The URL can be used to link to this page

Home My WebLink About2976 JACARANDA AVE - Building Permits(714) 754-5273 • Fex (714) 754dB56 • www.ci.costa-mesa.��fiLDING PERMIT n FAIR DRIVE, CASTA MESA, CA 92626 dob Address: 2976 JACARANDA AV Suite: Vicinity: ROOF Primary Occ: R3 Type of ConsWctlon: V-N Parcel Number: 13921229 Zoning: R1 Applicant: MICHAEL LEE MATUSIAK Address: PO BOX 304 HUNTINGTON BEACH, CA Owner: MORGAN, JOHN A Address 2976JACARANDA AVE - - � ' COSTA MESA, CA :', Contractor: FACTORY DIRECT ROOFING Address: PO BOX 304 Arch : Address: HUNTINGTON BEACH, CA Zip: 92648 Phone: Phone: 714-799-7300 Zip: 92648 Phane: Zip: 92626-3740 Phone: 714-799-7300 _, License:- 797789 Eng: Address: Status: ISSUED Applied: OS/31/2005 Issued: OSI312005 ISSUED BY: "-' '"" Phone: Zip: License: License: SCOPE OF PERMIT REMOVE WOOD SHAKE ROOF AND INSTALL OSB 30 YEAR DIMENSIOAL OC SHINGLE ON ATTAHCED HOUSE AND GARAGE. REPAIR AND REPLACE SHEATHING AS NEEDED. � Plan Check: $0.00 Permit: $153.25 SMIP Res: $0.73 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $153.98 FEESUMMARY Calc Valuation: 5�,300.00 Claim Valuation: 8�,300.00 � PLANNING�& ZONING `,'� -,' � � � � SETBACKS � � � � � � � MAIN STRUCTURE Front . 0- 0 - Rear 0- 0 Left 0- 0-� � Riqht 0. 0 ' ACCESSORY Front 0-0 Rear 0.0 Left 0-0-`-� Right 0-0 PARKING Existinq: 0 Reauired: 0 Propased: '-0 .. NOTICE: The work authorfzed by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92Q8, § 1, 1241•92) EXPIRATION: This permit shall automaticelly expire and become void if work Ie not commenced wlthin 180 day9, or Ii work Is suspendetl or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this pertnit to be considered legal, such work must comply with all applicable codes, and all !I required Inspections end tinal approvel must be obtained. FaiWre to oGtain inspections and final approval will resutl in the expiratlon of this permit. � FOR INSPECTIONS CALL: (714) 7545628 zaae�ae la�ao� WOFiKERS' COMPENSATION DECLAFiATON: ' • � I hereby ettirtn under penalry of perjury one ol Iha following Aecleretions: " � � � I heve end will meintain a certificate of consent to sell-Insure br workers' crompensation, as proNtletl for by soction 3700 0l ihe Lebor Code, lor [he peAortnence of the wark for which this permit is issued. . � »- �=Cheve'end wlll malntain workers' campensatim insurence, es requiretl by sectim 3700 oi the La�or Cotle, lor the peAortnar�ca of N� � flc; r wh� thLs pemJ� is issued. M warkers' sati°� I�nsuran carrier entl i number ere: I� 5�, f! Cartier.Y �P�d(� �/t�� PolicyNumbar:_ � � ,(Thislseclionnee�ed il fhe permit is veluetl ef one hundred dWlars ($100) or less.) � ❑ I certity that In tho peAormance ot Ihe wdrk tor iv�ich this Der � 15 issued, I shell hot employ any porson in eny menne� so es to becoma subloct to lhe warkers' compensetlan laws ol Califomia, nA agree t�et II I ould b ome subjact ro tha workers' compensation provisions ol Section 3700 0l the Lebor Cotle, I s�all forthwit� comply with these provision �/' � � `/` � Applkant�Signnlure:,--�— Dete:—.