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Home My WebLink About2452 NORSE AVE - Building Permitsa� i- . / � ADo��ant to fill in all spaces exceo< <�osa within neavy Eoraer Iines antl sign all approoriate tleclantions. :ITY OF COSTA MESA CONSTRUCT ON PERM,dIT L PERMfi NO. �. �.y�p. TRACT NO�� LOT NO. UNIT NO. P# Prolect FCd,',;ess �� -S � �! vL' ' . Applicant's Mailing ddress M E ��p ��p Owner's Name �E�'LPhone..7��.b.�L./, Addiess G5 A M E Arch/Eng. License No. Address Contractor's Nam Phone Address (mailingl City License No. LIC D CONTRACTOR D�CLARATION I hcreby a i ' I am licen etl untle� provi5lon5 m9rttomm¢nGing with section ]000 0 '' 3 of o-8 ess antl Professions Code, antl my license is in f II /o a�L-c- � LJC n5P CITSC J ' � Dat� ___ __ WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self-insure or a certiticate of Workers' Compensa[ion Insurance, or a certifietl coOY thereoi (Section 3800, Lab. C.) ,i Policy No. Company �'�'.� eCertifietl copy is hereby tumishetl. ' �� Certifietl copy is filetl witM1 the city Builtling �IVlsion. „�• Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION �Z-� (This section neetl not be completetl it the permit is for one huntlretl ($100) or Iess). � I certify that in the performance of the w k for. which this pe 't is issuetl I�� shall not employ any pe�son in any m er so as to com bject to WOrkers' o�]p¢n5a I Ldws o( Cdlifor Date �� '�Signature NOTICE: If, after making this tleclaration, you 5houltl ecome subject to e Workers' Compensation provisionsbf the Labor Co , you must torthwith comply with such provisions or this permit shall be tleemetl revoketl. CONST0.UCTION LENDING AGENCV- - I hereby af9rm that tnere is a construction lentlinq a9enty for the pertormante ot Ihe work tOr whi[h, thi5 permit is i55uetl (SectiOn 309] Civ. CJ Lentler's Name LentleYs Atltlress ' OWNER BUILDER DECLARATION I hereby aftirm Lhat 1 am exempt �rom the ConVactor'z License Law for the fo�lowino reason f5ection 7031.5 Business antl Protessional Cotle: Any city or Divlslon 3 of tM1e 6usine55 antl Protessions Coae) or mai ne/sne is ezempc therefrom and the basis for the allegetl exemption. Any violatlon of Section 7031.5 by any applicant tor a permit subjects Ihe applicant to a civil enalty of not more than five huntlretl tlollars ($500). 1, as owner of the property o� my empl0yee5 with waqes as th¢ir sole om0en5ation, will tlo the wo�k, antl the struch�e is not intentletl O��offe�etl for sale (Section 7044, Business antl Professional Cotle: The Contractor's License I�w does not appry ro an owner of a property who builtls or improves tpe�eon, antl who tloes such work hlm5elf/he�self o� th�ough his or he� own employees, provltletl tM1at such impwv¢ments are not infentletl or offe�etl fo� Sale. Ii, however, the builtling or iinprovement is soltl within one year ot com- pletion, [he owner will have the burtlen of provin9 he/she tlitl not builtl or im- prove for the purpase of sale). ❑ I, as owne� ot the prOperty, am ezclusively cont�actin9 with licensetl Con- tractors to construct the Droiect (Section 7044, Business antl Professions Coae: The Contractor's License Law does nol apply to an.owner of property who builtls or improves the�eon. antl wbo cont�act5 to� such oroiects with a mn- t�actor(s1 hcense pur5uant [o [ne Cont�actor's License Law). I am aware that proof o1 their Worker's Compensatlo {�u.�ance Shoultl be provitle0 to me. Lg I arP�xempt untlet Section�.�-1-- B. & P� C. for thi5 �eason � Date _'�'�V-a�__ Owner ' w`� �I hereby certify that I have reatl tM1is appliwtior� antl state that the above info/M tion is cotrect. I agree to Compiy wlth dlltity antl county o�tlinanCes antl si� laws relatin9 to builtlin construction, anG hereby authorize repre- Sentatives O( this ty to entP upo he above-m tionetl propetty to� inspection purpos �- 'y Signature o � Drivers' License oc 55 � � TYPE OF CONSTRUCTION LI NEW y+ ADD LJ ALTERATION L� REPAIR ❑ GONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TVPE OF PERMIT LI GRADING LI FOUNDATION LJ STftUCTURAL ❑ TENANT � ELECTRICAL L�PI.UMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION 5q. F7. /5 O oCCVPANCv_ CONSTRVCTIONTYPET�AI VALUATION$ ' ZONE � GRADINGCU.VDS. ACRES— Remark5: . � ^Z % I r Q' Sink Preventer Irrigati0n Clarifiers Dishwasher Orinking Fountains Floor Orains Floor Sinks _ Gas Service Outlets Interceptors Kitchen Sink - Lavatories rL �_ � � Roof Drains Reinspection Fae � $15 Boiler Duct - Under Ginund Duct-Structural , Duct - Ventilating ' Exhaust System ❑ Multiple ❑ Firepl/Fact Blt �C80 # � Heating System & Ducting ❑0.100,000 BTU �100,OOOBT Reinspection Fee � $15 0865�46, rev. 5/88 White - Builtling; Canary - Applitant; Pink - Accounting: Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solac Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash � laue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeration Sys[em ❑aioo,aoosru ❑ioo,000 �stem Repair/Alreration Fire Dampers � Registers ' laue ee $•3 FEES 3, A. . S Main Buildi E T Front B Rear A C Right K Left S Ping. Ref. # Planning Notes: Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher . Dryers ❑Gas . �Elec Fan T F.A.U. Fixtures Device Boxes Outlets $wiahe5 Gar6age Disposal Generator �65 KW C 2one Parking Req./Provided ' ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over 100 amps ric Sub Panel � Motors �61 HP � 1:5 - 6 Ina Solar �9-15 HP �16-15+ Microwave Pole Light _L__Ltanding Sections 5 KW I Trash Compactor � Reinspection Fee �$15 � � luue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning APProved BY � Building Approved By Appliotion Issued Bv - SUMMARV OF BUILDING PEflMIT $ PLAN CHECK $' PLUMBING $ �� PLAN CHECK 25% $ ELECTRICAL � $ 2 I • SZ� PLAN CHECK 50% $ MECHANICAL $ PLAN CHECK 25% $ FEES SMIP $ PERMIT ISSUANCE � $ ENEFGV P.C. $ GRADING $ MICROFILM $ TOTALFEE $ 40 •so N I N G H E Q M T S. 01 0�!D�855?-OU:;?857U Tr�T :0,50 opT�: o�i�r�i�s Tin�; os;sa . . . .� . .t'.. r��.._ . . ...�. . . ' � . . `! . . ':/ ' ' % •`� `;� �ONSTRUCTION AND PLANNING � ' POOL & SPA , � Date Inspector � Date Inspector APPROVALS Permit #1 , APPROVALS Permit # 1�.fTemporary Electrical Service or Pole 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. F � ' 53. Steel Reinforcement � . 3. Electrical Conduit Utility-Undrgind. 54. Forms � 4.'Electrical Conduit-Undrgrnd,4 � 55. Electrical Bonding i , �5.'Steel Reinforcement �r 56. Rough Plumbing & Pressure Test 4 6..Electrical UFER Grnd. �+� 57. APPROVAL TO COVER-GUNITE V, • t� 7:�Footings '` 58. Electrical Conduit-Undrgrnd. �, .I � ' t' i 8. Foundation '� � '✓, 59. Gas Pipe, O Undrgrnd., Test '"' .. � �v i f 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, � Undrgrnd. . �� 10. Structural Floor Sysiem i � 61. APPROVAL TO DECK • x� 11. Pro ert Sewer Line & House Connection r� , P Y � 62. Backwash & Receptor-Final - r 12. Sewer Cap j� � ' .63. Heater & Vent-Final � � � . \ 13. Roof.Drains t �. 64. Plumbing System - Final � • 14. Rough Plumbing /b � L,� � 65. Electrical-Final ' 15. Rough Electrical-Conduit � - 66. Solar System-Final � 16. Rough Electric Wiring t/-3.•gR' 67. Fencing & Access Approval 17. Rough Wiring Sign ' 68. APPROVED FOR PLASTERING i 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ��18. Rough Heating & Air Conditioning -�� FIRE DEPT. REQUIREMENT 'i�0. Rough Factory Fireplace (�} _Sq APPROVALS Permit # ;21. DuCts, in Strucwre S' � '� 70. Underjround Hydro �� 2 22. Ducts, Ventilating �'� �� 71. Produci,Piping O Gas ❑ Oil � 23. Gas Pipe-Rough & Test l 72. Underground Flush " / , 24. Roof Framing nl 73. Undergrnd. Storage Tank � Gas ❑ Oil � '25. Roof Sheathing �, �� ' -� 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ' �" 27. Frame and F.lashing 76. Dry Standpipe � . 28. Lathing & Siding . 77. fIXED SYSTEM FINP,L 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT . 31. Plaster Brown Coat � 79. FINAL INSPECTION 32. Electrical Power Meter-Final � .(t 80. FOOD C{ERTIFICATE �SSUED � 33. Final Electric � � otes: � ' 34. Final Heating & Air Conditioning �� (,� ' 35. Final Gas Pipe.Test. ' 36. Hood or Canopy ' 37. Final Factory Fireplace ' � 38. Final Plumbing q�g��%f (fyf� 39. Water Service-Final ' h -n 40. Gas Ser'vice-Final "�}' e 41. Solar pomestic-Final `� W 42. Backflow Preventer • � l�'�� 43. Backflow I�rrigation � � `�� , �7 44. .Landscape Irrigation System . , ' t..