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HomeMy WebLinkAbout3115 MANISTEE DR - Building Permitsp5tp'NF o. � . ., . > F y 4w�o,,,�o fi � � 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 � � t 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 . .P •ih..... ' � ILF � �.%:.% 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 E � fal 6� a � H F C qd F Q � a ¢ � .-1 C w a O �. 6� Z .T'. 3 _ . .4..16c�.0 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