HomeMy WebLinkAbout2381 NOTRE DAME RD - Building Permits�
PH0.IECT AOONESS: z 3 8 S NOTRE DAME RD uxir:
�NEfl'SNRME: SIEBCRT, JENNY
noosess: SZEBERT Ei,EONOR TR
2381 NO�I'RE DAME RD
COSTA MESA CA 92626
��-� r (714)545-3`164
AXCHIENGINEEfl: NEG.NO.:
ROOHESS: UNIT:
i PEHMITTEE: MAGIC ROOFING ( 714 ) 632-7047
aooxess: 3071 LA JOLLA
ANAHEIM CA 92806
UCENSEO CONTRACTOB OECNflAT10N: I here�y attirm Iha� I am Iicense0 under pmvisions o� C�ap�er 9(commencing with Section
70001 of oivsion 3 ofihe Business an0 Prolessions Code, antl my license is in fulllorce antl eflect.
ciTruc.:053714 sTareuc.:603271 �tuss: —39
oate: ��bly'v siynature:_ ��
WONREB$'COMPENSATIONOECIABATION: I�erebyaHirmlhal h�ea o C nSen��O5eI6in5ureoraCehi�itateo�Worker5'
Compensation Insurance, or a cenilieA copy ihereof (Section 3800, Lab.
POLICY NO.: EXP. OATE:
COMPANY:
❑ Cetli�ied copY is �ereby �umis�ed. ❑ C¢NIieO tOpY i5 �iled wiih �he tily BUiltling Divisi0n.
Oa�e'. Npplican��.
E%EMVTION FqOM WOBREPS' fAMPEN511T10N �ECIAflATION: (This stt�an necd not Ge co e it �he permit is �or one hunOrtd (511p) or I¢55).
I cerlily iha� in Ihe De�o mante ot lhe work Ior w�ic� lhis per isi�suep"I 5�ali n pl ny person in any mann¢r 5o as to b¢come
subjecl �o t1yJJorkers C pensation laws ol Calitomia�4i% /.
��J��, � //
� �ate'. � Signature' 7L�i .
�
NOT CE: II. af�er making Ihis tleclaration, you s�aultl become subjeci lo tlWNorkers' Compensa�ion Dmvisions of �Ae Laba�
Cotle, you musl fonhvnth comply with such provisions or this permit snall be 4eeme0 revoked.
CONSTNUCTION LENOING AGENCY: I here0y a��irm tha� there is a con5imclion lending agency �or Ihe Derformance ol �he work fo�
which Ihis permil is issued (Seclion 3097. Civ. C�.
lENOEfl:
ROUXESS:
OWNEB BUILOEP OECIAHRTION: I here�y allirm Iha� I am exemp� �mm �he Contrac�ors' S�a�e License Law for Ihe following reason
(Seciion 7031.5 Business and Pmiessional Cotle: Any ciiy ol counry which requires a permit �a consimc�, alter, impmve, demolish, or
repai� any S�mcWre. prior to its issuance. also requires �he apDlicant tor 5uch permi� �o file a signetl s�atemen� �hat he/she is licensetl
pursuanl io ihe D�ovisions oi the Con�racbrt S�a�e License Law (Chap�er 9(commencing wiN Seclion 7000) o� Divisian 3 0� �he Business
antl Pro�essions Co�e) ar tha� he/she is exempl Ihere�mm and the basis for Ihe alleged exemp�ion Any violation ol Sec�ion 7031.5 by
any aoPlicanl for a permit subjects Ne applicant to a civil penalty of not more ihan five hunAretl Oollars ($50�).
I, as owner ol the D�oDerty or rtry employees vnth wages as their sote compensation, will do tAe work, and Ihe
❑ slmc�ure is noi in�enAeO ar oilerea lor sale (SecUon 7044, Business anG Pmfessional Code: The Contracmrs' Slaie License Law
aoes not apD�Y �a an owner ol a D�oDe�Y w�o Oui105 or impmves thereon, antl who tloes such work himsell/herself or Ihmugh
his ar her awn employees, proviAeO Iha� such improvemenis are not intentled or o��ered for sale. If, however �he building or
impmvement is soltl wilhin one year ol comple�ion. Ihe owner will have ��e burtlen ot proving he/she tli0 nol build or imOwve
�or �he purpose ol sale).
