HomeMy WebLinkAbout2391 NOTRE DAME RD - Building Permits� �
CITY OF COSTA MESA
' ,` _ � BUILDI G DIVISION Q �"
; DEVELOPMENT SERVICES DEPARTMENT �,� p— dI Lr�3
J `'
'4 � � PERMIT PERMIT NUMBER
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698-01683 ✓
(714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT �.-�j
Job Address: �L391 NOTRE OAME RD
Suite:
Viciniry:
Parcel Nunmber: 14145214
npp�icant: HUGHES, PHIL
Address:
��.�r.
Owner: DAVIS, JAMES B
Address 2527 DUKE PL �
; ./', -
' COSTA MESA,CA
i� , �
Contractoi: . � � �
Address:
Arch / Eng : ,
Address:
Zoning:
Phone:
Zip:
Phone:
Zip: 92626
Phone:�,
Zip:'
License;r�
... y.
"Phone:
Zip:
License:
Status: ISSUED
Applied: 09/21/1998
Issued: 09/21/1998
SCOPE OF PERMIT
� �� .T/O EXISTING AND REROOF WITH 25 YEAR COMP AND A/2 SHEATHING. ROOF WAS DONE W/O A
` SHEATHING INSPECTIONS, PERMIT N/AS OBTAINED AFTER THE ROOF WAS INSTALLED. ROOFING
. � CERT. IS ATTACHED TO PERMIT. �
� , . ,
' -FEE SUMMARY
Plan Check: $0.00 - � Calc Valuation: Ss,eoo.00
Permit: $87.25 Claim Valuation: - S3,aoo.00
SMIP Res: $0.50 ,
SMIP Com: $0.00
'Other:" $0.00 � � � �
Inspection: ' $0.00 ,
Total: 587.75 � � �
� � �PLANNING`& ZONING �. � -
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existin : o
NOTES:
Rear 0-0
Rear 0-0
Required: 0
Left 0- 0
LeR 0- 0
Pr000sed: 0
i
Right 0= 0 -
Right 0- 0
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, oi if work is suspended or abandoned
for a period of 180 days.
INSPecTloNs: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inspectlona and finel approval must be obtained. Failwe to obtain inspections antl final approval will resul� in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSATION DECLARATION: r
I hereby attirm under penalty of perjury one ot the following daclaralions: ♦
❑ I have antl will maintain a certificate of wnsent to setl-Insure for workers' compensation, as provided for by section 3700 ot the Labor Cotle, for the pertormance of the
work for which �hi5 pertnit is is5ued.
❑ I have end will maintain workers' compensa6on insurance, as required by seclion 3700 of ihe Labor Cotle, tor t�e peAormance ot Ihe work for which this pertnit is issuatl.
My workers' compensation Insurance wrtier and policy number are:
Cartier. Policy Number:
(lhis section need not be complefeC i/ Me perm/f is velued at one hundred dollars ($100) or /ess.)
❑ I certiy thet In ihe pertormance oi t�e work for which Ihis permit is issued, I shall not employ any pereon in any manner so as to become subject to the workers'
compensetion laws oi Califomie, antl egree that if I should become subject Io the workers' crompensatlon provisions of Sectlon 3700 oi Ihe Labor Cotle, I shall forthwith
comply with theSB provisions.
Applicant SlgnaNre: Date:
WARNING: FNLURE TO SECURE WORKERS' CIX.IPENSATIIXJ COVERAGE IS UNLAWFUL AND SMALI SUBJEGT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
TMWSPND DOLLARE (5100,000), IN ADDITION TO THE WST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECiIIXJ 3]O60F iHE LABOR CADE, IMEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby ettirtn Ihet I em licensetl under provisions of Chapter 9(cammencing with Section 7000) of �ivision 3 oi Ihe Business end Protessions Code, antl my license is in full
torce and eHact Lic. # Cless k
Contradors SignaWre: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirtn that Ihere is a construction lendinq aqency for the peAormance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lenders Name: Lender's Atldress:
SignaNre: Date:
OWNER-BUILDER DECLARA710NS:
I �ereby aHirtn Ihat under penalry of perjury that I am El(EMPT FROM THE CONTRACTORS LICENSE LAW for Iha following reeson (Sec. 7031.5, Business entl Professions
Code: Any ciry or counry which requires a pertnit to construd, alter, Improve, tlemolis�, or repalr eny structure, pnor ro its issuance, elso requires t�e applicant for such permit
to file a signetl stetement ihat he or she is licensed pursuant to the pmvisions at ihe Coniractors License Law (Chepter 9(commencing with Sedlon 7000) oi Division 3 af ihe
Business and Professions Code) or tha� he or she is exempt Ihereirom antl the basis for ihe alleged exemption. Any vidation of Section 7031.5 by any applicant for e permit
subjeCts Me eppliwnt to a civil penalry of not more then five huntlretl tlollars ($500).):
J� I, as owner ot the property, or my employees wilh wages as Neir sole wmpensalion, WILL DO THE WORK, and the 5trucWre is not intentletl or oHeretl for sale (Sec.
