HomeMy WebLinkAbout2469 NORSE AVE - Building PermitsPflOJECT ROOHE55: 2q 6l� NORSE A�%
OWNEfl'S NRME: COX, DONALD O �
� �* noueess: g07 HARTZELL ST
PACIFIC PALISADES,CA90272
�� �
° AflCH/ENGINEEP: _ flEG.NO.:
AOUHESS: . . ' .
UNIT:
UNIT:.
renmiTree: pETERSON ROOFING, INC. ( 714 ) 720-0812
aooaess: z816 ' PCH
CORONA DEL MAR CA 92625
LICENSEO CONTHPCTOF DECLAFl1710N: I hereby allirm thai I am sea u pwvisions of C�ap�er 9(commencing wilh Seciion
7000� ol Olvlsian 3 of the Business and Prolesslons Cotle. antl lic se is f I torce an0 flect.
c�Truc.:045445 srnreuc.:468553 C—
Oate: �—�C, ^' �/ Signature: _ _ _
WOBNEHS' COMPENSOTION OECIAHATION: I her¢by a�hr I have a cenificate oi consem m seu-insure or a ceeifica�e oi Workers'.
Compensation Insurance. or a rertihetl copy ihereof (Seciion 3800, Lab. C�.
POLICYNO.: SOZI3SS-9S . E%P.ORTE: O4IOS 92
cam'raNr: STATE FUND
❑ Certilied copy is hereby furnishetl. � Cerlitied copy i5 filetl i�h e cit uildi Divisio .
�^ oate: �—/ O -- � f Applicam:
E%EMPTION FflOM WOPMEflS' WMPENSBTION �ECIAPPT10R (T s ion neeU e comDleteO if ihe permit is for one hundred ($100) or less�.
I certi�y Iha� in Ihe pedormance Oi �he wark lOr whith �his p¢rmit is issued, I Shall not employ any De�son in any manner 5o as �0 6ecome
sublecl lo t�e Workers' ComDenSaiion Laws ol Cab�omia.
�ate'. ' ' SignaNre'.
NOTICE: I�, ailer making �hi5 tleclarali0n, y0u Sh0u10 betDme SUblett �o Ihe Workers' ComDenSaiion pmvisiDns Of Ihe LabOf
Cotle. you mus� Iort�wiih compty with 5u[h provisions or t�is permit s�all be deemed remked.
CONSTFUCTION LENOING RGENCY: I hereby aftirm Iha� Ihere is a constmclion lentling agency �or the pedormance o� the work for
which Ihis permn is issued (Seciion 3W7, Civ. C�. �
LENOEfl:
AOONE55: ' '
IJ
OWNEB BUILDEB OECLANATION: I hereby afiirm Ihal I am e�emp� �mm �he ConVaciors' S�a�e License Law for �he following reason
(Sec�ion 7031.5 Business ana Pmlessional Code: Any ciiy of caunry whic� requires a p¢rmA ta constmc�, al�er, impmve, tlemolish. or.
repair any StmcWre, prior to ils issuance, alsa requires ��e applican� for such Dermi� lo lile a signetl statement thal he/she is licensed
pur5uani�o�he pwvisions oflhe Conirac�ors' S�a�e License Law(Chap�er9�cammencing with Sec�ion 7000) ofDivision 3 ol��e Business
antl Pmfessions CoOe) or ihat he/she is exemp� Iherefmm anA I�e �asis br lhe alleged exemption. Any viola�ion o� Sec�ion 7031.5 Uy
any appliCantfor a permii Sublecis Ihe ap0liCan� Io a Civil p¢nalfy of no� more Ihan �ive hUndretl tl011ars (5500�.
I, as owner o� �he pmpeny ar my employees wi�� wages as lheir sole compensation, will tlo �he work, and �he
❑ simc[ureis nolintenAed orofleretl�orsale (Section 70ad, Business an0 PmfessionalCotle'.- TAe Contractors' S�a�e License Law
does nol ap01y �o an owner of a pmperty who buil�s ar impmves �hereon, and who does such wo�k himseli/hersel� or �hmugh
�is or her own employees. provitled Ihat such impmvemenls are no� intenaed or oflered lor sale. I( however �he builtling or
improvement is sold wi�hin one year ol complelioq tAe owner will haue the burtlen o� pmving he/slle diA nol builtl ot improue
�or the purpose af sale�. I
I. as owner ol �he pmperty, am e�clusively coniracting wilh Iicense0 contractors to constmcl �he pmject (Section 7044, Business
❑ antl Pmtessions COAe: The Conlradors' State License Law �oes no� appty lo an awnei of pmpetly wha builGs or lmpmves thereon
ana w�o coniracts �or such pmlec�s wi�� a conirac�or(s) license pursuant �o Ihe Contrac�ors' Sta�e LicenSe Law�, I am aware
Ihat pmol ol their Worker'S Compensation insurance s�aultl be pmviaetl to me. . •
� I am exempl wder Seclion: , B. 8 P. C.
