HomeMy WebLinkAbout2466 NORSE AVE - Building PermitsDecember 21, 2006
To:
CITY OF COSTA MESA
P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200
DEVELOPMENT SERVICES DEPARTMENT
Building Safety Division
Code Enforcement
Communications
County Clerk
County Planning and Dev. Services
County Registrar of Voters
County Tax Assessor
Engineering Division (2)
ESRI
Fire Admin. - Training Officer
Fire Admin. — Chip Dill (Station 5)
Fire Prevention
Irvine Ranch Water District
Mesa Consolidated Water District
8wi �d�ng `1
Comcast Cable
Newport-Mesa Unified School. Dist.(2)
Pacific Bell
Police Dept. - Planning 8 Research
Sanitary District Engi�eer
Sanitation Division Office
So California Edison Company
Southern California Gas
State Board of Equalization
U. S. Post Office - AIS
U. S. Post O�ce, Adams
Thomas Brothers
File (2)
The City of Costa Mesa would like to inform you of the following address change:
OLD ADDRESS
227 Monte Vista Avenue
NEW ADDRESSES
225 Monte Vista Avenue
227 Monte Vista Avenue
2464 Norse Avenue
2466 Norse Avenue
Your cooperation in this matter is appreciated.
Sinc rely,
Wen hih
Associate Planner
cc: Kimberiy Brandt, Development Services
Joe Cefalia
1312 Dover Drive
Newport Beach, California 92660
A.P.NO
119-102-32
Vi Pham, Administrative Services/MIS
Jared Cefalia
228 Del Mar Avenue
Costa Mesa, California 92627
8uilding Division (714) 754-5273 • Code EnforcemeM Q74) 754-5623 • Planning DiviSion (710) 754-5205
FNC (774) 7541956 • TDO (714) 754-5244 • wnw.ci msta-mesa.w.us .
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2na Gv �iva�ia �iea � t<9} Si. LOl � SIZF 6281 SF
Total Lidng Araa = 29J2 S.F. , �Oi.WVER�CE= J7E
Caroge Area = a66 SE ,
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SITE PLAN
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r CITY OF COSTA MESA �
BI/ILDING DIVIS/ON
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT TYPE:
Sub Type:
JOB ADDRESS
APN: 11910232
Vicinity:
Const Type: V-N
PERMIT NUMBER: BC07-00159
: •.:,,
B COMBO STATUS: ISSUED
SFD NEW DATE ISSUED: OS/08/2008
._- ISSUED BY: RMD
,.- � _.. F_;• ,
2466 NORSE AV CM.,` �`, Suite7Unit;-.
a . , : .
, . .
' Zoning..., g _:'__..
� ' Primary Occ , R3/UA`•.
���,; ` SQ�'FT '-��"`��3717 ' „ . :��..Valuation:
a�a -
SCOPE OF WORK: CONSTRAOCT NEW 3-183 SQ. FT. 2 STORY SINGLE FAMILY 4 BDRM/3;BATH f
BTU, 1 COOLING/HEAT, 2,FACTORY FIREPLACE, 1 HOOD W/DUCT & MECH EXHAUST; ,4.VENT,F
ELECTRICAL FOR 3,183 $F',' 1�LIGHTFIXT, 8 OUTLETS, 2 SWITCHES FOR GARAGE, 1 BACKFLO
DISHWASHER, 1 GAS O,UTLET (1�-4);'',1��ADDITIONAL GAS OUTLET, 1�LAUNDRY�IRRIGATION, 1-,PI
SEWER CONNECT, 1 KlTCHEN:SINK; 4 WASH BASINS„41NATER CLOSETS; 1 WATER;HEATER;
1STFLR-1,705SQ FT;� a:?:.` ' � . .� ".., .. . . _ . ` .'