- 45. Sound Attenuation � :%"� 46. Handicap Regulations . ', , �"' � 47. FINALSTRUCTURE&BUILDING � � 48. Special Requirements Completed , 49. Electrie Release to Edison. . " 50. Gas Release to Southern Califomia Gas Co � '" � ,i, % � � - 51. CERTIFICATEOF OCCUPANCY - ' �'''"• � ("� � �ti•i ��' ' � No. Date � � ►� ��'' � � ,�� 'i .�] 'n CIIY OF COSTA MESA � ' ^ ' A . BUILDING DIVISION OWNER�UILDER VERIFlCATION A ari a oounty, which q nOuirM to Oive notia punwnt to Section 19630. Nutl �ttaci� to sueh �otia. �rd. a� oordition pncedent W itsuirq � buiWinp permit, nquin ths eompletion �nd tpuire tAe rstum of, �n owner-0uilder verlfintion. , , Attention RopertY ��: M bwnerbuiWx' buildirq pxmit Ms Men �pplied tor tn your Mme tnQ barinp ypur �ipyturo. Pkase comptete u+d rotum tAi� inforrtution in the enrelope prorided at your urli�st opportunity to awid unnetetsary deisy in pooestinp �nd ktuirq Your buildinp psrmit. No buildinp permh will be icsued until this verifitation it nceived. 1. 1 personslly pl�n to provide�M m�]a 4bor and nvterwls for oonctruetion ef the poposed poparty improrsment. Ya O No 2. I(haveRure not! �� V� sipned an sppliarion ta a buildiny prmh !a the poposed Nork. 3. I Mve mntr�aed with tlK followinp perwn (firm) to povida the poposed oonmuction: Name Address CitN Phone ( 1 Contraaor't Ue. No 4. I pl�n to provide pottian of the work. but I Aare hired the iollowinp person tp 000rEin�te, wpnvise and poride the m�Ja wwk: w� naa�u crtr Phone t 1 Corrcneto.•� Lk. �+ 5 1 will povide wme oi the work but 1 I�ve aoMrscud (hirod) tl+e fo�bwinp parsons to provide the wprk indiated: � Addres ' �� TYM oi Work 1 herebV mirm th�t f fu�e rw�i�ed a mpy o/ tAe infon+ution set foKh in Seetion 18830 oi the State of (ylitomi� He�hh �nd S�fety Code �nd luve oomD�eted the sbove i�torm�tion tc the bect ot my psnond kraw(e , tn eomplian�a whh thk na bw. � s�.e: wte: l- l7 - F� �I w�: L (R�nced « Tr � �.o.��o�s.s.f ��" � �a.:��a 7545273 CITY OF COSTA MESA . BUILDING DIVtSfON OWNER-BUILDER VERIFICATION A dty a oounty, wAid� it nquind to pivs notia purswnt w Settion tB63Q. th�R ntaeh W W�h notia. Kd. a� � mnditio� pnosdmt to iauirq � buiWi�p p�rmit. nquire tM oompl�tion sntl rpuire Me ntum ef, �n owrnrbuildsr wrMienion. ., wetemion aovercr ownu: M bwrNrbufldw' Ouildinp P�rmit !r� M�n �PDli�d for in your n�rtr uW barirq Your sipn�tve. Pluse aomplete �nd r�tum d+ii intwm�tion in the �nvelope prorid�d �t your urlirst opportunity to �wid unneoewry tleby in po�auinp �nd btuinp Your buildinp qrmit. No buildinp permit will be itsued until Mic verifitation k nniwd. 1. 1 p�rwn+lly p4n w Provide m.l« rbo..�a m.t..wi. tor oo�v��oo a n,. aovoma aoAMv �ovem�nt. �Ya O No , 2. 1(Mvelluw not) �� V� �iprrd �n �ppliption fa � buildinp p�rmit fa the popowd work. 3. 1 h�K oonu.cud witn ths toliowirq w�wo (tirml w aovid� the aopo�eG aonsvuction: �:_ _ Addrest CnY Phorr ( 1 Contnaor•� Ue. No 1. 1 Obn to Provida portions of th� work. but I Mv� hirW tlr followirp P��so� to 000rdirYte, � wP�M �nd v►ovide th� m�la wak: wnk Addras CitY Phorw i i Com»aa's lie. N� 1 will povide wmt ot tl�r work but I h�re aoM►aedd (hind) the followinp qrson to provide tM wotk indiotW: N�mr Ilddrm ' Mwn� Typ� M Work 1 AarabY affirm th�t t fwa naivad a oopy oT ths Mfwmftion ut forth in S�etion 16830 ot the &m� ot Cylifomu FNatth �nd S�hty Code �nd Nv� oompletW tlr �bow inlomytion to the bat of my o.non+l trwwl� , ln eoenpt�nw wish fhb �n Iwv. ` &pn�d: �aL1!/1LL1' Cau: /- �' ' 8 G% N,,,,.: L inud « r 1 ao.�•as.s.f �� p�r �w:ss 7b45273 �/ � [S S A .: to� in all s0aces except lhose within Meavy Go�Ce� lines antl si9n all appropriate Eeclarations. �4�'15 ' _! PEFiM1T NO. TRACT NO. LOT O. UNIT NO. � ��vOFCOS7aMESA CONSTRUCTION PERMIT � 3.-1 �� ((2�5 C A'P'# .