lor �his reason: � �
Dale: Owner
I tla here�y cerlily I�al I am aware of antl untlerstand ��e requirements ol Calilomia Heallh and Safery C00¢ Setli0n5 2550.5, 25533, and
25534 and �hat I or any iWure bwlding occupant willlwill no� (circle one) neetl Io comply wi�h saitl state cades ana the requiremenis for a
permil lor conslmction or modilicaiion �mm ��e Air Oualily Management Oislric�, pesidenlial constmction apPlica�ions are exempt irom
�he�e pmvisions. .
�ate'. Applicant:
I hereby cetlify �hal I.haveread this application and slate that ihe a veini mati is c rect. I agr [To comply with all cily antl county
or0inance5antlstaielawsrelaling�obuilaingconstmctiona re� au�ho esen� vesoi�6 cyloenieruponlheabove�mentioned
pmperly lor inspection purpases.
oa�e:_�'��' 9! s�9�aw�
oriver's ucense orsouai Securi�y �
t6at�e6 Whne—Builtling�, Green—Cotle Enlorcement: Canary—Applicantl Pink—Revenue�, Goltlenmtl—Assessor
CITY OF COSTA MESA — HUILDING PERMIT PERM NO: B 05378
PERMIT NO: B 053789 , PLAN CHECK NO: N GOVT: N SUPP: N.,
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR - PURPOSE:,ALT '
JOH DESCRIPTION : RE—SHEATH 6 RE—ROOF 1/2"CDX 6 TIMBERLINE SQ FT: . 5;000 �
CLAIM VALUE: 5,000,00 CALC—VALUE: ' S,000.00 GROUP OCC; R-3 /M-1
COMMENTS: SMOKE DETECTOR(S) RE�UIRED IN-HOME.
***�r**�t**+t****�t**��****�t*+r*�r�* +�***�r�rx�r�****�*�***�r�r�+r�r�*�x+��**+�*�**�**�*****�*
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S ' �
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ• PROV: PARCEL; 11910265 ZNE: REF NO:
PLANNZNG., NiSTES> '
+ �
�E if iF iF k 3f aF iF ik ik iE 1Fjt �f �k if 3E if ik if iF iE iF iF iE j! i! k iF ik 1k if k it k iF k k iE if iF iFik iF ik iF k k iF if 3f ik IE if �f iE if lEiE 1E if iF iE�E iE if 3f if If iE iF iE k 1E �f iF k IE iF
D E V'''°E L O P M E N T S E R V I C E S R E Q U I R E M E N�.'T S
ZONING APPROVED BY DATE: i;_
HUILDING APPROVED BY : � DATE:
APPLICATION ISSUED BY: �e�_ DATE; � /O
iF3FiEiE�FiliEfFi!!ElFklE3E�E1E3ffE1FiE3Elt �l p�,.,�a�x�ci�.ca�xxiEitiEiffEifiE�E1EiE iF3f
�Eillt�EififiFiElFiFiFifiEifif�EiFilkiEiElEiEiE�EiFk!liFiFkiFkikifkiElfaE�Fit�f�! 1FifiFiFiEifikiEifil9tk3Fk�tit3FiEjfaEiEifiEM�FiF3fiFiEkkiEiE
LEGALIZATION:N F E E S U M M A R Y ' STRUCTURAL SEGMENT:Y
F:
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES;; GRADING
P6RMIT 72.00 .SO'
SMIP/NON-RES
PLAN
ISSUE FEE '
BUILDING—DIV—> PERMIT ISSUE ,PLAN—CHECK TOTAL PAID � DUE
TOTALS----> 72.50 0.00 0.00 72.50 , 72.50 ,00
REVENUE DIVISION TOTALS--> � COLLECTED: 72.50 OVER/SHORT: >i .00
BLD,G72Poo PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOO GRADING�PLAN—CHECR
�
if �f iF!! iE if iE 1F iE iF if if iF 3E M iE * if IE 3F iE iE if iE iE i! �f iE iF IF 1F ik k iF k iF k iE iE iF if.iF it if if it iliflf if iFif ik iF k iF 1F itif 3f ik-1E fF k IF 3F iF 9f 1E iF fF 3! �E IF *{F iE 1F �F
I N D I V I D U A L F E E B R E A R D O W N �
TYPE QTY D E S C R I P T I O N • UNIT COST ",':TOTAL COST
SFR 5000 REROOF BY VALUE RESIDENTIAL N020NE 1.00 ` 5,000,00
END OF FEES .
