HomeMy WebLinkAbout3115 MANISTEE DR - Building Permitsp5tp'NF
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� � CITY OF COSTA MESA �
BlIILDING DIVIS/ON
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • wv+w.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (7'14) 754-5626
PERMIT TYPE B_ROOF2
APN: 41801208
.106 ADDRESS:
Vicinity:
Squares: 0
3115 MANISTEE DR CM
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PERMIT NUMBER: 609-00299
STATUS:
DATE ISSUED:
ISSUED BY:
Suite/Unit:
Valuation:
ISSUED
12I0712009
CAC
$6,000.00
SCOPE OF WORK: TEAR OFF EXSITING WOOD SHAKE INSTALL 1 LAYER 30-LB FELT UNDER METAL ROOF ICC 5626. INSTALL 1
SOLAR TUBE ICC 5057 � � '
OWNER: ELIZABETH WQOD Address: PO BOX 5756 Unit:
PHONE: 714d441808 � - City/State/Zip: HUNTINGTON BEACH, CA
APPLICANT: SCOTT JOHNSON
PHONE: 714-778-6294
CONTRACTOR: POPA ROOFING INC
Address: 13672 ONKAYHAUnit:
City/Slate/Zip: IRVINE, CA 92720
ARCHITECT:
ENGINEER:
FEE SUMMARY
Reroof Plan Check:
Reroof Permit Fee:
Reinspection Fee:
Bldg Std Admin Fund
r•,
TOTALFEES
$0.00
$125.25
$0.00
$1.00
$726.25
Address: 13672 ONKAYHA Unit: :
Ciry/State/Zip: IRVINE,CA ,`j���'�j�•y �
. : ��9..
License No. 675902
PHONE: 714-778-6294
CELL:
License No. PHONE:
License No.
PHONE:
J I?:S?:.L�_ i
�nic .
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NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenls under California slatutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-g2) � '
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authonzed 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 resWt in the expiration of lhis permit.
LOOE1. INSPEC110NflPE ORTE INTITIRLS CO�Ep INSPEGIIONiYPE 0�,��!.�; ; INTRIRLS
7616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final �� 208 Final Plumbing
200 Final Re-Roof ( 0 210 Final ElecMcal ����'
201 Final Blak/Retaininq Wall 272 Final Fire Prevention
202 Final Factory Fire Place 220 Final Ptanning Approval ��`�'� �
203 Final Sign 222 Final Site ' '� r: �:
204 Final Demolition 250 Final BuiltlincyOccupancy '
�
WflRKERS' COMPENSATION DECLARATION:
I hereby aKrm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of conseM to sel(-Insure (or workers'
compensation, as provitletl br by section 3700 of the Labor Code, for the
peAormance of the work for which this permit is issued.
I have antl wili maintain workers' compensation insurance, as required by
s ion 3700 0( the Labor Coae, (or the pertormance of the work for which Ihis
pertnit is issuetl. My workers' co pensation Insurance carner and policy
number are:�� � �� �(
/Garner.
i secfunnee0irof0eromplefetl4lhepe�Ri� IueOalrnenunCiedtldlars(E100JwIess.J
Policy Number: �� ��% � 7
❑ I certify that in the pedormance of the work lor which lhis permit is
issued, I shall nol employ any person in any manner so as to become subject
to the workers' compensation lavrs of Califomia, and agree that if I should
become subject to th rkers' compensation provisions of Seclion 3700 of
Ihe Labor Code, I s !ort 'UrcortlRiy'W�4ttl�ese provisi n� �/O �
Ap canl Signalur Da
WARNING: FAIL SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
(5100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVI�ED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I here6y affirm that I am licensed under provi5ions of Chapter 9(commencing
with Section 7000) of Division 3 0( t�e Business and Professions Code, and
my license is �n full force and effecl. ��
ic % � � Z Class 4
� - ^'�L % �U/
orsSignaNre ��
CONSTRUCTION LENDING AGENCV:
❑ I hereby aKrm Ihat there is a consWclion lending agency for the
pedormance of the v.ork (a which this pertnit is issued. (Sec. 3097, Civil Cotle).
