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3136 MANISTEE DR - Building Permits
4`,51,1Mf 9 CITY OF COSTA MESA BUILDING DIVISION ). 4' -, DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER Oita PERMIT B02-01758 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us NG PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDIJob Address: 3136 MANISTEE DR Status: ISSUED Suite: Applied: 10/28/2002 Vicinity: RESIDENCE AND ATTACHED GARAGE Issued: 10/28/2002 Parcel Number: 41801219 Zoning: R1 R1 Applicant: JOHNSON, SCOTT ISSUED BY: %tak Address: 1824 E CARNEGIE AVE Phone: (949)250-1221 SANTA ANA,CA Zip: 92705 Owner: JOERGER, SUSAN J Address 2065 PEACEFUL HILLS RD Phone: WALNUT,CA Zip: 91789 T Contractor: A-1 ALL AMERICAN ROOFING CO WEST LA INC EXPI j/ Address: 1824 E CARNEGIE AVE i� Gni Phone: (949)250-1221 DATE .r l'� SANTA ANA,CA Zip: 92705 License: 671922 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF:TIO EXISTING WOOD SHAKE, 1/2"OSB, 1 LAYER 15#,APPLY"30-YEQR GAF COMP SHINGLES."2000 SO FT FEE SUMMARY Plan Check: $0.00 Calc Valuation: $4,000.00 Permit: $97.25 Claim Valuation: $4,000.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 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 NOTES: 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 244646(6/00) DECLARATIONS fl - . v WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have end 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 work for which this permit is issued. I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ` My workers'compensation Insurance carder and policy number are: ' / �7 Carrier: Sn. c-44-• Policy Number: Lt C ( -.C3 C C. a O (This section need not be completed if the permit is valued at one hundred dollars($100)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 Cahfo a,and agree t if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith oomph/with these provisi . Applicant Signature: Date: ,/0/z0P/4-_ WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TOONE HUNDRED THOUSAND COI.LARE($100,000),IN ADOMON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS 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 nd Professions Code,and my license Is in full force end effect.Lic.a do 7/ / 2" z" Class x c- 3`? - Contractor's Signature: �/ Date: /'Vol-PAZ-- CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction landing agency for the performance of the work for which this permit Is Issued.(Sec.3097,CM Cade). Lender's Name: Lender's 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(commencing 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 for 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 Coda:ire 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 em exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,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(38)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 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 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 0 No (Section 25505 of the Califomia 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 lime during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,ora volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does 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 Califomia Health and Safety Code,with some exceptions.requires registration with the Costa Mesa Fire Department by each business which at any ono 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 at standard temperature end 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 ❑No (Section 25534 of the Califomla Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and tiling with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes No (Section 85850.2 of the California Govemment Code 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'yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California 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 penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE 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. Ste, •r: •t Leal Owner' n. 22 r And/Or Authorized Applicant Date POOP r, INSPECTION TYPE Pall. INTITIALS COOS t INSPECTION TYPE PAIS MALI 1818 Fixed System Final Fire Prevention _ 206 Final Mechanical _ 1266 Pool Spa Final _ 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final SIock/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 Property Profile Page 1 of 1 Property Profile ©2003 DataQuick Information Systems This information is compiled from public documents and is not guaranteed. Primary Owner: JOERGER,SUSAN J & MICHAEL W Secondary Owner: Mail Address: 2065 PEACEFUL HILLS RD WALNUT, CA 91789 Site Address: 3136 MANISTEE DR COSTA MESA, CA 92626 tl Telephone Number: (909) 595-1311 ‘.;,43•0!F91.,,,,,s� ' APN: 418-012-19 `FW, �� Reference APN: CatIrORMA a 'mks: Census Tract: 639.082 Housing Tract Number: 9036 Geo Level.0 Lot Number: 20 Page Grid Old: 28-A3 Page Grid New: 859-E4 Legal