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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