HomeMy WebLinkAbout2463 NORSE AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
,lobAddress: 2463 NORSEAV
Suite:
Vicinity: RESIDENCE AND ATTACHED GARAGE
Parcel Number: 11910243 Zoning:
Applicant: LEHMAN, JEFF
Address: 2415 MARGARET DR
_ . Phone: (949)646-3571
NEWPORT BEACH, CA �, Zip: 92663
Owner. MYERS, THOMAS G
Address 2463 N NORSE AVE
, - Phone: � .
� COSTA MESA, CA � Zip: 92627 .
Contractor: J.S.L. ROOFING INC
Address: 2415 MARGARET DR
Phone: (949)646-3571
NEWPORT BEACH, CA
Zip: 92663 - License:� 747706
Arch :
Address:
Zip:
Phone:
License:
Eng:
� / Address:
REROOF RESIDENCE AND ATTACHED GARAGE: T/O EXI:
APPLY "40-YEAR COMP SHINGLES." 2000 SQ�FT -�
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$0.00
$111.25
$0.50
$0.00
$o.00
$0.00
$111.75
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Frorit 0- 0
PARKING Existinq: o
Rear 0- 0
Rear 0- 0
Re uired: 0
FEE SUMMARY
ISSUED BY:
Status: ISSUED
Applied: 03/07/2003
Issued: 03/07/2003
Phone:
License:
REPAIR/f2EPLACE SHTG AS NEEDED, 1 LAYER 30# FELT,
PLANNING & ZONING
Left 0- 0
Left 0- 0
Pr000sed: 0
Calc Valuation: Sa,�oo.00
Claim Valuation: , ga,ioo.00
Right 0-0
Right 0- 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap accass requiremenis 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.
INSPEC710NS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
aaaae �sroo)
WORKERS'COMVENSA�ON DECLARAnON:
I hereby effirtn under penalty of Oe�ury one oi the following declarations:
❑ I eve and will maintein a certiticate of consent m self-Insure for workers' compensation, es pmvided for by section 3700 of tha Lebor Cotle, for ihe pedormance oi ihe
ork for which this pertnii is issuatl.
I have flnd will maint �� workere' compenSalion insurence, as required by section 3700 0l lhe Labor Code, for the pedortnance ol Iha work for which thi5 permit is issued.
My workers'/o6 m�p sation Insu�uace carrigr'�tl policy number are: �7 ` )
Cartier. ,!7 'T �` �' � ��'�`� Policy Number: /i D � ! � � i
(This section need not be Comp/efed// i//l fhe Oermit is valued af one hundred dollers ($100) or Iess.J
❑ I certity that in ihe pe�orma tq�15� work for Ich this permit is issued, I shall not employ any person in any manner so es to �ecome subject to ihe workers'
wmpensation laws o1 Calif fii , ftl egree it I should become subject to Ihe workers' compensetion provisions of Section 3700 of the Labor Code, I s�all forthwith
comply wit� these pro�isi s �(
Applicent Signature: Date: / � � � � �
WARNINO: FFILURE TO SECU �'�' ERS' E TION COVERAGE IS UNLAWFUL M!D SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND G�L FINES UP TO ONE HUNDRED
T11IX1SAND DOLLFFE (5100. ). IN DRION THE COST OF COtAPENSATION, DAMAGES AS PROVIOED FOR IN SECTION 3lOG OF THE IABOR COOE, IMEREST, ANO ATTORNEY'S FEES.
LICENSED CON7RACTORS DECLARATION:
I hereby aHirm ihat I em licensed under provision$ of pter 9(commencing with Saction 7000) of Division 3 of the Business antl Profe ons Code, antl my license is in full
force en0 eHecL Lic. # �'�� Cless a ���
c
Contractors Signature: Date: Z��% �D 3
CONSTFiUC710N LENDIN A NCY:
❑ I hereby attirm that inere is a consiruction lending agency to� the performance of ihe work for which this pertnit is issued. (Sec. 3097, Civil Code).
