HomeMy WebLinkAbout2380 NORSE AVE - Building Permits�- �
CITY OF COSTA MESA
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BUILDING D/V/S/ON
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77 FAIR DRIVE, COSYA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER: BC07-00188
PERMIT TYPE: B COMBO STATUS: ISSUED
Sub Type: DEMO_ALL DATE ISSUED: 08/28/2007
ISSUED BY: BJK
JOB ADDRESS: 2380 NORSE AV CM `� ��� �� � SUlte/Unit.�,;� �
APN: 11909231 � � � Zoning , �. ^� �% `
Vcinity: ' � Primary Occ �
ConstType: V-N SQ-F.T>� 885 ` ��Valuationi,, $7,000.00
" .. -
SCOPE OF WORK: DEMOLISH 885�S.Fi��S:F.D. AND CAP ELECTRICAL AND SEWER�`�-.: �>' .
PROP OWNER ADVISED TO CONTACTAQMD PRIOR TO DEMO. '�
OWNER: TRESTIK, SCOTT � � " ' �- AddreSs: �.2380 NORSE AV �. . _ � � - -
Phone: 949-933-6338 � . � � City/StatelZipi. �.COSTA MESA, CA -�
APPLICANT: TRESTIK, SCOTT ,+..r " . Address: 2183 FAIRVIEW RD� - ��
Phone: 949-933-6338 ., . -�� City/State/zZip: COSTA MESA, CA `. ,
coNTRAc70R: OWNER-BUILDER "� �. " • -- � � � .License No. 000000' � � �
Pbone• � ` ' Address: Unit: � . ' . -
Unit:
'� �, Unit: :SUITE 105
Cell: � ,- - City/State:_ - _ . - � ZipCode
ARCHITECT: - �Litense No. � � �� PHONE:� r
ENGINEER: �f � - License No. = - - � � �BHONE� :'
COMBINTATION PERMIT FEE`SUMMARY - '
Building Plan Check: '- . $90.51:' --. � . - .- , _ - ' ,
Building Fees: ' .. , � -. $13925 `. _., � � " �
Electrical Fees: ' $33.30 , ' ,
Mechanical Fees: $0.00 = `;
Plumbing Fees: i �$33 30
SMIPResidential: -'' $070 z�; �
SMIP Commercial: -; $0 00 _ ( �
TOTAL FEES: $297.06 - �f,l,v
^Refer to fee receipts tor all fees paitl tor projsct , `--- -��-- 1
� . �� . �,I��
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NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92) -
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work autnorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspectians and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit.
GOOE R. INSPECTION TYPE
1676 Fixed System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 Final Block/Retaining Wali
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
OATE INTITIALS CODEO INSPECTIONME
206 Finai Mechanical
208 Final Plumbing
210 Final Electncal
212 Final Fire Prevention
220 FinalPlanningApproval
222 Final Site
250 Final Builtling/Occupancy
Or1TE INTI7IAL5
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�
WORKERS' COMPENSATION DECLARATION: �
I hereby affrm under penalry of perjury one of the toTiowing declarations: �
❑ I have and vnll mainlain a ceAifcate of consent to self-Insure (or workers'.
compensation, as prbvidetl �for by sec[ion 3700 of the Labor Code, tor the
peAormance of the wqrk for which this permit is issued.
❑ I have and will maintain workers' compensation insurance, as reduired by
section 3700 of the Ldbor Code, tw Ihe perfortnance o( l�e v.ork for which lhis
pertnit is issued. My vrorkers' compensation Insurance carner and policy
number are:
Carrier
(7�is setl.on nee0 rwi pe cnmpetetl d(he permA�s valve0 af ine �untlietl tlollars (St00) w less )
Policy Number.
� 1 certify that in the peAortnance of Ihe work for which ihis permil is
issuetl, I shall not employ any person in any manner so as to become subject
to the workers' ompensatio lavrs of California, and agree thac if I should
become subjec t worke s ompensation provisions of Section 3700 of
lhe Labor Code I ha (orthwi omply vnth these provisions.