7044, Business antl Professions Code: The Contractore License Law tloes not apply to en owner of property who builds or improves ihereon, and who tloes such work
himself or hereelt or through his or her own employees, providetl i�at such Improvements ere not intentled or offered tor sale. If, however, the builtling or improvement Is
sold within one year of comple�ion, t�e owner-builder will have the burden of provin91hat he or she did not build or improve tor purpose ot sale.).
❑ I, as owner of the property, am'EXCLUSIVELY CON7RACTING WI7H LICENSED CONTRACTORS to construct the project (Sea 7044, Business antl Professions
Cotla: The coniractors License Law Coes not apply to an owner oi property who builds or impmves thereon, entl who contrflcis for such prqect with e contrector(s)
Iicenseyarso�9NqJde OOMractors License LawsJ.
�
Owner ID venfietl by tlriver license.
Venficalion ot Ownership (rype ol
�Business and Pmlessions Code tor this reason:
f n Date:
❑ Na Dnvers License No. Expires:
properry tax bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION:
❑ I hereby cently that no excavatlon five (5) or more feet in depth into which a person is required to descend, will ba made in connedlon with work euthodzetl by t�is
pertnit, anC that no building structure, scaHolding, falsework, or demolition or tlismamling thereot will Ce more then thirty-siz (36) feet �Igh. (Chap. 3.2, Grp 2, An 2, Sec.
347, lltle 8, Califomla Adminlstretive Code).
❑ As owner-builder, I will not employ anyone to tlo work which would require e pertnit irom the Division of Intlustnal Safery, as noted above, unless such pereon hes a
permii to do such work from the division.
Signature:
Division of Industrial Safery Permii Number:
Date:
CEHTIFlCATE OF COMPLIANCE AND AIJT}iORQATON OF ENfHV: I certify under penalry of perjury that I have read t�is application and stata Ihet the intortnation given is
. egree o-comply with II state laws end ciry ortlinances releting to building construction, and authonze represen�atives oi the Ciry ot Coste Mese to enter upon the
flbove- s ri e pr perty tor' ec' � ryoses. I eg e ot to occupy or allow occupancy of eny builtling authorized by t�is permit until tinal inspeclion.
� � 9/2i �9S"
Signature Of el Owner(s) Date
COOE /. INSPECTIONTYVE
1816 Fized System Finel Fire Prevention
7288 Pool Spe Final
200 Final Re-Rooi
201 Final BIocWRetaining Wall
202 Final Fectory Fire Plece
203 Final Sign
204 Final Demolition
2H6d6
iv.n�cuu�a�y
9 Zz-9tf �
COpE� INSiECTIONTYPE
206 Final Mechenicel
20B Final Plumbing
210 Final Electdcel
212 Final Fire Preventian
220 Finel Plenning Approval
222 Final Site
250 Final Building/Occupancy
Q�u
OWNER ���, LFANARb K.
7os aDnxEss 2391 Notre L
GENERAL CONTAACTOR Owne�
Power
OCCUPANCY
Form 21�SM-71-59 S-B P
DATE
. g '"`�`
�µJ
1-9-61
DATE
BUILDING PEAMIT NO.1
VALUE $ �p�{(�
DESCRIPTION OF WORK A1tE
SUBCONTRACTOR
13628
" � �..3G��£�3
GOSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COBTA ME6A. CALIFORNIA
For Applieanf fo Fill In Complefely
TYPE OR PRINT
BUILDING a39/ N�7c�.e D�Imr oz �
ADDRESS
COSTA MESA. CALIFORNIA
OWNER %i�ONARD K. NO�N
ADDRE55 a 3 9 � NOTR�' D� �%E ��
TEL. K�
c�n COS77-1 A7E—S/-1 !'AL No. SiS73
ARCHITECT TEL.