Description: N TR 9036 LOT 20 Subdivision: Property Characteristics Bedrooms: 3 Year Built: 1976 Square Feet: 1,369 Bathrooms: 2.0 Garage: Lot Size:4,500 sq ft/0.10 acres Total Rooms: 6 Fireplace: Number of Units: 1 Zoning: Pool/View: Use Code: Single Family Residence Heating/Cooling: Sale & Loan Information Transfer Date: 04-20-1987 Seller: Document: 0000215035 Transfer Value: Cost/Sq Feet: $0.00 Title Co.: First Loan Amt: Lender: Last Trans W/O$: Loan Type: Interest Rate Type: Last Trans W/O$Doc: Assessed& Tax Information Assessed Value: $100,806 Percent Improvement: 41.48 Homeowner Exemption: Land Value: $58,992 Tax Amount: $1,343 Tax Rate Area: 15013 Improvement Value: $41,814 Tax Status: current [Report Menu] [_S-elect New Target Property] http://www.gotitle.com/cgi-bin/profi le.asp?rmt=TOPS&graphic=%2Faccounts%2FT073 78%2Fcompan... 04/14/2003 c.ITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO. 0 6 DATE /279/74- LOT ATE /2/9/74- LOT NO. 07 L7 ADDRESS 3/34' f/ /2cu dl,-n� 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) „C :„} (was or were) .ttit.Q" 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 aforementioned uncompleted condition. BY r te/ RECEIVED jPurchaf cru O' CJS+A hiESA BY kr-. I' Litt '•"I''' Developer and/or authorized DEC 1976 representative AM PM 718191101111121112131415 BY Lender OWNER Park Mesa homes DATE APR 1 9 1972 JOB ADDRESS 3136 Manistee Drive BUILDING PERMIT NO. 41669 G" `RAL CONTRACTOR Lucas Development Co. DESCRIPTION of WORK Residence .Watt garage A, .o. 418-011-01 LOT 20 TRACT 9036 FIRE ZONE VALUE $ 35,900.00 INSPECTIONS Signature Date TYPE V GROUP I & J ZONE R-1 solL42d4— �y.� ./q, PERMITS ISS ED GAS �� ' `� 2d SUBCONTRACTOR Date I Number 1 Signature WATER )� Plumbing q ROUGH PLUMBING y /, if P-��, ,G,ay74 6 g97 PROP. SWR. LINE Q HOUSE CON. IY•t . fa,.. ',,ty„IG ts. n 6 •.l9_?L &P.14YS e SPRINKLING SYSTEM '`!CA „ 't AD aril Aft SS * Ia•L•-2` a27 ,P•--- MISCELLANEOUS / 1 ROUGH HEATING AND AIR CONDITIONING � p .✓ -5O- . TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER 0 -25-4, ROUGH WIRING Heating and Vent. TRENCHES D FORMS 0 STEEL REINF. ��. 7:13 • )I�]�[/(q�/5.'py��'� Ili -9 7'1G j 2.�-g -- FLOOR SYSTEMr''l ///�����r��-___ A���_,O/L�OGr /�4A/O (LOli-7. � I�a 461 80N0 BEAM Ll STEEL REINFORCE 0 SHEATHING 41 % 6...2/• 7p FRAME AND FLASHING a• 2 _7.7 4. LAT'^NG — IN "OUT _/iLLL� O�� fr-c-- Ila Pt R. BROWN COAT /iy..A�l+9.- f(. 7G FrIn.TURAL. FINAL ``�� At. Elesfrla HEATING, VENT., REFRIG. AND A.C.,FINAL y t5 /0_65.74 "C �, lit-F to Cat . b-9.74 YoS9/r PLUMBING. FINAL AND GAS TEST 1137 .Li4 ,'D.6'. 7 ELECTRIC. FINAL /0-4.11. BUILDING. FINAL ono• 9- 11* • ' - 4.1669 \PR ?O-7Fcy`.001011'' ***?15.51 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 AP A ION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely —Use Ink Only qE I E V DATE RECEIVED AD3l3� ,r/t. ,''s /{� D rE}$S UEO/ ADDRESS l ,VAN jJF RRR////rrL/J / OWNER Park Mesa Homes A.P. NO.q IR -On --OI ' ER ..��09 MAIL BUILDING 3i3� ^�A , ` ,, ADDRESS 1451 Quail Street ADDRESS /Ve-IIV� 'D�, TEL. TRACT 9036 LOT 20 CITY Newport Beach NO. 833-0018 BLOCK CONT UCTION$8n Diego Federal S & L x][ ADD ALTER REPAIR MOVING DFMOI CH LEBRANCH San Diego OWNER 41111,1 etGL ASCU ADDRESS 600 B Street ALU: OR ENGINEERARCHITECT CraSg Combe b Assoc NTOL.645-8040 S" e $ r FIRE ADDRESS 1535 Monrovia, Newport Beach ZONE TYPE is GROUP CONTRACTOR Lucas Development Corp. APPROVED DATEF-1177, ADDRESS 1451 Quail St. NO.OF USE OF NEEW� TEL. PLANS BUILOING� CITY Newport Beach NO. 833-0018 ' I '47Z /A�• 6A�-. b STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. 257064 LIC.NO. MAIN BUILDING ACCESSORY BUILDING W SIZE NO.OF BLDGS (FROM C//I,�STR EET) G. OF LOT 55 x 90 INOW ON LOT none FRONT eql SFT. FT. et USE OF none ./. EXISTING BLDG. EL SIDE FT. FT. ca F Separate permits are required for L.SIDE 5— FT. FT. Ci LSI electric,plumbing and heating work. REAR 20 FT. FT. I.., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& etMAIN BLOCS. ACCESS BLOCS. 3 single family residence g VAR.v6 DATE a r C.U.P.y@ Gam.75 -77 APPROVED //-3--7s r —BAPPROVED _DATE V /9-7G ce HOLD FOR SPECIAL REQUWREMEI\?'- 0 I hereby acknowledge that I have read this application and state � 1:4 that the above Information is correct and agree to comply with m S all laws regulating building construction, and I shall not employ Z any parson in violation of the workman's compensation laws of 61 the State of California. /3a� jr.-�/ D W I hereby certify that I am properly licensed as a contractor under 7VI SQ. FT. /Y�� 7TT"" N the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, end that such licenses are In full fo co end effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FE ONLY: e am exempt from provisions of the tate California BusinessVALVATION PERMIT FEE $/ . . • and Professions o e,D' n 3 p r 9. t� in n be PLAN CHECK $ /stisio e Signature of _ k n U. Permittee .-- $ �1�7� TAX $ —/t5 2 0 V os Authorized Agent ) TOTAL PAID Sap: U