�/a-s/c �
aCo«�n�'s SignaWre Dare
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL ANq SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm Ihat I am licensed under provisions of Chapter 9(commencing
wilh Section 7000) of Division 3 of the Business and Professions Code, and
my license is in full force antl eHect.
Lic. # Class #
Comractor's Signalure Dale
CONSTRUCTION LENDING AGENCY:
❑ I hereby aH'vm tha[ [here is a cons[ruc[an lentling agency For lhe
peAortnance of [he wqrk for vfiich this permit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
OWNER•BUILDER OECLARATIONS:
I here�y atfirm [hal Under penalry of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5,
Business and Professions Code: Any ciry or counry which requires a permit to
construct, alter, improve, tlemolish, or repair any structure, pnor to its
issuance, also requires the applicant tor such permit to file a signetl statemen[
[hat he or she is licensed pursuant to the provisions of the Contraclors
License Law (ChaptEr 9(commencing with Section 7000) of Division 3 0( the
Business and Professions Code) or lhat he or she is ezempt Iherefrom and
the basis for the alleged exemption. Any violation of Section 7031.5 by any
applicanl for a permil subjec[s the applicant to a civil penalry of not more than
five hundred dollars ($500).):
I, as ovmer of [he property, or my employees with wages as iheir sole
ompensation, WILI DO THE WORK, and the sWcture is not intended or
oflered for sale (Sec. 7044, Business and Professions Cotle: The Contractors
License Law does not apply to an owner of properry who builds ar improves
thereon, and who does such work himself or herself or Ihrouqh his or her own
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year.of
completion, the ovmer-builder will have lhe burden of proving that he or she
did not build or improve for purpose of sale.).
❑ I, as ovmer of (he property, am EXCLUSIVEIY CON7RAC71NG WITH
LICENSED CONTRqCTORS [o construct the project (Sec. 7044, Business and
Professbns Code: The cont2clors License Law doas not apply to an ovmer of
property who builds or improves thereon, antl who contracts for such project with
a conlraciw(� license pursuant to the Cont2ctas License Lavrs.). '
❑ I am eJ;�mpt ur�er sec.
Business arltl�Profe$�ions Code'for`�his reason:
JOS]-4fi�310])
,�
Owner ID verifed by dnve� ,nse.�
Expires:
Verification of Ownership by ([ype of document, i.e. - propeny taz bill or deed):
'�DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation frve (5) or more teet in depth into which a
person is requ'ired to descend, will be made in connectpn with �wrlc autFronzed
by this pertnit, antl that no building structure, scafidding, talsework, oi demolition
or dismantling thereof, will he more than �hirty-six (36) (eet high. (Chap. 32, Grp
2. Art 2, Sec. 341, Ttle 8. Califomia Atlministrative Code�.
❑ As ownervbuilder, I will not employ anyone to do work which vroultl
require a permit from the Division of Intlustrial Safery, as noted above, unless
such person has a permit to do such work from the division.
Applicdnfs Signature �ate
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or fuWre builtling occupant neetl to file and
certify a Business Plan (or emergency response lo release or threatened
release o( a hazardous matenal? ❑ Ves ❑ No
(Section 25505 of the Calitornia HeaNh and Safery Code requires, with some
exceplions, that a Business Plan be fletl with the Costa Mesa Fire
Department by every business which has at any one time during a reported
year a quantity of hazartlous malerials equal [o or greater �han a weight o(
500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperature and pressure).
2. Does or will [he applicant or present or NNre building occupant need to fle
a registration lorm tor acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of Ihe California Health and Safery Code, with some
exceptions, requires registration wilh Ne Costa Mesa Fire Department by
each 6usiness which al any one time has on hand a quanlity of aculely
hazartlous matenals equal [o or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet ot compressed gas at standard
temperature antl pressure).
3. Does or will Ihe applicant or present or fuWre building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous matenals)? ❑ Yes ❑ No
(Section 25534 of the Califomia Heal[h and Safery Code provides that Ihe
Costa Mesa Fire Department may require the preparation, ceRification antl
fling vnth the Fire Department of an RMPP by businesses which are required
to register awtely hazar0ous materials vnth the Fire Department.