� � �
aa, oa�s67ov-aoasa��s�; r +s� ,
DATE: 69110/9? TIf��:�:'?,'9:�5
�DUF"�TiC?,�"t'�'� E:��€'� �'�� ;-:f
ez c��?9e7ea-aaosa�na -rc��� �� i_
DATf: 09;':t�!91 TStfE: JS:27 �
�
�
i � 1
CF7NS7>F.UCTION AND PLANNING _ POOL & SPA . �
Date Inspector ' Date Inspector•
t�PROVALS Permit# � ,,; APPROVALS Permit#
�✓
i. Temporary Electrical ServiC2.or Pole - 52. Pool & Equipment Location
a -+N r.
n_�.. Or+ j! ,
2: �Soil Pipe-Undrgrnd. ., ��, ` .� �� 53. Steel Reinforcement -
"-"5����ctrical Condi3i�;lSEflity-UnSrgrnd;;=r bj 54. Forms � ``��
LY.ti H..`'� 1��
/C ' H +':`ti � � N[^ �
o: 4�;Electrical Condul4• ,_ drgrnd. i�, 55. Etectricai Bonding .
�S;Hfeel Reinforcep�ef`r+� . "'c' 56. �Rough Plumbing & Pressure Test S
�J' °"r ' "� �' S7. APPROVALTOCOVER�GUNITE
n7���Elgctrical UFEFi�I�'i'n�tl�. �q Q;,
� 7."&ootings J �� �� ' 58. Electrical Conduit�Undrgrnd. �, c��
�•r^ - r,- .r
� 8.Ec.,F�ndation s`� �`;'%�' + � . � 59. Gas Pipe, O Undrgrnd., Test �•���' '"
i. iZ ; ,.'� +
9. Water Pipe-Undrgrnd.�i � j J'� 60. Backwash Lines, P-Trap, � Undrgrnd. � �_y�^
10. Stwctural Floo,�System,.�,�� ��'"" ;',-=.. 67. APPROVALTO DECK �
� iJ>
( : � L
11. Property Sewer �in�:&-Fio,use�onnectipif � f" 62. Backwash & Receptor�Final -
12. Sewer Cap •�'•+%/,.,{ ��----' i+ 63. Heater & Vent�Final "" ;^"'
u. :u fy tv ;1
13. Roof Drains ro '� ��' �� j:� �'� � �
64. Plumbing System: Final � � )„��
14. Rough Plumbiri�g �� �' � :�' 65. Electrical-Final - � �
15. Rough Electric,`aj.-Conduit 66. Solar System�Final .�
� 16. Rough Electria�Wiring 67. Fencing & Access AnP�oval
17. Rough Wiring Sign , 68. APPROVED FOR PLASTERING `'
18. Rough ElectricaF-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL .
r.^.
19. Rough Heating & A�r Conditioning - FIRE DEPT'. REQUIREMENT ��
�9 � � y � � � 7 + G ;� t"? w 11PPR�dVALS7�,�7:,Per�it # w ��
20 =Fou h F ctor Frteplace , tKp�
r- t� ••r i'r � u rr�r�� � r• �-rn;��r� f i-.
~a ':e I E-+F ?::5 �i H '7 '-.Y :� "]'^'-' 1. ,r,. �n
21 �DuF't_�, i�Str�ctu�.e� �•• .• �� :r S+J t y: - 0. ��del�j�u,nc%Hyaro
x
�.� _.
