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HomeMy WebLinkAbout3146 MANISTEE DR - Building Permits • CITY OF COSTA MESA BUILDING DIVISION :l ; , $ DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER F t % �J PERMIT V•' boptalso tie • ✓B01-01187 • (714)754-5273 • Fax(714)754.4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 3146 MANISTEE DR Status: ISSUED Suite: Applied: 07/31/2001 Vicinity: Issued: 07/31/2001 Parcel Number: 41801224 Zoning: R1 R1 Applicant: NGUYEN, CUONG ISSUED BY: Address: Phone: 714-545-6994 Zip: Owner: GREEN, DARYL Address 3146 MANISTEE Phone: COSTA MESA,CA Zip: 92626 Contractor: VILLA ROOFING PROFESSIONALS INC Address: 14351 EUCLID ST#E Phone: (714)545-6994 GARDEN GROVE,CA Zip: 92843 License: 758361 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF WOOD SHAKES.RE-SHEATH AND APPLY 25 YEAR COMP SHINGLES. INCLUDES ATTACHED GARAGE. FEE SUMMARY Plan Check: $0.00 Calc Valuation: 53,700.00 Permit: $97.25 Claim Valuation: $3,700.00 SMTP 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 244848(8Ne) DECLARATIONS WORKERS'COMPENSATION DECLARATION: i I 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 work for which this permit is Issued. I have and will maintain workers'compensation Insurance,as required by section 3700 of the L(or Code,for the performance of the work for which this permit Is Issued. lit— My workers'compensation Ins ance carer and policy number are: Carrier: ....._47-7/2— -!� ,4 MO Policy Number: _...44/ /•7 ?/6 ~©/ (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 California,and agree that it i should become subject to the workers'compensation provisions of Section 37 of the ILL,eeehbb000r Code,I shall forthwith comply with provisions. � -7 "hi I 0 U k.Applicant Signature:e: il.L.rl Date: 1111 WARNING:FAILURE TO SECURE W- -5'COM-ENSATION••ERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100.000),I •' TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed un er o Ions C pier 9(commencing with Section 7000)of Division 3 of the Business and rof ssions Code,and my license is In full force and effect.tic.• 7 Class• et-- � Contractors Signature: — 7 Date: , ( { /`1 I CONSTRUCTION LENDING AGENCY: III ❑ 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). Lender's 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(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(5500).): ❑ 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 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 em exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 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 ceNfy 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 B,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 0 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 greater than a weight of 500 pounds,ore 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 has 25533of the hand alifo sHealthalacutely hazardous materialsthsme exceptions,requires registration with the Costa Mesa Fire Department by each business which et any quantity yeque 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 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 No (Section 25534 of the Califomla Health and 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 compiled with? 0 Yes 0 No _ 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application—alas).- rmil for such construction or modification from the South Coast Air(Duality Management District or from any other air pollution control district or agency? CJ Yes D No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 W III any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If'yes',the faculty must meet the requirement of Sections 25534 and 42303 of the California 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 COMPUANCE 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 prope inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. •�Yg�I Owner(s) I 1 •"- 1 \ r�\Date And/Or Authorized Applicant Date ;ODE L INEPECTIONTYPF. OUSE 211ItAJ5 CODE! INSPECTION TYPE PATE ILLS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final /1 208 Final Plumbing 200 Final Re-Roof 9_^z AAA--( 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 CITY OF COSTA MESA REQUEST FOR OCCUPANCY/ TRACT NO. 9 DATE //1�//y LOT NO. ? // ADDRESS d/`f� Qtil GQ1 ifi� /r , 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) �GcliLC_- advised that this tract has not be n 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. BY1/,/ /l/ ta".