HomeMy WebLinkAbout2460 NORSE AVE - Building Permits�
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�ELf RUGHESS: z 9( O NORSE AV uxrt: �
OWNEN'SN1ME: SCOTTSE C. NIIZAWA � �
nooxEss: 15061. SONNY CIR
IRVINE, ^
CALIFORNIA 9271,9 �
�flCIUENGiXEER: � 1 4�$ 9$— 8 6 � � '' ', qE6.N0.:
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- PEMMITTEE: (,�.IAMPION ROOFING. • ( 213 ) 259-0451
" nooness: _ 7257 VERDUGO
' L:A.' CA 90065
UCENSEO CONTMCTON OECUHRTION: I hereby attirm that I am Iicense0 under provisions of Chapter 9(commencinp with Seciion
7000) of UiWsion 3 ot ihe Businew an0 Professions CoOe, an0 my license is in full lorce antl eHecl. •
ciTr uc.: p q z � 15 ST1TE 11C.: 9 z(j 4$ 1^ cus �_
Date:_���(% SipnaWre: �
�VOBREBS' COMPENSRTION OECLAMTION: I here�y attirm tAat I have a certificate oi conse to selbinsure or a certificate ot Workers'
'�mpensation Insunnce, or a certifie0 copy Nereoi (Section 3800, Lah. C).
iucrxo.'W0008227 E%P.ORTE: O6IOi�9O
cornrnxr: BEAVER INS CO.
❑ Certified coDY is hereUy tumishetl. � Certitied capy ' ieU wi Ihe ciry Build i ion.
�ate: � � g �%U Applicant: �'
EXEMPTION FPOM WOBKEBS' COMPENSIITION OECUMTION: Qhis uc6an nee0 not be completetl il e permit is �or one hunErvN �fl W) or kss�.
I certi/y �Aat in �he OertormanCe Of �he work far whiCh this Dermi[ is Issued, I Shall nOl ¢mpl0y any pBrson in any manner 5o as �a DeComO
suhject Io the Workers' Compensation Laws ot Calilomia. �
�f�:}�i�..�,� .
Daie:' "- Sipnature:
NOTICE: Ii, atler maltinp Ihis Oeclaration, yau s�aultl hecame subject to t�e WOMers' Campensa6on pmNsions of t�e LaEor
Cotl¢, y0u mus� IarIAWiIA Cam01y wi[h Suc� pfoVisians Of lhis Oefmit Shall �e Ueemetl revoke0.
CONSTNUCTION 1EN01NG 1GENCY: I here�y attirm ihat ihere is a constmctian IenOinA aAency lor ihe pedormance of the wark tar
which this Dermit is issue0 (Sedion 3097, Civ. C�. �
LENDEfl: � � ' ^
� " nOUflESS: ' �' ' �
OWNER BUIIDER UEClAN11TI0N: I here6y a/firm that I am exempt irom the Contactors State License Law for tAe fallowin0 �azon
(Seciion 7037.5 Bu5ine55 an0 Pmtessbnal Cotla: My ciry of counry whicll roQuires a Dermil [a ConslNCi, alter, improve, demoli5n, ar
repair any simcNre, D�or to its issuance, alsa rtQuires ihe applicant tor such permit ro file a siA�eE stat¢ment tAat �e/she is IicenseA
pursuant to [he provisions af the Cantractors' $tafa Lieense Law (ChaD�er 9(commencinp with $ection 7000) o/ Uivision 3 0l I�e Business
antl Profeuions CoOe) or tAat he/she is evemD� �hereirom and ihe hasis for the allegeA exemption. My violatian a1 Section 7031.5 by
any apD�icant tor a permit subjeds the aDPlicant to a civil Denalry oi not more ihan tive �unAred Aollars (5500).
I, as owner ot lhe properry or my empIayees with� waqes as iheir sole compensation, will tla [he work, and Ihe
� stmnurais notintentled oronereUforsale�Section 70Ad; Business anA ProtessionalCode: T�e Contractors' Slate License Law
Ooes not aD7�Y �o an owner oi a propeM wha builAs or imDmves thereon, an0 who Ooes suc� work himselt/Aerself or thmug�
:his ar her own employees, proviOeE tAat such imprwements ar¢ not iniended or offem0 tor sale. If, however Ne buil�inp or
imD�avement is sa10 wit�in one year.oi completioq Ihe owner vnll have ihe OurOen oi pmNnp Ae/she diE not huilE or imD��'e
.` tor ine auraase oi utel.
I,as owneroftha Droperry,am exclusively contractinA wiNlicensed contractorsto consiructt�e D�aject(Section 70C4, Business
� antl Profassions CaOe: The Contractors' State License Law Aaes not apply ro an owner ai proper1y who �utlAs or impmves t�e2on
an0 who contracis for such pmjecis wilh a contracror(s)license Dursuant to Ihe CanVac�ors' State Licensa Law),I am aware
ihat Omof of their Worker's ComDensation insurance s�oulU Ue pmvitleE ro me.