OR ENGINEER �� NO.
ADDRESS '�
r.nniranr�mw
�w,vc a - �Sui�oo2
� SIZE � NO. OF BIDpB.
� BETBACK LINB' FPOm
DESCRIPTION OF WORK
BUILDING NO. OF
812E " ROOMS STORIES
EXTERIOR WALL ROOF
COVERING COVERING
USE OF BUILDING AND WORK TO B6 PERFORMED
ALTt/7 �f�2AGE dJoa �t
I HEREBY ACKNOWLEDOE THAT 1 HAVE READ THIB MPLIGTION
ANO BTATfi THAT TXE A90VE 18 CORRECi ANG AGREE TO COM-
PLY WITX ALL CITY OR�INANCEH .�NO R'�ATE LAWB ftEGUL1TING
ew�.c�+ia conaraucrl 1.
31GNATURE OF )' /�
PERMITTEF
� AUTHORIZED AGENT
F� RECEIV�D
�jpN l 0 ta��
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
RECEIPT NO. I PEFMIT 1
BY
Bnno°�cc I
�
l£OAl
e
�si�w���
MESA. CALIFORNIA
ZONING
NO. OF e� � I VBE OP N
PLANS f� BWLDING
LINE eTJ
i � .i
_U_�/�..
TXE qMOUNT 9XOWN UNDER VALUATION 18 FOR THE
PYRP086 OF EBTqBLIBHING A PERMIT FEE ONLV.
VA W ATION �7
� PERMIT FEE $ •y �
$ /� / � J� PLAN CHECK $
/ � �
� ��8�� F�E �ECEiVED
CbSTA MESA BUILDING-SAFETY DEPARTMENT 3' �� � r���
P� O. BOX 31] COSTA MESA. CALIFORNIA F�ppN�,E.neDTEPT•
fOR APPUCANT TO f/LL /N COMPLfTf[Y APPLIC'A`I'ION O'R tPEE�RMIT
TYPE OR PRINT BUILDING
eui�oiNq�3 9/ /(/O% L. Q E RD
wooRess
COSTA MESA, CALIFORNIA FOR Off/CE USE ON[Y
�� 'jO �� I flECEIpT NO. I PE I NO
OWNER /7 �
MAIL G REC�EI�( O BY I DATE EC IVED I ATE 1 UE
AD�RESS �j�IYI � �.,5 � /S� �� � 3 �
TEL. BUI DING
CITY NO. ADDRE55
ARCHITECT tic. COSTA MESA, CALIFORNIA
OR ENGINEER NO.
ADORESS ZQRj,�E t'.�7E �'011P
STATE qPPftOVED
CONTRAGTOROWENE/L- ISUlLpt/ttIC.NO. BY DATE
ADDRE55 ZONING
LEGRL LOT jI �YS.1! ZONE IMO.OF IUSEOFNEW
UESCRIPTIQN I NO. � I BI.00K ITRACT rPLANS BUILDING
A.P.NO. APPROV /. Y,/�� DATE�—�f0�
BY O'
SIZE rvo. oF e�ocs. yqRDS � ��EVES
OF LOT r�ow orv �oi REQUIRED ALLOWED
USE OF fCENTER LINE 6TJ
EXISTING BLDG. FRONT FT. iN.
SETBACH L�NE FFOM Z���� ��
cerv•ea oe srAeer J REAR YARO R. SIOE FT. IN.
/�
SIDE YARD ILEFT � RIGHT ��_
L. SIOE FT. IN.
DESCRIPTION OF WORK
REAR FT. IN.
NEW ' I �IALTERATION I IIADDITION I
REPAIR I II MOVING I II DEMOLISH I
5 Z'E �'NC ft0 MS STORIES Building Dept.
EXTERIOPi WALL I ROOF � By Date � 9r
COVERING COVERING
U �(JF qUILDING AND WORK TO BE PERFORMED'
� ONCR�%E �3�oc wq�t F�rolc•" a1lTimes Makenochan 2a `
� out prior apnrovai of Dep�,
ro T 1.�N6 C� G�fl� @o
= .0 G ' /{/dy
I HEflEBy AGKNOWLEDGE THRT � HAVE READ THIS APPLICATION
AND ST/�TE THAT THE q80VE IS CORPECT PNU pGFEE TO COM- THE AMOUNT 6HOWN UNDER VAIUATION IS FOR THE
PLY WITN ALl CITY INFNCES ANO STATE LAWS REGULAT�NG PURPOSE OF ESTABLISHING A PEftMIT FEE ONLY.