4. If an RMPP is presently required, has Sec[ion 25534 of lhe California
Health and Safery Code been (ully complied with? ❑ Yes ❑ No
5. Does or vrill �he applicant or present or fu[ure builtling occupant require for
fhe work which is the subject of lhis application a permit for such construction
or modi6wtion from the South Coast Air Quali[y Management Disinct or from
any other air polWtion control tlistrict or agency? ❑ Yes ❑ No
(Section 658502 of Ihe Califomia Govemment Code requires that the requestetl
information be lumished on applica�ions fa rwrnresiCential building pertnits).
6. Will any part of lhe facility to be constructed under this permit be wit�in
1000 feet from the outer bountlaries of a school? ❑ Yes ❑ No
Qf'yes", the facility must meet the requirement of Sections 25534 antl 42303
of Ihe Califomia Health and Safeiy Cotle).
7. If a permit from the Sou[h Coasl Air Quality Management DiSMct or other
air polWtion coMrol disMcl or agency is required for ihe work which is the
subject of this application, have all of the tlisclosures prescribed by Calitomia
Heal[h and Safety Code Seclion 42303 been matle? ❑ Yes ❑ No
8. (If yes", attach certifwte of compliance trom the appropnate air pollution
control officer). . ,
� CERTIFICATE OF COMPLIANCE: I certify �that under penalty of perjury the
information given above iscorrect I agree lo comply with all slate laws and
city ordinances regarding Hazardous Materials and Emissions.
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify untler alry of perjury that I have read this appiicaiion and slate that
the informatio iven corr I agree to comply with all state laws antl city
ordinances reat g t uildi g nstrudion, and authorize represeNatives of
the City of o a M a t en r upon the above-described property for
inspection pur o es. I ree ot occupy or allow occupancy o( any builtlin
authorizetl by t i pertn til ma inspection. G�� /
\ O V
Sinnalure o1 Leoal Ownerlsl Dale
Antllor Aul�onzetl AppliC2nt
r
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c""'�' `2" vO�f.tt� %��e�u �GG:I.��if.�Kl� TiEfft�'r.t�1�i
O�N/�IER-�[,[ILDER
VERtFICA�Tt01�1
Address: �37� �°�3�v tU'�''�'� r`��' Permit#:
��� 7-ab ��-
/� �
A city or county, which is required to gice notice pursuant to Section 19830, shall attach to such notice. and. �s
a condition precedent to issuing a building pennit, require the completion and require the retum of, an o��ner-
builder verificatio��.
Attention Property Owner.
An 'owner-builder' buildine pennit has been applied for in your name and bearine your signature.
Please complete and retum this infomiation in the envelope proeided at your earliest opportunity to a�oid
unnecessary delay in processing and issuing your building pemiit. No buildin�pemiit will bc issued until diis
verification is received.
1 personally plan to provide the major labor �nd materials for conswction of the proposed
propertyimpruvemenL �Yes ❑ ir'o
2. hav /have not)
the proposed work.
3. I hace contracted �� ith the
Name
Address
Phone ( )
signed an application for a building pemiit for
(timi) �o pro� ide the proposed construction:
City _
Contractor's Lic. No.
4. I plan to provide portions of die �aork, but 1 ha�e hired the following person to coordinate,
supenise and provide the major work:
Name
Address _
Phone ( )
City _
Convactor's LSc. No.
5. I will provide some oC the work but I have contracted (hired) the following persons to
provide the �vork indicated:
1Vame
1oa&46 (Rev.11/o4)
Address
Phone Tcpe of ��'urk
y
10/09/2007 �08:5;� 949-515-4484 TRESTIK HARTY _ ,! � PAGE 01
Sent Via Fax — 714/754-4856
10/05/07
City of Costa Mesa
$uilding Department
77 Faic Arive
Costa Mesa, CA 92628
Burt Morgan,
i would like to process an eactension for Building Activitq numbet 806-01714 for one
hundred eighty (184) days. We have been unable to obtain our t�cozded map £rora the
County even though it was submitted over foux (4) months ago. Once th� map is
zecorded we will proceed with procuring the building pernvt.
