pnor ro its issuance, elso requires the epplicant for such permlt
to flle a signetl stetament that �a or she is IiCensed pursuent Io Ihe provisions of i�e Contractors License Lew (Chapter 9(commencing with Section 7000) of Division 3 oi t�a
Business ana Protessions Cotle) or that he or she is exempt iherefrom and the 6asis tor the allegetl exemp�ion. Any violation of Section 7031.5 by any epplicant tor e pertnit
subjecls Ihe epplicant to a cial penalry of not more Nan five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as thelr sole compensation, WILL DO TNE WOHK, entl lhe siruclure is nof inlentletl or offeretl for sele (Sec.
7044, Business and Protessions Cotle; The Contractors License Law does not apply to an owner oi properry who builds or improves ihereon, end who does such work
himsaN or herselt or through his or her own employees, provided that such improvemenls are not intentlad or otteretl for sele. II, however, t�e builtling or improvement is
sold within ona year oi completion, the ownerDuiltler will have the burden oi proving that he or she did not build or improve tor purpose of sale.).
❑ I, as owner ot the pmperty, am E%CWSIVELY CONTRACTING WI7H LICENSED CONTRACTORS to consWct t�e prolect (Sec. 7044, Business antl Professions
Code: The contracmrs License Law does not apply to an owner of property who builds or impmves thereon, and who contrects for suc� prolect with e contrector(s)
license purSuaN to iha Conlraclors License Lews.).
❑ I am exempt under sec.
Signature:
Owner ID venfied by dnver's license. q Yes ❑ No
Business antl Protessions Code for this reason:
Veriflcation of Ownership by (rype oi tlocument, i.e. - property tan Dill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION:
Dnvers License No.
Date:
E:pires:
❑ I hereby certity that no excavetion fivq (5) or more taet in tlepth into which a person is required to descenQ wlll be metle in connection with woiic aut�onzetl Dy tNs
permit, antl thet no 6ulltling structure, sceXolding, talsework, or demolition or dismantling t�ereoi, will be more then thirty-six (36) leet high. (Chap. 3,2, Grp 2, An 2, Sac.
341, Title 8, Galifomia Atlminisirative Cotle).
❑ As owner-buil0er, I will not employ enyone to do work which would require a permii irom the Division of Industrial Safery, es noted above, unless such person has e
permit to tla such work from the division.
Signeture: Date:
Division oF Intlustnal Safery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORVATION OF ENTRV: I certify under penalry of perjury iha� I have read �his application and state that the informetion given is
correct. I egree to comply with all state laws and ciry ordinances relating �o building construction, and authonze representatives of Ihe Ciry of Costa Mesa to enter upon Ihe
above-described property for inspection puryoses. I agree not to occupy or allow wcupancy ot any building authorized by ihis permit until fnal inspedion.
COpE �. INSPECTIONTYPE ��jEtl,,. �LS
7616 Fixed System Finel Fire Prevention
7266
200
201
202
203
Pool Spa Final
Final Re�Roof
Final Block/Fetaining Wall
Final Factory Fire Plece
Final Sign
204 Final Demolition
IIS.:fY
�—�ta � �
Date
CODEt INSPECTIONTYPE
206 Final Mechanicel
208 Final Plum�ing
210 Final Elactncal
212 Final Fire Prevention
220 Flnal Planning Approvel
222 Final Site
250 Final Building/Occupancy
�� ��
�OWNER TROSAN LAND CO.� DATE 6-13-58
JOB ADDRES$ 2333 Notre D31Re ROBd BUILDING PERMIT NO. 6902
GENERALCONTRACTOR Dike & COlegrove VAL[iE $ 12�510.00
AP. No. LOT 102 TRACT 2955�i� zoxe DESCRIPTION OF WORK � Res. & At. Gesa.ee
GROUP T R.T 'I'YPE V ZONE Rl - PLAN NO. 6902
INSPECTIONS _ � DATE I SUBGONTRACTOR
brown
.�.
�: ��r�'' 6�ii2
COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31�
COSTA MESA, CALIFORNIA
���:� ��ct�����
�_ �2- 5 � ��.L
FINAf`CE DEPT.