- V r, �— WARNINO: FAILURE TO SEWR RS COMPENSA WVEMGE IS UMAWFVL AND SW1Ll SUBJECT AN EMPLOVER� T—O C�RIMIN�AL PENnLTIES AND GVIL FlNE$ UP TOONE HUNDRED THWSrWDDOLURE�E100,000),I ADDRIONTOTHE TOFCOMPENSATION,DAMAGESASPROVIOEDFORINSECTION3lO80FTHEUBORCAOE,INTEREST,ANDATTORNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I here6y BNI� Ihei_I_em IlcenSed for� eriB'eMecCL7t-N�` � 9(commendng with Sectlon 7000) ol Division 3 ot the Business aqQ P�yf �lons Cade, end my Iicense Is in lull `I049.d� � � �Daia;: t �`i� i —n � CONSTRUCTION LENDING AGENCY: ❑ I hereby eflirm that lhore is e wnsWction lending epenty lor ihe peAormance of the work br w�ich NIs pormll Is luued. (Sec. 3097, CiWI Cotle). Lentlers Neme: Lentler's Atltlress: Signewre: OWNER-BUILDER DECLARATIONS: Dete: I here6y ettirm thet under penalty ol perjury thet I em EXEMPT FROM TME CONTRACTORS LICENSE LAW lor ihe following reason (Sec. )031.5, Business entl Professlons Code: Any ciry or counry w�ic� requires e permit to conslrucl, alter, improve, demolish, or repair any strucWre, prior to its issuance, elso requires tha epplicant tor such permit to ille e slgne0 slatemem t�et ha or she Is licensetl pursuent m the provlsions ot the Contrecmrs lJcense Law (Chepter 9(commencing with Sectlon 7000) 01 Dlvlsion 3 of the Business entl Professions Coda) or Ihat he ar she is exem0� �heretrwn arW the basis for t�e alleged ezempilon. Any Wolation of Sectlon 7031.5 by eny epplicant far e pertnit subjecls (he epplicent to e cMl penalry of not more than tive hunAred CWlars ($500).j: � ❑ I, as owner ot l�e property, or my employees with wepes es thelr sole compensation, WILL DO THE WORK, end Ihe siructure is not intendetl ar otleretl for sale (Sec. 7044, Business entl Proteuions Caaa: The Contractars License Law does not appN to an owner of property who builtls or improves t�ereon, efM who does such work hlmself or hersell or through his or her own employees, pmvided Ihat such improvements ere not Intended or oMered tor sale. If, however, the builtling or improvement is soltl within one year of completion, Ihe ownerDuiltler will �ave the burden ot pmving �hat he or she tli0 not build or improve tor puryose of sale.). ' ❑ I, as owner ot the property. am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 704a, Business end Pwlessions Code: TTa mniractors license Law daes not epply to en owner of pmperty who bullds or Improves Ihereon, and who conirects tor such project with a contractor(s) license pursuant to tne Contrectors License Lews.). ❑ I am eaempt under sec. Business antl Pmfessions Code for this reeson: Signa�ure: Date: Owner ID venfietl hy tlriver's licanse. ❑ Ves ❑ No Drivefs License No. Verilicetion oi Ownership by (rype of daumenL I.e. - properry taa bill or deed): DIVISION OF INDUSTRIAL SAFETY PEFMIT CERTIFICATON: Expires: ❑ I horeby cerlify Ihat no excavetion live (5) or more leet in depth into which a person is required to descend, wlll 6e made In connectlon wil� work euthorized by thls permit, end I�et no builtling structure, sceHdtling, lalsework, or demdition ar dismentling thereof, will be more then ihirry-six (36) feet hiph. (Chap. 32, Grp 2. An 2, Sec. 347, Title B, Calllamia Atlministretive Cade). 