Lendefs Name: Lentler's Address:
Signature: _
Date:
OWNER-BUILUER DECLMATONS:
I hereby ettirm Ihat untler penalry ot perjury thet I am E%EMPT FROM 7HE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Busineu and Professions
Code: Any ciry or counry which requires a Dermit to constmct, alter, improve, demolish, or repair any structure, prior to its issuanca, also requires the epplicant tor such partnit
lo file e signetl stetement that he or sha is licensed pursuant to ihe provisions oi the Contractors License Law (Chepter 9(commencing with Section 7000) oi Dlvision 3 of the
Busineu entl Pmfessions Cadej or that he or she is exempt therefrom and the basis for t�e elleged exemption. Any violation oF Sectian 7031.5 by any epplicent for e permit
subjecis Iha epplicent to e ���il penalry of not more than five hundretl dollars ($500).):
❑ I, as owner ol the properry, or my employees with weges es iheir sole compensation, WILL DO 7HE WORK, and the siructure Is not intendetl or ottaretl for sele (Sec.
7044, Business and Professions Code: The Contractors Licensa Law does not apply to an owner of property who 6uilds or improves thereon, and who tloes such work
himseft or herself or thmugh his or her own employees, provitletl that such impwvamants are not intanded w otteced tw saleJt, however, ihe buildinq or improvemeM is
sold within one year ot completion, ihe owner-builder will have Ihe 6urtlen of Omving that he or s�e did not builtl or impmve tor puryose of 5ale.). �
❑ I, as owner o� �he pr0�erty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS �o consiruct the O�ojec� (Sec. 7044, Business end Protessions
Cotle: The wntractors License Law does noi apply to an owner of property who builds or improves theraon, entl who coniracts for such project wl(h a contractor(s)
license pursuant to tpe Contractore License Laws.).
❑ I em eaempt under s�c. Business and Professions Code tor this reason:
Signature: Data:
Owner ID venfied by dnveis license. ❑ Yes ❑ No Driver's License No.
Verificatlon of Ownership by (�ype of �wument, i.e. - property ta: bill or deetl):
DIVISION OF INDUSTRIA� SAFETY PERMIT CERTIFICATION:
Expires:
❑ I hereby certify that no excavation five (5) or more fee� in tlep�h into which a person is required to tlescentl, will be ma0e in connection with work euthonzetl by ihis
pertnit, and ihat no building structure, scaHolding, talsework, or demolition or dismantling ihereol, will be more ihan thiny-six (36) leet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle B, Celitomle Administrative Code).
❑ As owner-builder, I will not employ anyane to da work which woultl require e permit irom Ihe Division of Intlus�riel Satety, as noted aDo�e, unless such person hes e
permit to Co such wo� from the tlivision.
Signature: Date:
Division ot Industrial Safery Pertnit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORVA710N OF ENTRV: I cenify undar penalry of perjury that I have read t�is application and state ihat Ihe informetion given is
corted. I egree Io comply with all state laws end city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the
ebove-Oescnbed prqpetly for inspection purposes. I agree not to occupy or allow occupancy ot any building authorized by this permit uMil final inspection.
1616 Fixed System FinAI Fire Preveniion
1266 Pool Spe Final
200 Final R8-Roof
207 Final BIocWRetaining Wall
202
203
Final Factory Fire Place
Final Sign
204 Final Demolition
��
INTRIALS
�
�Sate O �
� I!
Date
OE1 INSPECTIONTYPE
206 final Mechanical
208 Final Plumbinq
210 Final Elettntal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site .
250 Final Building/Occupancy
DATE �$J��
� llllIl�Qll � �SU.Ilffi� � �.ID�Il°BILL.�]C°Il��y �ffi�o
�I MOBILE LAB. o SOIL • CONCRETE • STEEL • WELDING
i
�i°� i GENERAL OFFICE 1309 EAST FIRST STREET • SANTAANA, CALIFORNIA • TELEPHONE Klmberly 7-8287
REPORT ON GUPIITE TESTS
Date: August 13, 1962
Job Name: Terry L. ha
Job Locatio..- r e Ave.