� I am exempt un0er Section: B. 8 P. C.
/or Nis reason:
Date: Owner.
I tlo hereby certity ihat I am aware of and untlerstand tAe requirements ot Calibmia Healih anJ Safery CoOe Sections 25505, 25533; anA
25534 anE tha[ I or any future builtlinA occupant will/wilt not (circle one) nea0 ta camDly with saitl state codes and Ihe raquiramenis for a
permit for consimction or moditica�ion fmm t�a tir Oualiry Management DisMct. ResiOential consimction applications are exemDt imm
'� t�ese Dmvisions.
Oate: ApplicanC
I hereGy certiry ttiat I have'reaA ihis a001iwtion an0 state tAat t C ve information is wrrect I apree to comDty wrth all ciry antl counry
or0inances an0 state laws relatinp ro GuilOinq constmcfion antl reby a ihonze sentatives ot thi� ' to enter upon the above-mentionetl
pmperty lor inspedio�n pGurp,oses.
lyte: � C U Sipnature:
unver's License ar Sociai Secunry .
169td6 White—BuilEinp; Green—Cotle Enforcament; Canery—ApO�iceo�: pi�k—Revenue: Goltlenrotl—Assesfor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 047377 PLAN CHECK NO: N
CONSTRUCTZON TYPE: � PERMIT TYPE: STR
JOB DESCRIPTION ; REROOF—COMP OVER 40LB FELT O/WOOD SHINGL
PERM NO: _5 047377
GOVT: N SUPP: N -.
PURPOSE': ALT
SQ FT; 3,000 ,
CLAIM VALUE: -.3,000:'00 CALC—VALUE; 3,000.00 GROUP OCC: R-3 /
COMMENTS;
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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 kEAR: FT IN
LEFT: FT - IN RGAT: FT � IN LEFT; FT IN RGHT: FT IN
PARKING REp • PROC': PARCEL: 14165127 ZNE: REF NO: , '
PLANNING N6TES>
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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:
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY: DATE: �/ �
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!k iE iF �f �! iF * if iE jF±E 3E 1E 1P 3E jf iE jF iF �f iE iF if fE fE iE iE 1E iE 1E 1E iE iE iE iE iE iE if iE iE 1f iE jE 3F 3E ik iE iE k iE� jf dE *�E jE jk iE jFlE �E 3E if �1! iE dE 9E 7E iE iE iF 3F 3E iE iE-lr iE iE iE iE
LEGALIZATION:N � F E E S U M M A R Y STRUCTURAL,$EGMENT:Y
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE �SMIP/RES`% "GRADING
PERMIT 54.00 ,50` '
SMZP/NON=RES
PLAN , `'': -:�,
IS.SUE FEE
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID ' DU£
TOTALS---> 54.50 ' 0.00 0.00 54.50 54.50 °� .04
REVENUE DIVISION TOTALS-->. COLLECTED: 54.50 OVER/SHORT: ,'��'' .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING P,LAN—CHECK
54.OU .50 -
l
if iE iE iE iE iE iE iE iE iE it jf� jf iE iF iE iE it it ik it iE iE if iE iE iE 1t rt if 3f !E iE ik iE ik if iF iE if iE iE iE iE iE ik it it 3F jE 3F iE iE iE iE if iE itlE iE iE iE dE i6 �E jF iF iE 3f iE iE iF it 9f if i6 iE it 3E
I N D I,V I D U A L. F E E B R E A K L O W N ;c�,'
� .—
TYPE QTY D E S C R I P T I O N UNIT COST, ,,T.OTAL COST
SFR 3000 REROOF BY t,�ALUE RESZDENIAL NOZONE 1.OQ �'3,,000.00
ANn (1F FFRS - �
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41 OOQh?^25••C�OOoI?24 'TC�'F' S4.`,�G.
CpTE� 05li81SU 7?Pi�t io:G2,
�� CONSTR,UCTIOf� AND PLANNINV •
� . � APPROVALS Permit # '
1. Tem0�a1 � Electriwl Service or Pole .
2. Soil Pipe-Undrgrnd. . �
3. Electrical Conduit Utility•Undrgrnd.
4. Electrical Conduit�Undrqrnd.
5. Steel Reinforcement
6. Electrical UFER Grnd.
7. Footings -
8. Foundatipn � "- r'
9. Water Pipe-Undrgrnd. .
70. Structural Floor SYstem .
11. Property Sewer Line & House Connection
L, .