0 As owner-bullder, I will not employ enyone to tlo work which woultl require e pertnit iram the DiWsion ol Industrial Safary, as noted ebove, unless such person hes e permit to tlo such work Irom Ihe d'MSIon. Signaturo: Date: Division ol Intlustrial Selery Pertnit Number: GERTIFlCA7E OF COMPUANCE AND AllTHORIZA710N OF ENTAY: � cenify under penalty of Derjury that I have read this epplication antl state Ihai Ne Information given is correcL I agree to compty with ell state laws entl ciry ordinences relating to building cons�ruction, antl authodze representatives of t�e Ciry ot Casta Mese to enter upon the ebove-Uescnbed property for inspection puryoses. I agree not to occupy or ellow oaupancy of eny building authorized by ihis permit until linel inspeaion. LOUE 1. 1618 1288 201 202 . 203 204 .��„��,.� v inetl System Finel Fire PrevenUon Pad Spe Finel Finel RB-Root ' ' - Finel BIocWRetaining Wall Final Fenory Fire Place � Finel Sign Finel Demolition PdIE " R�ELS •E�� /// COOE I INSPECiION TYPE 20fi Final Mechaniwl 20B 270 212 220 222 250 Finel Plumbinp � Final ElecMcal Finel Fire Prevention Finel Planning Approval Final Slte Finel Building/Occupency � It� CYT� OF CUSTA ME5A CALIFORNfA P. O. HOX 317 FROM THE OFFICE OF THE DIRECTOR OF PLANNING November 16, 1965 G. L. Jones 29'(6 Jacar�ada Avenue Coata Meea, Californin Dear Pool Owner: The Costa Mesa Planning Department has been notified of the completion of your swimming pool. � So that your pool will be a safe one and for the purpose of advising you of your responsibility regarding the requirements of the Costa Mesa Municipa2 Code� we quote 3ection 929$•9: .� 1. No swi�ing pool shall be constructed closer than i3ve (5� � Peet to any property lines, measured Prom water line oY pool. 2. No s�ri�ing pool shall be constructed under any electric poF*er lines or on any electric power easement. 3. No s�ri�ing pool shall be constructed unless the yard surrounding such pool is completely enclosed by a Pence eix (6) Yeet in height and have a self-closing and locking type gate or gates. This courtesy letter is directed to you so that you wlll be aware oP our ordinances and can make a complete safety check of your pool area. Sincerely yours, �vit.(:KCd.r�� William L. Dunn Director oP Planning KEN O'BRIEN 8z ASSO CIATES .>10 37r+c !�:t.ro�:t. n��vport bCa��F�, otillfuruiu !12C3(3U 714-67:3-0£�46 REPORT OF COMPRESSION TEST GUNITE TEST CYLINDER JOB N0: PROJECT: SAMP�E FROM: ARCHITECT: CONTRACTOR: MIX SPECIFIED STRENGTH, PSI: Cylinder No: Mork No: Size: Made by: Dafe cast: Date tested: ' Age of test, days: Maz.load to desiruction, Ibs: Compressive strengih, psi: REMARKS: REPORTS T0: •.•. . 2�8�"� Swi�uing Pool, 2976 Jacaranda Avenue, Costa twoa Bond Beam Tabor Gyimesi Blue Haven Pools Co. 168 SK/41.5 tone 2,000 psi at 28 desye 3444 1 6.o"xi2.o" Cochran June 2, 1965 dune 9, 1965 7 eaYs 72,600 2,568 3�+45 2 6.0"x12.0" Cochran dune 2, 1965 dune 16, 1965 14 dsys 90,200 3,191 3446 3 6 0"x12.0" Cochran June 2, 1965 June 30. 