I. as owner oi Ihe OmOeriy, am exclusively coniracting with IicenseG conVacmrs m conswct Ihe prolec� (Section 7044, Business
❑ and Pm�essions COUe: The Contractors' S�ate License Law tloes noi apply m an owner o� Dmpeny who 6uAds or improves ihereon
antl who conVacis for such prole��s with a contrac�or(5) hcense pursuan� to the Con�rac�ors' $�a�e License Law�. I am aware
�ha� pmo� ol ��eir Worker's Compensation insurance shoultl be provitle0 b me.
� I am exempi under Seclion: B. 8 P. C.
for this reason�.
oate: Owner
I do hereby cerlify Ihai I am aware oi and untlers�antl the requirements o� Calilomia Heal�h antl Safely Cotle Seclions T5505, 25533, an0
25534 antl �ha� I or any �uiure building occupani will/will no� (circle one) neetl lo com0ly wilh saitl s�a�e codes antl the iequiremen�s br a
permillor consimc�ion ar motlAicalion imm Ihe Air Quali�y Managemeni DislricL Residen�ial cansVuction applications are exempi imm
I�ese provisions. .
Dale: Applitani:
I hereby cetlrfy Iha� av�a�l� apP�ica�ion antl state �Aal� v�li� orr C I ag� to comply wilh all ciry and coun�y
ordinancesantlsl lelawsrelalingtobwldingconslmclionantlhere uthanze presen s 1 iiscirytoen�eruDon�heabove�men�ioneA
properry �or' s ciion p poses.
�� oate: / SignaWre:
oriver's �icense or Socia� Securiry
16<La6 White—Buileino: Green—Cotle Enbrcemenl: CanarV—Aoolicanl: Pink—Revenue: GolOenrod—Assessor
CITY OF'COSTA MESA — BUILDING FERMIT PERM NO: B U56
PERMI'P NO: B 056937 PLI�N CHECK NO: N U , �: N
CONSTRUCTION TYPE; 5—N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : REROOF SFD W/ATTACHED GARAGE S� FT: 3,800
CLAIM VALUE: 3,800.00 CALC—VALUE: 3,800.00 GROUP OCC: R-3 /M-1
COMMENTS; SMOKE DETECTOR(S) RH�UI-RED IN HOME. ��� n�Tc�TO�y
rr�*�r�r�***�***�r*�rx�**�****�***� x*�****��*�***�**���r�e*��r*�** � +�� 3fjE� at R
Z O N I N;GS ERTEBQAUCI�RSE M E N T 5
� REQUIRE�
------------ MAIN BUILDING ---------- --------- ACCESSORY BLTILDING ---------
FRNT; FT IN REAR: FT IN FRNT; FT IN REAR; FT ZN
LEFT: FT IN RGHT: FT IN LEFT; FT SN RGAT; FT IN
PARKING REO• PROV; PARCEL; 14145212 ZNE: REF NO:
PLANNING NfS1'ES> -
i
�r****�t�*�r�e�r***�**��*�r�*x �r**�*�r�r********u��r�r*�r�t�t*+��r*+e***��t**�******u�i:�t*x.�**�**�+�
D E V E L O P M E N T 5 E R V I C E S R E Q U I R E M E�'NI.T S
ZONING APPROVED BY DATE: � ^
BUILDING APPROVED BY : DATE: _ �
APPLICATION ISSUED BY: DATE; �''.� �
IEifiFif3Eik3k3EiEiEiEiEiF3FiFifiEiElfiEiFif if�klFaFlf#�FiEihiE 3FiF� iF