12. Sewer Cap , � �+ '
�� l
13. Roof Drains
14. Rough Plumbing
75. Rough Electrical-Conduit
16. Rough Electric Wiring _
77. Rough Wiring Sign
78. Rough Electrical�T BarCeiling
79. Rough Heating & Air Conditioning
20. Rough Pactory Fireplace _ �
21. Ducts, in Structure
22. Ducts, Vsntilating
23. Gas Pipe•Fough & Test
24. Roof Framing
25. Roof Sheathing
26. T-Bar Ceiling (Structural� & Monocoat
27. Frame and Flashing -
28. Lathing & Siding
29. Insulation �
30. Drywall Nailing
31. Plasier Brown Coat
32. Electrical Power Meter-Final
33. Final Electric � '
34. Final He3ting & Air�Conditioning
35. Final Gas Pipe-Test �
36. Hood or Canopy '
37. Final FactorY Fireplace
38. Final Plumbing
39. Water Service-Final _
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow�P�eventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Felease to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
Date.
�
- . ,JL & SPA -
Inspector pppROVALS Permit #
- 52. Pool & Equipment Location� �
� . 53.'S[eel Reinforcement _ •
- 54. Forms '
� 55. Electrical Bonding
- 56. Rough Plumbing & Pressure Test
� 57. APPROVAL TO-COVER�GUNITE
58. Electrical Conduit-Undrgrnd.
59. Gas Pipe, O Undrgrnd., Test
60..Backwash Lines, P-Trap,O Undrgmd.
61. APP�ROVAL TO DECK `_
62. � Backwash & Feceptor-Final.
63.� Heater & Vent-Final •
64. Plumbing System � Final - �
65. Electrica6Final . '
66. Solar System-Final '
_ 67. Fencing & Access ApP�oval
� 68. APPROVED FOR PLASTERING
' 69. POOL/SPASYSTEMS�FINAL
FIRE DEPT. REQUIREMENT
� APPROVALS � . Permit #
- i ,
Date Inspector
70. Underground Hydro
�71. ProductPipingOGas ❑Oil
72. Underground Flush
�- 73. -Undergrnd. Storage Tank � Gas ❑ Oil
� 74. Overhead Hydro
75. Dry Chemical .
' 76. Dry Standpipe '
77. FIXED SYSTEM FINAL
; 78.,FIRE PREV. FINAL �
HEALTH DEPT. REQUIREMENT
� • 79. FINAL INSPECTION
. 80. FOOD CEFTIFICATE ISSUED �
Notes: '
C.i
a
'� _
OWNER jC
JOB ADDRESS
AP No.
IN5PECTIONS
coat
FORM BU4 � SM —
neT� io-6-6i
BUILDING PERn4IT NO.
LOT !} TRACT 1}QLES FIRE ZONE DESCRIPTION OF WORK Te6. Stt
I Signature' ll9TP GROUP TY� YPE � 7,ONE Rl
-� - � SU6CONTRACTOR ylP.MITSISSUE
TA�19: Ai�iTrTR'
�;��:���
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX Sf7 COHTA M86A. CALIPORNIA
For Applicanf to Fill In Complefely
� YYPE OR PRINT
COSTA MESA. CALIFORNIA
■ ARCHITECT
■ 6TATE _ _ _ __.. TEL.
NO. OF BLDOe.
srneerM LL]� REAR YARD j��
ILEFT �� I RIGHT S�
DESCRIPTION OF WORK
�LDING �y NO. OF L
i1/i� GIi�TLRlInMC {J CTIIGIFC �
WORK TO
N2o
I HEHEBY ACKNOWL6UOE THAT 1 HAVE READ TH�9 APPLIGTION
AND 9TATE THAT THE ABOVE 19 CORPECT AND AGREE TO COM-
PLY WITH AlL CITY OF��NANGEH ANO BTATE LAW9 REQOLATING
BUILOINO CONBTRU\CTION. /
BIGNA7URE OF '�y^ /� (�J��_C_
PERMITTE K-� 1�
AUTHORIZED AGENT
FEE RECElVED
ACT� 6 �" T� GG�
'fINANCE DE�'1'.
CITY Of COSTA MESA
APPLICATION FOR PERMIT
� BUILDING
For Office Use Oel y
RECEIPT NO. I �HPCRHIT�NO.
RECPIVED BY I OATE�qECE�=Ep/ I DFTE I65UED
/%Ci� � �V G ODT n
ADD E'S5 (-� (� ���Q S/ _ Y
COSTA MESA. CALIFORNIA
FIRE
ZONING
ZONE �y' I NO. OF I USE OF NEW
PLANS Z, OUILDINO �
oeaw� �� � Z �ly �
Escwmn.�u 7
(CENTER LINE.BTJ ��
FRONi
R. SI�E `s
�. SIDE '�
REAR z /
APPROVED 'n
BV �-� AJ".�
�
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THE AMOUNT BHOWN UNDER VALUATION 16 FOrs THE
PURPOBE OF EBTA9LIBNING A PEpMIT FEE ONLY.
VALUATION '/
PERMIT FEE $ �%�'�
$/�/ 306.-� PLAN CHEGK $ �/
�/
70TAL FEE $ `� /'�
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