Lender's Name:
Lender's Atldress:
SgnnWre Dale
OWNER-BUILDER DECLARATIONS:
I hereby aKrm Iha� untler penalry of perjury that I am EXEMP7 FROM 7HE
CONTRACTORS LICENSE LAW for the (ollowing reason (Sec. 7031.5,
Business and Professions Code: Any city or county which requires a permit to
construct, aller, impmve, tlemolish, or repair any slrucWre, pnor to its
issuance, also requires the applicant for such permit to fle a signed statement
that he or she is licensed pursuant to the provisions ol the Contracrors
License Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and
the basis tor the alleged ezemption. Any violation of Seclion 7031.5 by any
applicant for a permit subjecls the applicant to a civil penalty of not more than
fve hundretl tlollars (5500).):
❑ I, as ovmer of the property, or my employees with wages as their sole
compensation, WILL DO 7HE WORK, and Ihe slructure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an ovmer of property who builds or improves
thereon, antl who does such work himself or hersel( or through his or her ovm
employees, provided that such improvements are not intended or otfered tor
sale. If, however, Ihe building or improvement is sold within one year o�
completion, the owner-builder vnll have the burden of proving Ihat he or she
did not build or improve for purpose of sale.).
❑ I, as ovmer of the property, am E7(CLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to constmct the projec[ (Sec. 7044, Business antl
PmFessbns Code: 7he contractors License Law dces not apply to an owner of
propeny who builtls or improves thereon, and who contracts for such project with
a cont2ctor(s) license pursuant to the Contract«s License Lavrs.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
SignoWre Dale
305]-06 (3I0'!)
�
Owner ID verified by driver's license. ❑ Yes ❑ No �
Driver's License No. Ezpires:
Verifcation o( Ownership by (type of tlocumen[, i.e. - property tax bill or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certdy that no excavation frve (5) or more feet in tlepth into which a
person is requiretl to tlescend, will be made in connectbn with wurk authonzetl
by this pertni[, and that no building structure, scaffolding, falsework, or demolition
or dismantling thereof. will be more than thirty-six (36) feet high. (Chap. 3.2, Grp
2, Art 2, Sec. 341, Ttle 8, Califomia Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would
require a permit from the Division of Industrial Satety, as noted above, unless
such person has a permit �o do such work from the division.
Applitanfs Signature
Division o( Intlusirial Safety Permit Number. _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
7. Will the applicant or present or (uWre building xcupant need to fle antl
certity a Business Plan for emergency response to release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 0( the Califomia Health antl Safery Code requires, with some
exceptions, that a Business Plan be fled with the Costa Mesa Fire
Depahment by every business which has at any one time Ouring a reported
year a quantity o( hazardous materials equal to or greater than a weight oi
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at stantlard temperature and pressure).
2. Does or will Ihe applicant or present or (uture building occupant neetl to file
a registration form for awtely hazardous materials? ❑ Yes ❑ No
(Section 25533 0/ the Califomia Health and Safety Code, with some
exceptions, requires regisiration with the Cosla Mesa Fire Department by
each business which at any one time has on hana a quantity of acutely
hazartlous materials equal [o or greater than a weight o( 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas al standard
temperaWre and pressure).
3. Does or will the applicant or present or tuNre building occupant neetl to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the California Heal[h and Sa(ety Code provides l�at the
Cos[a Mesa Fire Department may require �he preparation, certifcalion and
filing with the Fire Department o( an RMPP by businesses which are required
to register acutety hazardous materials with the Fire Department.
4. If an RMPP is presently requiretl, has Section 25534 of the Calilomia
Health and Safety Code been fully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or (uNre building occupaN require for
ihe work vfiich is Ihe subject of this application a permit for such construction
or motlificalion from the South Coast Air Quality Manaqement District or from
any other air polWfion control tlislrict or agency? ❑ Yes ❑ No
(Sec[ion 658502 of the Califomia Govemment Code requires that the requested
inlormation be fumishetl on applications ftt nomresitlential Duiltling pertnits�.
6. Will any part of the faciliry to be consimcted under this permit be within
1000 feet from Ihe outer boundades of a school? ❑ Yes ❑ No
pt'yes", the facility must meet the requiremeN of Sections 25534 and 42303
of the Califomia Health and Safery Code�.
7. If a permit from the South Coast Air Quality Management Dislrict or other
air polWtion control dis[ritt or agency is required for lhe work which is the
subject of lhis application, have all of the tlisclosures prescribed by Califomia
Health and Safety Code Section 42303 been made? � Yes ❑ No
8. (If'yes", attach certificate of compliance from the appropriate air pollution
contml officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
infortnation given above is correct. I agree ro compty with all state laws and
city ordinances regarding Hazartlous Materials antl Emissions.
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury Ihat I have read Ihis applica[ion and state that
the information given is covecL I agree to comply with all state laws and ciry
ordinances relating lo building construction, and authorize representatives o(
the Ciry of Costa Mesa to enter upon the above-tlescribed pmperty (or
inspection purposes. I agree not to occupy o� allow occupancy of any buil0ing
authorized by Ihis permit until f nal inspection.