- Costa i�7esa, _ . _ ornia
Client: Terry L. Crusha
Architect: Richard L. Blair
Inspector: Jos. Henley
Location: 2000 at 28
cyi. 2463
Date P+Iade: 7/11/62
Date Tested: 7/18/62
Diameter: 6.11 x 12
Area, Sq. in.: 29.42
Ultimate Load: 83740
Compressive
Stren�th(PSI}: 2846
Age at test: 7 days
CEH:sk
cc: City of Costa NIesa
Terry L. Crusha
.70� No. 62-231
Jos. Henley
2000 at 28
c5ri . 2463
7/11/62
8/8/62
6.1 x 12
29.22
72720
2489
28 days
Respectfully submitted,
ALLIED TESTING LAB., INC.
B��. I��A� ���
Charles E. Hyc
President __ -r�
� /y =�%
���
�
' RfcEivED �
AUG L� 1962
City of Costa Mesa
� Building Dept,
TESTING TO A. 5 T. M., A. A. S. H. O. AND STATE HIGHWAY SPECIFICATIONS
OWNER
L.
ve .
, y�`'��'` < �'j.
DATE 6-18-62
GENERAL CONTRACTOR Owner-f�ldr. VALUE $ 2��.�
AP No.119-100-5fi LOT TRACT FIRP ZONF, DESCRIPTION OL' WORK Pvt.Swim Pool
Signaturel DATE I GROUP pnnl TYP� TTT 7.ONE
SUT3CONTRACTOR
r
� � " I 7360
r.. �, ..
G�STA MESA BUILDINGSAFETY DEPARTMENT
P. O. BOX a17 C08TA MEBA. GALIFORNIA
For ApplJcanf fo Fill In Completely
� TYPE OR PRINT
BUILDING ��. r.. A,v. �
ADORE88 / V
COSTA MESA. CALIFORNIA
FE RECEIUED
JUN I 81982
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
RECEIPT NO. I PERMILyN9. �
pY
CITY� ///f+�'T NOL! ADORE65 0[- �, C.
ARCXrtec7 " TEL. �"� CpSTA MESA. CALIFORNIA
OR ENGINEER ' NO.
I._"_'_ s• ' FIRE / T �
cin '—
STATE ��� TEL. ���`
uc. No. No.
SIZE '/O ,�/ /� � I NO. OR BIdGB.
OF LOT !/ / � NOW ON LOT
__� f�
USE OF
EXISTING BLDG. �
BETBACK LINH FROM
ceNTen on eTqeEi REAR AR�
SIDE YARD ILEFT IRIGHT ' �
DESCRIPTION OF WORK
.acw �� I X II s� rrwannn� I II noo�Tmu
NG -� ROOM6 _J STOF
OR WALL + I ROOF �.�
,NG �T COVERING
' BUIL�ING AND WORK TO BE PERFORMED
.�
ZOIdING
l�(JI�C� � I NO. OF I USE oF NEW
I `! pLAN6 Y 9UILD�NG
\
�t eee���JJJIIf
L6GAL �� � / � '
oescrsirTiorv I O
A.P.NO. il � � I �0 '� � (O
1^
YARDS EVES
APPROVED ALLO ED
(CENTlR LIN6 BT.1 _ /
3
1 HEqEBY ACKNOWLECGB TNAT � MAVE READ TXIB MPI�WTION '}�{g AMOUM HHOWN IINO¢R VALUATION IS FOR TXE
AND BTATfi THAT YH8 ABOVe IB CORRECT AND M COM•
PURP08E OR EBTABLIBHINp q pERMIT FEE ONLY.