GITY 0� �OST.q MESA
FOR APPLICANT TO FICL IN• APPLICATION FOR PERMIT
ADDRE'ss 2333 Notre Dame R.oad B U 1 LD I N G
/ COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
OWNER Trojan Land Co• RECEIPT NO. PFJl�.��Q.^
v li�
MAIL RECEIVEO 0Y L1FTE RECEIVED OATE ISSUEO
ADDRE55419 E. 17th St. �—,- JUN 1 3 195
Costa Mesa TE`Li B1159 BUILDING
CITY n NO. ADORE55 �
ARC�- -CT�/� $OR �C� e roo �C_
oR' 'eeR No. ' COSTA MESA. CALIFORNIA
FIRE
AODRE55 G'1a•rden Grove ZONE
DJ.FB & Colegrove,��r� ���. 7333 �ONE p�qHs TYPE GROII
CONTRACTOR NO. Y
ADDftE55T � E• 1/�11 Jy�� TNOLl• 81159 ByPROVED DATE
�E�p� o a esa ^(] CORRECTIONs
DESCRIPTION N�T �O� BLOCK TRACTGJSS
A.P. NO.
SIZE �yyy7�qy NO.OF BlOGS.
oF LOYYt7"7C'iF' riow or+ �or II�RO
USE OF none �
EXISTING BLDG. .
SETBSCK LINE FPOM C fiI 261
CENTER OF STREET J REAR VARD
� 8�
SIDE VARD RIGHT S LEFT'
DESCRIPTION OF WORK
NE� X qLTERATION ADDITION
REPAIR MOVING DEMOLISH
512E DING �g0 sq ft ROOA15 " STORIES �
EXTERIOR WALL Std1CC0 ROOF COID
COVERING COVERING P
useoFNewSingle family residence
BUILDING
garage a ac e
an 73oHR
I HEREBV PCNNOWLEDGE TMAT 1 HTVE PEAD THIS tPPLICFTION RND
STTTE THAT THE RBOVE I$ COFRECT AND 4GREE TO COMPLY WITM ALL
CITY OROIN>NCES 4NO 5 TE LP�NS REGVL4TING 9UILDING LONSTFVC� �
T�oN. VALUATI ON M
SIGNATURE OF PERMiT FEE $ 3O�W
PERMITTEE �v.
� M PLAN CHECK S 1S�w
=1' $ ZZ��Z��W ' I�C M
AUTHORIZEDAGENTD1tie and Colegrove�.Inc. TOTAL FEE $ µJ�W �eMF
Date
or
BUILDING
DESCE2IPTION OF WORK
FIRE ZONE VA
SUBCONTRACTOR
,-r� 24$Q9
�t�
'c,vSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 977 COHTA M69A. CALIFORNIA
For Applicant to Fill In Complately
' ' .TYpE OR PRINT
ADDRESS�G��J N�TQC �.� /
COSTA� MESA, CALIFORNIA
/��/ �. �/' ._.
OWNER / ��fU G /•
MAIL z313 I�1�/DiK� ��/Y�_ QH�
•OORESB
AP""TECT , TEL.
O 11NEER NO.
c�Tr
STATE. }'7D � J/ NEL:
LIC. NO: /
.�
oF iar �'7 G j( �_�oa
USE OF � )
EXISTIN6 BLDG. .L
BETBACK LINE PROM -
DESCRIP.TION OF WORK
�sTY �r �;������ M�;
APPIICA�Qf�I gO�t '��IT
BUILDIN6
For 9fflce_ Usa Qalv
FIRE
-�� ! ZONINCi v
7pN{ NO.O� . U860PNCW
; �\ PLANB DUILDINO �
��— y� 1
DeBCR�I1'ION 1_ o� ��.i—� I //\ cY' / �
A.P.NO. /��6�-��a- 1�
NOTE: NO EAYE OYERHAN6SHALL HE LE557HAN
YARDSAPPROVEO I YAROSAPPROVED
MAIN BUILDIN6 ACCESSORY BUILDING
(FROMC/L9TRE�1_. / . .
L.81D ' � F
REAR FT. F
O19TANGE BET. ' ' BET. MAIN B
MAIN BLD68. 'ACCES9. BLI
VAR.SC , ' DATE.
G.U.P.Jk ' ^ APPROVbD
MVROVED /� I/ _ r.er� � /1 -
USE OF BUILOIR6 ANp WORK TO BE PERFORMED -- // / � .
✓
1
eo.�e ia
� � 50. FT. � .
I HEREBY ACKNOWLEDOp TNAT I HAVE READ THI6 .�PPLICATION THE AMOUNT BHOWN UN�EH YA�IIATION 18 FOq THE
/.NO STRTE THAT TH8 ABOVfi IB CORRECT AND AOREE TO COM. PURPO56 OF 65TABL18HIN0 A PEPMIT FEE ONLY.
PLv W�TH wlL cITY Oqp�N�NC68 AND BTA LAWB piODUT�NG ypLUAT10N r
eOILDW� CONBTRUCTIOry, (�Q J
SIGNATUREOF " PERMITFEE S
PERMITTE � � -
' ' ' S� 7 5 PLAN CHECK $
AUTHORIZED A6ENT � - ��� •
TOTAL FEE