6UILOINC CONST u rv. VALUATION . �p_�/
SIGNATUqE O � PERMIT FEE �$ o��.ar L,
PERMITT�E
$ j/� �� PLAN CHECK $ .
AUTHORIIED AGENT TOTAL FEE $ �� �
-OWNER HORN L. K. � DATE �_p(�_�,q
JOB ADDRESS 2351 Notre Dame Rd, BUILDING PERMIT NO. $$99
GENERAL CONTRACTOR �47IIEp � Ani l Ao� VALL(E $� ]1(.87
AP. No. LOT
INSPECTIONS
coat
Final Gas Test
TYPE
FII2E ZONE DESCRIPTION OF WORK
DATE I SUBCONTRACTOR I DATE
Block Wall
PERMITS ISSUED
I NUMBER
ii••
OWNER Ai�IERST DEVELOPNIEIV'P C0. DATE
GBNERAL CONTRACTOR Dike & COlegTOve VALUE $ 10,702.00
AP. No. LOT l l Z TRACT 9QSS FIRE ZONE DESCRIPTION OF WORK� ReS. & At. Ba.TAKE
I &
�
UED
�INSPECTIONS I DATE I BUBCONTRACTOR I DATE NU
Final Gas
3
^,
- -s'
� � ����
�OSTA MESA BUILDING DEPARTMENT
P. O. BO% 31�
. COSTA MESA. CALIFORNIA
n��:E �tCr.l�l��
G��/y/�s'� �� �-�-
FINANCE DEPT.
nn-rn nI1CCM1
FOR APPLICANT TO FILL IN APPLICATIONLFOR„PERMIT
BUILDING z391 Notre Dame Road " BUILDING
ADORE55
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. PERMIT NO.
owr,eR �e:st Development Co.
MAIL y�� 17th St• HFCErvE� BY LiATE RECE�VEO OATE ISSUEO
ADDRE55 4�-9 �-�_ _�_ ,�— JUN 1 3 195
CITY� VO$ti$ M2S8 TEL. Ll g1159 BUILDING
NO. ADDRE55
ARCHITECT C� SOII 1 B POO IC.
oR eNCINEER NO. COSTA MESA. CALIFORNIA
Garden Grove F'RE
AOO_1R'E55p� ZONE
D131e '�L � egrove, n�+�, CITV LIC. 10NE 6 pOq'OS TYPE '/ GPOU
CONT[�RACTORlIyyy NO. R/' v �
�J E• 1! lill St� ) W BUE �'iO$$ TNO. LZ �Z1S9 ByPROVED DATE
A �RE55
"�a` �oT t� 2955 CORRECTIONS
oEscniPnorv NO. 11� BLOCK TRACT
A.P. NO.
OF LOT I� X 1�� �o. oF a`°`�. none
now orv �or
USE OF �
EXISTING B��G. nOnO
SET84CK LINE FROM 5[� 'z��
CENTER Ov STPEET � REAR YARD
SIOE YARD RIGHT 14� LEFT- lO�
DESCRIPTI'ON OF' WORK
NEW X ALTERATION ADOITION
REPAIR MOVING DEMOLISH
SZIEDING 12zz SCl f}� RO MS/`� STORIES 1
EXTERIOR WAIL ROOF
COVERING StIiCCO COVERING COIII
euE�o�NCEwSingle family residence
garage attached
Plan 72
I HEREBV f�CKNOWLEOGE TMtT I HFVE FEAb THIS APPLIC/�TION AND
STf�TE THFT THE ABOVE IS CORRECT 4NO AGREE TO COMPLY WITH ALL �
CITY OROINFNCES RND ST E LAWS REGULRTING BUILOING CONSTRUC-
T�o�. VALUATION pERMITFEE '$ 2�J�OO
SIGNATURE OF
PERMITTEE - ZO�IO2.00 PLAN CHECN $ ���OO
, _t /' $
AUTHORI2ED AGENTD1ne & Colegz�ove, II1C• TOTAL FEE $ 39���