�Fik�FiFiEiEiEiFiEiFifik�FiE3Elfif3f3f1kiflEiEiElFlPiEiFiE�kiFifiEiFaEjF3Fjf3EiFjFiflE fiEififjEfFiliE*3EifjF3fiEikifiF3fiEiFlEi(-jEiF3E3Fif3E�liiFiElEifi6
LEGALIZATION:N . F E E S U M A R Y STRUCTURAL SEGN,ENT;Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 63,00 ,SU
" SMIP/NON—RES
PLAN ��•
IS5UE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL '. PAID DUE
TOTALS----> 63.50 0.00 0.00 63.50 i 63.50 .00
REVENUE DIVISION TOTALS--> COLLECTED; 63.50 OVER/SHORT: .00
BLD63P00 pLUMHING ELECTRIC MECHANIC FZRE SMIP/TO�T GRADING PLAN—CHECK
1 �4
il�iEiFlkif3flf3E3Eifk3EiEiflElk)FiEiEiEiFiEifififlEiFiF#EifiEif�E3E3F�1EifiF#iEjfiElf�le3k3E�f#iFifififiElflFiE'jeiEikiElFjE�P�3EiE�E�fjF3EaEiFiFiE�3E�fiFlfiE* �
I N D I V I D U A L F E£ B R E A K D-O W N
�
TYPE QTY D E S C R I P T I O N.� UNIT COST TOTAL COST
SFR 3800 REROOF BY VALUE RESIDENTIAL NOZONE ��� 1,00 3,800,00
ENU OF FEES
i
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. . ��'
�,:
l71 CIQ1S'�cil—QU72�bi� i �� z
C+4TE: U4'3�,'9? r-;�f: ?1': `
r�ONST�UCi1uN AND PLANNING
PPROVALS Permit # �
. ^
7. Temporaiy Electrical Service or Pole
2. Soil Pipe-Undrgrnd. � : /
3. ElectriWl Conduit UtilityUndrgmd.
4. Electric8l Conduit-Undrgrnd.
5. Steel R¢inforcement
� .6. Electrical UFER Grnd. -
7. Footings �
8. FounddtiOn �� �
9. WaterPipe-Undrgrnd. �-j
10. Structural Floor Sys.em � .' �'
11. Property Sewer Line & House Co�nection
12. Sew�r CaP i. �+
73. Roof Drains � � _
14. Rough Plumbing �
1
15. Rough Electrical-Conduit ;
76. Ro�gh ElectriCWiring �
17. Rough Wiring Sign
1 B. Rough Electrical-T Bar Ceiling ��,.
19. Rough Heating & Air Conditioning '�,
20. Rough Factocy Fireplace , .
21.. DuCts, in Structu�e, . . �
22. Ducts, Ventifating ' �
23. Gas Pipe-Rough & Test
24. Roof Framing � � - � �
25. Roof Sheathinq
26. T�Bar Ceiling (Structurel) & Monocoat
27. Frame and Flashing '
� 28.�Lathing`&Siding - �� �
�
� 29. Insulation ' ' � ' '
-30. Drywall Nailing ��
31. Plaster Brown Coat� '
32. ElectriGal Power Meter-Final
33. Final Electric '
-� �34. Final Heating & AiC Conditioning -
35.' Final Gas Pipe�Test , ' -
36. Hood o�-Canopy� .
' 37.� Final Factory Fireplace � -
38. Final Plumbing ' ' �
.39. Water 5ervice-Final • .
40. Gas Serv�ce-Finai ' ;
41. Solar pomesticFinal �
42. Backflow Preventer
43. Backflow Irri9ation � �
. 44. Landscape Irripation System : -
45. Sound Attenuation
_46. HandicaP Regulatiorls ' - . .