% Pure !er RECEIVED BY age/. CITY OF COSTA MESA Developer and/or authorized representative way D 1976 (,pq PRI BY V1819110111112111213141516 Lender Q APR 1 9 1972 OWNER Park Mesa Homes DATE JOB ADDRESS 3146 Manistee Drive BUILDING PERMIT NO. 41664 GENrRAL CONTRACTOR Lucas Development Co. DESCRIPTION of WORK Residence w/att garage Al . 418-011-01 LOT 15 TRACT 9036 FIRE ZONE VALUE $ 38,100.00 _ INSPECTIONS Si•nature Date TYPE V GROUP I & J ZONE B-1 SOIL 1111:n - P-111:4- SUBCONTRACTOR PERMITS ISS ED GAS Date Number Si.nature WATER Plumbin• ROUGH PLUMBING .. .rfarsierWrappiffl - . PROP. SWR. LINEfl HOUSE CON. gill ll 4-0 - 244 , ----- SPRINKLING SYSTEM 4 a:"Telletilltr se. •' sat-% STMArrerffluIrOWIITIRS7ALW 74r MISCELLANEOUS .1241_111.1121.Fira kir ft.. , a. j MEN ROUGH HEATING AND AIR CONDITIONING avast . TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER 011 ROUGH WIRING Az 1/4‘.... to.Ciry_ Heatin• and Vent. TRENCHES 9 FORMS le STEEL REINF. Ldir6tPimistrab . ,., .nmwrnrpnrir-jtmvnw-ig„-- FLOOR SYSTEM .fffiarilfarnrisA= BOND BEAM . STEEL REINFORCE . SIMI , SHEATHING FRAME AND FLASHIN Ma - allEttmsaisr LATHING - IN . OUT er 11.11111=1.11111. 1 PL -R. BROWN COAT lraaEllrrZCPAZNIMMIMII.a .1 .URAL, FINAL _ HEATING, VENT., REFRIG. AND A.C.. FINAL Ilrifr:SrZring. C ./..71WArli 6- I4IlLv1Xil4 PLUMBING, FINAL AND GAS TEST a In"- -'I X ELECTRIC. FINAL BUILDING. FINAL 4..1664 PAI:. 'PR 20-76,7, 001019-* ***Z33.67 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 A LI AT N FOR STRUCTURAL PERMIT For Applicant to Fill in Completely �Use TInk Only RE E /y DATE RECEIVED ADDRESS 3141 / Al l GST[ t!L . V TE I$$�,Ep� BUILDING TT dh"�t 1/-aL/J�Jj„- OWNER Park Mesa Homes A.P.NO.418'eI IAV 1 E:'1MI 4 MAIL ADDRESS BUILDING 14(0 4146 tsrewma ADDRESS 1451 Ouail St. CITY Newport Beach TEL TRACT 9036 LOT 15 BLOCK CONSTRU NEW ADD ALTER REPAIR MOVING OFMOLISH LENDER % Diego Federal S & L xx BRANCH San Diego - OWNER A,,. // � ADDRESS 600 B Street • �y�, vALIM7 pQ ARCHITECT. TEL. USE rdk y � OR ENGINE{CCa1R Combs & Assoc. NO. 645-8040 FIRE ADDRESS 1535 Monrovia. Newport. Beach ZONE GROUPAPPROVEDhien'Y / /d CONTRACTOR Lucas Developmetit Corp. BY l� DATE —`! 7. - ADDRESS 1451 Quail St. �p TEL. OyN�E NO.OF USE OF NEW `S CITY_ O Newport Beach NO. 833-0018 'YY/Z LD PLANS Z BUILDING W/A� G.c� F. STATE CITY YARDS APPROVED YARDS APPROVED Z LIC.NO. 257064 LIC. NO. MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) W SIZE !NO.OF BLOTS r�C Ci. OF LOT 55 x 9O NOW ON LOT non FRONT 4J J FT. FT. USE OF none ✓ EXISTING BLDG. R.SIf1F S FT. FT. 4 E-1 Separate permits are required for L.SIDE S FT. FT. Welectric,plumbing and heating work. REAR ZS FT. FT. F USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& C MAIN BLDGS. ACCESS. BLDGS. „I single family residence C _/ VAR.96 DATE _ C.U.P.# 75--77 APPROVED ii-"3-75 Q ._' .BY APPROVED(i 'IC„i DATE /9-?{ , ..1 � ,-TOLD FOR P/]iS/�/ ECI 1 REOUIRFMFK{T5, 0. O I hereby acknowledge that I have read this application and state in h. fY that the above Information Is correct and agree to comply with m A. all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of /� 2 the State of California. I TT f1/Wt I hereby certify that I am properly licensed as a contractor under / D SO. FT. �J� N the State of California Business and Professions Clods, Division 3, THE AMOUNT SHOWN UN ER VALUATION IS FOR m Chapter 9, and that such Ilce sea are I full for• and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: -• am exempt from thprovls sof •-.tatetof 'alifornla Business VALUATION PERMIT FEE $ / N and Profesjp DI 3 a• Signature 0 / �� Iv—460 PLAN CHECK $ ^� 0 Permit-toe $39) �� TAX E '�// 7/J U Authorized Agent ' ` ' TOTAL PAID $79_9/ 7