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HomeMy WebLinkAbout2460 NORSE AVE - Building Permits� �� : B�6- o/ �6s �� � - o iu2� rn� �- �oq�i�. p��- 010��1 � G! `vr W / �G+o��'�'�'i�iq ✓ �"00l�v1 G1 G�GI / T/ 0 G! Cf � Cos{� /"l�s�r� Cfl 92 6 2% a �� z � w� � ��y 3/ Zoo 7 � r �r /j��r s � �lve :� �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$— 8 6 � � '' ', qE6.N0.: � wP3fl£SS:: ' . . UNR: � a � ' - PEMMITTEE: (,�.IAMPION ROOFING. • ( 213 ) 259-0451 " nooness: _ 7257 VERDUGO ' L:A.' CA 90065 UCENSEO CONTMCTON OECUHRTION: I hereby attirm that I am Iicense0 under provisions of Chapter 9(commencinp with Seciion 7000) of UiWsion 3 ot ihe Businew an0 Professions CoOe, an0 my license is in full lorce antl eHecl. • ciTr uc.: p q z � 15 ST1TE 11C.: 9 z(j 4$ 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; +�**�r���**�*****�'���r�*,��r*�**�*�**�*****�*�r*t���*+���*�**�*��**�*�**�r*****�*��***�� 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> > ' iE �)E iE k it if iE iE jE 3E iE iE iE iE 9E iF jE iF iE iE iE iF iE iE iE iE it iE if jF it iE iF iF iE i61E if iE iE iE 3E jE if iE 3E iE jE �F iF it iE fE it if iE iF i(� it if iE iE 9E iE iE it 1E iE iE iE iF iE iE iF iE if iE �ElE 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: �/ � iflFiEiflfiEiE�lfifiEifififi(��EiE3EiE1EjFiE1E3FTFik3FlF3F3F�FiF;FiFiF3F3F �c 3F1F1F3F�FiF3F;F3F�FiF1F�FiF1F3F7F�E3E1k�EiE1E1ElE�IEiE E E lFiE !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 - � ��\�, \ ��- � � � �v�� 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".� � � THE AMOUNT BHOWN UNDER VALUATION 16 FOrs THE PURPOBE OF EBTA9LIBNING A PEpMIT FEE ONLY. VALUATION '/ PERMIT FEE $ �%�'� $/�/ 306.-� PLAN CHEGK $ �/ �/ 70TAL FEE $ `� /'� �1