� (� _. p' "''zo�aQ�. � i �ect Address ��50� N0� SF �} vE • S Main Building: Accessory Building: � pplicant'SM�ingAddr2i5 ��E � TYPEOFCONSTRUCTION NEW ADD ALTERATION REPAIR E Z OwnerS�Name ��%FlQREAI B. HARRE� � � C�NVERSION ❑ DEMOLISH ❑ OTHER ' T Front � � �-Phone 7 DESCRIPTIONOFWORK/USEOFBLDG. RES�06.YCE AnD ROOM B Rear `�p� N Address SAAAE � .A � I Arch/Eng. Licenie No. TVPE OF PERMIT GRADING ❑ FOUNDA71oN STRUCTURAL I K Right '� G Addre55 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL � , g� Left A R ❑ �OTHER Pln RBf. # Pa�kin Contrector's Nam }.., Phone 9� g Req./Provided � E . Address (mailing) ' fl ! ' PROJECT DESCRIPTION Sp. FT. OCCVPANCV y No[es: . � n �' CONSTRUCTIONTVPE VALUATION$ Plannin � � �� M T City License No. - ZONE GRAOING CU. VDS. ACRES ' ' g LICENSED CONTRACTOR DECLARATION 1 hereby affi�m that I am licensetl untle� provisions of Charte� 9(commencing Remarks: 6T t'1 witb section 7000) Of �iviSion 3 of [he Busine55 antl Prote55ions Cotle, antl �� L my license is in full force antl effect. / ELECTRICAL . FEES License Class License No. �� - Date Signature PLUMBING FEES <lutomatic Washer Transformer ❑ 15-50 KW WORKE0.5' COMPENSATION DECLARATION ' ❑ 50+ KW I hereGy afilrm that I have a certificate of consent to self-insure or a certificate Baf Sink Show¢t5 Constfuction Pole Sub. of Workers' Compensalion Insurance, or�a. certifietl cooY thareot (Section - Cookin9 Unit Meter ❑up to 700 a�nPs 380Q Lab. C.) � Backflow Preventer Service Sink . -'� � w` - Dishwasher � Meter ❑over100am s Policy No. � Company � Backflow Irrigation Sewer Cap .. � Y' 1 , P eCertifietl copy iz hereby fumi5hetl. . - � , - Dryers ❑G25 ❑Electric Sub Panel - Certifietl copy Is filetl wiih the city Builtling Division. Bathtubs Sewer Connection � Date AOPlicant � - Fan Motors �0-1 HP �1 `h�- 8 EXEMPTION FROM W00.KER5' COMPENSATION DECLARATION Clefifief5 Solaf ColleCtOrs � (Thissection neetl no[ be completetl�iY[he 0.ermit is tor one huntlretl (E100 or � Inc. SolBr 09-15 HP��16�15+ iess). � � Dishwasher � Solar Pipin9 .� ..� F.A.U. I cartify that in the performance oi the work tor which tnis perm�t is issuetl, I i.. , , Fixtures snall not employ any person in any man er so as become ubject to the Drinking Fountain5 Solar Tank �' Microwave Workersl Cq�pe ag,s jjpn Lav✓�of Calif ni t �' oate � 5.7--/ �E atwe� Floor Dreins Swiinming Pool w/Spa- Device Boxes Pole Light NOTICE: I5, after making this tletlaratiom, you sh liltl become subject o the Outlets Workers' Compensation provisions of the Labor Cotle, you must (orthwith FIoOr Sinks Urinal � Range �' ' comply with such orovisions o� tM1is pe�mlt shall b¢ tleemetl revoketl. � SwitCh¢5 CONSTRVCTION LENDING AGENCV . Slgn I nereby affirm that ther'e'is a consVuction lentling aqency for the performance Gas Servic.e Outlets Wate� Clos2t ot the work tor which this oermit is IssueC (Section 3097 Civ. CJ Interceptors Water Heater , Garbage Disposal Standing Sections Lentler's Name Lenaer's aadress Kitchen Sink Water Service � Generator �0.5 KW 05-15 KW Trash Compactor OWNER eUILDER DECIARFTION - I hereby affirm that I am ezempt trom the Contractor's License Law for the Lavatories . Auto-Wash �� following redsOn (Sectlon 7031.5 Bu5ine55 antl Profe55iOnal Cotle: Any city or � county which requires a permit to wnstruct, alter, improve, tlemolish or repair P-Trap laundry Tra'ys r any structure, prior lo it5 i55uance, a15o requires the aOPlicant tor Su<h permit . to file a signetl statem¢nt that he/ShC i5llcensetl pu�suant to the provisions of Roof Drains �+ � the Contractor's License Law (Chapter 9(commencing with Section 7000) ot Div:�ion 3 o( tbe Business antl Protession5 Cotle) or that he/she-is exempt � ReinSpection Fee $15 Issue Fee $ 3 therefrom antl the basis tor the alleqetl exemption. Any violation of Section - � - 7037.5 by any applicant for a permit subjects [M1e applicant to a civil ' . enalty o( not more than five huntlretl tlouars (g500). � 3 'DEVELOPMENT SERVICES REQUIREMENTS: (}.� �?�i � 1, as owner of tne property or my employees with wa9es as their sole ReinspBCtion F0a $15 ISSue Fee $ }q% f�� S mmnensation, will tlo the work, antl the structure is not intentletl or.ofteretl Zoning Approved By _��Dat i1r sale (Section �044, Business anC Profezsional Cotle: The Contractor's MECHANICAL FEES 'Building Approved By Date �yicense Law tloes not apply to an owne� of a property who builtls or improves � — , Oereon, antl who aoes such work nimself/herself or through his or her own Application laued By DatB� ` employees, provitletl [hat such improvements are not intentletl or offeretl for Boiler ' , Hood or Type I ❑ � sa1e. Ii, however, the builtling or improvement is soltl within one year of com- CanOpy Type II ❑ j H SUMMANV � FEES � p;fition, ine owner will have the burtlen of proving he/she ditl no[ bwltl or im- Duct - Unde� GrOund /( u ,�. prove tor the purpose ot sale). ' ,� BUILDING PERMIT $__��= SMIP �$ O19 ❑ I, as owner ot the property, am exclusively wntractin9 with licensetl con- Duct -Strucmral , Refrigeratfon System PLAN CHECK $ PERMIT tractors to construct the project ($ection ]044, BuSlnesS antl Prof¢ssion5 Cotle: ' � J The eontractor's License Law tloes nol apply to an owner ot property who Duct- Ventilating' ❑4-100,OOOBTU ❑100,OOOBTU i PLUMBING $ �SSUANCE $ builtls ot improves thereon. antl wno contract5 for Such oroiect5 with a mn- tractor(s1 Lcense pursuane to �ne Conttactors License Law). 