2ND FLR - 1,478 SQ FT�ATTACHED GARAGE 447 SQ. FT. AND ' '��-;�'��, �$�
FRONT PORCH - 87 SQ! FT REFi'GOZ-00024; MM-OS-01
ft'A! i - v:- .. , : . , `y, 1 �h�
OWNER: 227 MONTE VISTA LCC�— �"" ,�'.�Address: '227 MONTE VISTA'-' '- �-
Phone: � � - , � CitylState/Zip: �COSTA MESA; CA " � � r �
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APPLICANT: NqNCI GLASS � � � � ; . Addressi � � . . -
Phone: 714-997-1998 �' City/StatehZip: � �� � � - � �
i._� 1 �
CONTRACTOR: NICHOLSON CONSTRUCTION CO. `License No: ' 660295'
Phone: 714-997-1996� `� '�' Address:, 1421 WANDARDUnit: �- �� -
Cell: �- City/State:-.�SUITE�160 - �
$314,556.00
WITH 1 FAU < 100 K
INGLE DUCT,
tIGATION, 4 BATHTUB, 1
URE REGULATOR, 1
TER SVC, 7 GAS SVC.
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=- �; Unit: :
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��.� ORANGE
��ZipCode 92867
ARCHITECT: PETE VOLBEDA�".;. ., �` �Cicense No.C13077 . � - - . PHONE:909-373-1150
ENGINEER: - . ` License No: - � - � - � �-'�"PHONE:
,.. . ;, - :.::... .
COMBINTATION PERMIT FEE SUMMARY` ` -
Building Plan Check: ,°.;-$1,428:54'�'
Building Fees: '� �`$2;,197J5 ` _ - �� � '
Electrical Fees: $268:98;'=r� -.� �-� - �- ' '
Mechanical Fees: 523.50 ' � � �- �� �
Plumbing Fees: $23.50
SMIP Residential: $31.46
SMIP Commercial: $0.00
TOTAL FE�S: $3,973.73
••Refer to fee receipts for all fees paitl for project
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia stalutes and related
regulations. (Ord. No. 92-28, § 1. 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit.
COOE . INSPEC110NrypE
ifii6 Fiaed Syst@m Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 Final BlocklRetaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demqlition
OATE IN117UL5
GODE/ INSPEC110NTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevenlion
220 Final Planning App�oval
222 Final Site
250 Final BuildingiOccupancy
DATE IN7I71AL5
� W
WORKERS' CGM�ENSpTION OECLARATION�
I hereby aNrm under penalty of perjury one ot th wing declarations:
❑ I have anG will maintain a certificate of consent to self-Insure for vrorkers'
wmpensation, as provided for by section 3700 of the Labor Code, for the
peAortnance of the work for which this permit is issued.
C❑�I have antl will maintain v.orkers' compensalion insurance, as required by
section 3700 of the Labor Code, fa the pedortnance of the work for which this
pertnit is issued. My vrorkers' wmpensation Insurance carrier and policy
number are:
Game�r:'� STJO iE �i_iT' O
(Thit setlm needirot be mpmplete0cd (he permd a valuerl at one hunoretl ddlars (Sf 00) orless.)
Poficy'Number: ��� `q 1 �'����
❑ I cedify that in the peAormance o! the work for which this pertnit is
issued, I shall not employ any person in any manner so as to become subject
[o the workers' compensation laws ot California, and agree that if I should
become subject to Ihe workers' compensation provisions of Section 3700 ot
the L(a�bo�r Code, I shall forthwit co(m�ply with these provisions.
� 1 C'c .�-�r � � ��L Q� �✓— S'—��i
-�u'�IgnaTre Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE
IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATfORNE1^S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrm that I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business antl Professions Code, and
my license is in full force and eHect.
CLic # 5 Class�#� �
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fConVactnts Signalure� �iJ
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirtn that there is a construction lentling agency for the
pertortnance ot the v.ork fa wfiich this pertnit is issued. (Sec. 3097. Civil Code).