47. PINAL STRUCTURE & BUILDING
48..FINAL PLANNI�IG
', 49. Electric Release`to Edison
�
'� 50. Gas Release to Southem Califomia Gas Co
� 51. CERTlFICATEOF OCCUPANCY
'= Date
�
POOL & SPA
Date inspector pppROVALS P '# Date
i
' ,.
ermit
52. Pool & Equipmeni Location
53. Steel Reinforcement
54. Forms " -
55. Electrical6onding
56. Rough Plumbing & Pressure Test
57. APPROVALTOCOVER-GUNITE
58. Electrical Conduit�Undrgmd.
59. Gas Pipe, � llnd�grnd., Test
60. Backwash Lines, P�Trap, � Undrgrnd.
61. APPROVAL�TO DECK
62. Backwash & Receptor-Final �
63. Heater & Vent-Final
64. Plumbing System . Final
65. Electrical�Final
66. Solac SYstem-Final -
67: Fencing & Access ApProval
68. APPROVED FOR PLASTERING
69. POOL/SPASYSTEMSFINAI
FIRE DEPT. REQUIREMENT �
APPROVALS 'Permit #
� 70. Underground Hydro .
- � �75. ProductPipingOGas ❑Oii
' 72. Underground Flush , ' � "
�� �73! Undergrnd�.Storage Tank�O Gas O OiI
. � 74. Overhead Hydro• � .
' � 75. Qry Chemical . -
76. Dry StancJpipe � �
�• 77: FIXED SYSTEM FINAL
f. 78. FIRE PREV. FINA�
� R HEALTH DEPT. REQUIREMENT
�
'� 79. FINAL INSPECTION
`��; 80. FOOD CERTIFICATE ISSUED
;�:' '� Notes: ' _ ,
Z `- /''
. ._,
^� r
, IV-�
Inspector�
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OWNER
fOB ADDRESS ,
BUILDING PERMIT NO.
GENERAL CONTRACTOR Dike & C012gPOA2 VALUE $ 13, 690. oo ��
AP. No. LOT 111 TRACT 2955t� zoxe DESCRIPTION OF WORK Res. & Ab. Gasage �
GR011P 7& J TYPE V ZONE � PLAN NO. F,41 l
INSPECTIONS I DATE I gUBCONTRACTOR I ��� �
DATE NUMB
brown coat
Final Gas Test / y'�
- r�
` ;�' �:���
•� -
COSTA MESA BUILDING DEPARTMENT
P. O. BOX 31�
COSTA MESA. CALIFORNIA
; �i� �L�iLd�J:��s'
�`�'�-�t8 <��
FINA�r'CE DEPT.
cirv o� cossA r��sn
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
nooRess 23g1 Notre Dame Road ' BU I LD I NG
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. �RMIT NO.
OWNER Amherst Develo ment Co. �
�'7 n RECENE� BY DATE RECEIVEO DnTE i55UE�
AD�RE59�9 F'. �'/t'1'1 `St'.
�,•�----- �-�i-�l JUN 1 3 1958
Costa Mesa TE�1 81159 BUILOING
CITY N ADDRESS
ARCHirec ar 90I1 8 TOO �ic. COSTA MESA. CALIFORNIA
OR ENGINEER NO.
ADORE55 Garden Grove FIRE �
py� ZONE
e 0 eb��0e� nC• �,r� ���. 7333 ���E yyy��� NO.OF TYPE GROUP
,J PLANS `/ �
CONTRACTOR �NO. I � �
ADDRE55 t •�COSfiS Mesa TNo:Li 81159 BPPROVED DATE [
`EOAL �oT 111 Tz955 CORRECTIONS '
oESCr+iPnOrv NO. BLOCK TRAC '
A,P. NO,
SIZE 70 X loo NO.Oi BL�GS. n�ne
OF LOT rrow or+ �or
lJSE OF
EXIST�NG BLDG.
SETB>CK LINE FROM ,^
CErvTEa oF SrRE[r �J�J� REAR YARD 2O� '
SIOE YARD RIGHT S� LEFT g�
DESCRIPTION OF WORK.
NEW X ALTERATION AOD�TION
REPAIR MOVING OEMOLISH
S Z'E DING 1Wl S f`t ROOMS V STORIES �.