22. Du�7s, YentiJatin`g.�s i : v i t * � �n ��77. Producf+��ing �1G2s O!Oil
23.�as Pi � a� x. ~ 7 i-�x x +-: � s r�
p�;oj�gh ffi'�est '"72. Undergrou�cl FI�� � �
.-1 ��, � ' LT,S A� L�: b" �L O?. �-i ... ..,L T'
-� '� ;a. �a ra :_;t� :. L . rrv r.. �� c..
24riRoci{ Framing ;z,x i_-; +� � O s � � S73•�Undergmch Storec�c-Tank �7 Gas ❑ Qil
- 25. Ro�f SF�thing �� ¢ ��, * ra Cr C N; z 574;�Overhead�AYdro'���'b i
,-. ' .� �� < - ��e �.� a x
26n; -S2r Ceiling (Sveciural) &;jvinnocoat < - rlf C+ .q> x 75�'Dry Chemical .; �..i - �x
27iframeandFlashi 'y},�, *� m~*�"� 76�'"DryStany� e U�� `��� �`� �
w. ti, �- n, �"�` � M r r mx x �;g �-uw C
�28' �Lathinyp& Si�in �v�. v� r�tn;;, .., � z a . �_� x.. � u
4,-• � 4,:: u; � S_ •�.x> 77^ FIXED SYSTEM:FiNAl� tr
>29. Insulati" o c�:.r C i-- ^•• :> T th f (�, �� Y� 7?FIRE PREV. FIN€1.L * � u'
.-. �: S M � . v .;. > � • e.
�,: ' 4 0, t� a: S - r� :` tD m
�:30. Drywall-' ailwg -.V. .,r. ' �, ; . x - �H_EALYH:aEPTm REQUiR�MENT
, �.'�`,... ..
�'31. Plaster Brow Coat* � � � ' ` ` 79:�FINAL Il�j,$PECTI',N �' 0 b' "�
r^. r: m+. tnrr r. i' '. �; x r ....o � i. C7
ny .^'k- i�-F -.. + v n- ..... � 5.. :��
r,32;yElectric�,Po�er�9;i�Final, ' ;,�..,� � 1,� . ,,$O�,;FOOD CER�IF�EF,qTE IS�IJED"
I
�33�Fin�l EleccriC 'x"' � � °"-r ''? �: � nNo;fes: �' '�>: �= � � ��
- �n •nr in :Y. � (� _k '7 `-! �'7 ^Jtn
{ c ^ ,� •+ � �+ . � :R 0. �a' � K l7 -:`
c�34�.Fin�'IHbating.&�*�dr�ditiqn'Sr�g .� :x ._,x�x ;.^ S c�:G :•: S
e.
�35!TFinil Gas Pipe.Tesf� •:� "� t r � �.�? Cl :qj :� �*' .SC
., a .: i.a i: ^o .-1�1 x .r„�
'r c 'L'� `Z �F ,!'�'%'K.v: '�7 ' .. T i�l ✓+
�r.36:'iio�0��:2nOPY�!'J?'"„J IC'"`7 X:5 i .C_ � C3G ti: a2[*
�-37.CFirral Fa2tory Fi'rAplace � St:' =v .v. i*t �� �'-� .^ - � 7. " yvi
�� r .r Sx� � a.� ;r. � �' .'� Y: t
r V �r
c38. Fin� Pluinbin9 M�^: i� �� �'F: �� I � "' :4 j x: tri C J
Y
;39. Watet Service-Final�+ �• I :v .x � �".*..t- C� t�ta a u: - J
� � r:1 i:s ., u 1
�.40. Gas Sert�ice-�7nal '� � � � � �(t -'� `'" ' '' �"� � -
�., �. !� �c C+? �Zl�[=' S '* [�t ! k- X' :J:n N:]
j41. Solar Damestic�Finel � !1� � •� .w v � 4. �: �v .-+ r .
z ( �fc:c �o .o r.'�.
Y� i� t^J :� `7 �*� :k H Qi- x: ,��'
E"'42SBackfloHPrevente j ,.,y ,; � �r rt �R � 7E-� • > C i�
43. Backflo n Irr�ationr �S:s �+ *+ � � �,-+o �� ; � �-+
w i • �c :e �.
r�
r44. Landscape IL�igatic� SYstern� ��j � � ?n �-• �y �;.w % K :v i:7 w � + '3 ,rG,� o
�+, � � •i... . ,- . � ' " � �. .