Lentler's Name:
Lender's Adtlress:
OWNER-BUILDER DECLARATIONS:
1 hereby aKrtn that under penalty of perjury Iha[ I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5,
Business antl Professions Cotle: Any ci[y or county which requires a permit to
construct, alter, improve, demolish, or repair any sWCWre, pnor to i�s
issuance, also requires the appliwnt (or such permit lo file a signetl statement
that he or she is licensed pursuant to the provisions o( lhe Contractors
License Law (Chapter 9(wmmencing with Section 7000) of Division 3 0( [he
Business anC Professions Cotle) or that he or she is exempt therefrom and
the basis for Ihe alleged exemptlon. My violalion of Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalty ot not more lhan
five huntlretl dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole
compen5a�ion, WILL DO THE WORK, antl the struc[ure is not intended or
oReretl for sale (Sec. 7044, Business and Professions Code: The Contrectors
License Law dces not apply to an owner of property who builds or improves
thereon, and who does such work himself or herself or through his or her ovm
employees, provided that such improvements are not intended or oReretl for
sale. If, hov.ever, the building or improvement is sold within one year of
completion, Ihe owner-builder will have the burden of proving that he or she
did.not build or impmve for purpose o( sale.). -
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to construct the project (Sec. 7044. Business and
Professbns Cotle: The coniractors License Law dces not apply to an owner of
property wfio builds or improves thereon, and who contracts for such project with
a contrac[a(s) license pursuant to Ihe Cont2ctors License Laws.).
❑ I am exemp[ under sec.
Business and Pro(essions Code for this reason:
Owner ID veri(etl by driv� .,ci ❑ Ves ❑ No ,�
Dnver's License No. Expires:
Verification of Ownership by (type of documenl, i.e. - property tax bilhor deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: - .,
❑ I hereby certify that no excavation frve (5) or more feet in depth into which a
person is required to descentl, will be made in connection with work authonzed
by this permit, and that no building stmcture, scaf(dding, falsev.vrk, or demolition
or dismantling thereof, will be more ihan thirty-siz (36) feet high. (Chap. 3.2, Grp
2. M 2, Sec. 341, Title 8, Califomia Atlminis[2tive Code�.
❑ As ovmer-builder. I will not employ anyone to do vrork which vrould
require a permit from the Division of Industrial Safety, as notetl above, unless
such person has a permit ro do such work from the division.
Appli[anfs SignaWre
Division of Industrial Safe[y Pertnit Number: _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
t. Will the applicant or present or fuNre builtling occupam nee0 to fle antl
certify a Business Plan for emergency response to release or ihreatenetl
release of a hazardous matenal? ❑ Yes ❑ No
(Section 25505 of Ihe Califomia Health and Safery Cotle requires, with some
exceptions, that a Business Plan be filed with ihe Costa Mesa Fire
Department by every business which has at any one time during a reported
year a quan[ity o( hazardous materials equal to or greater than a vreight of
500 pountls, or a volume of 55 qallons. or 200 cubic feet of compressed gas
at standard temperature and pressure).
2. Dces or will the applicant or presenl or future building occupant need to fle
a registration torm (or acutely hazartlous materials? ❑ Yes ❑ No
(Section 25533 of the Califomia Health and Safety Code, wiM some
ezceptions, requires regislralion wiM [he Cos[a Mesa Fire Department by
each business which at any one lime has on hand a quantiry o( acutely
hazardous matenals equal to or greater than a weight of 500 pountls, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standartl
IemperaNre antl pressure).
3.. Does or will Ihe applicant or present or fWure building occupan[ need lo
prepare an RMPP (Risk Management antl Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Seclion 25534 of ihe Cali(omia Health and Safety Code provitles thal the
Cosla Mesa Fire Department may require the preparation, certifcalion and
filing with the Fire Departmenl of an RMPP by businesses which are required
ro regis[er acutely �azardous matenals with the Fire Depariment.