1 am aware thac Exhaust SyStem ❑ Multiple ❑ System Repair/AI[eration J�, i PLAN CHECK 25% $ ENERGV P.C. $ proof o( their Worker's Compensation insurance shouttl be provitlea to me. .' ELECTRICAL $ GRADING $ ❑ I.am exempt unaer Section B. & P. C. tor this reason Firepl/Fact Blt. IC80 � Fire Damperz � MICROFI LM $ ' •� P.LAN CHECK 50% $ Date ' " wner Heating SVstem & Ducting Registers '� � MECHANICAL $ _I�� I hereby certiy that I have reatl this apolication antl state that tne above ❑P700,000 BTU �100,OOOBT •.�q. TOTAL FEE $ intormation is correct. I agree to comply with all city ana county ortlinances ' �� ; PLAN CHECK � 25% $ antl state.laws relatin9 ta builtling constructlon, antl hereby authorize repre- sentativei of t s city to nter upon the above-mentionetl property for_ ' � , inspectlon r ses. 'I/ ��, ��(� p � Slgnature ^_�� / /6 ALi(�.� ,Pate1�1,SL . ' j Driverz' Li�� cc xt �"� �_ „+' � Reinspection Fee .$75 Issue Fee $ 3 ' t � „ Di r�p�,�,401-Di1�344G2 iC3'if Ii7.?t)._ " . narc. r,ei�Tiou trnc, rn�na 0&bo-4o,-rev. o/na wnrte - tluuoing; Canary - Hppllcdnt; Pink - Accountin9: V��denr04 - HSSESSOi " • - � � S�RUCTION AND PLANNING POOL & SP1A _.� �PROVALS Permit# Date Inspector p�ppROVAIS Permit#' Date Inspector •1. Temporary Electrical Service or Pole _ 52. Pool & Equipment Location . ' �.. 2. Sol� Pipe:Undrgrnd. 53. Steel Reinforcement � ,'��'� � 3.. Electrical Conduit Utility-Undrgrnd. • 54. Forms . '' 4.� Electr�ical Conduit-Undrgmd. , 55. Electrical Bonding � 5!'Steel�Reinforcement ' 56. Rough Plumbing & Pressure Test , 6.,�Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE ''�� , - :� 7.'.Footings �� Z� L �F .� 58. Etectrical Conduit-Undrgrnd. � !' � 8.rFoundation 59. Gas Pipe, O Undrgrnd., Test . � � 9. Water'Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd. 'i : i 10. Structural Floor System � 61. APPROVAL TO DECK '� � 11.� Property Sewer Line & House Connection j 62. Backwash & ReceptorFinal ' 12. Sewer:Cap 63. Heater & Vent-Final ��' 13. Roof Drains 64. Plumbing System - Final �� 14. Rougfi Plumbing 65. Electrical-Final � � `�' 15. Rough Electrical-Conduii 66. Solar SYstem-Final 16.� Rough Electric Wiring 67. Fencing & Access Approval � 17. Rough Wiring Sign 68. APPROVED FOR PIASTERING . 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 79: Rough Heating & Air Conditionin9 FIRE DEPT. REQUIREMENT i• 20. Rough Factory Fireplace �� APPROVALS Permit # ,c . 21. Ducts, in Structure �" 70. Underground Hydro � 22. Ducts, Ventilating �� 71. Product Piping � Gas ❑ Oil 23. Gas Pipe-Rough & Test � 72. Underground Flush � 24. Roof Framing � (1 �!� � � 73. Undergrnd. Storage Tank 0 Gas ❑ Oil 25. Roof Sheathing �_ �� 3 1,\gq � 74. Overhead Hydro 26. T�Bar'Ceiling (Structural) & Monocoat 75. Dry Chemical „ " 27. Frame and Flashing '� , 76. Dry Standpipe � 28. Lathing & Siding �'. �� 9% jfQ 77. FIXED SYSTEM FINAL . 29. Insulation � y(, 78. FIRE PREV. FINAL 30. Drywall Nailing - HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat,.-� ` ti � � � 79. FINAL INSPECTION 32. Electrical Power Me{ei'Final ' 80. FOOD CERTIFICATE ISSUED • a a. 33. Final Electric �,i ^� Notes: F�� y� � � �' 34. Final Heating & Air Conditioning � � • � C iei�i'� /�.�-�.r+<P< �� 7 . 35. Final Gas Pipe-Test ' 36. Hood or.Canopy . �37. Final FaMory'F,ireplace � � 38: Final Plumbing? � � 39. Water Service-Fynal � ^�� . � 40. Gas Service-Final . � � 41�: Solar pomesticFinalti � .` � - ��% .,� 42. Backflow Preventer � - • 43. Backflow Irrigation��' ' �. j `' u. 4,4: .Landscape Irrigation.SYstem �_ _ •- �, � � �.' 