EXTEftiOR WALL StiUCCO COVOERING CON
COVERING P
USEOFNEW Single family residence
BU�LDING
garage attached
Plan 750BR
I HEREBY �1CKNOWLEOGE TH/T I HnVE FEA� TMIS PPPLICnTiOrv nND
STPTE THAT TF1E ABOVE IS C RRECT RNO AGREE TO COMPLV WITM ALL
CITY ORDINFNCES TNO ST Ld WS IiEGULI�TING BVILOING CONSTRUC-
Tiorv. VALUATION
SIGNATURE OF � / PERMiT FEE � 2�00
PEf2MITTEE ^ w 13,690�VV PLAN CHECK � 1��Qo
� Ip
AUTHORIZED AGENT DlICB & Colegrove, I C• TOTAL FEE $ µo�OO
Mi!
OWNER BI,AC$� I,ANSFORD F�. DATE 3�6-59
JOB ADDRESS 2381 Notre Dame Rd/ BUILDING PERIWT NO. 890�
GENERAL CONTRACTOR Owner - Builder VAL[IE $ 10%.0�
AP. No. LOTul TRACT 29SS PIRE ZONE DFSCRIPTION OF WORK B10Ck W31�.
INSPECTIONS — DATE gUBCONTRACTOR ��v�V
DATE NUMBER
1'renehes Forms Steel 1/J,L, .��
and
coat
Final Gas Test
;
��- ���o
.;
COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31] '
COSTA MESA. CALIFORNIA �
��E R�CE4�E0
MAR 26 1959
FlNAftCE OEPT. �"�
rm nc rncrs �sa
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING 2381 Notre Dame Rd. .� •BUILDING
A�DRE55
COSTA MEsn. cnuFORNin � FOR OFFICE USE ONLY
OWNER Lansford F. Black �� RE�E�PT ��. � O�
MAIL FE IVED 9Y OM1TE� R/ECEIVE qTE ISSUEO
aooREss S87IIe 3-c�rv- �-�-5�%
CITY v�9�+g Mesa TN01,��7��('to ADORESS
ARCHITECT ��c. COSTA MESA. CALIFORNIA
OF ENGINEER NO.
FIRE
ADDRE55 ZONE
' 20NE NO.OF TVpE GROVP
CITY �IC. PLnNS '
CONTRACTOR NO.
�TEL APPROVE� �-, l��
ADDRE55 NO. BY DATE CT
�E�A� �or 111 �c35)C CORRECTIONS
oescr+ipnoN NO, BLOCK TRAC
A.P. NO. ' �
.� � n Il '• �. 4Y
SIZE NO.OF BLOGS. OTle w�
OF LOT riow o�v �or .:` h." A; �
USE OF . �,!�j �� (i. 1_`,, :���1 i4i�sfi
EXISTING BLDG.
SETBPCK LINE FROM (/� L � � � ��+ , �"r �
CENTER OF STREET L/ O�'/ REAR YARD �� SUE3.ICLT �G B �G. DEPT. REG.
'�
S�OE YARD RIGHT LEFT �� /)
� DESCRIPTION OF WORK i3Y, o� �D� ���� s
NEW � ALTERATION ADDITION
REPAIR MOVING DEMOLISH
BUILDING NO.OF -
SIZE ROOMS STORIES '
EXTERIOR WALL ROOF
COVERING COVERING
USE OF NEW /�. � ` �
BUILDING Vl I' � J LC
/�- �o�� w ��
The Amount s�own under valua!ion is Por the
I HEPEBV ACNNOWLEOGE TMLT I XAVE RERD TMIS APPLICFTION ANO purpose of estabiishing a permit fee only.
$TATE TN4T THE ABOVE IS CORRECT PNO FGREE TO COM V WITM RLL
CITV OROINPNCE$ RNO STPTE LAWS REGULiTING 6UIL ONSTRUC�
norv. ALUATION O�
SIGNATURE OF PERMiT FEE $ a�
PERMITTEE �
� L /J �� PLAN CHECK S
$ a / `L ')
AUTHORIZEO AGENT� TOTAL FEE $�. v�
nMr