4. I( an RMPP is presently required, has Section 25534 of the Califomia
Health and Satery Code been fully complied with? ❑ Yes ❑ No
5. Does or will Ihe applicant or presen[ or future building occupant require for
the vrork which is the subject of this application a permi[ for such construction
or modiication from lhe South Coast Air �ualiry Management District or from
any other air pollution conlrol distnct or agency? ❑ Yes ❑ No
(Section 65850.2 of the Califomia Govemmen� Cotle requires �hat [he reque5ted
in(ormation be (umished on applications for rron-residential builtlinq pertnits�.
6. Will any part o( the faciliry to be constructed untler lhis pertnit be within
1000 feet from the outer boundanes of a school? ❑ Ves ❑ No
(I('yes". the laciliry must meet the requirement of Sections 25534 and 42303
of the Califomia Health and Safery Code).
7. If a permit from Ihe South Coast Air Quality Management District or olher
air pollution control district or agency is requiretl for lhe work which is the
subject of lhis application, have all of the disclosures prescnbed by Califomia
Health and Safery Code Section 42303 been matle? ❑ Yes ❑ No
8. (If'yes", attach certificate of compliance from the appropriale air pollution
control oKcer). ' . '
CERTIFICATE OF COMPLIANCE: I cenify that under penally of,perjury the
infortnation given above is correct I agree to comply wilh all state laws and
city ortlinances regarding Hazardous Materials and Emissions. �
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury tha[ I have read this application and state that
ihe information 9iven is cortecL I agree to compty vnth all state laws and ciry
ordinances relating to building construction, antl authorize representatives of
the City of Costa Mesa to enter upon the above-0escnbed properry for
inspection purposes. I agree not to occupy or allow occupancy ot any buildinq
authorized by this permi� until fnal inspection.
Signawre Da�e � � ry_ ` \ /� / n _ C,' �G.-'OC'i
305�-46 (3I09) Y�Y> l\ Cl
rAnNorAulhonzMADPIi�m/ Dale'--�
1 �_.%
im . � � . `' ''�` ''4 �' .
NEWPORT-MESA UNIFIED SCHOOL DISTRICT
CERTIFICATE OF COMPUANCE OF DEVELOPMENT FEES
PURSUANT TO AB 1600 AND AB 181
To: ( City of Casta Mesa
( ) Cily o( Newport Beach
( ) Counry of Orange
}�. !
��..—+�nXr-�.,Innl..�•I:.� r. � � � .
�.-..-. �.+-� ��� ; .
�1° 6843
District Receipt No! CJ � �
Plan Check No.{�/�7- ���
Applicant: �''`\C,�'�nL.SC'?� C�✓�Qi il`)Z`�;T'
Address: r��-� h.1. IA�W��'� �Y� ���d ��`�-�C�6, C^10 �� � l,�
Telephone Number:
TracUParcel and Lot
LocaUon of Project:
Number of Square Feet of:
Residential Space
Commercial and
Industrial Space
CommerciaUlndustrial Projed is: (Check One)
_ Warehouse
R8D
_ Movie Theater
_ Mini-storage
_ Heavy Industrial
_ Regional Shops
Light Industrial
�( �3 x E1.84
xE.30
Totai
���
tu�ote� MAY 0 52008 � _
Bank 7YOF ,_
Raaque�UHea�imsho� Ct�S;,� ME,�,q =
Hotel _
Medical Office
Oifice Park
Preschool
Auto Repair
Hospital
Large Office
Office Bldg.
Restaurant
_ _ _ Fast Food
This project is exempt because
This ceRifies that the above-named Developer/Appficant has paid school haatity fees in comp6ance with Government Code sections
�3080 and 65995. The Building Pemiils for this square footage in Mis proposed development may now be issued by your jurisdic6on.
Checks are to be made payable to Newport-Mesa Unified School Disfict.
By:
AuMorceA ReproxMaMe
The above represe�tation as W square footage is We. Appkcant agrees that if it is later determined that such representations are not
true, then mis certificate shall automa6cally terminate and tt�e appropriate City/County shall be notified.
Date: � �
AppXeaM