45. Sound Attenuation J� � 46. Handicap Regulations', ' , , 47. FINAL STRUCTURE & BUILDING �Q l 48. Special Requirements Completed � , 49. Electric Release to Edison ' ' • 50. Gas Release to Southern California Gas Co ' . �_ . 51. CERTIFICATE OF OCCUPANCY • .a, r�� No. � � Date . �r ' , .. , . . .. .. •-- - „ ' City of Costa Mesa MEASURE "G" EXEMPTION Plan Check # 784-88s Permit # Address: 2452 Norse Avenue Applicant: Warren B Harrell FACTS: � Residential ❑ Existing Lot Exemption # Case # ❑ Commercial/Industrial ❑ Other ❑ Not Part of Larger Projeci Project Description: Extend master bedroom No. of Dwelling Units NA Gross Floor Area NA F.A.R. NA Estimated Traffic Generation: NA Unit: Square Feet Avg. Trips/day FINDINGS: The above described project is exempt from compliance with Measure "G" for the following reasons: ❑ 1. Project is a commerciai/industrial development which meets all of the following criteria: gross Ri� floor area is equal to or less than 10,000 square feet or has an average daily trip generation of less than 130 daily trips, has buildable floor area ratio of less than 0.5, on an existing lot, and is not part of a larger project. 2. Project is a residential project of four dwellings or less on an existing lot. 3. Project is residential construction that does not increase the number of permanent housing units on the parcel where the construction takes place, such as remodeling or rebuilding of an existing house. ❑ 4. Project is commercial/industrial construction that does not increase the footprint or square footage or change the use on the parcel where the construction takes place, such as remodel- ing or rebuilding an existing structure. ❑ 5. Project is a public benefit facility, which is deiined as public libraries, public administration facilities, public parks, public utilities, and religious facilities. ❑ 6. Project is a facility serving the health and safety of the people, which is defined as hospitals, police, fire and safety facilities, and schools. Exemption ratified by: � Planning Commission ❑ City Council �sae ao Date r�� I c�osCa �csa CITY OF COSTA MESA CALIFOHNIA 92628-1200 P. O. BOX 1200 Insulation CertiFcate a�5a NoiQSE AVE. CosTA M65/-� Number and sveet ciry oRAn/l�E 7R,aor �Fa�s t counry s�ba;rision tAirtumne. Description of Installation ROOF Mamrial Q/�) %% Brand Name M.4rV 1// L l� � 'Ihic{�ess (inches) �%" 'It�ern�al Resispnce (R-Value) EXTERIOR WALL Material /�} 7T Brand Name M Al�! 1/l LC-E 'Il�iclrness (inches) 3 • 5 " 'ihertnal Resistance (R-Value) /� - 1 i CEILING Batt or Blanket Type Brand Name 'Ihiclrness (inches) 'ihermal Resistance (R-Value) — Loose Fill Type Brand Name Contrxtor's minimum installeG weight/ft Ib Minimum thiclrness inches Manufacnaer's inscalled wei�t per square foot to xheive Thamal Resistance (R-Value) i RAISED FLOOR Material 'Iliiclrness (inches) SLABFLOOR Material Thiclrness (inches) Width (inches) FOUNDA'►'[ON WALL Ma�erial 'Ihiclrness (inches) Brand Name 'll�ermal Resistance (R-Value) Brand Narne 'Ihertnal Resistance (R-Value) Brand Name 7t�ermal Resistance (R-Value) Declaration I hereby certify that the above insuladon was installed in the building at the above locadon in wnfortnance with the current Building Energy Efficiency Standards for new residen[ial buildings contained in Tide 24 of the Catifomia Administraave Code. �jeneral ntractor (Builder) Liccnse Number , /� �qifil�l� �0-Urx.f�� 9/a7/�9 Signature end Title T --�� Date Su6Contrncior (Insuluion Instnllcr) Signatu*e ud Title Licrose Number (714) 754-5273 • Fax (774) 754-4856� Job Address: Suite: Vicinity: CITY OF COSTA MESA BUILp/NG DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT 2452 NORSEAV RESIDENCE & ATTACHED GARAGE. PERMIT NUMBER 77 FAIR ORIVE, COSTA MESA, CA 92626 Status: � ISSUED Applied: 05/26/1999 Issued: 0 512 6/1 9 9 9 Parcel Nunmber: 11910130 Zoning: � �/ ISSUED BY: 6�� App�icant: BURKE, MIKE Address: 1653 SUPERIOR AV ,. - . i ' � ,` r Phone: (949)642-7222�' COSTA MESA CA. ` � Zip: 92627 � � f. . � , Ownec HARRELL; WARREN B ` �` � , � Address .24b2`NORSEAVE� �� . �/�^ � �_ l� . � _ , Phone_ � . .� , ��7 � �� t/ COSTA MESA; CA - _ - =-- �� Zip: 92627 - � � �-� �� -i�i% � \ i � � - A , - ; , �A�`: � �, . ��\ Contr ct � �LEE,ROOF.ING'OF COSTA MESA � ��-� � � � � j �, �� fAddress: 1653 SUP,ERIOR AV �L. �� /' �� f�� Phone: (949)842-7222 �� /�'-�� ! r 'r�� ;�� COSTA�MESACA ��`��,. ' -��.