SignaWre gal Ovmer�s) D �e j�/��
�'L
AnC/ ApPliWnl ('� Dpte
CITY OF COSTA MESA REQUEST FOR OCCuYANCY
TR4CT N0. J O �(�
LOT N0. � �
ADDRESS �.S i^"//�,..�.c-�iCPl2� ,I
DATE � �� ��
The developer of the above entitled tract desires to sell the above set forth
lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that (he-she-they)
(was or were) ��X/ advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa
Mesa as having complied with the conditions of approval which were imposed by
the city at the time the final tract map was approved.
The city assumes no liability for the enforcement of the conditions necessary
for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the city harmless from any claim
resulting in damage or personal injury to the undersigned by reason of the
eforementioned uncompleted condition.
BY
Lender
OWNER
Ih
SOIL
ROUGH PLUMBING
PROP. SWRI LINE n HOOSE CON.
MISCELLANE0115 �
ROUGM HEATING AN� AIR CONDITIONIN6
UNOERGROUN� U POWER
ROOGH WIftING
STEEL REINFORCE
SHEATMING
FRAME AND FLASHING� �y�
I.ATHING — IN �' OUT I�
PLASTEft,BROWN COAT
5' 'URPL, FINAL
Ht. .AG, VENT., REFftIG. ANO A.
PLUMBING, FINAL AND GAS TEST
ELECTPIC,FINAL
BUILOING. FINAL
Date
DATE APR 1 9 1g72
BUILDING PERMIT N0.
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant ro Fill in Completely — Use Ink Only
ADDRESS�IIS /YIF4�.71 �C 1/ I�.
OWNER Park Mesa Aames
CITY
TEI.
NO.
BRANCH 5811 DidgO
ADDRESS 600 B Street
ARCHITECT TEL.
nwFur.wccw CLS�Q COmbe 6 A86OCn�n.
CONTRACTOR Lucas Devetopmenc I.OiF1•
ADDRESS 1�jrJ1 �185�. SC•
TEL.
cirv Newport Beach No. 833-001
LIC. No. 257064 LICVNO.
SI2E NO.OF BLDGS.
OF LOT 5� S 9� NOW ON LOT none
use oF none
EXISiING BLOG.
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING ANO WORK TO BE PERFORMED
I hereby acknowledge thet I have reatl this applicatian and siete
that tha ebove informatlon is correci and aBree to comply with
ell laws reBulating building construction, e�d I shall not employ
any person In vialation of the workman's �ompenuiion lawa of
the 5<ete of Celifornie.
I he�eby cettity tnat I em properly licensetl es e contractor undar
tha Smta of California Bus(nezs end Professions Code, Division 3,
Chepter 9, and that such Iice es are in 1 II forc end eftect, or I
am exempi from ih��_e%%%provlsi s of th t e of I ornia Business
entlProfecsions otl�?,Diviyi� 3, ti .
V � ♦
SiB�ature of � •
Permittee �
Authorizad ABent
Pa1L
`?R ZO-7fi�M�.001003:` A�� 197.16
,TION FOR STRUCTURAL PERMIT
BY DATE RECEIVED nevc ieciicn
A.P. NO.y I� U� ��li � �� :� i v�.•
BUILDING 2IIS /�/{�{����
AODRESS ��) .
TRACT Ofl1f. LOT '{7 BLOCK
F',�!
FIRE
ZONE
APPqOVED
DATE �Y�
O E NO.OF USE OF NEW [�..
_( PLAN$ 2 BUILDING (,�
VARDSAPPFOVED YARDSAPPROVED
MAIN BUILOING ACCESSOfiV BUILDII
(FROM GL STREET)
RONT FT. FT.
S T F
L SID S FT. FT.
REAR FT. FT.
DISTANCE BET. BET. MAIN &
MAIN BLDCS. ACCESS. BLDGS.
C URP,qW {.�� �"� 7 AP ROVED/ �� ��
APPROVED����� � � �CJ,� �
- N
�
m
i
�I 0
SQ. FT. � �/ rv
THE AMOUNTSHOWN UNDER VALUATION IS FOq y�
THE PVRPpSE OF ESTABLISHING A PERMIT FEE ONLY: �
VALUATION PERMIT FEE E d
n
m
PLAN CHECK E ^�
530, $Qe " ' �
TAX E LL
i
TOTALPAID E