1965 28 days �u� 1 �sss City of Costa Mesa Building Dept. City of Coata Mesa� Building Dept., 695 w, igtt, st., Cos�� Slre Haven Poole, 12222 Hsrbor Blvd., Carden Grove, California F.P. Cochran, 15281 Greenhedge, Anaheim, California dune 9, 1965 Tune 16, 1965 June 30, 19�5 I{.O. 0 A.FORM-19 �^ a � n� � �� Respecifully submitted, P. �:r�� O'BRTF\ K ��ssocc��Es By ( � ' , Jacaranda Ave � VALUE S INSPECTIONS _ p�S'9 DATE I GAOUP I& J TYPE Underground Soil �yj�-S U.G. 14ater �� suecoNTRacrOR �— ZONE � � p �I� ei,i_�'i�F'�;,�_, i�, / �O�O �u� i 3 �s5s COSTA MESA BUILDING-SAFETY DEPARTMENT I�iii:''P�CE DEPT. P.O.BOX 3f] COSTA MESA.CALIFORNIA ��' ^(`^?;'� a{[�,. fOR APPL/CANT TO F/ll /N COMPLETELY APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING ADDRE55 2 6 Jacaranda Ave. �/1y COSTA MESA, CALIFORNIA ryn OFFICE USE ONCY i-_n I RECEIPi NO. I P�fll�� OWNER R.�sslane JClld U� � MAIL \CE ED BT I OATE NEGEIVEO I, OATE�SSUED ADDRESS E� 1'fill Si'i• ` � C�Ty Costa Tiesa TNo:IS81159 pDO E'SS ARCHITECT Carlson 8c ua COSTA MESA. CALIFORNIA OR ENGINEER NO. ADDRE55 Garden Grove ZONE E O egrove� RC• STATE 16'T'z(� pppROVED CONTRACTOR LIC.NO. BY DATE ADDRE55 q� ZONING LECRL I LOT 21$ I �.p�q I�NE NO. OF USE OF NEW OESCRIPTION NO, BLOCK TRACT ,� I P�ANS �1 I BUILDING II ./ fl" vcpi A. P. NO. APPROV ED �_ S BY DATE SIZE bg X 1L6 No.oc e�oc9, ypROS EVES OF LOT I Now oH �oi nOR REOUIRED ALLOWED USE OF ICENTER LINE STJ ,` EXISTING BLDG. FRONT v FT, IN. SETBqCK LINE FNOM �f / c[rvr[n oF srAe¢T 55' REAR YARO 30� R. SIDE S �� IN. `/ SIDE VARD ILEFf S� RIGHT 1� L.SIDE J FT. IN. DESCRIPTION OF WORK � REAR Ff. IN. NEW I X II ALTERATION I II ADDITION I REPAIR I II MOVING I II DEMOLISH I 5 Z�E DING u,SO ROOMS � STORIES � EXTERIOR WAL� IROOF COVERING COVERING US OF UILDING AND WORK TO BE PERFORMED �uig�le £amily residence with a ac e garage. 1 HEftEBY ACKNOWLEDGE THAT I NAVE FEAD THIS APPLICATION ANO STATE THAT TNE ABOVE IS CORFECT AND AGREE TO COM� 7HE PMOUNT SHOWN UNOER VALU�TION 19 FOR THE PLY WITM ALL CITY OFDINRNCES AND STATE LAWS FEGUL/�TING PUHPOSE OF ESTABLISHING A PEFMIT FEE ONLY. 9111LDING CONSTRUCTION. VALUATION rv� SIGNATURE OF �- PERMIT FEE s 3k��/ PERMITTEE $'I I)CS2 PLAN CHECK S 17�QQ 't� i+4 J nf� AUTHORIZED AGENT D1ne & olegrove ITIC. TOTAL FEE S ��w OWNE[t JONES� G.L. . DATE 4-7-65 .. JOB ADDRESS 2 7 Jacaran RVE. BUILDING PERMIT NO. DESCRSPTION OF WORK FIRE'LONE VA Date I GROUP J TYF SUBCONTRACTOR �, -�� - �� uq, ��sr. �,.��,j �. s. i , � �3858 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX J17 COBTA MEBA. CALIFORNIA For Applfeanf io Fill In Complefely /� TYPE OR PRINT BUILDING / b �C p � /� /�� ADDRE6S O� �� Q COSTA MESA CALIFORNIA OWNER G, �� O N Q-'S MAIL � . TEL. NO. TEL. O e�w�ev 1eL. e Q � LIC. NO. N n�=E �_ i_ �� I G.�. d I u�W��a�as. � BHTB�CN LJNE FPOM DESCRIPTION OF WORK SIZEOING I p�K3 / NO. OF Q b ROOMS STC EXTERIOR WALL .`— :tOOF � GOVERING COVERING USH OF BUILDING AND WORK TQ BF.,�ERFORME CITY �� ;�� ESA APR 7 1965 b� " �. � .�l/ �PFLI�JCTION FOR�ER}�1T- BUILDING For Offite Use Only RECEIPT NO. I �PCRt.]IT? 3S er I oNre nr�erveo J n� isf �- �'/ � � -i /4ci4 �?� COSTA MESA. CALIFORNIA APPROVED NO. OP � I PI.ANB YARDS APPROVED � ICBNTeP LINB OTJ I H6pQ9Y ACKNOWLEDOE THAT 1 XAVE READ T118 A U AND BTATE THAT TH¢ ABOVE IS CORRECT AND A e O PLY WIT OF�C� ANCEB AND BTAT6 B UlJ BUILDIN C��A BIGNATURE PERMITTE AUTHOR12ED AGENT IJu�- u./"`�"^� APPROVEO U86 OP NEW 9UILDIN6 ��-J-= EVES SPECIAL yv �TION }He AMOUNT BXOWN �OER VALUAiION 16 FOR THE �'M� PYRPO68 OP 88TqBL18NING I. PERMIT FEE ONLY. TINO VALUATION PERMIT FEE $ � � S ��^^ / � �rt/� PLAN CHECK $ (O