HomeMy WebLinkAbout3134 MANISTEE DR - Building Permits r
•
CITY OF COSTA MESA
4 BUILDING DIVISION
F `. DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
PERMIT
vitals" B03-02182
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.usNG PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDIJob Address: 3134 MANISTEE DR Status: ISSUED
Suite: Applied: 12/22/2003
Vicinity: RESIDENCE AND ATTACHED GARAGE • Issued: 12/22/2003
Parcel Number 41801218 Zoning: R1 Rt
Applicant: CHOI, BANGJIN ISSUED BY: a14
Address: 10616 HAWTHORNE BL
Phone: 310-677-7750
LENNOX,CA Zip: 90304
Owner: HAY, STEPHEN A TR
Address 2987 QUEDADA
Phone:
NEWPORT BEACH,CA Zip: 92660
Contractor: 0 K ROOFING CO
Address: 10616 HAWTHORNE BL
Phone: 310-677-7750
LENNOX,CA
Zip: 90304 License: 749238
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF RESIDENCE AND ATTACHED GARAGE:T/O EXISTING WOOD SHAKE ROOF,7/16"OSB SHTG, 1 LAYER 15#ASTM FELT,APPLY
"30-YEAR COMP SHINGLES."24 SQUARES
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $6,000.00
Permit: $125.25 Claim Valuation: $6,000.00
SMIP Res: $0.60
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $125.85
PLANNING & ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements 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.
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 final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2446-46(6/00)
DECLARATIONS'' c.
WORKERS'COMPENSATION DECLARATION:
1 hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
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work for which this permit is Issued.
/ I have and will maintain workers'comps ton insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My works corn n/yatlon 1 surence der and policy number are:
Carder: . 27 ( n7 Policy Number: 99 "3
(This section need not be completed If the ,mit Is valued at one hundred dollars(5700)or less.)
❑ I certify that in the performance of the work for which this permit Is issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with thesepr s.
Applicant Signature: a `^ e"--14-42."-r- Date: ' / s2/Onj
WARNING:FAILURE TO S URE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL TIES AND GVIL FINES UP TO ONE HUNDRED
THOUSAND MI I ARE(5100.000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR WOE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Busines�d Pyles Ions Code,and my license Is In full
force and effect.Lie.a 1 - _A S
• Class a
Contractors Signature: /L._ _ _ c _ _ _ Date: ! 4n a.
r
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lenders Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to Its Issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commenting with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does 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 own employees,provided that such improvements are not intended or offered tor sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). '
❑ I,as owner of the property.am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. Yes 0 No Drivers License No. Expires:
Verification of Ownership by(type of tl m nt,i.e.•property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,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,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes G No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greeter than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure). _
2 Goes or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas et standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes 0 N
(Section 25534 of the California Health end Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If en RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes ❑No T
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such constructionmodification
from the South Coast Air quality Management District or from any other air pollution control district or agency? Yes LJ No
(Section 65850.2 of the California Government Coda requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(if fires',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7_. S —....__..... _..oagen..._._._____.___f.____ .... _....
7 Ifa a patron tram the South Coast s Quality cri edManagement eal or other et Codpollution coon 4l 3districtor agency is required for the work which is the subject o1 this
eppllcatlon,have all of the disclosures prescribed by Californiaie Health and Safety Code Section 42303 been made? 0 Yes 0 No
—
8 (If"yes'',attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penally of perjury the information given above is correct.I agree to comply with all state laws end city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERRFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
ignature Of L I OwneNs) +ate
And/Or Authorized Applicant Date
CODE t IN$PEC110NTYPE RAIL MEW 900E1 INSPECTION TYPE PAIL RfIIDELS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final �� 208 Final Plumbing
200 Final Re-Roof l-6-0 z7/ ,1�^'#C- 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
I.tTY OF COSTA MESA REQUEST FOR OCCUPANCY /
TRACT NO. 71 3 4. DATE Yeti) . � /Q76
LOT NO. //c/ 2,74-2,44.
/ �j? .¢
ADDRESS S/3 7` //,-irti�/[G� lD,
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 sh they)
tha (Oor were) .40€t / advised that this tract has
not been 1given 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 ty reason of the
aforementioned uncompleted condition. /J
BY�t�iAiXJ ( �i Lc reb/
/J O / Purch r
� �
IBYO
Devel per ani/or authorized
) l representative
BY
Lender
OWNER Park Mesa Homes DATE APR 1 9 1972
JOB ADDRESS 3134 Manistee Drive BUILDING PERMIT NO. 41670
GE 'AL CONTRACTOR Lucas Development Co. DESCRIPTION of WORK Residence w/att garage
AP . -. 418-011-01 LOT 21 TRACT 9036 FIRE ZONE VALUES 38,100.00
INSPECTIONS Si nature Date TYPE V GROUP I & J ZONE R-1
SOIL •/O .7•' PERMITS ISSUED
�y `_=A �� 1
SUBCONTRACTOR
GAS �/ ! :/ Data I Number I Signature
WATER Plumbin. `.