We appreciate your attention to this matter,
s�ott r�sc�x
Ce Matt Hazty, pennis Wilkinson, file
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VIEW Trestik,Scott, 2380 Norse Ave, Costa Mesa, CA 92627
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OWNER CALT
JOBADDRESS �
/
TE 11-1-SS
BUILDING PERMIT NO. 20i0
GENERAL CONTRACTOR Jack Cornair VALUE $ 32�{�.0�
LOT AP 119-090�26 B�oCK TRACT Livin� room addition
r.
� GROUP - I TVPE V ZONE RLt FIRE DISTRICT IIZOI.IS
PERMITS ISSUED
. INSPECTIONS �I/D�� SUBCONTRACTOR � DATE I NUMBER
� Footina Trench � � I
Foundation Formsand Gradeto
Rough Freming _
Plumbing Rough to Slab Pey
Plum6ing, Rough Complete
Temporary Pole
-iS-S
Hnuse Sewer, St.
fank or Cesspool �.
7, In Oui/�
Plumbing,Fin.al asTest��/�j /�-]-j
Wiring, Final -�. z -Z7„ - S
Occupancy � �
Form 210 G-H 15001-55
• }
. `_�'i '7�4
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CpSTA MESf� BUILDING DEPARTMENT
'" � P. O. BOX 31�
COSTA MESA, CALIFORNIA
�EE f ^ ;EtVEO
��,�. w...._.
� � d� �r
a��• w ��.
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
ADDRE55 2 80 Norse wa BU I LD I NG
COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY
� PECEIGT NO. pERMIT NO.
OWNER W, V. Caldwell �
pt, RE Nj'EO BY � E�E /Eyr/ O E SSUE
AD�RE552 C'O 1�TOI'SE W`d. /�\ ��ZS JS � S�
CITY Costa Mesa TNO.LI S1HZO ADD EISS � l0 v"- �K'sP wd
ARCHITECT . LIG COSTA MESA. CALIFORNIA
OR ENGINEER NO.
FIRE Z
ADDRE55 ZONE �
cirr uc. 1008 �ONE pO.NfF� TYPE / GRO�
CONTRACTOR Jack Cornair NO. Y
AOORE551 6 1V- t• BZVCI• TNO. Ly 646 gyPROVE �'� DATE � z' �
LEGFL �or ' RREGTIONS
oESCeiPilorv NO. lO 9LOCK TRACT
A.P. NO. � ��..�.
SIZE [ NO.OF BLOGS. l � � �
OF LOT �JO X��O �IOW ON LOT y OF C
EXISTOING BLDG. dWe11111 �BJE �• 'i� ��7-ryr�
SETBACK LINE FROM � n�Wl�
CENTER OF STflEEi O� REAR VARD �� �� �
SIDE YARD RIGHT � LEFT � � DA �
DESCRIPTION OF WORK . - �
NEW ALTERATION AODITION X
REPAIR MOVING DEMOLISH
SIZED'�l �XG � ROOMS p STORIES 1
EXTEftIOR.WALin�uCCO COV�ERING C�II] �S�yl�
COVERING p
�6LIELDFNGEW$dU1t1OII`c�l dWEllltl SDflC2 /�'^ Z
t 5 �"' j. Y/ .,
" `i / -
I HEREBV ACNNOWLEOGE THAT 1 MRVE flEA� TMI$ APGLICATION AND I
$Tl�TE TXAT TME PBOVE IS CONRECT RNO PGREE TO COMPLV WITH PLl ' �'� 6.(,�`
aownNCES ANO STaTE LawS FEGULnTNG BVILUING CONSTRVC� Y
TION. � ///� � V ALUATION 9
SIGNATURE OF ,/ � � PERMIT FEE S/-` �""�—
PERMITTEE "L+ /.,
� � yq�///J ��� PLAN CHECK � �/
�- ��- � � � � j
AUTHORIZEO AGENT `C</�'-' � � \ TOTAL FEE $ /�
eMr
�.v�,, Qosta Mesa Building.Department
�'+- 171 EAST 20th' EET
COSTA MESA, CA�ORNIA
�;' • �FOR APPLICANT TO g'HLL IN
Buil�.ng .