PLC WRH I.LL G(TY ORDINANC88 ANO H:AT R TINO
eU1Lo1No CONeTRU _ , VALUATION pERMiT FEE $ ��
SIGNATURE OR
PERMI'1'CE . .? nO�� ,/ L, ✓
$ �j PLAN CHECK $ 7�
OWNER
GENERAL WNTRACTOR
AP No. LOT
INSPECTIONS
OCCUPANCY
°ORM eua - sM — .
TRACT 4;
� Signature
nwTE �0-6-61
BUILDING PERMIT NO. 1S 33
vnLu� �14,900.00
'> FIRE ZON� D�SCRIPTION OF �NORK res.att. gar.
DATE GROUP IRu7 TYPE V 7,ONE Rl
SOBCONTRACTOR
►Y
.�
r�, . FEE RECEIVED
� ,_5�i.5� ACT 6 � l
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEP� ��r
P. O. BOX 977 COSTA ME9A. CALIFORNIA CITY Of COSTA MESA
For Applicanf fo Fill In Complefely APPLICATION FOR PERMIi
TYPE_OR PRINT
BUILDING
ADDRESS 2 6 NOT3B Sti
COSTA MESA CALIFORNIA FOI' O}fice Use Only ,
FECEIPT NO. PCRMII� {No1,
OWNER I ���vtl
MAIL RECEIVEO !V D9TE FECEIVED OPTE ISSUED
ADDRE85 E• �. titl St♦ /�,.. I /I%�+�GI I!71�r �
� `Jh7
cirr C ta � 9a CaliY.TN�d.I $-1 2 pODRESS
wRCH�iecr � 7E�. . COSTA MESA. CALIFORNIA
OR ENGINEER ' ' NO.
ADDRES6 FIRE
ZONE TYPE -GROUP
CONTRACfOR APPROVED
BY DATE
ADDRESS ZONING
� ZONE e � I NO. OF } I USE OF NEWS/q9" �J�
CIr( J� PLANB L BUILDINQ
W /
LIC. NO. LOO LV NEO. LEOAL TR ,J �J / 3 � `'
DEBCRIPTION � C� V
SIZE No. oP e�ocs.
OF LOT 2 xow or+ �or O A. P. NO.
USE OF YAROS EVES
EXISTING BLDG APPROVED ALLOWED
BETBACK LINE FROM ICENTEP LIN¢ 8TJ /�
CEMER OP 9TPEET � � REAR YARD Zt FRONT / a FT. IN.
SIDE YARD I LEFf �� I RIGHT � R. SIDE � FT. � IN.
DESCRIPTION OF WORK } _
L.SIDE FT. IN.
NEW I$ IIALTERATION I II/�DD1710N I REAR � 2 FT. IN.
REPAIR I'IIMOVING I IIDEMOLISH I BYPROVED ��Q OATE ��/S y
BBZIELDING � $ �� ROOMS 6 STORIES 1 ,
EXTERIOR LL ROOF
COVERWG ICOVERING �YOOd SYIl le �/,
USE OF HUILDING AND WORK TO 8E PERFORME� iV I
S' 1s F Residence A l3 5„i �
I� �rv 3a � �"` ��V �
��`
I HEPEBY ACKNOWLEOOE THAT 1 HAVE RE�D iH18 APPLIGTION }HE AMOIINT BHOWN UNDER VALUATION 18 FOft THE
ANO 9TAT6 iHAT TH6 qBOVE IS CORRECT ANO pOREE TO COM- pUfiP08E OP EBTqBLIBHING A PERMIT FEE�
PLY WITH ALL C�TY ORtl�NANCE9 AND BTATE L�We REpUL1TING ONLY.
Bu1Lo1No CoxeTtuciloN. MALUATION
PERMIT FEE �
SIGNATURE OF � n � � N
PERMITTE ��//� q�D _
' � /�•/� � PLAN CHECK $ /�
AUTHORIZED AGENT
TOTAL FEE � � � 4