��, - Zi �% 92627:" License: 349686 '�� ' � ��`i P� : �� - , ,i; . . �`V-� „�, �� Z\ � i Arch : � P ,��.�-' Eng: , - '� � '�� _ j � Address: ! � ' .,,, ,4 ;' � - � Address:, � ' „ �\ � ,. � ��`� ! /'�� - - /� .�' '� � �Phone. - - i' - Phone: 1 -� `� ��11 / � � l�' ��i,i � � a.. , � _ ��; - \� ..��, _ _, �'�, ;��, �� Zip 'f,- �'-. - License: Zip: -License: _ - � � � � i" \ -'� i ;� �_ L; � � , � SCOPE OF PERMIT _ , ' _ ; � 1 � % REROOF: T/O COMP; INSTALL 2 LAYERS 15# FELT; REROOF WITH 25 YR COMP SHINGLES. 32 SQUARES: � ,� V/ . . - , _ . .. .. _. - i •_ � i,. 4 � ��P'lan Check;'� � $0.00 � Permit� r,y $112.25 �� SMIP_Res: � -� �. $0.54 ' ;SMIP Com: ' $0.00 �' . ` Othec `. ' $0.00 �, �Inspection: '. $0.00 ��{,`��Total. $112.79 �. . v � ��-�� ACCESSORY PARKING NOTES: FEESUMMARY ;,,^ . - - • r r;:� . � i,� � � "'� `PLANN � r;. _ �� • URE�Frorit 0-0 Rear'-,.0-0� ." � �- ��Fronh 0-0 Rear 0-0 �� _ Existin : �0 � Required: � 0 . �� t �„ Calc Valuation: �%..�. .,_gs,aoo.00 r � Claim Valuation: i �. $s,aoo.00� � - Ceft 0- 0 ' Left 0- 0 Proposed: 0 . i; Y' . ;.� i , r ' �,, � l �, ,i ' ,,v� �: ��, �'�, 0 ' - -- ,%� �; /:, � '� � � � � /-�: i . i ' , . " <%, : �Right �;.'0;0 �. � ; % '� . . i.' '% Right . 0. 0 , ' �/ � � 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: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned , for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inapeetlone and }Inel epprovel must be obtained. Failure to obtein inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON DECLARAPON: I hereby aHirm untler penalry ol par�ury one oi tha tollowing tleclarations:i . � , �� ' ' ❑ I have antl will maintain e certiticate of consent to selt-Insure for workers' wmpensation, as Orovided for by secilon 3700 of the Lebor Cotle, tor ihe peAormence ot the woM tor which Ihis permil is luued. ' ❑ I have and will maintain workers' compensation insurance, as requiretl by section 3700 ot the Labor Code, tor Ne peAormance of the work for which this permit Is issuea. My workers' compensation Insurance cerrier end policy number are: � Cerriec Policy NumDer. (Th/s section need nat be campleted il fhe permif !s veluetl at one huntlred dallers ($100) br less.) � � �� ' ' ❑ I certify that in Ihe performance of Ihe work for which Ihis permit is issuetl, I shall not employ eny person in any manner 5o a5 to become subject to ihe workers' compens � agrea that if I shoultl become subject to the workers' compensetion provisions of Section 700 ot the Lebor Cotle, I shall fonhwith compty with t r isions. �%� � Appliwnt Signature� � .�.� Date: � 9 WAPNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFIIL AND SHALL SUBJECi AN EMPLOYER TO RIMINAL ENALTIES AN� CIVIL FlNES UP TOONE HUNDRED TFIOUSAND OOILARE (3100.000). IN ADDITION TO THE COST OF COMPENSATION, DAAMGES AS PROVIDED FOR IN SEGTION 3�06 OF THE LABOR CODE, INTEFEST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm tha er p ovisions of Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Protessions Code, antl my licensa is In tull tOrCe antl BfleCt. LIC M �n CIa55 k Conlractofs5ignaNre� � � .�� Date: � ' G i CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm Ihat ihere is a construction lending egenry for the pertormance of Ihe work for which this pertnit Is issued. (Sec. 3097, CiNI Cotle). Lentler's Name: Siqnature: _ LendeYs Adtlress: Date: OWNER-BUILDER DECLARATIONS: I hereby etfirtn ihat untler penalry oi parjury that I em EXEMPT FROM THE CON7RAC70RS LICENSE LAW tor the following reason (Sec. 7031.5, Business end Professions CoCe: Any city or counry which requires a pertnit to construct, elter, improve, tlemolish, or repair any structure, prior to its issuence, elso requires the applicant for such permit to flle e signed stetemeN Ihat he or she is licersed pursuant to Ihe pmvisions of the Coniractors License Law (Chapter 9(commencing with Section 7000) of Division 3 ot Ihe eusiness antl Protessions Code) or Net he or she is exempt therefrom antl Ihe basis for Ihe ellegeU exemption. Any violation of Section 7031.5 by eny epplicent for a permit subjects the epplicant to e civll penalry ot not more than five hundred tlollars ($500).): ❑ I, as