Address � 3 ��j% //A�tSL' d//�
Costa 1Vlesa, California
Nearest � i . /^
Address
Contractor
(Attach Metes and
Size of Lot .�/J
Use of
Existinc Bldo. L
Exterior
No.
c�ty
No.
No.of I
Families
Rear Vard
Addition
APPLICATION FOR PERMID'
�9 B t�L D,� N G '� �
� FOR O�IbE USE O1VLY '
. _. _ Reeeipt No. ,.Permit No.
eceive' by+ Date Rec'd. I � I� �
�r�� �-s :r "� //- /� � ,
Costa Mesa, California ,
� I Plans I TYPe , j I Gra
Y
Date
CORRECTIONS
- _,,.... _ .,.-- .'
No.of / 3'
' Rooms / Stories G G .
�/> IRoof
Covering APPROVAI�S
�� �� �/� fJn �Foundation Location o Inspecloi
/f �-b Forms, Materials, �
�/ A � ' � . '� Under-Pinning �
�����' ` � Frame: Fire Stops,
�Bracing, Bolts i i
i �
'i Lath.lnt. a[o
I hereby acknowledge that I have read ihis Application -
and state that the above is correct and agree to comply Lath. Ext. '��
with all City Ordinances and State I.aws regulating
building construc'on. -'
SignatUre of
� Plaster, Int. T
Permittee '
Plaster, Ext. .,
Authorized gt. �
Valuation AO Perm
Plan I
$ 3a�o �/.x Total
Fee
COHM 204 G�H 2M 5-56
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, , PLOT PLAN � � 3,`,.:. -- ; yT ; "'-;. =-�C<-.,;= --
- � - >
, Show Iocatlon and distances irom ^^-';1`�^ �nif�^=�'.�� , _ _ '+-`."' ,
property line.and. between buildings � . ` ,�_,.. . i � _ • -
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ORANGE COUNTY BUILr�NG DEPARTMENT
636 North Br oy
• SANTA ANA, CA RNIA - � "
FOR APPCICANT TO FILL IN
BUILDING /J��^ •�D�S� ST
ADORE55 G Q�J /�I
ORTOWN IST (�O�//'T ///ES/j L���/'�
c"RosssT.3ANTA /SAB�� � �RANl�E A�E
��TM F'//LLEPrTG/(,� �o'
ARCHITECT OR LIC.
ENGINEER OWN�� NO.
AODRE55 �
LIC.
CONTRACTOR d WNER � No.
AODRE55'
LEGAL LOT
DESCRIPTION NO.IOA BLOCK TP.ACT 3��
� JwGo=N� Z4S'
(ATTACH METES @ BOUND5INM�ILS � SE j,jA �
I NO. OF B�DGS.
SIZE OF LOT �D X NOW ON l0T Q
USE OF NO.OF NO.OF �
EXISTING e�oc. �GSIDE F�Ml�iee I I ROOMS
SETBACK LINE FROM� / � REAR'VARD
CENTER OF STREET (� O SIOE VARD,,, �
DESCRIPTION OF WORK � �
NEW ( XI ALTERATION I I ADDITION I.'
REPAIR I I MOVING - I I DEMOLISH I
SIZ'EDING'S�X 3Z, ROOMS STORIES I
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i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTV ORDINANCES
AND STATE LAWS REGULATING BUILDING GONSTRUGTION.
SIGNATURE OF �{+��,/„a(�J,��J
PERMITTEF /y �'/��•�d �
'AUTHORIZED AGT.
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VALUATION S —7�+°1'It'� p��H CHECK $ /'�
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APPLICATION FOR PERMIT
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RECEIPT NO. PERMIT NO.�
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A�DRE55 �L
SCHOOL DIST.
ORITOWN �
, CORRECTIONS
1
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