.S_45f'Sound QtteQuation. �-+U;E- t�' 'F- S-. F- !- �+t::� l �= �ti p'�.: lC� �t�. � .
�r n+ rei i�ii.:v -� C: 4..�- Y
r.46}'Handica±Ae latio�`ns � 5 �.� r�7 • � ••:r s� i i F�-� ••i� T
?. 9!� . �j p t W�i' ' x•S Co �' a.
�47,=FIf�}AL STR,y1CTU�E & BU.fLDING � �///��/j/ � � .:� 'y �J,�S t. �
�c•� � M' t /Y.�.O LG p�
I[��M ? i i:F ::. i u
48l�Irl�,l PLAItlNIN� � �.,E, * o� � j' j/, w �s !�i �G • �. �v
t �� - -
�-09 JEleairic �Release to:Edison i ,r f � s; •� y- iz. �v �i' �r �� o
i: - a n
:�-50..Gas Rele�se fo Sou�+em Cali'�fprnia Gas Co ` � '� �" ~ '-' o'� � •' `'
� .n .-�. ?, -„ :�: i I �i::.: ;� • o��; � ',�, •
"51. CERTIFICATE OF�OCCUPe NCY ' ;' "' „ -
.L. _ %F 'P �i'. :_ Y Y at !i]�J ;r y. , C%
IJo. Date
OWNER
JOB AC
GENER
AP No.
INSPEC
SOIL
ROUGH PLUMBING " �
PROP. SWR. LINE n HOUSE CON.
ROUGH HEATING ANO
UNDERGROUNO �I POWER
EL
BONO BEAM U STEEL
SHEATHING
FRAME ANO FLASHIN �
LATNING — IN OU'�
PLASTER. BROWN COAT
HEATING, VENT., REFRIG. AND A
PLUMBING, FINAL ANO GAS TESI
ELECTRIC. FINAL
Date
DATE
SUBCONTRACTOR
�[H,�:7�111
�,�.�eQ��
27913 �
COSTA MESA BUILDINGSAFETY DEPARTMENT
P.O. BOX 1200 COSTA ME4A� CALIFORNIA D2E28
Por App97mM fo Flil In Complerofy
TYPE OR PRINT
ADOREBt a2S��v %�%'U.25E S% .
.n _ _COSTA MESA. CALIFORNIA
� ARCHITEGT_ e/ r����LTi TSL �
�� No CO1��C7 `�2�-�
�' _ _ . �.._ i�� wo. or e�.no�.
�� (i ReAR YAR �'S
�/ / /
�lFT D RIONT S
DESCWPiION OP WORK
�a
�j EXTERIOR WALL
1 HHIi[sY ACkNOM16O06 TMAT.1 NAV6 RR11D TYII� APrLIWTON
ANG 8TAT6 TXAT iN6 AlOV6.18 CONR6Ci ANO AON6i M CAY-
PLY WRX ALL CITY O1� INAMCQ� AMD R LAW� p�OVtATIN6
BUILOINO CONBTPYGTyq�1. .
��X� �
H16NATUR! OP
PfiRMITT6
AUTNONIZQD A6[fit
DEC 13-67Ph�°00 505� �:**t:94.5G
CH_A
APPLICATION FOR PERMR
BUILDING
For Offln Use Only
11tceIP� NO. l�QnMIT NO._ �
RIR6
ZONING 5;�
L60AL
�. e+o. ! !'Z —/ b � — �- 5
'8:' NO EAV E OVERHANO BHALL BH LE88 THAN
TO SIDB Q REAR p. L.
E8
.OWED (U.B.C.RBQUIREM6NT1
YARD9MPROVEG YAROSAPPROVEO
MAIN BUILDIN6 ACC6880RY BUILDIN6
oierwNeea¢r. I e�.i
MAIN BLD68. ACCE.
VAR.$ %/��lo�—�.Z.S DAT6
Y W �/� AT[ � �( '
P�
'+n�,n Fpp CPFr�A pFnr mc..-•�--,- m
�e;. � y�" �-�� . �
> /ys eo. �. sy� �
n�t wxoue�r �Xo uHo¢x v�w�non ie rort n�a �
PURPoBi OP RITAGLI8XIN0 A P6RMIT PEi OHLY. �
VALUATION � � — p
PERMITFE6 �
. �� . �
s� ��,s � � � w .
TOTsLL FEE �