ROUGH PLUMBING .'��,�j ` SIS 7.I :. p,�! _•jf:./ y
PROP. SWR. LINE Q HOUSE CON. L� yp M I�Z`({s(!'j7 `,21� _ '�^�+OY •2.&_44 9 -
SPRINKLING SYSTEM q �'` /Q.2Z• •• r •4-W. ZW1L
MISCELLANEOUS CQN.y..44.._) R -Is I '
r
ROUGH HEATING ANO AIR CONDITIONING f 1 5 V •rtl r •
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER U '` `��
ROUGH WIRING ..,,XL.
L 6-Z5•`1� ,� Heating and'V/Lent.
TRENCHES fl FORMS 0 STEEL REINF. a-,c7.-/0•? ,�% �G}T .a1/ . &-5_26 105-g7-----
FLOORSYSTEM •Jr� .fiIAYAd•"V 4-Pit)4 la6B / .----
BOND
BOND BEAM • STEEL REINFORCE •
SHEATHING i�i tl
FRAME AND FLASHIN a '
I
LATHING — IN r. OUT s tY^2.2•Y• 1'
PL R, BROWN COAT 9 4
STH.,..TURAL, FINAL I . '
HEATING, VENT., REFRIG. AND P.C., FI.g.AL t Q 111Fl i i 9i •- '•76 ylps-ystr
PLUMBING, FINAL AND GAS TEST V. i0nr i•
ELECTRIC. FINALICY9•••,
RIIII DING FINAI % J- •
4..I 6/.0PR 20-7f.PIL001013> as
PAI• 233.67
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
• APP. I ATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely—Use Ink Only
R ECy D aV DATE RECEIVED MN-
OWNER
BUILDING , / CGG/'
ADDRESS." I i Atm. f •
Park Mesa Homes A.P. NO.1.18 —011—D I 'P Rhl T Ngo
AD1451 BUILDINGDDRS 6el 12 9 ,t/f, , l�4l}g
ADDRESS Quail Street ADDRESS ���+�
CITY Newport Beach NO`'833-0018 TRACT 9036 LOT 21 BLOCK
ONDERCTIO�an Diego Federal S & L NEW ADO ALTER REPAIR MOVING DFMDI SH
LExx
BRANCH San Diego ��/. frat i
ADDRESS 600 B Street OWNER �I"GLDK%
r�J}y �, .VALUE$3w tall
OARCHITECT R ENGINEERCraig Combs & ABoc• No`•645-8040 USE/f�W 11lG s�if, ,/
FIRE
ADDRESS 1535 Monrovia, Newport Beach ZONE TYPE s GRO"U,
BYPROV ED DATE / 'l9•X
CONTRACTOR Lucas Development Corp. 111///��,�/((i I
ADDRESS 1451 Quail St. OI.� NO.OF USE OF NEw'g. .
TEL. �IhYC/—/T1 PLANS 2 BUILDINGW/A� �$_
CITY Newport Beach NO. 833-0018 /o —L/
F STATE CITY YARDS APPROVED YARDS APPROVED
gLIC.NO. 257064 LIC.NO. MAIN BUILDING ACCESSORY BUILDING
W SIZE NO.OF BLDGS. (FROM C/L STREET
LL OF LOT 58 x 88 I
NOW ON LOT none FRONT I D FT. FT.
Q USE OF none
cn EXISTING BLDG. R.SIf7F 5 FT. FT.
V)
+
F Separate permits are required for L.SIDE 5 FT. FT.
Cr electric,plumbing and heating work. REAR ZO FT. FT.
IW.
.. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
CI MAIN BLDGS.�77`` �e—�1]J ACCESS.BLDGS.
e single family residence e. Z� DATE
G URP.# ZE ' 7 9 7 APPROVED/1"--3 —?f
APPROVED / DATE V�/! —2f0
ALD FOR SP1/
w EUI RCl1�7fnr',kr,' .
N...et7,
0 I hereby acknowledge that I have read this application and state n
IXC that the above Information Is correct end agree to comply with m
S all laws regulating building construction, and I shall not employ
Z any person In violation of the workman's compensation laws of o
Tthe State of California. �s / st �_� O 4 m
3 I hereby certify that I am properly licensed as a contractor under f��(/ $O. FT. r N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UND R VALUATION IS FOR m
Chapter 9, and that such licenses are In full force and effect,or 1 THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: —
em exempt fro he pr !Mons the ate of California Business yR b
VALUATION PERMIT FEE $ / ,fro
a
and Profession de, Islon ha r 9. n
Signature of _ �S /s I�� PLAN CHECK $ s/�,I LL
Permittee $ J•( (VA/ TAX E a�v
7 ;sea; U
Authorized Agent / TOTAL PAID :m4
7