owner oi ihe properry. or my employees with wages as Iheir sole compensation, WILL DO THE WORK, entl ihe siructure is not Intentled or oHered tor sele (Sec. 7044, Business and Professions Code: The Contractore Licanse Law tloes not epply to an owner of property who builds or improves ihereon, antl who tloes such work himself or harsell or Ihmugh his or her own employees, provided ihat such improvements are not intendetl or oNered for sale. tl, however, the builtling or improvement is sold within one year oi completion, ihe owner-builtler will have the burden of proving ihat he or she did not build or improve for purpose of sale.). ❑ I, as owner of ihe property, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business end Professions Code: Tha comractors License Law does nm epply to an owner of D�aDerty w�o builtls or improves thereon, antl who comracts tor such project with a contrector(s) license pursuant to Ihe Conlraclors License Laws.). . ❑ I em exempt untler sec. Business and Professions Code for this reason: SlgnaWre: Date: Owner ID ventied by drivers license. ❑ Ves ❑ No Drivers Licanse No. Venfication of Ownership by (type of document, i.e. - properry tae bill or tleed): Expires: DIVISION OF INDUSTRIAL SAFETY PERMI7 CERTIFICATION: ❑ I hereby certity that no excavation five (5) or more feet in tlepth inro which a person Is required to descenq will be made in connecilon with work authonzed by Ihls permit, ena that no builtling stmcture, scaffoldinq, falsework, or tlemolition or tlismantling thereof, will be more than thirty-siz (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 347, Title 8, Calitomia Atlminisiretive Code). ❑ As owner-6uilder, I will not employ anyone to tlo work which would require a permlt from ihe Division of Indusirial Safery, as notetl ebove, unless such person has a permit lo do such work from the division. Signature: - Dete: Division ot Industnal Safery Pertnit Number: CEHTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF EMRY: I certity under penal�y of perjury tha� I have read this application and state that �he intormation given is correcL I egree to comply with ell state laws antl ciry ordinances relating to huilding constmction, and authonze represemetives of the Ciry ot Costa Mesa to enter upon Ihe ebova-descnbed properry for inspection purpases. I egree not to occupy or ellow occupancy oi any Dulltling authonzetl by this permit until final inspection. A� i��e Ot LeMA ga6_ I Ov_ner(s) S� �e� �I '/lfvY— ��I � nNOr Authonzed Applican� � ate CODE �. INSPECTIONTYPE � � 1fi16 Fized System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Root 201 Final BIocWRetaining Wall 202 Final Fectory Flre Place 203 Final Sign 204 Final Demoli�ion 2468J6 QdIE � �IMRIpLS � � CODEt' INSPECTIONTYPE ' 206 Final MechOnical 208 Final Plumbing 210 � Final Eledrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Finel BuildinglOccupency PA7E It�JAL@ ' l�t�.� S COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 9f7 CP6iA MESA. CALIFORNIA For Applieanf fo Fill In Compleiely TYPE OR PRINT ■ MAIL COSTA MESA. CALIFORNIA TEL. FEE RECEIUED ! OCT 6 ,�� c�� FINANCE DEPT.. CITY Of COSTA MESA APPLICATION FOR PERMIT euaDiN� For Office Use Only FIRE ZONE �� APPROVED 9Y owre issueo COSTA MESA. CALIFORNIA Zf�idING ZONFy�—� I NO. OF I UBE OF NEW f� PLAN9 � BUILDING µ \ NEO LEGAL ._.. / �U% Nr ��.1 NO. OF BLDGB. 86TB6CK LINB PRON CENTER OF 6TRCET � REAR YARI SIDE YARD ILEFT �� IRIGH7 DESCRIPTION OF' WORK � � � ST. ) EVES ALLOWED r. -- r. — r. REPAIR I II MOVING I II OEMOLIbH I BYPROVED �/�� DAiE /�/3 /b � BUILDING �f O NO. OF L 1 ��T��` SIZE G O S�1tROOMS V STORIES 1 ' EXTERIOR WA L IROOF u �Y�� ' COVERING COVERING n„1�i � � USE OF BUILOING AND WORK TO BE PERFORMED R- S' F Residenc r: 9g , /�.. � .� � � /��4. nl'� � ,. �' I HEREBY ACKNOWLED6E THAT 1 HAVB REAO TH19 APPLIGTION THE AMOUNT BHOWN UNDER VALUATION IS FOP THE AND BTATE THRT THE FBOVE �g CONFECT AND AGAEE TO LOM- pUf1P08E OR EBTpBLIBHING A PERMIT FEE ONLT. PLY WITH ALL CIIY OROINANGQB AND eTATE LAWB REOULATINO � BUILDINO CONBTRUf\TIO�N. / / VALUA710N +� SIGNATURE OF � /�/�J� L� ��— PERMIT FEE $ -J y� PERMflTEF dJ / "U—` --7 � "/ �� $ / l O PLAN CHECK $ � I / — p F AUTHORIZED AGENT ��, LL iOTAL FEE �